24-Hour Home Care in Pulaski, VA: Round-the-Clock Care

Local figures

24-Hour Home Care in Pulaski, VA: the local picture

15%

of residents 65+ have difficulty dressing or bathing (6.7% in Pulaski County)

208

residents 85 or older (2.3% of all residents)

60%

of residents 65+ report a disability (39% in Pulaski County)

$32,247

median yearly income of households headed by someone 65+

233 Pulaski residents 65 or older have difficulty dressing or bathing (15%; 6.7% in Pulaski County), and 624 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 208 residents are 85 or older (2.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Pulaski Hlth & Rehab Cntr in Pulaski (1.1 mi) and Highland Ridge Rehab Center in Dublin (6.1 mi).

Pulaski compared with Pulaski County and Virginia

Census figure	Pulaski	Pulaski County	Virginia
Residents 65+ with difficulty dressing or bathing	15%	6.7%	6.7%
Residents 65+ with serious difficulty walking	40%	24%	19%
Residents 65+ with serious difficulty remembering	11%	5.6%	7.4%
Residents 85 or older	2.3%	1.9%	1.7%
Residents 65+ in households who live alone	43%	35%	27%
Residents 65+ below the poverty line (approx.)	14%	8.7%	8.8%
Median income, households headed by someone 65+	$32,247	$46,850	—

Older residents in towns around Pulaski

Town	Distance	Residents 65+	Self-care difficulty (65+)
Dublin, VA	5.4 mi	319	6.1%
Radford, VA	12 mi	1,601	14%
Pearisburg, VA	19 mi	680	13%
Wytheville, VA	19 mi	1,952	6.6%
Hillsville, VA	20 mi	630	22%
Christiansburg, VA	21 mi	4,364	5.9%

Home health agencies serving Pulaski

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Roanoke, VA	52 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 362-7578
Amedisys Home Health Care	Roanoke, VA	52 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 265-5980
Medi Home Health Agency	Pulaski, VA	0.6 mi	3.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(540) 382-5637
Interim Healthcare	Dublin, VA	5.6 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(276) 200-2606
Advanced Health Services	Roanoke, VA	47 mi	3.5 of 5	nursing, physical therapy	(540) 994-9811

Nursing homes near Pulaski (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pulaski Hlth & Rehab Cntr	Pulaski, VA	1.1 mi	4 of 5	90	(540) 980-3111
Highland Ridge Rehab Center	Dublin, VA	6.1 mi	1 of 5	132	(540) 674-4193
Radford Health And Rehab Center	Radford, VA	12 mi	4 of 5	90	(540) 633-6533
Holston Health & Rehabilitation	Wytheville, VA	19 mi	1 of 5	137	(276) 228-5595

Straight-line miles from the center of Pulaski. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Pulaski

24-hour care is 168 paid hours a week. At $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 395% of the $2,687 monthly median income of Pulaski households headed by someone 65+. Rates are agreed with each caregiver. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Pulaski: common questions

How much does 24-hour home care cost in Pulaski?

24-hour care is 168 paid hours a week. At $14.57 an hour (the Virginia median aide wage) that is about $10,607 a month in wages before any overtime, 395% of the $2,687 monthly median income of Pulaski households headed by someone 65+. Rates are agreed with each caregiver. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Pulaski

More senior care near Pulaski

24-Hour Home Care in nearby cities

Other care in Pulaski

More for Pulaski families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Pulaski, VA