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

Local figures

Dementia Care in Roanoke, VA: the local picture

2,506

residents 85 or older (2.5% of all residents)

17,466

residents 65 or older (18% of Roanoke)

34%

of residents 65+ report a disability

6+

Medicare-certified nursing homes within 25 miles

Roanoke has about 2,506 residents aged 85 or older among 17,466 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.

34% of residents 65 and older report a disability. The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

39% of older Roanoke 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.

Roanoke compared with Virginia

Census figure	Roanoke	Virginia
Residents 85 or older	2.5%	1.7%
Residents 65 or older	18%	17%
Residents 65+ with a disability	34%	31%
Residents 65+ in households who live alone	39%	27%
Residents 65+ below the poverty line (approx.)	15%	8.8%
Residents 5+ who speak a language other than English at home	11%	17%
Median income, households headed by someone 65+	$43,600	—

Older residents in towns around Roanoke

Town	Distance	Residents 65+	Residents 85+
Vinton, VA	3.9 mi	1,476	294
Cave Spring, VA	4.5 mi	4,833	545
Hollins, VA	4.5 mi	4,146	562
Salem, VA	5.4 mi	5,016	627
Cloverdale, VA	6.1 mi	932	46
Daleville, VA	9.7 mi	1,221	348

Nursing homes near Roanoke

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Our Lady Of The Valley	Roanoke, VA	1.0 mi	5 of 5	70	(540) 345-5111
Old Southwest Health And Rehabilitation	Roanoke, VA	1.4 mi	1 of 5	130	(540) 345-8139
Raleigh Court Health And Rehabilitation Center	Roanoke, VA	1.5 mi	4 of 5	120	(540) 342-9525
Davis And Mcdaniel Veterans Care Center	Roanoke, VA	3.0 mi	5 of 5	180	(540) 982-2860
South Roanoke Nursing And Rehabilitation	Roanoke, VA	3.2 mi	3 of 5	98	(540) 344-4325
Friendship Health And Rehab Center	Roanoke, VA	3.2 mi	4 of 5	253	(540) 265-2100

Hospices serving Roanoke

Hospice	Office	Distance	Phone
Carilion Hospice Services Of Roanoke	Roanoke, VA	0.6 mi	(540) 224-4800
Good Samaritan Hospice Inc	Roanoke, VA	2.1 mi	(540) 776-0198
Medi Home Health & Hospice	Roanoke, VA	3.2 mi	(540) 278-1322
Heartland Hospice (Roanoke)	Roanoke, VA	5.5 mi	(540) 725-7600

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 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 Roanoke

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 35% of the $3,633 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. 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 Roanoke: common questions

What nursing homes are near Roanoke?

The closest Medicare-certified nursing homes are Our Lady Of The Valley in Roanoke (1.0 mi, 5 of 5 overall); Old Southwest Health And Rehabilitation in Roanoke (1.4 mi, 1 of 5 overall); Raleigh Court Health And Rehabilitation Center in Roanoke (1.5 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Roanoke?

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 35% of the $3,633 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. 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 Roanoke

More senior care near Roanoke

Dementia Care in nearby cities

Other care in Roanoke

More for Roanoke 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 Roanoke, VA