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

Disability Care for Adults in North Shore, VA: the local picture
About 174 North Shore residents aged 18 to 64 report a disability (11%; 14% in Franklin County).
82 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
1.7% of North Shore households have no vehicle (4.5% in Franklin County); say in your posting if you need a caregiver who drives.
North Shore compared with Franklin County and Virginia
| Census figure | North Shore | Franklin County | Virginia |
|---|---|---|---|
| Residents 18 to 64 with a disability | 11% | 14% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 5.0% | 4.9% | 3.5% |
| Households with no vehicle | 1.7% | 4.5% | 6.1% |
| Residents 5+ who speak a language other than English at home | 0.3% | 3.1% | 17% |
| Residents 65+ with a disability | 25% | 30% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 8.3% | 8.8% |
| Median income, households headed by someone 65+ | $96,696 | $55,604 | — |
Older residents in towns around North Shore
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Rocky Mount, VA | 14 mi | 1,133 | 16% |
| Vinton, VA | 19 mi | 1,476 | 17% |
| Bedford, VA | 19 mi | 1,647 | 12% |
| Altavista, VA | 20 mi | 656 | 18% |
| Roanoke, VA | 22 mi | 17,466 | 12% |
| Cave Spring, VA | 22 mi | 4,833 | 9.1% |
Home health agencies serving North Shore
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Home Health Care | Roanoke, VA | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 265-5980 |
| Centerwell Home Health | Roanoke, VA | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 362-7578 |
| Advanced Health Services | Roanoke, VA | 19 mi | 3.5 of 5 | nursing, physical therapy | (540) 994-9811 |
| Medi Home Health Agency | Alexandria, VA | 185 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 278-1322 |
| Carilion Home Care Franklin | Rocky Mount, VA | 15 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 489-6383 |
Straight-line miles from the center of North Shore. 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 North Shore
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 16% of the $8,058 monthly median income of North Shore 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 North Shore: common questions
How much does disability care for adults cost in North Shore?
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 16% of the $8,058 monthly median income of North Shore 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 North Shore
Disability Care for Adults in nearby cities
- Disability Care for Adults in Rocky Mount, VA
- Disability Care for Adults in Vinton, VA
- Disability Care for Adults in Bedford, VA
- Disability Care for Adults in Altavista, VA
- Disability Care for Adults in Roanoke, VA
- Disability Care for Adults in Cave Spring, VA
- Disability Care for Adults in Blue Ridge, VA
- Disability Care for Adults in Cloverdale, VA
- Disability Care for Adults in Hollins, VA
- Disability Care for Adults in Salem, VA
- Disability Care for Adults in Daleville, VA
- Disability Care for Adults in Timberlake, VA
- Disability Care for Adults in Forest, VA
- Disability Care for Adults in Collinsville, VA
- Disability Care for Adults in Martinsville, VA
- Disability Care for Adults in Mount Hermon, VA
Other care in North Shore
- Companion Care in North Shore
- Dementia Care in North Shore
- Respite Care in North Shore
- Live-In Caregivers in North Shore
- Post-Surgery Care in North Shore
- Senior Transportation in North Shore
- Home Health Aides in North Shore
- Nursing Assistants in North Shore
- Personal Care in North Shore
- Overnight Caregivers in North Shore
- 24-Hour Home Care in North Shore
- Mobility Assistance in North Shore
- Parkinson’s Care in North Shore
- Stroke Recovery Support in North Shore
- Hospice Support in North Shore
- Senior Meal Preparation in North Shore
- Senior Housekeeping in North Shore
- Medication Reminders in North Shore
- Veterans’ Home Care in North Shore
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 North Shore
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