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

Local figures

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

115

residents 85 or older (3.1% of all residents)

483

households headed by someone 65+ own their home (88%)

41%

of Gatlinburg homes have 3 or more bedrooms (66% in Sevier County)

$7.25

Tennessee minimum wage per hour

About 115 Gatlinburg 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. 41% of homes in Gatlinburg have three or more bedrooms (66% in Sevier County), while 21% have one bedroom or none, where live-in care rarely works; the median home has 4.1 rooms.

Of Gatlinburg households headed by someone 65 or older, 483 own their home and 63 rent; among householders 85 and older it is 84 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Gatlinburg compared with Sevier County and Tennessee

Census figure	Gatlinburg	Sevier County	Tennessee
Residents 85 or older	3.1%	1.8%	1.6%
Residents 65+ in households who live alone	29%	23%	29%
Residents 65+ with a disability	38%	36%	36%
Residents 65+ below the poverty line (approx.)	9.7%	11%	11%
Residents 65 or older	23%	20%	17%
Residents 5+ who speak a language other than English at home	23%	10%	8.6%
Median income, households headed by someone 65+	$54,474	$54,415	—

Older residents in towns around Gatlinburg

Town	Distance	Residents 65+	Residents 85+
Pigeon Forge, TN	6.4 mi	1,009	117
Sevierville, TN	12 mi	3,392	521
Seymour, TN	19 mi	2,935	299
Dandridge, TN	21 mi	814	74
Newport, TN	23 mi	1,289	174
Strawberry Plains, TN	25 mi	466	50

Emergency hospitals near Gatlinburg

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Leconte Medical Center	Sevierville, TN	8.7 mi	5 of 5	(865) 446-7500
Cherokee Indian Hospital Authority	Cherokee, NC	18 mi	not rated	(828) 497-9163
Dlp Swain County Hospital LLC	Bryson City, NC	21 mi	not rated	(828) 488-2155

Straight-line miles from the center of Gatlinburg. 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 Gatlinburg

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 (74% of the $4,540 monthly median income of Gatlinburg 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 (248% of the $4,540 monthly median income of Gatlinburg 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 Gatlinburg: common questions

Where is the nearest emergency hospital to Gatlinburg?

Leconte Medical Center in Sevierville, about 8.7 mi in a straight line from the center of Gatlinburg (Medicare hospital file). Its listed phone number is (865) 446-7500. In an emergency, call 911.

How much does live-in care cost in Gatlinburg?

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 (74% of the $4,540 monthly median income of Gatlinburg 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 (248% of the $4,540 monthly median income of Gatlinburg 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 Gatlinburg?

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 Gatlinburg 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 Gatlinburg

More senior care near Gatlinburg

Live-In Caregivers in nearby cities

Other care in Gatlinburg

More for Gatlinburg 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 Gatlinburg, TN