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

Local figures

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

39

residents 85 or older (0.7% of all residents)

253

households headed by someone 65+ own their home (54%)

63%

of Lafayette homes have 3 or more bedrooms (72% in Macon County)

$7.25

Tennessee minimum wage per hour

About 39 Lafayette 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. 63% of homes in Lafayette have three or more bedrooms (72% in Macon County), while 9.2% have one bedroom or none, where live-in care rarely works; the median home has 5.7 rooms.

Of Lafayette households headed by someone 65 or older, 253 own their home and 215 rent; among householders 85 and older it is 19 owners and 20 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Lafayette compared with Macon County and Tennessee

Census figure	Lafayette	Macon County	Tennessee
Residents 85 or older	0.7%	1.1%	1.6%
Residents 65+ in households who live alone	43%	26%	29%
Residents 65+ with a disability	47%	36%	36%
Residents 65+ below the poverty line (approx.)	34%	12%	11%
Residents 65 or older	12%	15%	17%
Residents 5+ who speak a language other than English at home	4.0%	4.1%	8.6%
Median income, households headed by someone 65+	$33,629	$43,537	—

Older residents in towns around Lafayette

Town	Distance	Residents 65+	Residents 85+
Hartsville, TN	11 mi	1,475	72
Westmoreland, TN	12 mi	463	82
Scottsville, KY	18 mi	930	86
Tompkinsville, KY	22 mi	455	52
Gallatin, TN	26 mi	8,031	807
Portland, TN	28 mi	1,640	149

Emergency hospitals near Lafayette

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Macon Community Hospital	Lafayette, TN	1.1 mi	3 of 5	(615) 666-2147
Highpoint Health-Trousdale With Ascension Saint	Hartsville, TN	12 mi	not rated	(615) 374-2221
Highpoint Health-Riverview With Ascension Saint Th	Carthage, TN	18 mi	4 of 5	(615) 735-9815

Straight-line miles from the center of Lafayette. 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 Lafayette

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 (119% of the $2,802 monthly median income of Lafayette 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 (401% of the $2,802 monthly median income of Lafayette 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 Lafayette: common questions

Where is the nearest emergency hospital to Lafayette?

Macon Community Hospital in Lafayette, about 1.1 mi in a straight line from the center of Lafayette (Medicare hospital file). Its listed phone number is (615) 666-2147. In an emergency, call 911.

How much does live-in care cost in Lafayette?

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 (119% of the $2,802 monthly median income of Lafayette 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 (401% of the $2,802 monthly median income of Lafayette 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 Lafayette?

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 Lafayette 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 Lafayette

More senior care near Lafayette

Live-In Caregivers in nearby cities

Other care in Lafayette

More for Lafayette 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 Lafayette, TN