Companion Care for Seniors in Hillsville, VA

About 158 residents of Hillsville aged 65 or older live alone, 27% of older residents in households (29% in Carroll County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

15% of Hillsville households have no vehicle (5.7% in Carroll County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 630 Hillsville residents aged 65 or older, 173 are 85 or older (27%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.

258 Hillsville households headed by someone 65 or older own their home and 122 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.

About 65 older Hillsville residents (11%) live below the poverty line (15% in Carroll County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.

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 33% of the $3,850 monthly median income of Hillsville 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.