Live-In Caregivers in Franklin, TN: 24-Hour Home Care

Local figures

Live-In Caregivers in Franklin, TN: the local picture

1,667

residents 85 or older (1.9% of all residents)

6,190

households headed by someone 65+ own their home (79%)

65%

of Franklin homes have 3 or more bedrooms (81% in Williamson County)

$7.25

Tennessee minimum wage per hour

About 1,667 Franklin residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 65% of homes in Franklin have three or more bedrooms (81% in Williamson County), while 13% have one bedroom or none, where live-in care rarely works; the median home has 6.3 rooms.

Of Franklin households headed by someone 65 or older, 6,190 own their home and 1,601 rent; among householders 85 and older it is 546 owners and 539 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Franklin compared with Williamson County and Tennessee

Census figure	Franklin	Williamson County	Tennessee
Residents 85 or older	1.9%	1.3%	1.6%
Residents 65+ in households who live alone	26%	21%	29%
Residents 65+ with a disability	27%	25%	36%
Residents 65+ below the poverty line (approx.)	6.6%	5.8%	11%
Residents 65 or older	15%	15%	17%
Residents 5+ who speak a language other than English at home	14%	9.8%	8.6%
Median income, households headed by someone 65+	$80,194	$91,408	—

Older residents in towns around Franklin

Town	Distance	Residents 65+	Residents 85+
Brentwood, TN	7.2 mi	7,425	716
Thompson's Station, TN	7.7 mi	1,026	101
Nolensville, TN	11 mi	1,192	30
Forest Hills, TN	11 mi	1,226	213
Oak Hill, TN	11 mi	1,140	75
Spring Hill, TN	12 mi	6,010	218

Emergency hospitals near Franklin

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Williamson Medical Center	Franklin, TN	4.9 mi	5 of 5	(615) 435-5000
Rolling Hills Psychiatric Hospital	Franklin, TN	4.9 mi	not rated	(615) 226-4930
Tristar Southern Hills Medical Center	Nashville, TN	13 mi	4 of 5	(615) 781-4000

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

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in Franklin

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.45 an hour (the Tennessee median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,348 a month (50% of the $6,683 monthly median income of Franklin households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $11,248 a month (168% of the $6,683 monthly median income of Franklin households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

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

Questions

Live-In Caregivers in Franklin: common questions

Where is the nearest emergency hospital to Franklin?

Williamson Medical Center in Franklin, about 4.9 mi in a straight line from the center of Franklin (Medicare hospital file). Its listed phone number is (615) 435-5000. In an emergency, call 911.

How much does live-in care cost in Franklin?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.45 an hour (the Tennessee median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,348 a month (50% of the $6,683 monthly median income of Franklin households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $11,248 a month (168% of the $6,683 monthly median income of Franklin households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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).

Live-in or 24-hour care in Franklin?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Franklin it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near Franklin

More senior care near Franklin

Live-In Caregivers in nearby cities

Other care in Franklin

More for Franklin 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.

Live-In Caregivers in Franklin, TN