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

Disability Care for Adults in Madison Heights, VA: the local picture
About 875 Madison Heights residents aged 18 to 64 report a disability (14%; 14% in Amherst County).
332 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
5.3% of Madison Heights households have no vehicle (3.4% in Amherst County); say in your posting if you need a caregiver who drives.
Madison Heights compared with Amherst County and Virginia
| Census figure | Madison Heights | Amherst County | Virginia |
|---|---|---|---|
| Residents 18 to 64 with a disability | 14% | 14% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 5.4% | 4.8% | 3.5% |
| Households with no vehicle | 5.3% | 3.4% | 6.1% |
| Residents 5+ who speak a language other than English at home | 1.1% | 2.7% | 17% |
| Residents 65+ with a disability | 36% | 30% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 9.7% | 8.8% |
| Median income, households headed by someone 65+ | $43,495 | $47,557 | — |
Older residents in towns around Madison Heights
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Lynchburg, VA | 6.0 mi | 11,391 | 12% |
| Forest, VA | 11 mi | 2,764 | 5.6% |
| Timberlake, VA | 12 mi | 2,386 | 8.4% |
| Bedford, VA | 24 mi | 1,647 | 12% |
| Buena Vista, VA | 24 mi | 1,240 | 15% |
| Altavista, VA | 25 mi | 656 | 18% |
Home health agencies serving Madison Heights
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health (Lynchburg) | Lynchburg, VA | 7.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 586-6765 |
| Centra Home Health | Lynchburg, VA | 7.2 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (434) 200-4111 |
| Amedisys Home Health Care | Roanoke, VA | 44 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 265-5980 |
| Westminster At Home (Home Health) | Lynchburg, VA | 7.2 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (434) 386-3800 |
| 1ST Care Home Health Lynchburg | Lynchburg, VA | 7.2 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (434) 384-2800 |
Straight-line miles from the center of Madison Heights. 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 Madison Heights
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 35% of the $3,625 monthly median income of Madison Heights 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 Madison Heights: common questions
How much does disability care for adults cost in Madison Heights?
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 35% of the $3,625 monthly median income of Madison Heights 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 Madison Heights
Disability Care for Adults in nearby cities
- Disability Care for Adults in Lynchburg, VA
- Disability Care for Adults in Forest, VA
- Disability Care for Adults in Timberlake, VA
- Disability Care for Adults in Bedford, VA
- Disability Care for Adults in Buena Vista, VA
- Disability Care for Adults in Altavista, VA
- Disability Care for Adults in Lexington, VA
- Disability Care for Adults in North Shore, VA
- Disability Care for Adults in Blue Ridge, VA
- Disability Care for Adults in Stuarts Draft, VA
- Disability Care for Adults in Farmville, VA
- Disability Care for Adults in Waynesboro, VA
- Disability Care for Adults in Cloverdale, VA
- Disability Care for Adults in Daleville, VA
- Disability Care for Adults in Vinton, VA
- Disability Care for Adults in Fishersville, VA
Other care in Madison Heights
- Companion Care in Madison Heights
- Dementia Care in Madison Heights
- Respite Care in Madison Heights
- Live-In Caregivers in Madison Heights
- Post-Surgery Care in Madison Heights
- Senior Transportation in Madison Heights
- Home Health Aides in Madison Heights
- Nursing Assistants in Madison Heights
- Personal Care in Madison Heights
- Overnight Caregivers in Madison Heights
- 24-Hour Home Care in Madison Heights
- Mobility Assistance in Madison Heights
- Parkinson’s Care in Madison Heights
- Stroke Recovery Support in Madison Heights
- Hospice Support in Madison Heights
- Senior Meal Preparation in Madison Heights
- Senior Housekeeping in Madison Heights
- Medication Reminders in Madison Heights
- Veterans’ Home Care in Madison Heights
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 Madison Heights
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