Respite Care in Salem, VA: Breaks for Family Caregivers

Local figures

Respite Care in Salem, VA: the local picture

5,016

residents 65 or older (20% of Salem)

69%

of residents 65+ in households live with someone, often a family caregiver

29%

of residents 65+ report a disability

13

Medicare-certified hospices serve Salem ZIP codes

Most older adults in Salem live with someone: 69% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.

About 1,316 Salem residents aged 65 or older report a disability (29%). Many of them rely on a spouse or adult child day to day.

Medicare lists 13 hospices serving Salem ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.

Salem compared with Virginia

Census figure	Salem	Virginia
Residents 65+ with a disability	29%	31%
Residents 65+ in households who live alone	31%	27%
Residents 65 or older	20%	17%
Residents 85 or older	2.4%	1.7%
Residents 65+ below the poverty line (approx.)	9.3%	8.8%
Households with no vehicle	6.4%	6.1%
Median income, households headed by someone 65+	$53,225	—

Older residents in towns around Salem

Town	Distance	Residents 65+	65+ with a disability
Cave Spring, VA	4.8 mi	4,833	31%
Roanoke, VA	5.4 mi	17,466	34%
Hollins, VA	7.0 mi	4,146	26%
Vinton, VA	9.2 mi	1,476	37%
Cloverdale, VA	9.7 mi	932	19%
Daleville, VA	12 mi	1,221	26%

Hospices serving Salem

Hospice	Office	Distance	Phone
Heartland Hospice (Roanoke)	Roanoke, VA	2.4 mi	(540) 725-7600
Good Samaritan Hospice Inc	Roanoke, VA	3.6 mi	(540) 776-0198
Carilion Hospice Services Of Roanoke	Roanoke, VA	5.7 mi	(540) 224-4800
Medi Home Health & Hospice	Roanoke, VA	7.0 mi	(540) 278-1322
Gentle Shepherd Hospice Inc	Roanoke, VA	9.4 mi	(540) 989-6265

Nursing homes near Salem (ask about short stays)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Snyder Nursing Home	Salem, VA	0.6 mi	5 of 5	45	(540) 389-6305
Salem Health & Rehabilitation	Salem, VA	1.9 mi	2 of 5	240	(540) 345-3894
Davis And Mcdaniel Veterans Care Center	Roanoke, VA	2.4 mi	5 of 5	180	(540) 982-2860
Brandon Oaks Nursing And Rehabilitation Center	Roanoke, VA	2.7 mi	5 of 5	62	(540) 776-2616

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

What it covers

What a respite caregiver can help with

Taking over the usual routine while you are away
Meals, medication reminders and personal care
Company and activities
Overnight cover for a weekend or a trip

Cost

What respite care costs in Salem

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 28% of the $4,435 monthly median income of Salem 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 respite caregiver

Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.

Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.

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

Questions

Respite Care in Salem: common questions

Which hospices serve Salem?

Medicare lists 13 hospices for Salem ZIP codes, including Heartland Hospice (Roanoke), Good Samaritan Hospice Inc, Carilion Hospice Services Of Roanoke.

How much does respite care cost in Salem?

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 28% of the $4,435 monthly median income of Salem 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).

Does Medicaid or Medicare pay for respite care?

Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve Salem. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus covers Virginia.

More near Salem

More senior care near Salem

Respite Care in nearby cities

Other care in Salem

More for Salem 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.

Respite Care in Salem, VA