In-Home Dementia and Alzheimer's Care in Cave Spring, VA
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Cave Spring for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Cave Spring, VA: the local picture
Cave Spring has about 545 residents aged 85 or older among 4,833 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.
31% of residents 65 and older report a disability (34% in Roanoke city). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
30% of older Cave Spring residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.
Cave Spring compared with Roanoke city and Virginia
| Census figure | Cave Spring | Roanoke city | Virginia |
|---|---|---|---|
| Residents 85 or older | 2.1% | 2.5% | 1.7% |
| Residents 65 or older | 19% | 18% | 17% |
| Residents 65+ with a disability | 31% | 34% | 31% |
| Residents 65+ in households who live alone | 30% | 39% | 27% |
| Residents 65+ below the poverty line (approx.) | 4.7% | 15% | 8.8% |
| Residents 5+ who speak a language other than English at home | 14% | 11% | 17% |
| Median income, households headed by someone 65+ | $63,867 | $43,600 | — |
Older residents in towns around Cave Spring
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Roanoke, VA | 4.5 mi | 17,466 | 2,506 |
| Salem, VA | 4.8 mi | 5,016 | 627 |
| Vinton, VA | 7.3 mi | 1,476 | 294 |
| Hollins, VA | 8.6 mi | 4,146 | 562 |
| Cloverdale, VA | 11 mi | 932 | 46 |
| Daleville, VA | 14 mi | 1,221 | 348 |
Nursing homes near Cave Spring
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Friendship Health And Rehab Center - South | Roanoke, VA | 1.8 mi | 3 of 5 | 120 | (540) 777-8300 |
| South Roanoke Nursing And Rehabilitation | Roanoke, VA | 2.0 mi | 3 of 5 | 98 | (540) 344-4325 |
| Pheasant Ridge Nursing And Rehabilitation | Roanoke, VA | 2.4 mi | 1 of 5 | 101 | (540) 725-8210 |
| Brandon Oaks Nursing And Rehabilitation Center | Roanoke, VA | 2.6 mi | 5 of 5 | 62 | (540) 776-2616 |
| Raleigh Court Health And Rehabilitation Center | Roanoke, VA | 3.0 mi | 4 of 5 | 120 | (540) 342-9525 |
| Salem Health & Rehabilitation | Salem, VA | 3.5 mi | 2 of 5 | 240 | (540) 345-3894 |
Hospices serving Cave Spring
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Heartland Hospice (Roanoke) | Roanoke, VA | 3.0 mi | (540) 725-7600 |
| Medi Home Health & Hospice | Roanoke, VA | 3.4 mi | (540) 278-1322 |
| Carilion Hospice Services Of Roanoke | Roanoke, VA | 4.2 mi | (540) 224-4800 |
| Good Samaritan Hospice Inc | Roanoke, VA | 4.7 mi | (540) 776-0198 |
Straight-line miles from the center of Cave Spring. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a dementia caregiver can help with
- Keeping a predictable daily routine
- Gentle help with bathing, dressing and toileting
- Meals, hydration and medication reminders
- Calming approaches for sundowning, agitation and repeated questions
What dementia care costs in Cave Spring
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 24% of the $5,322 monthly median income of Cave Spring 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.
What to know before hiring a dementia caregiver
An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.
Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Dementia Care in Cave Spring: common questions
What nursing homes are near Cave Spring?
The closest Medicare-certified nursing homes are Friendship Health And Rehab Center - South in Roanoke (1.8 mi, 3 of 5 overall); South Roanoke Nursing And Rehabilitation in Roanoke (2.0 mi, 3 of 5 overall); Pheasant Ridge Nursing And Rehabilitation in Roanoke (2.4 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Cave Spring?
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 24% of the $5,322 monthly median income of Cave Spring 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).
When does someone with dementia need care at home?
Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.
More senior care near Cave Spring
Dementia Care in nearby cities
- Dementia Care in Roanoke, VA
- Dementia Care in Salem, VA
- Dementia Care in Vinton, VA
- Dementia Care in Hollins, VA
- Dementia Care in Cloverdale, VA
- Dementia Care in Daleville, VA
- Dementia Care in Blue Ridge, VA
- Dementia Care in Rocky Mount, VA
- Dementia Care in North Shore, VA
- Dementia Care in Christiansburg, VA
- Dementia Care in Merrimac, VA
- Dementia Care in Blacksburg, VA
- Dementia Care in Bedford, VA
- Dementia Care in Radford, VA
- Dementia Care in Collinsville, VA
- Dementia Care in Covington, VA
Other care in Cave Spring
- Companion Care in Cave Spring
- Respite Care in Cave Spring
- Live-In Caregivers in Cave Spring
- Post-Surgery Care in Cave Spring
- Senior Transportation in Cave Spring
- Home Health Aides in Cave Spring
- Nursing Assistants in Cave Spring
- Personal Care in Cave Spring
- Overnight Caregivers in Cave Spring
- 24-Hour Home Care in Cave Spring
- Mobility Assistance in Cave Spring
- Parkinson’s Care in Cave Spring
- Stroke Recovery Support in Cave Spring
- Disability Care for Adults in Cave Spring
- Hospice Support in Cave Spring
- Senior Meal Preparation in Cave Spring
- Senior Housekeeping in Cave Spring
- Medication Reminders in Cave Spring
- Veterans’ Home Care in Cave Spring
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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