Adult Disability Care in Big Stone Gap, VA: In-Home Support

Local figures

Disability Care for Adults in Big Stone Gap, VA: the local picture

22%

of residents aged 18 to 64 have a disability (26% in Wise County)

221

residents aged 18 to 64 have difficulty doing errands alone

16%

of households have no vehicle (9.1% in Wise County)

11

Medicare-certified home health agencies list Big Stone Gap ZIP codes in their service area

About 423 Big Stone Gap residents aged 18 to 64 report a disability (22%; 26% in Wise County).

221 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

16% of Big Stone Gap households have no vehicle (9.1% in Wise County); say in your posting if you need a caregiver who drives.

Big Stone Gap compared with Wise County and Virginia

Census figure	Big Stone Gap	Wise County	Virginia
Residents 18 to 64 with a disability	22%	26%	10%
Residents 18 to 64 with difficulty doing errands alone	12%	8.5%	3.5%
Households with no vehicle	16%	9.1%	6.1%
Residents 5+ who speak a language other than English at home	3.5%	1.9%	17%
Residents 65+ with a disability	61%	54%	31%
Residents 65+ below the poverty line (approx.)	25%	16%	8.8%
Median income, households headed by someone 65+	$50,795	$35,825	—

Older residents in towns around Big Stone Gap

Town	Distance	Residents 65+	Disability (18 to 64)
Norton, VA	9.6 mi	761	34%
Wise, VA	13 mi	514	18%
Mount Carmel, TN	21 mi	1,272	22%
Church Hill, TN	24 mi	1,706	9.4%
Bloomingdale, TN	24 mi	2,040	22%
Kingsport, TN	27 mi	13,132	18%

Home health agencies serving Big Stone Gap

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ballad Health Homecare - Norton	Norton, VA	9.8 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(276) 973-9481
Ballad Health Homecare - Abingdon	Abingdon, VA	44 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(276) 525-1227
Adoration Home Health	Wise, VA	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(276) 523-4915
Amedisys Home Health Care	Abingdon, VA	44 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(276) 619-2532
Centerwell Home Health	Abingdon, VA	44 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(276) 623-0665

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

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Big Stone Gap

At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 30% of the $4,233 monthly median income of Big Stone Gap households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

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

Questions

Disability Care for Adults in Big Stone Gap: common questions

How much does disability care for adults cost in Big Stone Gap?

At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 30% of the $4,233 monthly median income of Big Stone Gap households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus covers Virginia.

More near Big Stone Gap

More senior care near Big Stone Gap

Disability Care for Adults in nearby cities

Other care in Big Stone Gap

More for Big Stone Gap 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.

In-Home Support for Adults With Disabilities in Big Stone Gap, VA