Overnight Caregivers in Smithville, TN: Night Care at Home

Local figures

Overnight Caregivers in Smithville, TN: the local picture

28%

of residents 65+ have serious difficulty remembering, concentrating or deciding (16% in DeKalb County)

55%

of residents 65+ in households live alone (31% in DeKalb County)

165

residents 85 or older (3.1% of all residents)

2.2 mi

to the nearest hospital with an emergency department (Smithville)

About 214 Smithville residents 65 or older have serious difficulty remembering, concentrating or making decisions (28%; 16% in DeKalb County). Confusion at night is a common reason families arrange overnight care.

419 older residents live alone (55% of those in households). For them an overnight caregiver means someone in the house after dark.

The nearest emergency hospital is Dekalb Community Hospital in Smithville, about 2.2 mi away in a straight line; keep its number and the person’s medication list by the bed.

Smithville compared with DeKalb County and Tennessee

Census figure	Smithville	DeKalb County	Tennessee
Residents 65+ with serious difficulty remembering	28%	16%	8.8%
Residents 65+ in households who live alone	55%	31%	29%
Residents 85 or older	3.1%	2.0%	1.6%
Residents 65+ with difficulty dressing or bathing	12%	8.1%	7.4%
Residents 65+ with a disability	54%	42%	36%
Residents 65+ below the poverty line (approx.)	24%	13%	11%
Median income, households headed by someone 65+	$21,463	$37,211	—

Older residents in towns around Smithville

Town	Distance	Residents 65+	Memory difficulty (65+)
Woodbury, TN	17 mi	311	9.3%
McMinnville, TN	19 mi	2,373	13%
Sparta, TN	20 mi	1,332	1.7%
Cookeville, TN	22 mi	4,960	13%
Algood, TN	27 mi	784	0.0%
Lebanon, TN	34 mi	7,242	11%

Emergency hospitals near Smithville

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Dekalb Community Hospital	Smithville, TN	2.2 mi	not rated	(615) 215-5000
Stones River Hospital	Woodbury, TN	16 mi	not rated	(615) 563-4001
Saint Thomas River Park Hospital	Mcminnville, TN	19 mi	3 of 5	(931) 815-4101

Straight-line miles from the center of Smithville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a overnight caregiver can help with

Help to the bathroom at night and back to bed
Turning and settling someone who cannot move easily
Watching for wandering or confusion
Medication reminders at bedtime and in the morning

Cost

What overnight care costs in Smithville

At $15.45 an hour (the Tennessee median aide wage), a 10-hour overnight shift three nights a week comes to about $2,009 a month, and every night about $4,687 (262% of the $1,789 monthly median income of Smithville households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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 overnight caregiver

Overnight help is usually arranged when the person gets up in the night or the family caregiver is no longer getting enough sleep. Decide first whether you need an awake caregiver, who stays up through the shift, or one who may sleep in the home and is woken when needed; the two are paid differently.

Questions worth asking: Do you stay awake through the shift, or sleep and wake when called? Have you cared for someone with dementia at night? What would you do if my parent fell during the night? More in our overnight caregivers guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Overnight Caregivers in Smithville: common questions

How much does overnight care cost in Smithville?

At $15.45 an hour (the Tennessee median aide wage), a 10-hour overnight shift three nights a week comes to about $2,009 a month, and every night about $4,687 (262% of the $1,789 monthly median income of Smithville households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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).

Overnight, live-in or 24-hour care: what is the difference?

Overnight care is a single night shift. A live-in caregiver lives 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.

More near Smithville

More senior care near Smithville

Overnight Caregivers in nearby cities

Other care in Smithville

More for Smithville 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.

Overnight Caregivers in Smithville, TN