Prestonsburg, Kentucky

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.

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Local figures

Respite Care in Prestonsburg, KY: the local picture

824
residents 65 or older (22% of Prestonsburg)
55%
of residents 65+ in households live with someone, often a family caregiver
56%
of residents 65+ report a disability (53% in Floyd County)
4
Medicare-certified hospices serve Prestonsburg ZIP codes

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 figurePrestonsburgFloyd CountyKentucky
Residents 65+ with a disability56%53%39%
Residents 65+ in households who live alone45%31%30%
Residents 65 or older22%20%17%
Residents 85 or older4.1%1.5%1.7%
Residents 65+ below the poverty line (approx.)11%16%13%
Households with no vehicle12%11%6.8%
Median income, households headed by someone 65+$35,195$35,676—

Older residents in towns around Prestonsburg

TownDistanceResidents 65+65+ with a disability
Paintsville, KY9.8 mi63032%
Pikeville, KY19 mi1,28356%
Williamson, WV27 mi61662%
Louisa, KY31 mi49966%
West Liberty, KY32 mi47753%
Hazard, KY38 mi93447%

Hospices serving Prestonsburg

HospiceOfficeDistancePhone
Appalachian Hospice CarePikeville, KY18 mi(606) 432-2112
Hospice Of The Bluegrass, Inc.Hazard, KY35 mi(606) 439-2111
Hospice Of The Bluegrass, Inc Dba Bluegrass Care NLexington, KY100 mi(859) 276-5344
Hospice Of Lake CumberlandSomerset, KY103 mi(606) 679-4389

Nursing homes near Prestonsburg (ask about short stays)

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Prestonsburg Health Care CenterPrestonsburg, KY0.9 mi5 of 556(606) 886-2378
Riverview Health Care CenterPrestonsburg, KY1.3 mi3 of 5121(606) 886-9178
Mountain Manor Of PaintsvillePaintsville, KY9.4 mi1 of 5126(606) 789-5808
Salyersville Nursing And Rehabilitation CenterSalyersville, KY17 mi1 of 5142(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 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 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.

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 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.

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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