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.

Nursing Assistants in Lexington, VA: the local picture
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 figure | Lexington | Virginia |
|---|---|---|
| Residents 85 or older | 1.0% | 1.7% |
| Residents 65+ with a disability | 42% | 31% |
| Residents 65 or older | 17% | 17% |
| Residents 65+ in households who live alone | 20% | 27% |
| Residents 65+ below the poverty line (approx.) | 3.3% | 8.8% |
| Households with no vehicle | 13% | 6.1% |
| Median income, households headed by someone 65+ | $103,542 | — |
Older residents in towns around Lexington
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Buena Vista, VA | 6.0 mi | 1,240 | 164 |
| Clifton Forge, VA | 21 mi | 862 | 130 |
| Stuarts Draft, VA | 28 mi | 2,632 | 322 |
| Madison Heights, VA | 29 mi | 2,157 | 260 |
| Covington, VA | 30 mi | 1,125 | 82 |
| Forest, VA | 30 mi | 2,764 | 410 |
Nursing homes near Lexington
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Heritage Hall Lexington | East Lexington, VA | 0.5 mi | 4 of 5 | 60 | (540) 464-8181 |
| Kendal At Lexington | Lexington, VA | 0.9 mi | 4 of 5 | 60 | (540) 463-1910 |
| Shenandoah Valley Health And Rehab | Buena Vista, VA | 5.6 mi | 2 of 5 | 93 | (540) 261-7444 |
| Alleghany Health And Rehab | Clifton Forge, VA | 20 mi | 1 of 5 | 105 | (540) 862-5791 |
| The Woodlands Health And Rehab Center | Clifton Forge, VA | 20 mi | 5 of 5 | 60 | (540) 863-4096 |
| Brian Center Of Alleghany | Low Moor, VA | 24 mi | 5 of 5 | 89 | (540) 862-3610 |
Home health agencies serving Lexington
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Carilion Home Care Services - Roanoke | Roanoke, VA | 45 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (540) 633-9314 |
| Welcome Homecare | Richmond, VA | 108 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (804) 745-0054 |
| Nayar Health Care Bedford LLC | Bedford, VA | 33 mi | 2 of 5 | nursing, 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 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
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.
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.
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.
More senior care near Lexington
Nursing Assistants in nearby cities
- Nursing Assistants in Buena Vista, VA
- Nursing Assistants in Clifton Forge, VA
- Nursing Assistants in Stuarts Draft, VA
- Nursing Assistants in Madison Heights, VA
- Nursing Assistants in Covington, VA
- Nursing Assistants in Forest, VA
- Nursing Assistants in Lynchburg, VA
- Nursing Assistants in Bedford, VA
- Nursing Assistants in Staunton, VA
- Nursing Assistants in Fishersville, VA
- Nursing Assistants in Timberlake, VA
- Nursing Assistants in Blue Ridge, VA
- Nursing Assistants in Waynesboro, VA
- Nursing Assistants in Daleville, VA
- Nursing Assistants in Verona, VA
- Nursing Assistants in Cloverdale, VA
Other care in Lexington
- Companion Care in Lexington
- Dementia Care in Lexington
- Respite Care in Lexington
- Live-In Caregivers in Lexington
- Post-Surgery Care in Lexington
- Senior Transportation in Lexington
- Home Health Aides in Lexington
- Personal Care in Lexington
- Overnight Caregivers in Lexington
- 24-Hour Home Care in Lexington
- Mobility Assistance in Lexington
- Parkinson’s Care in Lexington
- Stroke Recovery Support in Lexington
- Disability Care for Adults in Lexington
- Hospice Support in Lexington
- Senior Meal Preparation in Lexington
- Senior Housekeeping in Lexington
- Medication Reminders in Lexington
- Veterans’ Home Care in Lexington
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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