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

Local figures

Live-In Caregivers in Middle Valley, TN: the local picture

369

residents 85 or older (3.0% of all residents)

1,433

households headed by someone 65+ own their home (93%)

82%

of Middle Valley homes have 3 or more bedrooms (64% in Hamilton County)

$7.25

Tennessee minimum wage per hour

About 369 Middle Valley 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. 82% of homes in Middle Valley have three or more bedrooms (64% in Hamilton County); the median home has 6.4 rooms.

Of Middle Valley households headed by someone 65 or older, 1,433 own their home and 114 rent; among householders 85 and older it is 189 owners and 40 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Middle Valley compared with Hamilton County and Tennessee

Census figure	Middle Valley	Hamilton County	Tennessee
Residents 85 or older	3.0%	2.0%	1.6%
Residents 65+ in households who live alone	19%	29%	29%
Residents 65+ with a disability	41%	33%	36%
Residents 65+ below the poverty line (approx.)	4.3%	9.4%	11%
Residents 65 or older	20%	18%	17%
Residents 5+ who speak a language other than English at home	6.0%	9.5%	8.6%
Median income, households headed by someone 65+	$78,782	$56,058	—

Older residents in towns around Middle Valley

Town	Distance	Residents 65+	Residents 85+
Soddy-Daisy, TN	5.1 mi	2,752	288
Harrison, TN	5.4 mi	1,559	172
Red Bank, TN	7.8 mi	1,871	231
Signal Mountain, TN	8.8 mi	2,181	568
Chattanooga, TN	9.1 mi	32,190	3,484
Collegedale, TN	13 mi	2,008	350

Emergency hospitals near Middle Valley

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Erlanger Medical Center	Chattanooga, TN	12 mi	4 of 5	(423) 778-7000
Parkridge Medical Center	Chattanooga, TN	12 mi	4 of 5	(423) 894-4220
Affiliate Of Vitruvian Health	Cleveland, TN	19 mi	2 of 5	(423) 339-4100

Straight-line miles from the center of Middle Valley. 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 Middle Valley

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 (51% of the $6,565 monthly median income of Middle Valley 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 (171% of the $6,565 monthly median income of Middle Valley 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 Middle Valley: common questions

Where is the nearest emergency hospital to Middle Valley?

Erlanger Medical Center in Chattanooga, about 12 mi in a straight line from the center of Middle Valley (Medicare hospital file). Its listed phone number is (423) 778-7000. In an emergency, call 911.

How much does live-in care cost in Middle Valley?

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 (51% of the $6,565 monthly median income of Middle Valley 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 (171% of the $6,565 monthly median income of Middle Valley 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 Middle Valley?

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 Middle Valley 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 Middle Valley

More senior care near Middle Valley

Live-In Caregivers in nearby cities

Other care in Middle Valley

More for Middle Valley 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 Middle Valley, TN