Home care · Lauderdale County, TN
Home care in Lauderdale County
Lauderdale County is home to about 25,000 people, 4,020 of them 65 or older, spread across a county that is 72.5% rural. Distance is the quiet problem here: the adult child two towns over, the appointment an hour each way, the caregiver who has to drive it.
Below is what we'd tell a friend in Lauderdale County: what care costs here, who provides it, what the facility alternative actually looks like, and which programs pay.
Lauderdale County, in numbers
Full Tennessee guide →Residents 65+
4,020
16% of the county.
Live with a disability
22.7%
About 5,205 people — the population most likely to need help at home.
Median household income
$47,575
20 hrs/week of care would run about 68% of it.
Certified agencies
10
Medicare-certified home health agencies serving local ZIPs; 9 rated, averaging 4.1★.
Sources: CDC/ATSDR Social Vulnerability Index 2022 (ACS 2018–2022), County Health Rankings 2024, and CMS Care Compare provider files.
What home care costs in Lauderdale County
Tennessee's going rate for agency home care is around $31/hr. Twenty hours a week — four hours a day, five days a week, the most common schedule families start with — comes to roughly $2,700 a month, or $32,200 a year.
Median household income in Lauderdale County is $47,575, so that schedule would consume about 68% of a typical household's entire income. This is the number that sends most families looking for help paying, and it is why the programs below matter more than any brochure.
32.1% of people in Lauderdale County live below 150% of the federal poverty line — a share high enough that a real portion of local families will qualify for Tennessee's Medicaid programs rather than pay privately. If money is the obstacle, start with eligibility, not with rates.
Who provides care in Lauderdale County
10 Medicare-certified home health agencies serve ZIP codes in Lauderdale County. 9 of them carry a CMS quality star rating, averaging 4.1 out of 5. 9 report offering home health aide services.
That is above the Tennessee average of 3.76 — the agencies working here rate better than the state's typical. Worth knowing, because it means the local floor is higher than average, not that any single agency is a safe bet.
One distinction worth getting straight before you call anyone: those are Medicare-certified home health agencies — skilled, doctor-ordered, intermittent care, usually a nurse or therapist visiting for a few weeks after a hospital stay. That is not the same as the hourly, non-medical help most families are actually looking for: bathing, dressing, meals, driving, company. Medicare pays for the first. It does not pay for the second.
The alternative, locally
Lauderdale County has 2 certified nursing homes holding 215 certified beds, averaging 2 out of 5 on CMS's overall rating. About 84 people live in them on an average day.
The Tennessee programs that pay for care at home
- TennCare CHOICES
Tennessee runs one Medicaid pathway that pays for care at home instead of a nursing home. Each has its own income, asset, and care-need rules, and approval takes weeks to months — so the application is worth starting before the need becomes urgent.
How each Tennessee program works →Caregiver training in TN
75 hrs
Minimum for certified aides (the federal minimum). Agencies are licensed by the TN Health Facilities Commission.
Choosing an agency in Lauderdale County
- Ask for the license. Tennessee licenses home care agencies through the TN Health Facilities Commission. A legitimate agency shows its license without hesitating. One that changes the subject has told you something.
- Ask what the rate covers. Around $31/hr is typical in Tennessee. A real agency's rate covers a trained, background-checked, insured caregiver plus supervision and backup staffing when your regular person is sick. A rate well under the local range usually means one of those is missing.
- Start the clock early. Lauderdale County is served by 10 certified agencies, so the honest answer to "when can you start?" is often two to three weeks. If you're planning around a discharge date, call before the discharge, not after.
- Ask about Medicaid now, not later. If money is going to be the constraint, ask about TennCare CHOICES at the first call. Approval takes weeks to months, and private pay is what bridges the gap — so the sooner the application starts, the smaller that bridge is.
Want to talk it through?
We provide care in the Milwaukee, WI area — but we’re glad to help any family think through the options in Lauderdale County.
Lauderdale County home care questions, answered
How much does home care cost in Lauderdale County, TN?
Agency home care in Tennessee runs around $31/hr for private pay. At 20 hours a week that is about $2,700 a month. For context, median household income in Lauderdale County is $47,575. Rates move with the level of care and the schedule — short daily visits cost more per hour than long shifts.
Does Medicare pay for home care in Lauderdale County?
Medicare pays for skilled home health — a nurse or therapist, doctor-ordered, for a limited stretch, usually after a hospital stay. 10 Medicare-certified agencies serve Lauderdale County. Medicare does not pay for the hourly, non-medical help most families want — bathing, dressing, meals, driving, company. For that, the money comes from private pay, long-term care insurance, VA benefits, or Tennessee Medicaid.
Does Medicaid pay for home care in Lauderdale County?
Yes — for people who qualify. Tennessee runs a Medicaid program that pays for care at home instead of a nursing home: TennCare CHOICES. Income, asset, and care-need rules apply, and approval usually takes weeks to months, so apply before you need it. With 32.1% of Lauderdale County below 150% of the poverty line, a meaningful share of local families do qualify.
How are caregivers trained and vetted in Tennessee?
Certified home health aides in Tennessee complete at least 75 hours of training, the federal minimum. The state licenses home care agencies through the TN Health Facilities Commission, so ask to see an agency's license before you hire.
Is home care better than a nursing home in Lauderdale County?
It depends on the level of care needed, not on which one sounds nicer. Lauderdale County's 2 certified facilities average 2 out of 5 stars on CMS ratings, against a Tennessee average of 3. Round-the-clock skilled nursing is something a facility does that home care cannot. But for help with bathing, meals, medication reminders, and company, care at home usually costs less and keeps someone in their own bed — and most people, asked plainly, say that is what they want.
Does Juniper at Home provide caregivers in Lauderdale County?
Not directly — our own caregivers serve the Milwaukee area of Wisconsin. This page is a free guide for Lauderdale County families: what care really costs here, who provides it, and which programs can help pay.
Bordering counties in Tennessee
Across the state line
Worth knowing if you live near the line: rules, rates, and Medicaid programs change at the border, and an agency an easy drive away may operate under a different set of them entirely.