For older adults across Donelson, TN, home is where life’s most cherished memories live. Our mission is to help seniors maintain their independence and dignity in the comfort of their own homes. We provide personalized care plans with specially trained caregivers who become part of your family. Whether you need a few hours of Companion and Homemaker Care or 24-hour support, we match you with compassionate caregivers who understand your loved one’s unique needs and flexible schedule requirements.
Preferred Care at Home brings together the warmth of locally owned, personalized senior care with the reliability of a trusted national brand serving families since 1984. Our dedicated team understands the unique challenges families face when a loved one needs assistance with daily living.
We’re committed to providing affordable, high-quality home care services that support well-being and independence. From your first call to ongoing support, we work closely with family members to create a care plan that adapts as your loved one’s needs evolve. Let us be there for you, by your side, every step of the way.
Quality in-home care begins with the right caregiver match. Our comprehensive approach includes rigorous background checks and a thorough vetting process to ensure every caregiver on our team meets our high standards for compassion, reliability, and skill.
We take time to understand your loved one’s personality, preferences, and unique needs before thoughtfully matching them with a caregiver who shares compatible interests and values. Our consistent team approach means you’ll work with dedicated care professionals who provide ongoing education, regular supervision, and care plan adjustments as needs change.
Many Pennington Bend and Two Rivers homes were built before modern accessibility standards, making bathing and transfers risky for an aging parent. Our personal care and live-in caregivers handle hands-on transfers; companion care covers safer daily routines for families with less acute needs.
Adult children often commute from Goodlettsville, Hermitage, or out of state via BNA, leaving one family member handling daily care alone. Respite care covers vacations, work trips, and Saturdays off; companion care fills weekday hours so families can breathe.
Families often assume Medicare or TennCare CHOICES will cover companion care, but most non-medical support is private-pay. Our intake walks you through CHOICES, HCBS, long-term care insurance, and private-pay options before a caregiver is matched—across companion, personal, and dementia care.
Sometimes a family hires companion care when a parent needs hands-on personal care, or starts dementia care without adapting the plan. Our care manager visits the home and recommends the right service mix—companion, personal, dementia, or respite—so the plan fits from day one.
When a parent on a quiet Stewarts Ferry street falls overnight, the result is often a Nashville hospital admission and a difficult discharge. Transition care covers hospital-to-home recovery, and live-in care prevents overnight falls before they happen.
Donelson families who pick the cheapest agency often end up with rotating, mismatched caregivers and switch within 60 days. Our personality-matched caregivers and 7-step screening reduce churn across companion, personal, and dementia care—giving families consistency from the first day.
Step 01
Connect with us by phone or schedule an in-home visit. We’ll listen to your concerns, assess needs, and answer all your questions about in-home care services in Donelson, TN.
Step 02
Together, we’ll create a customized care plan tailored to your loved one’s individual needs, daily routines, health considerations, and schedule—whether that’s a few hours weekly or 24-hour support.
Step 03
Using our comprehensive approach, we match your family with caregivers whose skills, experience, and personality align with your loved one’s preferences and care requirements.
Step 04
Your dedicated team stays in regular contact, adjusting the care plan as needs evolve. We’re committed to being by your side through every stage of your home care journey.
Our team lives and works in Hendersonville communities alongside the families we serve. When you call, you reach neighbors who understand Hendersonville.
We Serve:
Hello! I’m Richard Patterson, and for the last eight years, I have had the absolute blessing of leading Preferred Care at Home here in Tennessee. When I first stepped into this role, my goal was simple but ambitious: to set a new high standard for senior care in our community. Today, I am more involved than ever, personally ensuring that we continue to provide life-changing care to seniors and meaningful, supportive employment to our incredible caregivers. As a resident of Sumner County, this mission is personal to me. My wife and I are raising our four children (ages 6 to 13) right here in the heart of our community, where we also homeschool them. When I’m not at the helm of the business, you’ll likely find me enjoying the beauty of our local area—whether I’m playing a match of pickleball in Hendersonville, cycling along the scenic country roads of Sumner County, or clearing my head with a run on the White House Greenway. At Preferred Care at Home, we understand that looking for in-home care can be a stressful and even scary experience for families. My family and I want you to know that you aren’t alone. We are here to offer a calm, professional, and compassionate hand to guide you through this new phase of life, ensuring your loved ones can stay safe and comfortable in the place they love most—home.
At Preferred Care at Home in Hendersonville, we are a family-owned and operated senior care company dedicated to serving our community with compassion and excellence. For the past eight years, my son-in-law Richard Patterson and I have built this business on a foundation of family values and a commitment to quality in-home care.
My wife Cindy and I were blessed with compassionate caregivers who supported our own aging parents, and that experience inspired our mission to provide the same level of comfort, dignity, and peace of mind to the families we serve. We are proud to be a trusted partner for seniors and their loved ones throughout our community.
Yes, we serve Donelson and the surrounding Nashville, Sumner, and Wilson County areas from our Hendersonville office.
Preferred Care at Home covers Donelson, Hermitage, Old Hickory, the Opryland Area, and east into Wilson County. Our caregivers travel from the Hendersonville office to homes across the metro, including East Nashville neighborhoods. If your address is near the edge of our map, give us a call and we will tell you straight whether we can staff it reliably.
We offer companion, personal, dementia, Alzheimer’s, respite, live-in, transition, and end-of-life in home care services.
Each service answers a different need. Companion and homemaker care covers conversation, errands, meal preparation, and light housekeeping. Personal in-home care covers hands-on help with bathing, dressing, and mobility. The other services step up from there based on memory loss, recovery, or around-the-clock needs. Clients receive the level of senior care that fits their health and daily routine.
A phone call, a home visit by our care manager, a personality-matched caregiver introduction, and an evolving care plan.
You call, we listen, and a care manager visits to see how your loved one actually lives. From there we match a caregiver by personality and history, not just availability. You meet that caregiver before care begins, and we adjust the care plan as needs shift week to week. Each person’s situation matters, and we build around that.
Home care is non-medical support; home health is clinical care ordered by a doctor.
Home care covers daily activities, companionship, transportation, meal preparation, and supervision. Home health covers wound care, therapy, and other clinical work delivered by licensed medical staff under a physician’s order. Many families use both at once, with home care filling the long hours that clinical visits do not.
Hourly rates depend on the service type, hours per week, and whether care is private-pay or covered through a program like Tennessee CHOICES.
Costs vary across companion care, personal care, and dementia care; visit length, frequency, and live-in coverage all shift the rate. Most families pay privately, though long term care insurance, VA benefits, or Tennessee CHOICES may apply. Call us for a custom estimate based on your loved one’s needs.
Yes, we offer part time care with visits as short as a few hours per week.
Companion and homemaker visits often start at four hours and run once or twice a week. That is a common starting point for families who want a parent to have lunch, conversation, and a tidy kitchen, but who do not yet need hands-on personal care. We scale hours up as needs change.
Companion care fits when your parent needs supervision, errands, and meals; personal care fits when hands-on help with bathing or mobility is needed.
The split usually shows up in the bathroom and the kitchen. If your parent can dress and bathe but is lonely, missing meals, or skipping errands, companion care covers it. If a shower has become unsafe or transfers are hard, personal care is the right level. If a family caregiver is the one wearing out, look at respite in-home care instead.
Common signs are missed medications, weight loss, falls, isolation, or a family member running on empty.
Other signals include unopened mail piling up, a refrigerator with expired food, bruises your parent cannot explain, or skipped social activities they used to enjoy. The pattern matters more than any single moment. When two or three of these show up together, it is time to talk about bringing a caregiver in before a hospital stay forces the decision.
Yes, we provide dementia and Alzheimer’s care at home with caregivers trained for memory loss support.
Our caregivers learn redirection, validation, and routine-based structure for the day. We pair the same caregiver across visits so the relationship deepens, which matters when short-term memory does not. As the disease progresses, the care plan changes with it, and we coordinate closely with the family on what we are seeing week to week. Senior care for memory loss has unique needs that shift as health changes, and continuity is what holds it together.
CHOICES and HCBS may cover qualifying older adults or adults with disabilities; private-pay covers most non-medical care immediately.
Tennessee CHOICES is the state’s long term care program through TennCare, and HCBS waivers fund home and community-based services for people who meet eligibility. Approval takes time and assessment. Private-pay, long term care insurance, and VA benefits often start care faster. We will walk you through the options before any caregiver is matched, so clients who qualify can layer funding sources without delaying support.
