Recorded at a concert at Parton's theme park Dollywood, the album featured a mix of Parton originals and traditional folk songs.

"To Daddy" was one of Parton's compositions that she had never previously released; Emmylou Harris, who recorded the song in 1978, took her recording of the song to the U.S. country singles top three).

The campy "PMS Blues" went on to become a concert favorite, and received a fair amount of airplay as an album track.

Mairéad Ní Mhaonaigh sang Irish vocals on "Barbara Allen".

“Heartsongs: Live From Home” spoke of Dolly’s desire to share her roots with her fans and celebrates the rich musical heritage of the Smoky Mountains.