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

Local figures

Live-In Caregivers in Hollins, VA: the local picture

562

residents 85 or older (3.3% of all residents)

1,902

households headed by someone 65+ own their home (72%)

68%

of Hollins homes have 3 or more bedrooms (75% in Roanoke County)

$12.77

Virginia minimum wage per hour

About 562 Hollins 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. 68% of homes in Hollins have three or more bedrooms (75% in Roanoke County), while 9.1% have one bedroom or none, where live-in care rarely works; the median home has 6.1 rooms.

Of Hollins households headed by someone 65 or older, 1,902 own their home and 736 rent; among householders 85 and older it is 169 owners and 138 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Hollins compared with Roanoke County and Virginia

Census figure	Hollins	Roanoke County	Virginia
Residents 85 or older	3.3%	2.9%	1.7%
Residents 65+ in households who live alone	32%	30%	27%
Residents 65+ with a disability	26%	30%	31%
Residents 65+ below the poverty line (approx.)	4.8%	6.7%	8.8%
Residents 65 or older	24%	22%	17%
Residents 5+ who speak a language other than English at home	9.6%	8.8%	17%
Median income, households headed by someone 65+	$47,931	$55,107	—

Older residents in towns around Hollins

Town	Distance	Residents 65+	Residents 85+
Cloverdale, VA	2.8 mi	932	46
Roanoke, VA	4.5 mi	17,466	2,506
Daleville, VA	5.3 mi	1,221	348
Vinton, VA	6.0 mi	1,476	294
Salem, VA	7.0 mi	5,016	627
Blue Ridge, VA	7.6 mi	516	90

Emergency hospitals near Hollins

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Lewisgale Medical Center	Salem, VA	7.6 mi	2 of 5	(540) 776-4100
Salem Va Medical Center	Salem, VA	7.6 mi	4 of 5	(540) 982-2463
Carilion Medical Center	Roanoke, VA	7.7 mi	3 of 5	(540) 981-7000

Straight-line miles from the center of Hollins. 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 Hollins

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 (79% of the $3,994 monthly median income of Hollins 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 (266% of the $3,994 monthly median income of Hollins 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 Hollins: common questions

Where is the nearest emergency hospital to Hollins?

Lewisgale Medical Center in Salem, about 7.6 mi in a straight line from the center of Hollins (Medicare hospital file). Its listed phone number is (540) 776-4100. In an emergency, call 911.

How much does live-in care cost in Hollins?

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 (79% of the $3,994 monthly median income of Hollins 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 (266% of the $3,994 monthly median income of Hollins 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 Hollins?

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 Hollins 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 Hollins

More senior care near Hollins

Live-In Caregivers in nearby cities

Other care in Hollins

More for Hollins 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 Hollins, VA