Respite Care in Prestonsburg, KY
A few hours, a day or a weekend of cover so the family member doing the caring can rest, work, see a doctor or travel. Post what you need in Prestonsburg for free and hire a caregiver directly, with no agency mark-up.

Respite Care in Prestonsburg, KY: the local picture
Most older adults in Prestonsburg live with someone: 55% 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 386 Prestonsburg residents aged 65 or older report a disability (56%) (53% in Floyd County). Many of them rely on a spouse or adult child day to day.
Medicare lists 4 hospices serving Prestonsburg ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.
Prestonsburg compared with Floyd County and Kentucky
| Census figure | Prestonsburg | Floyd County | Kentucky |
|---|---|---|---|
| Residents 65+ with a disability | 56% | 53% | 39% |
| Residents 65+ in households who live alone | 45% | 31% | 30% |
| Residents 65 or older | 22% | 20% | 17% |
| Residents 85 or older | 4.1% | 1.5% | 1.7% |
| Residents 65+ below the poverty line (approx.) | 11% | 16% | 13% |
| Households with no vehicle | 12% | 11% | 6.8% |
| Median income, households headed by someone 65+ | $35,195 | $35,676 | — |
Older residents in towns around Prestonsburg
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Paintsville, KY | 9.8 mi | 630 | 32% |
| Pikeville, KY | 19 mi | 1,283 | 56% |
| Williamson, WV | 27 mi | 616 | 62% |
| Louisa, KY | 31 mi | 499 | 66% |
| West Liberty, KY | 32 mi | 477 | 53% |
| Hazard, KY | 38 mi | 934 | 47% |
Hospices serving Prestonsburg
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Appalachian Hospice Care | Pikeville, KY | 18 mi | (606) 432-2112 |
| Hospice Of The Bluegrass, Inc. | Hazard, KY | 35 mi | (606) 439-2111 |
| Hospice Of The Bluegrass, Inc Dba Bluegrass Care N | Lexington, KY | 100 mi | (859) 276-5344 |
| Hospice Of Lake Cumberland | Somerset, KY | 103 mi | (606) 679-4389 |
Nursing homes near Prestonsburg (ask about short stays)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Prestonsburg Health Care Center | Prestonsburg, KY | 0.9 mi | 5 of 5 | 56 | (606) 886-2378 |
| Riverview Health Care Center | Prestonsburg, KY | 1.3 mi | 3 of 5 | 121 | (606) 886-9178 |
| Mountain Manor Of Paintsville | Paintsville, KY | 9.4 mi | 1 of 5 | 126 | (606) 789-5808 |
| Salyersville Nursing And Rehabilitation Center | Salyersville, KY | 17 mi | 1 of 5 | 142 | (606) 349-6181 |
Straight-line miles from the center of Prestonsburg. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What respite care costs in Prestonsburg
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 52% of the $2,933 monthly median income of Prestonsburg 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.
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.
Respite Care in Prestonsburg: common questions
Which hospices serve Prestonsburg?
Medicare lists 4 hospices for Prestonsburg ZIP codes, including Appalachian Hospice Care, Hospice Of The Bluegrass, Inc., Hospice Of The Bluegrass, Inc Dba Bluegrass Care N.
How much does respite care cost in Prestonsburg?
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 52% of the $2,933 monthly median income of Prestonsburg 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 Prestonsburg. 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 senior care near Prestonsburg
Respite Care in nearby cities
- Respite Care in Paintsville, KY
- Respite Care in Pikeville, KY
- Respite Care in Williamson, WV
- Respite Care in Louisa, KY
- Respite Care in West Liberty, KY
- Respite Care in Hazard, KY
- Respite Care in Grayson, KY
- Respite Care in Wise, VA
- Respite Care in Kenova, WV
- Respite Care in Morehead, KY
- Respite Care in Burlington, OH
- Respite Care in South Point, OH
- Respite Care in Norton, VA
- Respite Care in Huntington, WV
- Respite Care in Ashland, KY
- Respite Care in Westwood, KY
Other care in Prestonsburg
- Companion Care in Prestonsburg
- Dementia Care in Prestonsburg
- Live-In Caregivers in Prestonsburg
- Post-Surgery Care in Prestonsburg
- Senior Transportation in Prestonsburg
- Home Health Aides in Prestonsburg
- Nursing Assistants in Prestonsburg
- Personal Care in Prestonsburg
- Overnight Caregivers in Prestonsburg
- 24-Hour Home Care in Prestonsburg
- Mobility Assistance in Prestonsburg
- Parkinson’s Care in Prestonsburg
- Stroke Recovery Support in Prestonsburg
- Disability Care for Adults in Prestonsburg
- Hospice Support in Prestonsburg
- Senior Meal Preparation in Prestonsburg
- Senior Housekeeping in Prestonsburg
- Medication Reminders in Prestonsburg
- Veterans’ Home Care in Prestonsburg
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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