Hospice Support in Shackle Island, TN: Caregivers at Home

Local figures

Hospice Support in Shackle Island, TN: the local picture

16

Medicare-certified hospices serve Shackle Island ZIP codes

31

residents 85 or older (0.7% of all residents)

12%

of residents 65+ in households live alone (23% in Sumner County)

31%

of residents 65+ report a disability (32% in Sumner County)

Medicare lists 16 hospices whose service area includes Shackle Island ZIP codes, the nearest offices being Highpoint Hospice in Gallatin (9.2 mi) and Adoration Hospice in Madison (9.5 mi).

66 Shackle Island residents 65 or older live alone (12% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

Shackle Island compared with Sumner County and Tennessee

Census figure	Shackle Island	Sumner County	Tennessee
Residents 85 or older	0.7%	1.6%	1.6%
Residents 65+ in households who live alone	12%	23%	29%
Residents 65+ with a disability	31%	32%	36%
Residents 65+ with difficulty dressing or bathing	6.8%	6.4%	7.4%
Residents 65 or older	13%	17%	17%
Residents 65+ below the poverty line (approx.)	3.5%	8.5%	11%
Median income, households headed by someone 65+	$75,792	$62,179	—

Older residents in towns around Shackle Island

Town	Distance	Residents 65+	Live alone (65+)
Hendersonville, TN	5.0 mi	10,859	24%
Millersville, TN	5.4 mi	1,089	18%
Goodlettsville, TN	5.8 mi	3,125	34%
White House, TN	6.7 mi	1,876	27%
Gallatin, TN	8.3 mi	8,031	27%
Greenbrier, TN	10 mi	692	45%

Hospices serving Shackle Island

Hospice	Office	Distance	Phone
Highpoint Hospice	Gallatin, TN	9.2 mi	(615) 328-5515
Adoration Hospice	Madison, TN	9.5 mi	(615) 242-5936
Amedisys Hospice Care	Hermitage, TN	13 mi	(615) 231-7113
Shalom Hospice, LLC	Brentwood, TN	14 mi	(615) 623-8900
Heart And Soul Hospice LLC	Nashville, TN	15 mi	(615) 835-3822
Enhabit Hospice	Nashville, TN	15 mi	(615) 889-3357

Straight-line miles from the center of Shackle Island. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support costs in Shackle Island

At the Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 21% of the $6,316 monthly median income of Shackle Island households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Tennessee has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see TennCare CHOICES: how to get paid to care for a family member in Tennessee.

Before you hire

What to know before hiring a caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Hospice Support in Shackle Island: common questions

How much does hospice support cost in Shackle Island?

At the Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 21% of the $6,316 monthly median income of Shackle Island households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Tennessee has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near Shackle Island

More senior care near Shackle Island

Hospice Support in nearby cities

Other care in Shackle Island

More for Shackle Island families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Hospice Support in Shackle Island, TN