Companion Care in Oak Hill, WV: Senior Companions at Home

Local figures

Companion Care in Oak Hill, WV: the local picture

1,458

residents 65 or older (18% of Oak Hill)

31%

of residents 65+ in households live alone (28% in Fayette County)

1.4%

of residents 5+ speak a language other than English at home

13%

of households have no vehicle (8.1% in Fayette County)

About 440 residents of Oak Hill aged 65 or older live alone, 31% of older residents in households (28% in Fayette County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

13% of Oak Hill households have no vehicle (8.1% in Fayette County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 1,458 Oak Hill residents aged 65 or older, 144 are 85 or older (9.9%). 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.

848 Oak Hill households headed by someone 65 or older own their home and 126 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 263 older Oak Hill residents (19%) live below the poverty line (15% in Fayette 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.

Oak Hill compared with Fayette County and West Virginia

Census figure	Oak Hill	Fayette County	West Virginia
Residents 65+ in households who live alone	31%	28%	30%
Residents 65 or older	18%	22%	21%
Residents 5+ who speak a language other than English at home	1.4%	0.4%	2.5%
Households with no vehicle	13%	8.1%	8.0%
Residents 65+ below the poverty line (approx.)	19%	15%	12%
Residents 65+ with a disability	37%	43%	39%
Median income, households headed by someone 65+	$33,958	$43,366	—

Older residents in towns around Oak Hill

Town	Distance	Residents 65+	Live alone (65+)
Fayetteville, WV	6.7 mi	753	21%
Beckley, WV	14 mi	3,557	38%
Shady Spring, WV	19 mi	688	20%
Summersville, WV	28 mi	1,282	25%
Pinch, WV	35 mi	1,124	20%
Madison, WV	36 mi	746	23%

Hospitals near Oak Hill (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Camc Plateau Medical Center, Inc	Oak Hill, WV	0.5 mi	not rated	(304) 469-8600
Beckley Va Medical Center	Beckley, WV	13 mi	5 of 5	(304) 255-2121
Beckley Arh Hospital	Beckley, WV	13 mi	3 of 5	(304) 255-3000

Straight-line miles from the center of Oak Hill. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a companion caregiver can help with

Conversation, cards, puzzles and shared hobbies
Walks and outings to the park, library or senior center
Company at meals, and help preparing them
Rides or escort to appointments, church and visits

Cost

What companion care costs in Oak Hill

At the West Virginia median aide wage of $13.47 an hour, 20 hours of help a week comes to about $1,167 a month in wages, which is 41% of the $2,830 monthly median income of Oak Hill households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. West Virginia's minimum wage is $8.75 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 How to get paid to care for a family member in West Virginia: ADW and Personal Options.

Before you hire

What to know before hiring a companion caregiver

Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).

Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Companion Care in Oak Hill: common questions

How many seniors live alone in Oak Hill?

About 440 residents aged 65 or older, 31% of older residents in households (Census ACS 2020–2024) (28% in Fayette County).

How much does companion care cost in Oak Hill?

At the West Virginia median aide wage of $13.47 an hour, 20 hours of help a week comes to about $1,167 a month in wages, which is 41% of the $2,830 monthly median income of Oak Hill households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. West Virginia's minimum wage is $8.75 an hour (U.S. Department of Labor table, updated July 1, 2026).

What does a companion caregiver do in Oak Hill?

A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.

More near Oak Hill

More senior care near Oak Hill

Companion Care in nearby cities

Other care in Oak Hill

More for Oak Hill 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.

Companion Care for Seniors in Oak Hill, WV