Respite Care in Pikeville, KY: Breaks for Family Caregivers

Local figures

Respite Care in Pikeville, KY: the local picture

1,283

residents 65 or older (17% of Pikeville)

72%

of residents 65+ in households live with someone, often a family caregiver

56%

of residents 65+ report a disability (53% in Pike County)

4

Medicare-certified hospices serve Pikeville ZIP codes

Most older adults in Pikeville live with someone: 72% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.

About 676 Pikeville residents aged 65 or older report a disability (56%) (53% in Pike County). Many of them rely on a spouse or adult child day to day.

Medicare lists 4 hospices serving Pikeville ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Pikeville compared with Pike County and Kentucky

Census figure	Pikeville	Pike County	Kentucky
Residents 65+ with a disability	56%	53%	39%
Residents 65+ in households who live alone	28%	30%	30%
Residents 65 or older	17%	20%	17%
Residents 85 or older	2.8%	1.8%	1.7%
Residents 65+ below the poverty line (approx.)	15%	21%	13%
Households with no vehicle	14%	9.0%	6.8%
Median income, households headed by someone 65+	$45,521	$32,207	—

Older residents in towns around Pikeville

Town	Distance	Residents 65+	65+ with a disability
Prestonsburg, KY	19 mi	824	56%
Williamson, WV	20 mi	616	62%
Paintsville, KY	28 mi	630	32%
Wise, VA	35 mi	514	61%
Norton, VA	38 mi	761	44%
Hazard, KY	40 mi	934	47%

Hospices serving Pikeville

Hospice	Office	Distance	Phone
Appalachian Hospice Care	Pikeville, KY	2.8 mi	(606) 432-2112
Hospice Of The Bluegrass, Inc.	Hazard, KY	38 mi	(606) 439-2111
Dignity Hospice Of Southern West Virginia, Inc	Chapmanville, WV	44 mi	(304) 855-4764
Hospice Of The Bluegrass, Inc Dba Bluegrass Care N	Lexington, KY	117 mi	(859) 276-5344

Nursing homes near Pikeville (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pikeville Nursing And Rehab Center, LLC	Pikeville, KY	0.5 mi	3 of 5	106	(606) 437-7327
Elkhorn Health & Rehabilitation	Elkhorn City, KY	16 mi	5 of 5	106	(606) 754-4134
Riverview Health Care Center	Prestonsburg, KY	18 mi	3 of 5	121	(606) 886-9178
Tug Valley Arh Skilled Nursing Facility	South Williamson, KY	19 mi	4 of 5	34	(606) 237-1725

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

What it covers

What a respite caregiver can help with

Taking over the usual routine while you are away
Meals, medication reminders and personal care
Company and activities
Overnight cover for a weekend or a trip

Cost

What respite care costs in Pikeville

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 40% of the $3,793 monthly median income of Pikeville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 respite caregiver

Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.

Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.

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

Questions

Respite Care in Pikeville: common questions

Which hospices serve Pikeville?

Medicare lists 4 hospices for Pikeville ZIP codes, including Appalachian Hospice Care, Hospice Of The Bluegrass, Inc., Dignity Hospice Of Southern West Virginia, Inc.

How much does respite care cost in Pikeville?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 40% of the $3,793 monthly median income of Pikeville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Does Medicaid or Medicare pay for respite care?

Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve Pikeville. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide How to get paid to care for a family member in Kentucky: Participant Directed Services covers Kentucky.

More near Pikeville

More senior care near Pikeville

Respite Care in nearby cities

Other care in Pikeville

More for Pikeville 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.

Respite Care in Pikeville, KY