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

Local figures

Home Health Aides in Salem, VA: the local picture

12

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

$14.57

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

5,016

residents 65 or older (20% of Salem)

29%

of residents 65+ report a disability

12 Medicare-certified home health agencies list Salem 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.

Salem has about 5,016 residents aged 65 or older, 29% of whom report a disability.

Salem compared with Virginia

Census figure	Salem	Virginia
Residents 65+ with a disability	29%	31%
Residents 65 or older	20%	17%
Residents 85 or older	2.4%	1.7%
Residents 65+ in households who live alone	31%	27%
Residents 65+ below the poverty line (approx.)	9.3%	8.8%
Residents 5+ who speak a language other than English at home	4.8%	17%
Median income, households headed by someone 65+	$53,225	—

Older residents in towns around Salem

Town	Distance	Residents 65+	65+ with a disability
Cave Spring, VA	4.8 mi	4,833	31%
Roanoke, VA	5.4 mi	17,466	34%
Hollins, VA	7.0 mi	4,146	26%
Vinton, VA	9.2 mi	1,476	37%
Cloverdale, VA	9.7 mi	932	19%
Daleville, VA	12 mi	1,221	26%

Medicare-certified home health agencies serving Salem

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Roanoke, VA	9.4 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	9.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 265-5980
Brandon Oaks At Home	Roanoke, VA	2.4 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 283-8649
Carilion Home Care Services - Roanoke	Roanoke, VA	5.7 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	7.0 mi	3.5 of 5	nursing, physical therapy	(540) 994-9811
Medi Home Health Agency	Pulaski, VA	43 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	194 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 278-1322
Interim Healthcare Of Roanoke	Salem, VA	0.8 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(540) 774-8686

Straight-line miles from the center of Salem. 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 Salem

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 28% of the $4,435 monthly median income of Salem 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 Salem: common questions

Which home health agencies serve Salem?

Medicare lists 12 certified agencies whose service area includes Salem 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), Brandon Oaks At Home (3.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Salem?

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 28% of the $4,435 monthly median income of Salem 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 Salem

More senior care near Salem

Home Health Aides in nearby cities

Other care in Salem

More for Salem 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 Salem, VA