Cave Spring, Virginia

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.

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Local figures

Disability Care for Adults in Cave Spring, VA: the local picture

9.1%
of residents aged 18 to 64 have a disability (12% in Roanoke city)
619
residents aged 18 to 64 have difficulty doing errands alone
4.2%
of households have no vehicle (11% in Roanoke city)
12
Medicare-certified home health agencies list Cave Spring ZIP codes in their service area

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 figureCave SpringRoanoke cityVirginia
Residents 18 to 64 with a disability9.1%12%10%
Residents 18 to 64 with difficulty doing errands alone3.9%3.8%3.5%
Households with no vehicle4.2%11%6.1%
Residents 5+ who speak a language other than English at home14%11%17%
Residents 65+ with a disability31%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

TownDistanceResidents 65+Disability (18 to 64)
Roanoke, VA4.5 mi17,46612%
Salem, VA4.8 mi5,01611%
Vinton, VA7.3 mi1,47617%
Hollins, VA8.6 mi4,14613%
Cloverdale, VA11 mi93212%
Daleville, VA14 mi1,2215.4%

Home health agencies serving Cave Spring

AgencyOfficeDistanceCMS quality starsServices listedPhone
Centerwell Home HealthRoanoke, VA10 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(540) 362-7578
Amedisys Home Health CareRoanoke, VA10 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(540) 265-5980
Brandon Oaks At HomeRoanoke, VA3.0 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(540) 283-8649
Advanced Health ServicesRoanoke, VA3.4 mi3.5 of 5nursing, physical therapy(540) 994-9811
Carilion Home Care Services - RoanokeRoanoke, VA4.2 mi3.5 of 5nursing, 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 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 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.

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 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 near Cave Spring

More senior care near Cave Spring

Disability Care for Adults in nearby cities

Other care in Cave Spring

More for Cave Spring 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.

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