Companion Care in St. Albans, WV: Senior Companions at Home

Local figures

Companion Care in St. Albans, WV: the local picture

2,646

residents 65 or older (25% of St. Albans)

38%

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

0.5%

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

10%

of households have no vehicle (9.5% in Kanawha County)

About 988 residents of St. Albans aged 65 or older live alone, 38% of older residents in households (31% in Kanawha County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

10% of St. Albans households have no vehicle (9.5% in Kanawha County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 2,646 St. Albans residents aged 65 or older, 412 are 85 or older (16%). 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.

1,538 St. Albans households headed by someone 65 or older own their home and 361 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 328 older St. Albans residents (12%) live below the poverty line (11% in Kanawha 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.

St. Albans compared with Kanawha County and West Virginia

Census figure	St. Albans	Kanawha County	West Virginia
Residents 65+ in households who live alone	38%	31%	30%
Residents 65 or older	25%	22%	21%
Residents 5+ who speak a language other than English at home	0.5%	2.3%	2.5%
Households with no vehicle	10%	9.5%	8.0%
Residents 65+ below the poverty line (approx.)	12%	11%	12%
Residents 65+ with a disability	34%	37%	39%
Median income, households headed by someone 65+	$49,052	$51,172	—

Older residents in towns around St. Albans

Town	Distance	Residents 65+	Live alone (65+)
Nitro, WV	2.4 mi	1,330	26%
Dunbar, WV	4.5 mi	1,618	52%
Cross Lanes, WV	4.8 mi	2,226	31%
South Charleston, WV	6.4 mi	2,876	31%
Teays Valley, WV	7.5 mi	2,900	23%
Charleston, WV	10 mi	10,007	34%

Hospitals near St. Albans (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Thomas Memorial Hospital	South Charleston, WV	6.5 mi	1 of 5	(304) 766-3600
Charleston Area Medical Center	Charleston, WV	10 mi	2 of 5	(304) 388-5432
Boone Memorial Hospital	Madison, WV	23 mi	4 of 5	(304) 369-1230

Straight-line miles from the center of St. Albans. 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 St. Albans

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 29% of the $4,088 monthly median income of St. Albans 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 St. Albans: common questions

How many seniors live alone in St. Albans?

About 988 residents aged 65 or older, 38% of older residents in households (Census ACS 2020–2024) (31% in Kanawha County).

How much does companion care cost in St. Albans?

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 29% of the $4,088 monthly median income of St. Albans 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 St. Albans?

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 St. Albans

More senior care near St. Albans

Companion Care in nearby cities

Other care in St. Albans

More for St. Albans 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 St. Albans, WV