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

Local figures

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

11%

of residents aged 18 to 64 have a disability

514

residents aged 18 to 64 have difficulty doing errands alone

6.4%

of households have no vehicle

12

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

About 1,617 Salem residents aged 18 to 64 report a disability (11%).

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

6.4% of Salem households have no vehicle; say in your posting if you need a caregiver who drives.

Salem compared with Virginia

Census figure	Salem	Virginia
Residents 18 to 64 with a disability	11%	10%
Residents 18 to 64 with difficulty doing errands alone	3.3%	3.5%
Households with no vehicle	6.4%	6.1%
Residents 5+ who speak a language other than English at home	4.8%	17%
Residents 65+ with a disability	29%	31%
Residents 65+ below the poverty line (approx.)	9.3%	8.8%
Median income, households headed by someone 65+	$53,225	—

Older residents in towns around Salem

Town	Distance	Residents 65+	Disability (18 to 64)
Cave Spring, VA	4.8 mi	4,833	9.1%
Roanoke, VA	5.4 mi	17,466	12%
Hollins, VA	7.0 mi	4,146	13%
Vinton, VA	9.2 mi	1,476	17%
Cloverdale, VA	9.7 mi	932	12%
Daleville, VA	12 mi	1,221	5.4%

Home health agencies serving Salem

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Roanoke, VA	9.4 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	9.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 265-5980
Brandon Oaks At Home	Roanoke, VA	2.4 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 283-8649
Carilion Home Care Services - Roanoke	Roanoke, VA	5.7 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	7.0 mi	3.5 of 5	nursing, physical therapy	(540) 994-9811

Straight-line miles from the center of Salem. 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 Salem

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 28% of the $4,435 monthly median income of Salem 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 Salem: common questions

How much does disability care for adults cost in Salem?

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 28% of the $4,435 monthly median income of Salem 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 Salem

More senior care near Salem

Disability Care for Adults in nearby cities

Other care in Salem

More for Salem 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 Salem, VA