Live-In Caregivers in Tompkinsville, KY: 24-Hour Home Care

Local figures

Live-In Caregivers in Tompkinsville, KY: the local picture

52

residents 85 or older (2.0% of all residents)

225

households headed by someone 65+ own their home (75%)

63%

of Tompkinsville homes have 3 or more bedrooms (64% in Monroe County)

$7.25

Kentucky minimum wage per hour

About 52 Tompkinsville 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 Tompkinsville have three or more bedrooms (64% in Monroe County), while 7.5% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.

Of Tompkinsville households headed by someone 65 or older, 225 own their home and 76 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Tompkinsville compared with Monroe County and Kentucky

Census figure	Tompkinsville	Monroe County	Kentucky
Residents 85 or older	2.0%	1.5%	1.7%
Residents 65+ in households who live alone	50%	31%	30%
Residents 65+ with a disability	67%	50%	39%
Residents 65+ below the poverty line (approx.)	11%	14%	13%
Residents 65 or older	17%	19%	17%
Residents 5+ who speak a language other than English at home	8.8%	3.1%	6.8%
Median income, households headed by someone 65+	$40,446	$38,005	—

Older residents in towns around Tompkinsville

Town	Distance	Residents 65+	Residents 85+
Lafayette, TN	22 mi	704	39
Glasgow, KY	25 mi	3,096	392
Scottsville, KY	29 mi	930	86
Livingston, TN	30 mi	670	71
Westmoreland, TN	32 mi	463	82
Hartsville, TN	33 mi	1,475	72

Emergency hospitals near Tompkinsville

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Monroe County Medical Center	Tompkinsville, KY	1.6 mi	1 of 5	(270) 487-9231
Cumberland County Hospital	Burkesville, KY	18 mi	not rated	(270) 864-2511
Macon Community Hospital	Lafayette, TN	22 mi	3 of 5	(615) 666-2147

Straight-line miles from the center of Tompkinsville. 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 Tompkinsville

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.52 an hour (the Kentucky median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,796 a month (113% of the $3,371 monthly median income of Tompkinsville households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,755 a month (378% of the $3,371 monthly median income of Tompkinsville households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Kentucky's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Tompkinsville: common questions

Where is the nearest emergency hospital to Tompkinsville?

Monroe County Medical Center in Tompkinsville, about 1.6 mi in a straight line from the center of Tompkinsville (Medicare hospital file). Its listed phone number is (270) 487-9231. In an emergency, call 911.

How much does live-in care cost in Tompkinsville?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.52 an hour (the Kentucky median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,796 a month (113% of the $3,371 monthly median income of Tompkinsville households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,755 a month (378% of the $3,371 monthly median income of Tompkinsville households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Kentucky's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Tompkinsville?

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 Tompkinsville 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 Tompkinsville

More senior care near Tompkinsville

Live-In Caregivers in nearby cities

Other care in Tompkinsville

More for Tompkinsville 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 Tompkinsville, KY