Roanoke, Alabama

Companion Care for Seniors in Roanoke, AL

Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Roanoke for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Companion Care in Roanoke, AL: the local picture

1,295
residents 65 or older (24% of Roanoke)
29%
of residents 65+ in households live alone (28% in Randolph County)
2.0%
of residents 5+ speak a language other than English at home
9.9%
of households have no vehicle (4.4% in Randolph County)

About 343 residents of Roanoke aged 65 or older live alone, 29% of older residents in households (28% in Randolph County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

9.9% of Roanoke households have no vehicle (4.4% in Randolph County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 1,295 Roanoke residents aged 65 or older, 103 are 85 or older (8.0%). 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.

536 Roanoke households headed by someone 65 or older own their home and 233 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 163 older Roanoke residents (14%) live below the poverty line (17% in Randolph 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.

Roanoke compared with Randolph County and Alabama

Census figureRoanokeRandolph CountyAlabama
Residents 65+ in households who live alone29%28%29%
Residents 65 or older24%22%18%
Residents 5+ who speak a language other than English at home2.0%2.2%6.0%
Households with no vehicle9.9%4.4%5.4%
Residents 65+ below the poverty line (approx.)14%17%12%
Residents 65+ with a disability46%40%38%
Median income, households headed by someone 65+$40,372$37,976—

Older residents in towns around Roanoke

TownDistanceResidents 65+Live alone (65+)
La Fayette, AL17 mi61541%
LaGrange, GA21 mi4,74740%
West Point, GA22 mi34931%
Lanett, AL22 mi1,16318%
Huguley, AL22 mi52318%
Lineville, AL25 mi68631%

Hospitals near Roanoke (for rides to appointments)

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Tanner Medical Center-East AlabamaWedowee, AL12 minot rated(256) 357-2111
Wellstar West Georgia Medical CenterLagrange, GA19 mi5 of 5(706) 882-1411
Eamc - LanierValley, AL26 minot rated(334) 756-9180

Straight-line miles from the center of Roanoke. 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 Roanoke

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 34% of the $3,364 monthly median income of Roanoke households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

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 Roanoke: common questions

How many seniors live alone in Roanoke?

About 343 residents aged 65 or older, 29% of older residents in households (Census ACS 2020–2024) (28% in Randolph County).

How much does companion care cost in Roanoke?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 34% of the $3,364 monthly median income of Roanoke households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

What does a companion caregiver do in Roanoke?

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.

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.

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