Hayley ThomasHanding over the keys and the care of a vulnerable loved one to a complete stranger is terrifying. You are paying for an invasion of privacy, hoping for dignity in return.
Identifying agencies in Nashville that balance professional skill with genuine warmth proved difficult in a crowded market. Many services looked good on paper but lacked the human touch during initial inquiries.
And so, we did the groundwork for you. We examined responsiveness, deep-dived into vetting processes, and verified real-life reliability to find the agencies delivering consistent care.
We wanted to ensure that when you make that call, you connect with professionals who treat your family like their own.
Here are the best home care providers in Nashville who made our cut.
How much does Home Health Care cost in Nashville?
Home care costs in the Nashville area generally reflect the national standard but can vary depending on the level of specialized attention required.
You should plan on budgeting roughly $23 to $30 per hour for a typical home health aide (up to $38 for specialized needs).
To make this relatable, if your mom needs assistance with morning routines and meal prep for four hours a day, three times a week, you are looking at an expense of about $360 to $480 weekly.
For more intensive, 24/7 support, the monthly investment can easily surpass $20,000.
Keep in mind that almost every agency enforces a minimum visit duration. This is usually around four hours to make the shift viable for their caregivers, so you will need to factor that “minimum block” into your financial planning.
1. HomeFirst Home Healthcare Middle Tennessee
Website: https://www.homefirsthomehealthcare.com/tennessee/
Address: 1101 Kermit Drive, Suite 204
Contact: (615) 365-4424
Schedule: Mon-Fri 8:00 AM – 5:00 PM, On-Call Nurse 24/7
HomeFirst operates with a deeply clinical mindset, distinct from standard sitting services. Their “private duty” focus ensures rigorous oversight, often led by nursing professionals who prioritize medically sound care over simple social support.
Families with loved ones facing complex medical needs will find this approach reassuring. The nursing leadership consistently receives praise for a hands-on approach, often treating clients with the same advocacy they would show their own family members.
However, you should consider the operational reality of their standard business office hours. While an on-call nurse handles emergencies, the administrative team works a traditional Monday through Friday schedule only.
Sorting out billing questions or non-emergency scheduling adjustments over the weekend may take longer compared to large franchises with 24/7 administrative staffing.
Customer Reviews:
HomeFirst has truly been a blessing to our family!
HomeFirst is an awesome company providing private duty home healthcare services. Charlie the Director of Nursing is amazing and goes above and beyond to staff and support myself with special needs. The nurses have been family and are very caring. HomeFirst has truly been a blessing to our family!
- Patrick Guyton | Google Review
You are a true blessing!
Carol came over today to do an evaluation and worked a miracle! My mother got up and walked all while Carol tolerated my mothers aggressive comments, with a smile. Mom even sat up to eat on her own (after Carol left) without me asking or helping! Thank you Carol for all you do, you are a true blessing!
- Darius Hamby | Google Review
2. Visiting Angels Nashville
Website: https://www.visitingangels.com/nashvilletn/home
Address: 604 Gallatin Avenue #110
Contact: (615) 610-2618
Schedule: Home Care Service Available 24/7
Visiting Angels brings a massive national network to Nashville, but the local branch prioritizes the “soft skills” of caregiving.
Their “Select Your Caregiver” program allows families to interview and choose their helper based on personality fit rather than just availability. Seniors resistant to care often lower their defenses when they have a companion they genuinely like.
The agency also excels at supporting families during the emotional transition from independent living to assisted living facilities.
A potential operational downside involves the sheer size of their client base.
While they maintain a large staff, high-demand periods can lead to scheduling constraints. This means that you may need to book well in advance for non-emergency schedule changes.
Customer Reviews:
The caregivers who came to our home were very caring and loving to my mom
My mother had home care from Visiting Angels Nashville for 2 years. The caregivers who came to our home were very caring and loving to my mom. When she went into assisted living I still had them spend time with her because she loved the companionship. She looked forward to them coming everyday to help her and spend time with her. She is blind and in a wheelchair so they were a big assistance with meals and bathing.. Thank you Visiting Angel’s Nashville for making my mother happy and cared for!
- Nicole Boyer | Google Review
Punctual, respectful, patient, good-humored and honest
I had a very positive experience with Visiting Angels Nashville. In the period when we were moving toward transferring my parent from home to assisted living, Visiting Angels provided a much needed service. Our Visiting Angel was punctual, respectful, patient, good-humored and honest. My parent would frequently not have the presence of mind to give instructions, so our helper found ways to be helpful; just as importantly, our Angel just listened. A great service for any elder who is trying to stay at home but needs contact with the outside world!
- K Spad | Google Review
3. Comfort Keepers Nashville
Website: https://www.comfortkeepers.com/offices/tennessee/nashville/
Address: 325 Plus Park Boulevard #210
Contact: (615) 219-5126
Schedule: Available 24/7
Comfort Keepers uses “Interactive Caregiving” to keep seniors physically and mentally active rather than just watching over them. They focus on doing tasks with the client instead of for them, helping maintain a sense of purpose.
When I needed assistance after a family member’s surgery to help my elderly father, Comfort Keepers responded with urgency. A caregiver arrived to assess our needs immediately and answered every question with patience, instilling a confidence I missed elsewhere.
There are significant costs associated with this premium level of engagement. Because the agency invests heavily in training staff to provide this interactive model, hourly rates can sit slightly higher than those of independent sitters.
Additionally, they may enforce stricter protocols regarding minimum shift lengths compared to smaller, more informal agencies.
Customer Reviews:
Eager to go above & beyond to provide a great in-home care experience
Comfort Keepers is a business that generally cares about the well being of you and/or your loved ones. I’ve had the pleasure of getting to know a number of employees at their Nashville office and there is no other company I’d trust to have in a loved one’s home. They are compassionate, loving, and eager to go above & beyond to provide a great in-home care experience.
- Sara Fort | Google Review
My dad and step mom were both very happy with the assistance provided
Thank you to the Nashville branch of Comfort Keepers. I needed some assistance after my step mother’s surgery to assist my elderly father and step mother for a few days during her recovery. Comfort Keepers were able to respond quickly and sent Roux Chanatry out to assess the needs. She was very thorough and answered all questions kindly and accurately. The assistants sent out to help, Juanita and Sandra, were very caring and helpful. My dad and step mom were both very happy with the assistance provided. Thanks to all of you!
- Dawn “Kathy” Chinnock | Google Review
4. Avenues Home Care Nashville
Website: https://avenueshomecare.com/in-home-care-nashville/
Areas Served: Nashville and Middle Tennessee
Contact: (615) 558-5055
Schedule: 24/7 On-Call Service
Avenues Home Care is a boutique provider that prioritizes detailed communication. Caregivers leave incredibly thorough notes after shifts, offering relief for family members who cannot be there every day.
If you manage care from a distance, knowing exactly what happened during a shift, down to the mood your parent was in, proves invaluable. They step in as an extension of the family unit, not just shift workers.
But since they are a smaller, more localized operation, their staff roster is naturally leaner than the national giants. This can mean a smaller pool of backup caregivers is available on short notice.
So if you require complex, 24/7 coverage with multiple shift changes, the agency might need more lead time to staff it appropriately compared to a massive agency with hundreds of employees on the books.
Customer Reviews:
Provide care that is simply top-shelf.
The folks at Avenues Home Care provide care that is simply top-shelf. They are thoughtful, kind, and want to do only what’s best for their clients. I highly recommend their services whether you are healing from a surgery and only need temporary assistance or on-going home care for a loved one.
- Linda Eaves | Google Review
Will use them again in the future if the need arises.
We had a wonderful experience with Avenues Home care. Dixie was thorough and kind. She walked us through the process with patience and answered all our questions along the way. The sitters were professional and reliable. Most of them gave us detailed notes from their shifts. I wouldn’t hesitate to recommend them to friends and family and will use them again in the future if the need arises.
- annie barnes | Google Review
5. FirstLight Home Care of East Nashville and Mount Juliet
Website: https://www.firstlighthomecare.com/home-healthcare-mountjuliet/
Address: 555 Marriott Drive, Suite 315 #367
Contact: (615) 549-0070
Schedule: Available 24/7
FirstLight Home Care emphasizes a “Culture of Care,” hiring for empathy first and skills second. The agency excels at handling short-term rehabilitation needs, such as helping a senior settle back in after a hospital stay.
Their management team remains hands-on and skilled at navigating the logistical chaos that often accompanies discharge planning. This makes the transition from a clinical setting to the home environment feel seamless and less frightening.
Just keep in mind that their intake process can take longer due to their meticulous matching process. This is because they focus on finding the right cultural fit rather than just filling a slot.
If you have an immediate, same-day emergency need, their insistence on the right match might feel like a delay, but it usually pays off in better long-term care quality.
Customer Reviews:
Professional, kind, thorough, and compassionate!
First Light Home Care was the best! Although our Mom was under their care for a very short time, we would highly recommend them. Flynt was amazing and made the transitions with caregivers so easy. Professional, kind, thorough snd compassionate!
- Elisabeth Guthrie | Google Review
