Live-In Caregivers in Mountain City, 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 Mountain City for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Mountain City, TN: the local picture
About 49 Mountain City 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. 59% of homes in Mountain City have three or more bedrooms (62% in Johnson County), while 20% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.
Of Mountain City households headed by someone 65 or older, 348 own their home and 108 rent; among householders 85 and older it is 15 owners and 13 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Mountain City compared with Johnson County and Tennessee
| Census figure | Mountain City | Johnson County | Tennessee |
|---|---|---|---|
| Residents 85 or older | 1.9% | 2.3% | 1.6% |
| Residents 65+ in households who live alone | 46% | 27% | 29% |
| Residents 65+ with a disability | 42% | 39% | 36% |
| Residents 65+ below the poverty line (approx.) | 8.0% | 12% | 11% |
| Residents 65 or older | 28% | 23% | 17% |
| Residents 5+ who speak a language other than English at home | 11% | 4.9% | 8.6% |
| Median income, households headed by someone 65+ | $36,000 | $41,707 | — |
Older residents in towns around Mountain City
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Abingdon, VA | 19 mi | 2,046 | 310 |
| Boone, NC | 19 mi | 1,405 | 243 |
| Bristol, VA | 22 mi | 3,986 | 513 |
| Bristol, TN | 24 mi | 5,391 | 594 |
| Elizabethton, TN | 26 mi | 2,950 | 428 |
| Blountville, TN | 29 mi | 702 | 50 |
Emergency hospitals near Mountain City
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Johnson County Community Hospital | Mountain City, TN | 0.6 mi | not rated | (423) 727-1110 |
| Johnston Memorial Hospital | Abingdon, VA | 16 mi | 3 of 5 | (276) 258-1000 |
| Watauga Medical Center | Boone, NC | 19 mi | 3 of 5 | (828) 262-4100 |
Straight-line miles from the center of Mountain City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Mountain City
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 (112% of the $3,000 monthly median income of Mountain City 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 (375% of the $3,000 monthly median income of Mountain City 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.
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.
Live-In Caregivers in Mountain City: common questions
Where is the nearest emergency hospital to Mountain City?
Johnson County Community Hospital in Mountain City, about 0.6 mi in a straight line from the center of Mountain City (Medicare hospital file). Its listed phone number is (423) 727-1110. In an emergency, call 911.
How much does live-in care cost in Mountain City?
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 (112% of the $3,000 monthly median income of Mountain City 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 (375% of the $3,000 monthly median income of Mountain City 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 Mountain City?
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 Mountain City 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 senior care near Mountain City
Live-In Caregivers in nearby cities
- Live-In Caregivers in Abingdon, VA
- Live-In Caregivers in Boone, NC
- Live-In Caregivers in Bristol, VA
- Live-In Caregivers in Bristol, TN
- Live-In Caregivers in Elizabethton, TN
- Live-In Caregivers in Blountville, TN
- Live-In Caregivers in Marion, VA
- Live-In Caregivers in Johnson City, TN
- Live-In Caregivers in Lebanon, VA
- Live-In Caregivers in Unicoi, TN
- Live-In Caregivers in Oak Grove, TN
- Live-In Caregivers in Spurgeon, TN
- Live-In Caregivers in Colonial Heights, TN
- Live-In Caregivers in Jonesborough, TN
- Live-In Caregivers in Bloomingdale, TN
- Live-In Caregivers in Erwin, TN
Other care in Mountain City
- Companion Care in Mountain City
- Dementia Care in Mountain City
- Respite Care in Mountain City
- Post-Surgery Care in Mountain City
- Senior Transportation in Mountain City
- Home Health Aides in Mountain City
- Nursing Assistants in Mountain City
- Personal Care in Mountain City
- Overnight Caregivers in Mountain City
- 24-Hour Home Care in Mountain City
- Mobility Assistance in Mountain City
- Parkinson’s Care in Mountain City
- Stroke Recovery Support in Mountain City
- Disability Care for Adults in Mountain City
- Hospice Support in Mountain City
- Senior Meal Preparation in Mountain City
- Senior Housekeeping in Mountain City
- Medication Reminders in Mountain City
- Veterans’ Home Care in Mountain City
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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