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

Disability Care for Adults in Wise, VA: the local picture
About 315 Wise residents aged 18 to 64 report a disability (18%; 26% in Wise County).
77 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.2% of Wise households have no vehicle (9.1% in Wise County); say in your posting if you need a caregiver who drives.
Wise compared with Wise County and Virginia
| Census figure | Wise | Wise County | Virginia |
|---|---|---|---|
| Residents 18 to 64 with a disability | 18% | 26% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 4.3% | 8.5% | 3.5% |
| Households with no vehicle | 7.2% | 9.1% | 6.1% |
| Residents 5+ who speak a language other than English at home | 3.9% | 1.9% | 17% |
| Residents 65+ with a disability | 61% | 54% | 31% |
| Residents 65+ below the poverty line (approx.) | 4.7% | 16% | 8.8% |
| Median income, households headed by someone 65+ | $44,306 | $35,825 | — |
Older residents in towns around Wise
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Norton, VA | 4.0 mi | 761 | 34% |
| Big Stone Gap, VA | 13 mi | 924 | 22% |
| Bloomingdale, TN | 28 mi | 2,040 | 22% |
| Lebanon, VA | 28 mi | 1,014 | 22% |
| Mount Carmel, TN | 29 mi | 1,272 | 22% |
| Kingsport, TN | 32 mi | 13,132 | 18% |
Home health agencies serving Wise
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Ballad Health Homecare - Norton | Norton, VA | 3.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 973-9481 |
| Adoration Home Health | Wise, VA | 0.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 523-4915 |
| Amedisys Home Health Care | Abingdon, VA | 37 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 619-2532 |
| Centerwell Home Health | Abingdon, VA | 37 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 623-0665 |
| Centerwell Home Health | Bristol, VA | 33 mi | 3.5 of 5 | — | (276) 285-6020 |
Straight-line miles from the center of Wise. 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 Wise
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 34% of the $3,692 monthly median income of Wise 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 Wise: common questions
How much does disability care for adults cost in Wise?
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 34% of the $3,692 monthly median income of Wise 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 Wise
Disability Care for Adults in nearby cities
- Disability Care for Adults in Norton, VA
- Disability Care for Adults in Big Stone Gap, VA
- Disability Care for Adults in Bloomingdale, TN
- Disability Care for Adults in Lebanon, VA
- Disability Care for Adults in Mount Carmel, TN
- Disability Care for Adults in Kingsport, TN
- Disability Care for Adults in Church Hill, TN
- Disability Care for Adults in Blountville, TN
- Disability Care for Adults in Colonial Heights, TN
- Disability Care for Adults in Bristol, VA
- Disability Care for Adults in Pikeville, KY
- Disability Care for Adults in Bristol, TN
- Disability Care for Adults in Spurgeon, TN
- Disability Care for Adults in Abingdon, VA
- Disability Care for Adults in Oak Grove, TN
- Disability Care for Adults in Hazard, KY
Other care in Wise
- Companion Care in Wise
- Dementia Care in Wise
- Respite Care in Wise
- Live-In Caregivers in Wise
- Post-Surgery Care in Wise
- Senior Transportation in Wise
- Home Health Aides in Wise
- Nursing Assistants in Wise
- Personal Care in Wise
- Overnight Caregivers in Wise
- 24-Hour Home Care in Wise
- Mobility Assistance in Wise
- Parkinson’s Care in Wise
- Stroke Recovery Support in Wise
- Hospice Support in Wise
- Senior Meal Preparation in Wise
- Senior Housekeeping in Wise
- Medication Reminders in Wise
- Veterans’ Home Care in Wise
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 Wise
Posting is free and takes about ten minutes. Caregivers near Wise can see it as soon as it is live.
Create your free family accountLooking for caregiving work instead? Create a free caregiver profile.
