Care Advantage of Roanoke, VA

Pros

• The company is wonderful, with great caregivers who don’t make clients feel bad about needing care.
• Crystal Hicks is amazing; she excels in caregiving, home care, and companionship and is a very positive person.
• Teresa Andeas has been a dedicated caregiver for years and is considered the best.
• Wanda Casey is kind, patient, and friendly, with her clients' best interests at heart.
• Brittney Doe is a caregiver who has been a great help.
• Care Advantage provides timely service and consistent communication; Zach is prompt and reliable.
• Kristin is great at helping with her mother’s needs.
• The nursing staff are excellent.
• Care Advantage quickly adapted during the pandemic and treats employees with compassion and respect.
• Care Advantage sets up companion care quickly, answers questions promptly, and goes the extra mile.

Cons

• The company consistently messes up daily pay.
• The company is unreliable, with caregivers not showing up and often not notifying anyone.
• The company is among the worst; promised staff did not call or show up in the first week.
• Promised staff never arrive on time; several days had no one show up at all, with no calls or apologies.
• They denied care despite approval for hours (e.g., 20 hours a week).
• A caregiver scalded the patient’s feet with hot water, causing second-degree burns.
• The agency is incompetent and on the verge of neglect; caregivers sometimes don’t show up, with no communication.
• They overbill customers, including charging for extra time and not following through on refunds.
• The staff are unprofessional and sometimes rude, including requests for money or food.
• They are not trustworthy with families; statements like “do not hire this company” are common.

Review

Care Advantage of Roanoke, VA is best suited for families who want in-home care anchored by genuinely compassionate caregivers and who are prepared to actively manage scheduling and coverage. This agency can deliver remarkable, person-centered assistance when the right caregiver is in place, especially for dementia or memory-care scenarios where companionship and daily tasks are a priority. It is not a set-it-and-forget-it option; peace of mind often hinges on hands-on oversight, secure communication, and a willingness to navigate the day-to-day logistics that accompany any home-health arrangement. In other words, it favors households that can champion continuity, demanding reliability, while embracing the warmth and attentiveness that a handful of standout aides provide.

Those who should consider alternatives are families for whom reliability and punctuality are non-negotiable. If a predictable schedule and consistent staffing are essential, this agency may pose too much risk, given substantial reports of no-shows, late arrivals, and uneven caregiver knowledge. Budget-conscious families will also want to compare, as several reviewers flag billing confusion and potential overcharges alongside the care quality. In such cases, exploring other Roanoke-area home-health providers with stronger back-up staffing, more transparent billing, or a turnkey model through an assisted living community might yield steadier service. Private arrangements or agencies with robust replacement coverage are worth weighing when continuity is the top priority.

The strongest positives revolve around the people delivering care. When Care Advantage can pair a dedicated caregiver with a client, the results are frequently excellent: caregivers who bathe, attend to daily needs, and provide genuine companionship, with advocates who monitor well-being and respond to concerns. Specific workers emerge as standout anchors, caregivers who show up on time, stay fully engaged, and communicate clearly with family members and the care team. The agency’s speed in setting up companion care, especially in dementia cases, and its willingness to adapt care plans when needed, are meaningful advantages. For families who can lock in a trusted caregiver, the emotional relief and practical support offered by that person can be substantial.

That said, the cons present a consistent counterweight. Systemic reliability remains the most troubling issue: frequent no-shows or late arrivals, sparse notice when a caregiver cannot attend, and inconsistent coverage that leaves families scrambling. Communication gaps, often described as missed calls, delayed responses, or unclear scheduling updates, undercut even the strongest caregiving moments. Billing problems appear as a recurring friction point, including overcharges and disputed time entries, which erode trust just when peace of mind is most needed. The combination of staffing shortages and uneven caregiver experience means risk persists that a vulnerable elder could be left without timely assistance, despite best intentions from the agency.

In practical terms, families confronting these realities should approach Care Advantage with a concrete, preventative plan. Demand a dedicated care coordinator who will own the schedule, provide back-up coverage, and confirm substitutions in advance. Insist on a small, stable roster of caregivers with verified experience in the specific needs of the loved one, and request detailed profiles so families can assess compatibility before care begins. Implement a trial period with defined expectations: guaranteed back-up coverage, explicit escalation steps if a caregiver is late or cannot attend, and a clear billing itinerary to minimize surprises. Require proactive communication protocols, daily or twice-daily check-ins, and prompt notification if any schedule changes occur. Finally, ensure the contract spells out termination and replacement policies so families are not left exposed when staffing falters.

The bottom-line assessment is pragmatic: Care Advantage can be a strong fit for families who want rapid onboarding and deeply compassionate, capable caregivers, and who can actively manage and monitor the care plan. When staffing aligns with a trusted caregiver and reliable back-up coverage is assured, the quality of care and the peace of mind that follows can be considerable. However, the overarching, recurring concerns about reliability and transparency cannot be overlooked. For households where even occasional gaps in attendance would create serious risk, it is prudent to explore alternatives that offer firmer scheduling, more consistent staffing, and clearer billing practices. In the right circumstances, Care Advantage delivers meaningful, person-centered care; in others, the potential for disruption is simply too high to ignore.

Located in Roanoke, Virginia, this area offers a variety of amenities and services that cater to senior living. With multiple restaurants like Popeyes Louisiana Kitchen, Olive Garden, and Carrabba's Italian Grill within a short distance, residents can enjoy dining out without traveling far. Nearby healthcare facilities such as Carilion Clinic Family Medicine and New Horizons Healthcare ensure easily accessible medical care. Additionally, proximity to parks like Norwich Park and Washington Park provides opportunities for leisurely strolls and outdoor activities. Several places of worship are also conveniently located for spiritual fulfillment. Transportation options include the Roanoke-Blacksburg Regional Airport and the Roanoke Higher Education Center Smart Way Stop for convenient travel. Pharmacies such as Walgreens and CVS Pharmacy offer easy access to medications and healthcare essentials. Overall, this part of Roanoke presents a well-rounded community ideal for senior living with its range of amenities and services in close proximity.

Restaurants

• Popeyes Louisiana Kitchen (0.7 miles)
• Hardee's (0.8 miles)
• TGI Friday's (1.4 miles)
• Olive Garden (1.6 miles)
• Carrabba's Italian Grill (1.6 miles)
• Cheddar's Scratch Kitchen (1.6 miles)
• Smokey Bones Bar & Fire Grill (1.7 miles)

Physicians

• Carilion Clinic Family Medicine - Roanoke Salem (1.1 miles)
• New Horizons Healthcare (1.3 miles)
• Star City Eye Care (1.6 miles)
• Kool Smiles Dentist (2.3 miles)
• Carilion Internal Medicine (2.4 miles)
• Vistar Eye Center (2.7 miles)
• Virginia Orthopaedic (2.9 miles)

Hospitals

• Near Southwest Preparedness Alliance (1.4 miles)
• Salem VA Medical Center (2.2 miles)
• Carilion Roanoke Community Hospital (3.4 miles)
• Carilion Clinic Inpatient Rehabilitation (3.4 miles)
• Roanoke Ambulatory Surgery Center (3.5 miles)

Transportation

• Roanoke-Blacksburg Regional Airport (ROA) (2 miles)
• Roanoke Higher Education Center Smart Way Stop (3 miles)

Parks

• Norwich Park (2 miles)
• Vic Thomas Park (2.4 miles)
• Wasena Park (2.6 miles)
• Washington Park (2.6 miles)
• Elmwood Park (3.4 miles)

Cafes

• Starbucks (2.1 miles)
• Starbucks (3.3 miles)
• Starbucks (3.4 miles)

Places of Worship

• St James Episcopal Church (2.3 miles)
• Cornerstone Church (2.8 miles)
• Covenant Presbyterian Church (3.1 miles)
• Shenandoah Baptist Church (3.3 miles)
• St Johns Episcopal Church (3.3 miles)
• Rescue Mission Ministries (3.5 miles)

Pharmacies

• Walgreens (2.4 miles)
• Medicine Shoppe (2.6 miles)
• Valley Apothecary (3.2 miles)
• CVS Pharmacy (3.2 miles)
• CVS Pharmacy (3.3 miles)
• Kroger Pharmacy (3.3 miles)
• CVS Pharmacy (3.3 miles)