Dementia Care in Hillsville, VA: In-Home Alzheimer's Care

Local figures

Dementia Care in Hillsville, VA: the local picture

173

residents 85 or older (6.0% of all residents)

630

residents 65 or older (22% of Hillsville)

39%

of residents 65+ report a disability (35% in Carroll County)

6+

Medicare-certified nursing homes within 25 miles

Hillsville has about 173 residents aged 85 or older among 630 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.

39% of residents 65 and older report a disability (35% in Carroll County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

27% of older Hillsville 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.

Hillsville compared with Carroll County and Virginia

Census figure	Hillsville	Carroll County	Virginia
Residents 85 or older	6.0%	2.9%	1.7%
Residents 65 or older	22%	26%	17%
Residents 65+ with a disability	39%	35%	31%
Residents 65+ in households who live alone	27%	29%	27%
Residents 65+ below the poverty line (approx.)	11%	15%	8.8%
Residents 5+ who speak a language other than English at home	2.3%	4.0%	17%
Median income, households headed by someone 65+	$46,204	$41,766	—

Older residents in towns around Hillsville

Town	Distance	Residents 65+	Residents 85+
Galax, VA	12 mi	1,418	212
Mount Airy, NC	19 mi	2,720	666
Pulaski, VA	20 mi	1,600	208
Wytheville, VA	24 mi	1,952	406
Dublin, VA	24 mi	319	26
Radford, VA	27 mi	1,601	174

Nursing homes near Hillsville

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hillsville Health & Rehab Center	Hillsville, VA	0.4 mi	5 of 5	60	(276) 728-2486
Galax Health And Rehab	Galax, VA	11 mi	2 of 5	120	(276) 236-9991
Waddell Nursing And Rehab Center	Galax, VA	13 mi	5 of 5	135	(276) 236-5164
Heritage Hall - Laurel Meadows	Laurel Fork, VA	15 mi	5 of 5	60	(276) 398-2117
Surry Community Health Center By Harborview	Mount Airy, NC	18 mi	1 of 5	120	(336) 789-5076
Northern Regional Hospital	Mount Airy, NC	20 mi	5 of 5	33	(336) 719-7000

Hospices serving Hillsville

Hospice	Office	Distance	Phone
Mountain Valley Hospice & Palliative Care	Galax, VA	12 mi	(276) 728-1030
Medi Home Health And Hospice - Pulaski	Pulaski, VA	21 mi	(540) 980-0478
Wythe Hospice Of Swva	Wytheville, VA	23 mi	(276) 228-1710
Gentiva Ii	Wytheville, VA	23 mi	(540) 366-0927

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

What it covers

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

Cost

What dementia care costs in Hillsville

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 33% of the $3,850 monthly median income of Hillsville 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 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.

Questions

Dementia Care in Hillsville: common questions

What nursing homes are near Hillsville?

The closest Medicare-certified nursing homes are Hillsville Health & Rehab Center in Hillsville (0.4 mi, 5 of 5 overall); Galax Health And Rehab in Galax (11 mi, 2 of 5 overall); Waddell Nursing And Rehab Center in Galax (13 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Hillsville?

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 33% of the $3,850 monthly median income of Hillsville 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 near Hillsville

More senior care near Hillsville

Dementia Care in nearby cities

Other care in Hillsville

More for Hillsville 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.

In-Home Dementia and Alzheimer's Care in Hillsville, VA