Live-In Caregivers in Pearisburg, 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 Pearisburg for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Pearisburg, VA: the local picture
About 8 Pearisburg 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. 79% of homes in Pearisburg have three or more bedrooms (72% in Giles County), while 5.8% have one bedroom or none, where live-in care rarely works; the median home has 5.2 rooms.
Of Pearisburg households headed by someone 65 or older, 337 own their home and 103 rent. Renters should check that the lease allows another adult to live in before anyone moves in.
Pearisburg compared with Giles County and Virginia
| Census figure | Pearisburg | Giles County | Virginia |
|---|---|---|---|
| Residents 85 or older | 0.3% | 1.6% | 1.7% |
| Residents 65+ in households who live alone | 37% | 31% | 27% |
| Residents 65+ with a disability | 47% | 29% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 11% | 8.8% |
| Residents 65 or older | 24% | 22% | 17% |
| Residents 5+ who speak a language other than English at home | 0.8% | 3.4% | 17% |
| Median income, households headed by someone 65+ | $36,204 | $42,356 | — |
Older residents in towns around Pearisburg
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Dublin, VA | 16 mi | 319 | 26 |
| Radford, VA | 17 mi | 1,601 | 174 |
| Blacksburg, VA | 18 mi | 3,474 | 201 |
| Pulaski, VA | 19 mi | 1,600 | 208 |
| Merrimac, VA | 19 mi | 968 | 226 |
| Princeton, WV | 20 mi | 1,364 | 228 |
Emergency hospitals near Pearisburg
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Carilion Giles Community Hospital | Pearisburg, VA | 1.7 mi | 4 of 5 | (540) 921-6000 |
| Lewisgale Hospital Montgomery | Blacksburg, VA | 17 mi | 3 of 5 | (540) 951-1111 |
| Lewisgale Hospital Pulaski | Pulaski, VA | 19 mi | 4 of 5 | (540) 994-8100 |
Straight-line miles from the center of Pearisburg. 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 Pearisburg
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 (105% of the $3,017 monthly median income of Pearisburg 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 (352% of the $3,017 monthly median income of Pearisburg 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 Pearisburg: common questions
Where is the nearest emergency hospital to Pearisburg?
Carilion Giles Community Hospital in Pearisburg, about 1.7 mi in a straight line from the center of Pearisburg (Medicare hospital file). Its listed phone number is (540) 921-6000. In an emergency, call 911.
How much does live-in care cost in Pearisburg?
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 (105% of the $3,017 monthly median income of Pearisburg 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 (352% of the $3,017 monthly median income of Pearisburg 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 Pearisburg?
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 Pearisburg 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 Pearisburg
Live-In Caregivers in nearby cities
- Live-In Caregivers in Dublin, VA
- Live-In Caregivers in Radford, VA
- Live-In Caregivers in Blacksburg, VA
- Live-In Caregivers in Pulaski, VA
- Live-In Caregivers in Merrimac, VA
- Live-In Caregivers in Princeton, WV
- Live-In Caregivers in Christiansburg, VA
- Live-In Caregivers in Bluefield, WV
- Live-In Caregivers in Bluefield, VA
- Live-In Caregivers in Shady Spring, WV
- Live-In Caregivers in Wytheville, VA
- Live-In Caregivers in Lewisburg, WV
- Live-In Caregivers in Salem, VA
- Live-In Caregivers in Beckley, WV
- Live-In Caregivers in Hillsville, VA
- Live-In Caregivers in White Sulphur Springs, WV
Other care in Pearisburg
- Companion Care in Pearisburg
- Dementia Care in Pearisburg
- Respite Care in Pearisburg
- Post-Surgery Care in Pearisburg
- Senior Transportation in Pearisburg
- Home Health Aides in Pearisburg
- Nursing Assistants in Pearisburg
- Personal Care in Pearisburg
- Overnight Caregivers in Pearisburg
- 24-Hour Home Care in Pearisburg
- Mobility Assistance in Pearisburg
- Parkinson’s Care in Pearisburg
- Stroke Recovery Support in Pearisburg
- Disability Care for Adults in Pearisburg
- Hospice Support in Pearisburg
- Senior Meal Preparation in Pearisburg
- Senior Housekeeping in Pearisburg
- Medication Reminders in Pearisburg
- Veterans’ Home Care in Pearisburg
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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