In-Home Personal Care in Lexington, VA
Hands-on help with bathing, dressing, toileting and grooming, at home and on the person’s own schedule. Post what you need in Lexington for free and hire a caregiver directly, with no agency mark-up.

Personal Care in Lexington, VA: the local picture
About 46 Lexington residents aged 65 or older have difficulty dressing or bathing (3.8%). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
304 have serious difficulty walking or climbing stairs (25%), so many personal care visits also mean help getting to the bathroom or shower safely.
79 of the 1,273 older residents are 85 or older; needs for hands-on help rise with age.
Lexington compared with Virginia
| Census figure | Lexington | Virginia |
|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 3.8% | 6.7% |
| Residents 65+ with serious difficulty walking | 25% | 19% |
| Residents 85 or older | 1.0% | 1.7% |
| Residents 65+ with a disability | 42% | 31% |
| Residents 65+ in households who live alone | 20% | 27% |
| Residents 65+ below the poverty line (approx.) | 3.3% | 8.8% |
| Median income, households headed by someone 65+ | $103,542 | — |
Older residents in towns around Lexington
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Buena Vista, VA | 6.0 mi | 1,240 | 7.9% |
| Clifton Forge, VA | 21 mi | 862 | 12% |
| Stuarts Draft, VA | 28 mi | 2,632 | 14% |
| Madison Heights, VA | 29 mi | 2,157 | 3.9% |
| Covington, VA | 30 mi | 1,125 | 4.2% |
| Forest, VA | 30 mi | 2,764 | 5.6% |
Home health agencies with aides 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 personal care aide can help with
- Bathing or showering, with a shower chair if needed
- Dressing and undressing
- Toileting and incontinence care
- Grooming: hair, shaving and oral care
What personal care 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 personal care aide
The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.
Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Personal Care in Lexington: common questions
How much does personal care 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).
What is the difference between personal care and companion care?
Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.
More senior care near Lexington
Personal Care in nearby cities
- Personal Care in Buena Vista, VA
- Personal Care in Clifton Forge, VA
- Personal Care in Stuarts Draft, VA
- Personal Care in Madison Heights, VA
- Personal Care in Covington, VA
- Personal Care in Forest, VA
- Personal Care in Lynchburg, VA
- Personal Care in Bedford, VA
- Personal Care in Staunton, VA
- Personal Care in Fishersville, VA
- Personal Care in Timberlake, VA
- Personal Care in Blue Ridge, VA
- Personal Care in Waynesboro, VA
- Personal Care in Daleville, VA
- Personal Care in Verona, VA
- Personal Care 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
- Nursing Assistants 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.
Find personal care in Lexington
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