Live-In Caregivers in Hillsville, VA
A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Hillsville for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Hillsville, VA: the local picture
About 173 Hillsville 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. 61% of homes in Hillsville have three or more bedrooms (67% in Carroll County), while 12% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.
Of Hillsville households headed by someone 65 or older, 258 own their home and 122 rent; among householders 85 and older it is 37 owners and 63 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Hillsville compared with Carroll County and Virginia
| Census figure | Hillsville | Carroll County | Virginia |
|---|---|---|---|
| Residents 85 or older | 6.0% | 2.9% | 1.7% |
| Residents 65+ in households who live alone | 27% | 29% | 27% |
| Residents 65+ with a disability | 39% | 35% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 15% | 8.8% |
| Residents 65 or older | 22% | 26% | 17% |
| Residents 5+ who speak a language other than English at home | 2.3% | 4.0% | 17% |
| Median income, households headed by someone 65+ | $46,204 | $41,766 | — |
Older residents in towns around Hillsville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Galax, VA | 12 mi | 1,418 | 212 |
| Mount Airy, NC | 19 mi | 2,720 | 666 |
| Pulaski, VA | 20 mi | 1,600 | 208 |
| Wytheville, VA | 24 mi | 1,952 | 406 |
| Dublin, VA | 24 mi | 319 | 26 |
| Radford, VA | 27 mi | 1,601 | 174 |
Emergency hospitals near Hillsville
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Twin County Regional Hospital | Galax, VA | 12 mi | 2 of 5 | (276) 236-1650 |
| Northern Regional Hospital | Mount Airy, NC | 19 mi | 4 of 5 | (336) 719-7000 |
| Lewisgale Hospital Pulaski | Pulaski, VA | 21 mi | 4 of 5 | (540) 994-8100 |
Straight-line miles from the center of Hillsville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Hillsville
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 (82% of the $3,850 monthly median income of Hillsville 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 (275% of the $3,850 monthly median income of Hillsville 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.
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.
Live-In Caregivers in Hillsville: common questions
Where is the nearest emergency hospital to Hillsville?
Twin County Regional Hospital in Galax, about 12 mi in a straight line from the center of Hillsville (Medicare hospital file). Its listed phone number is (276) 236-1650. In an emergency, call 911.
How much does live-in care cost in Hillsville?
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 (82% of the $3,850 monthly median income of Hillsville 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 (275% of the $3,850 monthly median income of Hillsville 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 Hillsville?
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 Hillsville 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 senior care near Hillsville
Live-In Caregivers in nearby cities
- Live-In Caregivers in Galax, VA
- Live-In Caregivers in Mount Airy, NC
- Live-In Caregivers in Pulaski, VA
- Live-In Caregivers in Wytheville, VA
- Live-In Caregivers in Dublin, VA
- Live-In Caregivers in Radford, VA
- Live-In Caregivers in Christiansburg, VA
- Live-In Caregivers in Merrimac, VA
- Live-In Caregivers in Elkin, NC
- Live-In Caregivers in Blacksburg, VA
- Live-In Caregivers in Jonesville, NC
- Live-In Caregivers in Pearisburg, VA
- Live-In Caregivers in King, NC
- Live-In Caregivers in Tobaccoville, NC
- Live-In Caregivers in Marion, VA
- Live-In Caregivers in Bluefield, WV
Other care in Hillsville
- Companion Care in Hillsville
- Dementia Care in Hillsville
- Respite Care in Hillsville
- Post-Surgery Care in Hillsville
- Senior Transportation in Hillsville
- Home Health Aides in Hillsville
- Nursing Assistants in Hillsville
- Personal Care in Hillsville
- Overnight Caregivers in Hillsville
- 24-Hour Home Care in Hillsville
- Mobility Assistance in Hillsville
- Parkinson’s Care in Hillsville
- Stroke Recovery Support in Hillsville
- Disability Care for Adults in Hillsville
- Hospice Support in Hillsville
- Senior Meal Preparation in Hillsville
- Senior Housekeeping in Hillsville
- Medication Reminders in Hillsville
- Veterans’ Home Care in Hillsville
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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