Adult Disability Care in Lexington, VA: In-Home Support

Local figures

Disability Care for Adults in Lexington, VA: the local picture

7.0%

of residents aged 18 to 64 have a disability

85

residents aged 18 to 64 have difficulty doing errands alone

13%

of households have no vehicle

6

Medicare-certified home health agencies list Lexington ZIP codes in their service area

About 399 Lexington residents aged 18 to 64 report a disability (7.0%).

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

13% of Lexington households have no vehicle; say in your posting if you need a caregiver who drives.

Lexington compared with Virginia

Census figure	Lexington	Virginia
Residents 18 to 64 with a disability	7.0%	10%
Residents 18 to 64 with difficulty doing errands alone	1.5%	3.5%
Households with no vehicle	13%	6.1%
Residents 5+ who speak a language other than English at home	11%	17%
Residents 65+ with a disability	42%	31%
Residents 65+ below the poverty line (approx.)	3.3%	8.8%
Median income, households headed by someone 65+	$103,542	—

Older residents in towns around Lexington

Town	Distance	Residents 65+	Disability (18 to 64)
Buena Vista, VA	6.0 mi	1,240	15%
Clifton Forge, VA	21 mi	862	24%
Stuarts Draft, VA	28 mi	2,632	10%
Madison Heights, VA	29 mi	2,157	14%
Covington, VA	30 mi	1,125	14%
Forest, VA	30 mi	2,764	5.6%

Home health agencies serving Lexington

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Care	Staunton, VA	33 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(540) 886-2970
Carilion Home Care Services - Roanoke	Roanoke, VA	45 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 633-9314
Bayada Home Health Care Inc	Buena Vista, VA	5.8 mi	3 of 5	—	(540) 784-4119
Enhabit Home Health (Roanoke)	Roanoke, VA	39 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy	(540) 774-4970
Welcome Homecare	Richmond, VA	108 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(804) 745-0054

Straight-line miles from the center of Lexington. 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 Lexington

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 15% of the $8,629 monthly median income of Lexington 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 Lexington: common questions

How much does disability care for adults cost in Lexington?

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 15% of the $8,629 monthly median income of Lexington 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 Lexington

More senior care near Lexington

Disability Care for Adults in nearby cities

Other care in Lexington

More for Lexington 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 Lexington, VA