Home Health Aides in Roanoke, VA: Hire In-Home Help

Local figures

Home Health Aides in Roanoke, VA: the local picture

13

Medicare-certified home health agencies list Roanoke ZIP codes in their service area

$14.57

median hourly wage of home care aides in Virginia (BLS, May 2025)

17,466

residents 65 or older (18% of Roanoke)

34%

of residents 65+ report a disability

13 Medicare-certified home health agencies list Roanoke ZIP codes in their service area; the highest-rated are below, and 6 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.

Roanoke has about 17,466 residents aged 65 or older, 34% of whom report a disability.

Roanoke compared with Virginia

Census figure	Roanoke	Virginia
Residents 65+ with a disability	34%	31%
Residents 65 or older	18%	17%
Residents 85 or older	2.5%	1.7%
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+	65+ with a disability
Vinton, VA	3.9 mi	1,476	37%
Cave Spring, VA	4.5 mi	4,833	31%
Hollins, VA	4.5 mi	4,146	26%
Salem, VA	5.4 mi	5,016	29%
Cloverdale, VA	6.1 mi	932	19%
Daleville, VA	9.7 mi	1,221	26%

Medicare-certified home health agencies serving Roanoke

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Roanoke, VA	5.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 362-7578
Amedisys Home Health Care	Roanoke, VA	5.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 265-5980
Carilion Home Care Services - Roanoke	Roanoke, VA	0.6 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 633-9314
Advanced Health Services	Roanoke, VA	3.2 mi	3.5 of 5	nursing, physical therapy	(540) 994-9811
Brandon Oaks At Home	Roanoke, VA	5.5 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 283-8649
Medi Home Health Agency	Pulaski, VA	47 mi	3.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(540) 382-5637
Medi Home Health Agency	Alexandria, VA	190 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 278-1322
Good Samaritan Hospice Inc	Roanoke, VA	5.8 mi	3 of 5	—	(540) 776-0198

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 home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides 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 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.

Questions

Home Health Aides in Roanoke: common questions

Which home health agencies serve Roanoke?

Medicare lists 13 certified agencies whose service area includes Roanoke ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (4.5 of 5), Amedisys Home Health Care (4.5 of 5), Carilion Home Care Services - Roanoke (3.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides 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).

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 near Roanoke

More senior care near Roanoke

Home Health Aides 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.

Home Health Aides in Roanoke, VA