Companion Care in Pearisburg, VA: Senior Companions at Home

Local figures

Companion Care in Pearisburg, VA: the local picture

680

residents 65 or older (24% of Pearisburg)

37%

of residents 65+ in households live alone (31% in Giles County)

0.8%

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

5.1%

of households have no vehicle (7.1% in Giles County)

About 250 residents of Pearisburg aged 65 or older live alone, 37% of older residents in households (31% in Giles County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

5.1% of Pearisburg households have no vehicle (7.1% in Giles County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 680 Pearisburg residents aged 65 or older, 8 are 85 or older (1.2%). 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.

337 Pearisburg households headed by someone 65 or older own their home and 103 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 74 older Pearisburg residents (11%) live below the poverty line (11% in Giles 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.

Pearisburg compared with Giles County and Virginia

Census figure	Pearisburg	Giles County	Virginia
Residents 65+ in households who live alone	37%	31%	27%
Residents 65 or older	24%	22%	17%
Residents 5+ who speak a language other than English at home	0.8%	3.4%	17%
Households with no vehicle	5.1%	7.1%	6.1%
Residents 65+ below the poverty line (approx.)	11%	11%	8.8%
Residents 65+ with a disability	47%	29%	31%
Median income, households headed by someone 65+	$36,204	$42,356	—

Older residents in towns around Pearisburg

Town	Distance	Residents 65+	Live alone (65+)
Dublin, VA	16 mi	319	36%
Radford, VA	17 mi	1,601	29%
Blacksburg, VA	18 mi	3,474	28%
Pulaski, VA	19 mi	1,600	43%
Merrimac, VA	19 mi	968	67%
Princeton, WV	20 mi	1,364	33%

Hospitals near Pearisburg (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Carilion Giles Community Hospital	Pearisburg, VA	1.7 mi	4 of 5	(540) 921-6000
Lewisgale Hospital Montgomery	Blacksburg, VA	17 mi	3 of 5	(540) 951-1111
Lewisgale Hospital Pulaski	Pulaski, VA	19 mi	4 of 5	(540) 994-8100

Straight-line miles from the center of Pearisburg. 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 Pearisburg

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 42% of the $3,017 monthly median income of Pearisburg 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 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 Pearisburg: common questions

How many seniors live alone in Pearisburg?

About 250 residents aged 65 or older, 37% of older residents in households (Census ACS 2020–2024) (31% in Giles County).

How much does companion care cost in Pearisburg?

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 42% of the $3,017 monthly median income of Pearisburg 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).

What does a companion caregiver do in Pearisburg?

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 Pearisburg

More senior care near Pearisburg

Companion Care in nearby cities

Other care in Pearisburg

More for Pearisburg 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 Pearisburg, VA