In-Home Support for Adults With Disabilities in Cave Spring, VA
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Cave Spring for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Cave Spring, VA: the local picture
About 1,438 Cave Spring residents aged 18 to 64 report a disability (9.1%; 12% in Roanoke city).
619 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
4.2% of Cave Spring households have no vehicle (11% in Roanoke city); say in your posting if you need a caregiver who drives.
Cave Spring compared with Roanoke city and Virginia
| Census figure | Cave Spring | Roanoke city | Virginia |
|---|---|---|---|
| Residents 18 to 64 with a disability | 9.1% | 12% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 3.9% | 3.8% | 3.5% |
| Households with no vehicle | 4.2% | 11% | 6.1% |
| Residents 5+ who speak a language other than English at home | 14% | 11% | 17% |
| Residents 65+ with a disability | 31% | 34% | 31% |
| Residents 65+ below the poverty line (approx.) | 4.7% | 15% | 8.8% |
| Median income, households headed by someone 65+ | $63,867 | $43,600 | — |
Older residents in towns around Cave Spring
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Roanoke, VA | 4.5 mi | 17,466 | 12% |
| Salem, VA | 4.8 mi | 5,016 | 11% |
| Vinton, VA | 7.3 mi | 1,476 | 17% |
| Hollins, VA | 8.6 mi | 4,146 | 13% |
| Cloverdale, VA | 11 mi | 932 | 12% |
| Daleville, VA | 14 mi | 1,221 | 5.4% |
Home health agencies serving Cave Spring
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Roanoke, VA | 10 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 | 10 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 265-5980 |
| Brandon Oaks At Home | Roanoke, VA | 3.0 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 283-8649 |
| Advanced Health Services | Roanoke, VA | 3.4 mi | 3.5 of 5 | nursing, physical therapy | (540) 994-9811 |
| Carilion Home Care Services - Roanoke | Roanoke, VA | 4.2 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 633-9314 |
Straight-line miles from the center of Cave Spring. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What disability care for adults costs in Cave Spring
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 24% of the $5,322 monthly median income of Cave Spring 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.
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.
Disability Care for Adults in Cave Spring: common questions
How much does disability care for adults cost in Cave Spring?
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 24% of the $5,322 monthly median income of Cave Spring 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 senior care near Cave Spring
Disability Care for Adults in nearby cities
- Disability Care for Adults in Roanoke, VA
- Disability Care for Adults in Salem, VA
- Disability Care for Adults in Vinton, VA
- Disability Care for Adults in Hollins, VA
- Disability Care for Adults in Cloverdale, VA
- Disability Care for Adults in Daleville, VA
- Disability Care for Adults in Blue Ridge, VA
- Disability Care for Adults in Rocky Mount, VA
- Disability Care for Adults in North Shore, VA
- Disability Care for Adults in Christiansburg, VA
- Disability Care for Adults in Merrimac, VA
- Disability Care for Adults in Blacksburg, VA
- Disability Care for Adults in Bedford, VA
- Disability Care for Adults in Radford, VA
- Disability Care for Adults in Collinsville, VA
- Disability Care for Adults in Covington, VA
Other care in Cave Spring
- Companion Care in Cave Spring
- Dementia Care in Cave Spring
- Respite Care in Cave Spring
- Live-In Caregivers in Cave Spring
- Post-Surgery Care in Cave Spring
- Senior Transportation in Cave Spring
- Home Health Aides in Cave Spring
- Nursing Assistants in Cave Spring
- Personal Care in Cave Spring
- Overnight Caregivers in Cave Spring
- 24-Hour Home Care in Cave Spring
- Mobility Assistance in Cave Spring
- Parkinson’s Care in Cave Spring
- Stroke Recovery Support in Cave Spring
- Hospice Support in Cave Spring
- Senior Meal Preparation in Cave Spring
- Senior Housekeeping in Cave Spring
- Medication Reminders in Cave Spring
- Veterans’ Home Care in Cave Spring
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.
Find disability care for adults in Cave Spring
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