Knoxville, Tennessee

Live-In Caregivers in Knoxville, TN

A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Knoxville for free and hire a caregiver directly, with no agency mark-up.

A smiling caregiver with her arm around an older woman in a bright room at home
Local figures

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

3,348
residents 85 or older (1.7% of all residents)
13,284
households headed by someone 65+ own their home (69%)
49%
of Knoxville homes have 3 or more bedrooms (65% in Knox County)
$7.25
Tennessee minimum wage per hour

About 3,348 Knoxville 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. 49% of homes in Knoxville have three or more bedrooms (65% in Knox County), while 19% have one bedroom or none, where live-in care rarely works; the median home has 4.9 rooms.

Of Knoxville households headed by someone 65 or older, 13,284 own their home and 5,979 rent; among householders 85 and older it is 1,454 owners and 675 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Knoxville compared with Knox County and Tennessee

Census figureKnoxvilleKnox CountyTennessee
Residents 85 or older1.7%1.7%1.6%
Residents 65+ in households who live alone42%30%29%
Residents 65+ with a disability36%32%36%
Residents 65+ below the poverty line (approx.)14%9.5%11%
Residents 65 or older14%16%17%
Residents 5+ who speak a language other than English at home9.3%8.7%8.6%
Median income, households headed by someone 65+$40,720$56,033—

Older residents in towns around Knoxville

TownDistanceResidents 65+Residents 85+
Powell, TN6.4 mi2,329296
Halls, TN7.7 mi2,785235
Karns, TN9.0 mi79858
Alcoa, TN11 mi2,276255
Louisville, TN12 mi1,05965
Seymour, TN12 mi2,935299

Emergency hospitals near Knoxville

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Fort Sanders Regional Medical CenterKnoxville, TN1.4 mi3 of 5(865) 541-1101
East Tennessee Childrens HospitalKnoxville, TN1.4 minot rated(865) 541-8000
University Health System, IncKnoxville, TN5.4 mi4 of 5(865) 305-9000

Straight-line miles from the center of Knoxville. 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 Knoxville

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 (99% of the $3,393 monthly median income of Knoxville 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 (331% of the $3,393 monthly median income of Knoxville 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 Knoxville: common questions

Where is the nearest emergency hospital to Knoxville?

Fort Sanders Regional Medical Center in Knoxville, about 1.4 mi in a straight line from the center of Knoxville (Medicare hospital file). Its listed phone number is (865) 541-1101. In an emergency, call 911.

How much does live-in care cost in Knoxville?

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 (99% of the $3,393 monthly median income of Knoxville 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 (331% of the $3,393 monthly median income of Knoxville 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 Knoxville?

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 Knoxville 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.

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.

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