Overnight Caregivers in Tompkinsville, KY

Local figures

Overnight Caregivers in Tompkinsville, KY: the local picture

20%

of residents 65+ have serious difficulty remembering, concentrating or deciding (14% in Monroe County)

50%

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

52

residents 85 or older (2.0% of all residents)

1.6 mi

to the nearest hospital with an emergency department (Tompkinsville)

About 78 Tompkinsville residents 65 or older have serious difficulty remembering, concentrating or making decisions (20%; 14% in Monroe County). Confusion at night is a common reason families arrange overnight care.

190 older residents live alone (50% of those in households). For them an overnight caregiver means someone in the house after dark.

The nearest emergency hospital is Monroe County Medical Center in Tompkinsville, about 1.6 mi away in a straight line; keep its number and the person’s medication list by the bed.

Tompkinsville compared with Monroe County and Kentucky

Census figure	Tompkinsville	Monroe County	Kentucky
Residents 65+ with serious difficulty remembering	20%	14%	9.4%
Residents 65+ in households who live alone	50%	31%	30%
Residents 85 or older	2.0%	1.5%	1.7%
Residents 65+ with difficulty dressing or bathing	8.3%	13%	8.0%
Residents 65+ with a disability	67%	50%	39%
Residents 65+ below the poverty line (approx.)	11%	14%	13%
Median income, households headed by someone 65+	$40,446	$38,005	—

Older residents in towns around Tompkinsville

Town	Distance	Residents 65+	Memory difficulty (65+)
Lafayette, TN	22 mi	704	19%
Glasgow, KY	25 mi	3,096	12%
Scottsville, KY	29 mi	930	6.5%
Livingston, TN	30 mi	670	11%
Westmoreland, TN	32 mi	463	1.1%
Hartsville, TN	33 mi	1,475	8.7%

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 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 Tompkinsville

At $17.52 an hour (the Kentucky median aide wage), a 10-hour overnight shift three nights a week comes to about $2,278 a month, and every night about $5,314 (158% of the $3,371 monthly median income of Tompkinsville households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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 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 Tompkinsville: common questions

How much does overnight care cost in Tompkinsville?

At $17.52 an hour (the Kentucky median aide wage), a 10-hour overnight shift three nights a week comes to about $2,278 a month, and every night about $5,314 (158% of the $3,371 monthly median income of Tompkinsville households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. Kentucky's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

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 Tompkinsville

More senior care near Tompkinsville

Overnight 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.