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

The nearest Medicare-certified nursing homes to Roanoke are Our Lady Of The Valley in Roanoke (1.0 mi), Old Southwest Health And Rehabilitation in Roanoke (1.4 mi), Raleigh Court Health And Rehabilitation Center in Roanoke (1.5 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).

Roanoke has about 2,506 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

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 35% of the $3,633 monthly median income of Roanoke 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.