Overnight Caregivers in Big Stone Gap, VA

Local figures

Overnight Caregivers in Big Stone Gap, VA: the local picture

12%

of residents 65+ have serious difficulty remembering, concentrating or deciding (16% in Wise County)

30%

of residents 65+ in households live alone (29% in Wise County)

80

residents 85 or older (1.5% of all residents)

0.8 mi

to the nearest hospital with an emergency department (Big Stone Gap)

About 91 Big Stone Gap residents 65 or older have serious difficulty remembering, concentrating or making decisions (12%; 16% in Wise County). Confusion at night is a common reason families arrange overnight care.

233 older residents live alone (30% of those in households). For them an overnight caregiver means someone in the house after dark.

The nearest emergency hospital is Lonesome Pine Hospital in Big Stone Gap, about 0.8 mi away in a straight line; keep its number and the person’s medication list by the bed.

Big Stone Gap compared with Wise County and Virginia

Census figure	Big Stone Gap	Wise County	Virginia
Residents 65+ with serious difficulty remembering	12%	16%	7.4%
Residents 65+ in households who live alone	30%	29%	27%
Residents 85 or older	1.5%	1.6%	1.7%
Residents 65+ with difficulty dressing or bathing	16%	12%	6.7%
Residents 65+ with a disability	61%	54%	31%
Residents 65+ below the poverty line (approx.)	25%	16%	8.8%
Median income, households headed by someone 65+	$50,795	$35,825	—

Older residents in towns around Big Stone Gap

Town	Distance	Residents 65+	Memory difficulty (65+)
Norton, VA	9.6 mi	761	17%
Wise, VA	13 mi	514	29%
Mount Carmel, TN	21 mi	1,272	10%
Church Hill, TN	24 mi	1,706	8.1%
Bloomingdale, TN	24 mi	2,040	16%
Kingsport, TN	27 mi	13,132	13%

Emergency hospitals near Big Stone Gap

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Lonesome Pine Hospital	Big Stone Gap, VA	0.8 mi	4 of 5	(276) 523-3111
Lee County Community Hospital	Pennington Gap, VA	16 mi	not rated	(276) 299-5000
Whitesburg Arh Hospital	Whitesburg, KY	20 mi	3 of 5	(606) 633-3500

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

What it covers

What a overnight caregiver can help with

Help to the bathroom at night and back to bed
Turning and settling someone who cannot move easily
Watching for wandering or confusion
Medication reminders at bedtime and in the morning

Cost

What overnight care costs in Big Stone Gap

At $14.57 an hour (the Virginia median aide wage), a 10-hour overnight shift three nights a week comes to about $1,894 a month, and every night about $4,420 (104% of the $4,233 monthly median income of Big Stone Gap households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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 overnight caregiver

Overnight help is usually arranged when the person gets up in the night or the family caregiver is no longer getting enough sleep. Decide first whether you need an awake caregiver, who stays up through the shift, or one who may sleep in the home and is woken when needed; the two are paid differently.

Questions worth asking: Do you stay awake through the shift, or sleep and wake when called? Have you cared for someone with dementia at night? What would you do if my parent fell during the night? More in our overnight caregivers guide.

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

Questions

Overnight Caregivers in Big Stone Gap: common questions

How much does overnight care cost in Big Stone Gap?

At $14.57 an hour (the Virginia median aide wage), a 10-hour overnight shift three nights a week comes to about $1,894 a month, and every night about $4,420 (104% of the $4,233 monthly median income of Big Stone Gap households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. Virginia's minimum wage is $12.77 an hour (U.S. Department of Labor table, updated July 1, 2026).

Overnight, live-in or 24-hour care: what is the difference?

Overnight care is a single night shift. A live-in caregiver lives 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.

More near Big Stone Gap

More senior care near Big Stone Gap

Overnight Caregivers in nearby cities

Other care in Big Stone Gap

More for Big Stone Gap 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.