Home Health Aides in Big Stone Gap, VA
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Big Stone Gap for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Big Stone Gap, VA: the local picture
11 Medicare-certified home health agencies list Big Stone Gap ZIP codes in their service area; the highest-rated are below, and 7 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.
Home health and personal care aides in Virginia earn a median $14.57 an hour (BLS, May 2025), with the middle half between $13.66 and $17.24.
Big Stone Gap has about 924 residents aged 65 or older, 61% of whom report a disability.
Big Stone Gap compared with Wise County and Virginia
| Census figure | Big Stone Gap | Wise County | Virginia |
|---|---|---|---|
| Residents 65+ with a disability | 61% | 54% | 31% |
| Residents 65 or older | 18% | 20% | 17% |
| Residents 85 or older | 1.5% | 1.6% | 1.7% |
| Residents 65+ in households who live alone | 30% | 29% | 27% |
| Residents 65+ below the poverty line (approx.) | 25% | 16% | 8.8% |
| Residents 5+ who speak a language other than English at home | 3.5% | 1.9% | 17% |
| Median income, households headed by someone 65+ | $50,795 | $35,825 | — |
Older residents in towns around Big Stone Gap
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Norton, VA | 9.6 mi | 761 | 44% |
| Wise, VA | 13 mi | 514 | 61% |
| Mount Carmel, TN | 21 mi | 1,272 | 39% |
| Church Hill, TN | 24 mi | 1,706 | 36% |
| Bloomingdale, TN | 24 mi | 2,040 | 47% |
| Kingsport, TN | 27 mi | 13,132 | 41% |
Medicare-certified home health agencies serving Big Stone Gap
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Ballad Health Homecare - Norton | Norton, VA | 9.8 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 973-9481 |
| Ballad Health Homecare - Abingdon | Abingdon, VA | 44 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 525-1227 |
| Adoration Home Health | Wise, VA | 13 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 523-4915 |
| Amedisys Home Health Care | Abingdon, VA | 44 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 619-2532 |
| Centerwell Home Health | Abingdon, VA | 44 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 623-0665 |
| Centerwell Home Health | Bristol, VA | 37 mi | 3.5 of 5 | — | (276) 285-6020 |
| Home Nursing Company Inc | Lebanon, VA | 38 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 889-4318 |
| In Home Care Inc | Wise, VA | 13 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (276) 328-9340 |
Straight-line miles from the center of Big Stone Gap. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in Big Stone Gap
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 30% of the $4,233 monthly median income of Big Stone Gap 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 home health aide
Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.
Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Home Health Aides in Big Stone Gap: common questions
Which home health agencies serve Big Stone Gap?
Medicare lists 11 certified agencies whose service area includes Big Stone Gap ZIP codes. The highest-rated on Medicare’s quality stars include Ballad Health Homecare - Norton (5 of 5), Ballad Health Homecare - Abingdon (5 of 5), Adoration Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Big Stone Gap?
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 30% of the $4,233 monthly median income of Big Stone Gap 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).
What is the difference between a home health aide and a CNA?
Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.
More senior care near Big Stone Gap
Home Health Aides in nearby cities
- Home Health Aides in Norton, VA
- Home Health Aides in Wise, VA
- Home Health Aides in Mount Carmel, TN
- Home Health Aides in Church Hill, TN
- Home Health Aides in Bloomingdale, TN
- Home Health Aides in Kingsport, TN
- Home Health Aides in Colonial Heights, TN
- Home Health Aides in Blountville, TN
- Home Health Aides in Spurgeon, TN
- Home Health Aides in Rogersville, TN
- Home Health Aides in Oak Grove, TN
- Home Health Aides in Hazard, KY
- Home Health Aides in Bristol, TN
- Home Health Aides in Bristol, VA
- Home Health Aides in Lebanon, VA
- Home Health Aides in Johnson City, TN
Other care in Big Stone Gap
- Companion Care in Big Stone Gap
- Dementia Care in Big Stone Gap
- Respite Care in Big Stone Gap
- Live-In Caregivers in Big Stone Gap
- Post-Surgery Care in Big Stone Gap
- Senior Transportation in Big Stone Gap
- Nursing Assistants in Big Stone Gap
- Personal Care in Big Stone Gap
- Overnight Caregivers in Big Stone Gap
- 24-Hour Home Care in Big Stone Gap
- Mobility Assistance in Big Stone Gap
- Parkinson’s Care in Big Stone Gap
- Stroke Recovery Support in Big Stone Gap
- Disability Care for Adults in Big Stone Gap
- Hospice Support in Big Stone Gap
- Senior Meal Preparation in Big Stone Gap
- Senior Housekeeping in Big Stone Gap
- Medication Reminders in Big Stone Gap
- Veterans’ Home Care in Big Stone Gap
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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