In-Home Support for Adults With Disabilities in Hillsville, 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 Hillsville for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Hillsville, VA: the local picture
About 105 Hillsville residents aged 18 to 64 report a disability (7.0%; 15% in Carroll County).
76 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
15% of Hillsville households have no vehicle (5.7% in Carroll County); say in your posting if you need a caregiver who drives.
Hillsville compared with Carroll County and Virginia
| Census figure | Hillsville | Carroll County | Virginia |
|---|---|---|---|
| Residents 18 to 64 with a disability | 7.0% | 15% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 5.0% | 6.5% | 3.5% |
| Households with no vehicle | 15% | 5.7% | 6.1% |
| Residents 5+ who speak a language other than English at home | 2.3% | 4.0% | 17% |
| Residents 65+ with a disability | 39% | 35% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 15% | 8.8% |
| Median income, households headed by someone 65+ | $46,204 | $41,766 | — |
Older residents in towns around Hillsville
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Galax, VA | 12 mi | 1,418 | 9.4% |
| Mount Airy, NC | 19 mi | 2,720 | 12% |
| Pulaski, VA | 20 mi | 1,600 | 21% |
| Wytheville, VA | 24 mi | 1,952 | 15% |
| Dublin, VA | 24 mi | 319 | 15% |
| Radford, VA | 27 mi | 1,601 | 9.4% |
Home health agencies serving Hillsville
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Home Health Care | Roanoke, VA | 61 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 | 21 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (540) 382-5637 |
| Interim Healthcare | Dublin, VA | 24 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 200-2606 |
| Liberty Home Care V LLC | Stuart, VA | 29 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 694-4424 |
| Carilion Home Care Services | Radford, VA | 27 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 633-9330 |
Straight-line miles from the center of Hillsville. 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 Hillsville
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 33% of the $3,850 monthly median income of Hillsville 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 Hillsville: common questions
How much does disability care for adults cost in Hillsville?
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 33% of the $3,850 monthly median income of Hillsville 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 Hillsville
Disability Care for Adults in nearby cities
- Disability Care for Adults in Galax, VA
- Disability Care for Adults in Mount Airy, NC
- Disability Care for Adults in Pulaski, VA
- Disability Care for Adults in Wytheville, VA
- Disability Care for Adults in Dublin, VA
- Disability Care for Adults in Radford, VA
- Disability Care for Adults in Christiansburg, VA
- Disability Care for Adults in Merrimac, VA
- Disability Care for Adults in Elkin, NC
- Disability Care for Adults in Blacksburg, VA
- Disability Care for Adults in Jonesville, NC
- Disability Care for Adults in Pearisburg, VA
- Disability Care for Adults in King, NC
- Disability Care for Adults in Tobaccoville, NC
- Disability Care for Adults in Marion, VA
- Disability Care for Adults in Bluefield, WV
Other care in Hillsville
- Companion Care in Hillsville
- Dementia Care in Hillsville
- Respite Care in Hillsville
- Live-In Caregivers in Hillsville
- Post-Surgery Care in Hillsville
- Senior Transportation in Hillsville
- Home Health Aides in Hillsville
- Nursing Assistants in Hillsville
- Personal Care in Hillsville
- Overnight Caregivers in Hillsville
- 24-Hour Home Care in Hillsville
- Mobility Assistance in Hillsville
- Parkinson’s Care in Hillsville
- Stroke Recovery Support in Hillsville
- Hospice Support in Hillsville
- Senior Meal Preparation in Hillsville
- Senior Housekeeping in Hillsville
- Medication Reminders in Hillsville
- Veterans’ Home Care in Hillsville
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 Hillsville
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