Live-In Caregivers in Cave Spring, VA: 24-Hour Home Care

Local figures

Live-In Caregivers in Cave Spring, VA: the local picture

545

residents 85 or older (2.1% of all residents)

2,735

households headed by someone 65+ own their home (84%)

71%

of Cave Spring homes have 3 or more bedrooms (54% in Roanoke city)

$12.77

Virginia minimum wage per hour

About 545 Cave Spring residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 71% of homes in Cave Spring have three or more bedrooms (54% in Roanoke city), while 9.3% have one bedroom or none, where live-in care rarely works; the median home has 6.4 rooms.

Of Cave Spring households headed by someone 65 or older, 2,735 own their home and 529 rent; among householders 85 and older it is 405 owners and 93 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Cave Spring compared with Roanoke city and Virginia

Census figure	Cave Spring	Roanoke city	Virginia
Residents 85 or older	2.1%	2.5%	1.7%
Residents 65+ in households who live alone	30%	39%	27%
Residents 65+ with a disability	31%	34%	31%
Residents 65+ below the poverty line (approx.)	4.7%	15%	8.8%
Residents 65 or older	19%	18%	17%
Residents 5+ who speak a language other than English at home	14%	11%	17%
Median income, households headed by someone 65+	$63,867	$43,600	—

Older residents in towns around Cave Spring

Town	Distance	Residents 65+	Residents 85+
Roanoke, VA	4.5 mi	17,466	2,506
Salem, VA	4.8 mi	5,016	627
Vinton, VA	7.3 mi	1,476	294
Hollins, VA	8.6 mi	4,146	562
Cloverdale, VA	11 mi	932	46
Daleville, VA	14 mi	1,221	348

Emergency hospitals near Cave Spring

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Carilion Medical Center	Roanoke, VA	3.4 mi	3 of 5	(540) 981-7000
Lewisgale Medical Center	Salem, VA	5.3 mi	2 of 5	(540) 776-4100
Salem Va Medical Center	Salem, VA	5.3 mi	4 of 5	(540) 982-2463

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

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in Cave Spring

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (59% of the $5,322 monthly median income of Cave Spring households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (199% of the $5,322 monthly median income of Cave Spring households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Live-In Caregivers in Cave Spring: common questions

Where is the nearest emergency hospital to Cave Spring?

Carilion Medical Center in Roanoke, about 3.4 mi in a straight line from the center of Cave Spring (Medicare hospital file). Its listed phone number is (540) 981-7000. In an emergency, call 911.

How much does live-in care cost in Cave Spring?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.57 an hour (the Virginia median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,157 a month (59% of the $5,322 monthly median income of Cave Spring households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,607 a month (199% of the $5,322 monthly median income of Cave Spring households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Cave Spring?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Cave Spring it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near Cave Spring

More senior care near Cave Spring

Live-In Caregivers in nearby cities

Other care in Cave Spring

More for Cave Spring 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.

Live-In Caregivers in Cave Spring, VA