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

Local figures

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

12%

of residents aged 18 to 64 have a disability

2,193

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle

13

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

About 7,062 Roanoke residents aged 18 to 64 report a disability (12%).

2,193 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

11% of Roanoke households have no vehicle; say in your posting if you need a caregiver who drives.

Roanoke compared with Virginia

Census figure	Roanoke	Virginia
Residents 18 to 64 with a disability	12%	10%
Residents 18 to 64 with difficulty doing errands alone	3.8%	3.5%
Households with no vehicle	11%	6.1%
Residents 5+ who speak a language other than English at home	11%	17%
Residents 65+ with a disability	34%	31%
Residents 65+ below the poverty line (approx.)	15%	8.8%
Median income, households headed by someone 65+	$43,600	—

Older residents in towns around Roanoke

Town	Distance	Residents 65+	Disability (18 to 64)
Vinton, VA	3.9 mi	1,476	17%
Cave Spring, VA	4.5 mi	4,833	9.1%
Hollins, VA	4.5 mi	4,146	13%
Salem, VA	5.4 mi	5,016	11%
Cloverdale, VA	6.1 mi	932	12%
Daleville, VA	9.7 mi	1,221	5.4%

Home health agencies serving Roanoke

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Roanoke, VA	5.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 362-7578
Amedisys Home Health Care	Roanoke, VA	5.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 265-5980
Carilion Home Care Services - Roanoke	Roanoke, VA	0.6 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 633-9314
Advanced Health Services	Roanoke, VA	3.2 mi	3.5 of 5	nursing, physical therapy	(540) 994-9811
Brandon Oaks At Home	Roanoke, VA	5.5 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 283-8649

Straight-line miles from the center of Roanoke. 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 Roanoke

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 $3,633 monthly median income of Roanoke 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 Roanoke: common questions

How much does disability care for adults cost in Roanoke?

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 $3,633 monthly median income of Roanoke 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 Roanoke

More senior care near Roanoke

Disability Care for Adults in nearby cities

Other care in Roanoke

More for Roanoke 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 Roanoke, VA