Lexington, Virginia

Certified Nursing Assistants (CNAs) for Home Care in Lexington, VA

Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Lexington for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Nursing Assistants in Lexington, VA: the local picture

6+
Medicare-certified nursing homes within 25 miles
467
certified beds in the 6 nearest nursing homes
$14.57
median hourly wage of home care aides in Virginia (BLS, May 2025)
$12.77
Virginia minimum wage per hour

The nearest Medicare-certified nursing homes to Lexington are Heritage Hall Lexington in East Lexington (0.5 mi), Kendal At Lexington in Lexington (0.9 mi), Shenandoah Valley Health And Rehab in Buena Vista (5.6 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.

Aides in Virginia earn a median $14.57 an hour (BLS, May 2025, home health and personal care aides). Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Lexington has about 79 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Lexington compared with Virginia

Census figureLexingtonVirginia
Residents 85 or older1.0%1.7%
Residents 65+ with a disability42%31%
Residents 65 or older17%17%
Residents 65+ in households who live alone20%27%
Residents 65+ below the poverty line (approx.)3.3%8.8%
Households with no vehicle13%6.1%
Median income, households headed by someone 65+$103,542—

Older residents in towns around Lexington

TownDistanceResidents 65+Residents 85+
Buena Vista, VA6.0 mi1,240164
Clifton Forge, VA21 mi862130
Stuarts Draft, VA28 mi2,632322
Madison Heights, VA29 mi2,157260
Covington, VA30 mi1,12582
Forest, VA30 mi2,764410

Nursing homes near Lexington

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Heritage Hall LexingtonEast Lexington, VA0.5 mi4 of 560(540) 464-8181
Kendal At LexingtonLexington, VA0.9 mi4 of 560(540) 463-1910
Shenandoah Valley Health And RehabBuena Vista, VA5.6 mi2 of 593(540) 261-7444
Alleghany Health And RehabClifton Forge, VA20 mi1 of 5105(540) 862-5791
The Woodlands Health And Rehab CenterClifton Forge, VA20 mi5 of 560(540) 863-4096
Brian Center Of AlleghanyLow Moor, VA24 mi5 of 589(540) 862-3610

Home health agencies serving Lexington

AgencyOfficeDistanceCMS quality starsServices listedPhone
Carilion Home Care Services - RoanokeRoanoke, VA45 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(540) 633-9314
Welcome HomecareRichmond, VA108 mi2.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(804) 745-0054
Nayar Health Care Bedford LLCBedford, VA33 mi2 of 5nursing, home health aides(804) 330-5433

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

What it covers

What a nursing assistant can help with

  • Bathing, dressing, grooming and toileting
  • Safe transfers, repositioning and walking
  • Help with eating and fluids
  • Taking and noting vital signs if asked
Cost

What CNAs costs in Lexington

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 15% of the $8,629 monthly median income of Lexington 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 nursing assistant

To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.

Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.

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

Questions

Nursing Assistants in Lexington: common questions

What nursing homes are near Lexington?

The closest Medicare-certified nursing homes are Heritage Hall Lexington in East Lexington (0.5 mi, 4 of 5 overall); Kendal At Lexington in Lexington (0.9 mi, 4 of 5 overall); Shenandoah Valley Health And Rehab in Buena Vista (5.6 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Lexington?

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 15% of the $8,629 monthly median income of Lexington 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).

Can a CNA give medication?

Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.

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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