Fayette County lies east of Shelby County along U.S. 64 and State Route 57, with Somerville as its county seat and Oakland, Gallaway, Rossville, Piperton and Moscow among its towns; about 45,071 people lived there on July 1, 2025.
It is the oldest county of the three by age: Census estimates put 25.4% of its residents at 65 or older and its median age at 48.5. Oakland grew from 8,985 residents in 2020 to 10,835 in 2025, much of it commuter growth from Shelby County. No hospital in Fayette County appears on the Health Facilities Commission's hospital report, so hospital care means a drive into Shelby or Tipton County.
How many seniors and licensed care options are in Fayette County, Tennessee?
Fayette County had about 11,446 residents 65 and older (25.4% of 45,071) and 973 aged 85 and older on July 1, 2025, and Tennessee's Health Facilities Commission lists 2 licensed ACLFs, 0 homes for the aged and 2 nursing homes there.
| Available in Fayette County | Not available in Fayette County | |
|---|---|---|
| Licensed here (HFC records) | Assisted-care living facilities: 2, Nursing homes: 2 | — |
| Not licensed here | — | Homes for the aged, Home health agencies, Hospices |
| Secured / Alzheimer's units | 1 building | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which senior care facilities are licensed in Fayette County?
Every licensed assisted-care living facility, home for the aged and nursing home in Fayette County on the Health Facilities Commission's October 2026 records is listed below, with beds, secured beds and the last state survey date.
| Facility | License type | Licensed beds | Secured / Alzheimer's beds | City | Last state survey | State disciplinary actions |
|---|---|---|---|---|---|---|
| NHC HealthCare, Somerville 308 Lake Drive, 38068 | ACLF | 12 | 0 | Somerville | 04/15/2026 | 0 |
| Someroak Senior Living, LLC 10790 Highway 64 West, 38068 | ACLF | 40 | 0 | Somerville | 12/07/2022 | 0 |
| Gallaway Health and Rehab 435 Old Brownsville Road, 38036 | NH | 104 | 27 | Gallaway | 06/09/2022 | 1 |
| NHC HealthCare Somerville 308 Lake Drive, 38068 | NH | 72 | 0 | Somerville | 04/07/2026 | 0 |
Where do Fayette County families get free senior help?
Fayette County is served by the Aging Commission of the Mid-South, the Area Agency on Aging and Disability for Shelby, Fayette, Tipton and Lauderdale counties, at (901) 222-4111; the long-term care ombudsman for the same counties is the Memphis Delta District program at MIFA (901-529-4565).
Licensing complaints go to the Health Facilities Commission at 1-877-287-0010; suspected abuse goes to Adult Protective Services at 1-888-277-8366. As of October 2026, no PACE organization serves the county; TennCare CHOICES and OPTIONS for Community Living are the main public programs for care at home.
How far is Somerville from hospitals and from Memphis?
From Somerville, the county seat, the closest acute-care hospital on the Health Facilities Commission's report is Baptist Memorial Hospital-Collierville, about 22.3 miles away in a straight line, and downtown Memphis is about 41 miles away.
The next closest hospitals are Saint Francis Hospital-Bartlett (about 26 miles) and Baptist Memorial Hospital-Tipton (about 27 miles). Distances are between ZIP-code centroids, not driving routes.
