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

Disability Care for Adults in Richlands, VA: the local picture
About 581 Richlands residents aged 18 to 64 report a disability (21%; 18% in Tazewell County).
189 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
11% of Richlands households have no vehicle (6.6% in Tazewell County); say in your posting if you need a caregiver who drives.
Richlands compared with Tazewell County and Virginia
| Census figure | Richlands | Tazewell County | Virginia |
|---|---|---|---|
| Residents 18 to 64 with a disability | 21% | 18% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 6.9% | 5.4% | 3.5% |
| Households with no vehicle | 11% | 6.6% | 6.1% |
| Residents 5+ who speak a language other than English at home | 1.9% | 2.5% | 17% |
| Residents 65+ with a disability | 33% | 37% | 31% |
| Residents 65+ below the poverty line (approx.) | 22% | 13% | 8.8% |
| Median income, households headed by someone 65+ | $26,354 | $39,647 | — |
Older residents in towns around Richlands
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Tazewell, VA | 17 mi | 1,062 | 17% |
| Lebanon, VA | 20 mi | 1,014 | 22% |
| Marion, VA | 24 mi | 1,241 | 27% |
| Welch, WV | 26 mi | 403 | 41% |
| Abingdon, VA | 28 mi | 2,046 | 18% |
| Bluefield, VA | 31 mi | 1,257 | 16% |
Home health agencies serving Richlands
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Special Care Home Health | Grundy, VA | 22 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (276) 935-6655 |
| Amedisys Home Health Care | Abingdon, VA | 30 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 619-2532 |
| Carilion Home Care Services Tazewell | Tazewell, VA | 17 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 988-8714 |
| Home Nursing Company Inc | Lebanon, VA | 21 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 889-4318 |
| Medical Services Of America Home Health And Hospice | Richlands, VA | 0.4 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 963-9899 |
Straight-line miles from the center of Richlands. 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 Richlands
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 57% of the $2,196 monthly median income of Richlands 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 Richlands: common questions
How much does disability care for adults cost in Richlands?
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 57% of the $2,196 monthly median income of Richlands 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 Richlands
Disability Care for Adults in nearby cities
- Disability Care for Adults in Tazewell, VA
- Disability Care for Adults in Lebanon, VA
- Disability Care for Adults in Marion, VA
- Disability Care for Adults in Welch, WV
- Disability Care for Adults in Abingdon, VA
- Disability Care for Adults in Bluefield, VA
- Disability Care for Adults in Bluefield, WV
- Disability Care for Adults in Bristol, VA
- Disability Care for Adults in Wytheville, VA
- Disability Care for Adults in Mountain City, TN
- Disability Care for Adults in Bristol, TN
- Disability Care for Adults in Wise, VA
- Disability Care for Adults in Princeton, WV
- Disability Care for Adults in Norton, VA
- Disability Care for Adults in Williamson, WV
- Disability Care for Adults in Pikeville, KY
Other care in Richlands
- Companion Care in Richlands
- Dementia Care in Richlands
- Respite Care in Richlands
- Live-In Caregivers in Richlands
- Post-Surgery Care in Richlands
- Senior Transportation in Richlands
- Home Health Aides in Richlands
- Nursing Assistants in Richlands
- Personal Care in Richlands
- Overnight Caregivers in Richlands
- 24-Hour Home Care in Richlands
- Mobility Assistance in Richlands
- Parkinson’s Care in Richlands
- Stroke Recovery Support in Richlands
- Hospice Support in Richlands
- Senior Meal Preparation in Richlands
- Senior Housekeeping in Richlands
- Medication Reminders in Richlands
- Veterans’ Home Care in Richlands
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 Richlands
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