LOA provides the following services for seniors 60 and older who reside in the Fifth Planning District of Virginia (Roanoke County, Roanoke City, Botetourt County, Craig County, Alleghany County, Salem and Covington) unless otherwise noted:

  • Care Coordination – Evaluates cases to determine which services are needed and links people with those services. Provides outreach (finding people who need the services and making the public aware of the services) and, screening, assessment, care planning, service delivery coordination, monitoring and reassessment.
  • Options Counseling – A Case Manager meets with clients and discusses information and options for various services, and the client arranges their own services. Options Counseling is available to individuals age 60 and over, and individuals age 18 and over with a disability.
  • Meals-on-Wheels – Volunteers deliver hot meals to homebound elderly. .

Eligibility criteria in addition to being 60 years of age or older include:

  • The individual must be homebound, defined as: Someone unable to leave home to attend regular social activities such as a senior center or congregate nutrition site. The recipient may be able to go to medical appointments, but needs escort assistance to do so safely. A client without access to adequate nutrition and for whom transportation to a congregate site is unfeasible may be considered homebound.
  • The individual must be unable to prepare meals and have no one available to prepare meals.
  • The individual must be able to remain safely at home, with home delivered nutrition as a support service.

Other individuals eligible to receive home delivered nutrition services, include:

  • The recipient’s spouse, regardless of age or disability
  • At the discretion of the AAA, an individual with disabilities, regardless of age, who resides at home with the recipient over age 60 who receives a home delivered meal.
  • Pets Eat Too – Pet food is donated by the RVSPCA for the pets of our Meals-on-Wheels clients and is delivered on a weekly basis by the volunteers.
  • Nutrition Counseling –   Nutrition Counselor determines if MOW clients, referred by Case Managers, are at high risk and qualify for nutrition supplements and provides nutrition education on a variety of topics to MOW’s clients and Diners Club groups.
  • Diners Clubs (Congregate Meals) – Persons with economic or social needs meet at supervised sites for lunch, activities, and programs.

Eligibility criteria in addition to being 60 years of age or older include:

  • Individuals must be mobile, not homebound, and physically, mentally, and medically able to attend a congregate meals program

Other eligible individuals including the following:

  • The recipient’s spouse, regardless of age or disability
  • Individuals with disabilities who are not older individuals but who reside in housing facilities occupied primarily by older individuals at which congregate nutrition services are provided
  • At the discretion of the AAA, individuals with disabilities, regardless of age, who reside at home with and accompany older eligible individuals to the congregate site
  • At the discretion of the AAA, individuals, regardless of age, providing volunteer services during the meal hours
  • Long Term Care Ombudsman – Investigates complaints and provides advocacy for residents of any age who reside in long-term care facilities or who are receiving licensed home health care services. Responds to inquiries about long-term care services in nursing homes, assisted living facilities and licensed home health care services.


  • Long Term Care – Coordinates community and institutional based services and advocates services for long-term care. No real eligibility requirements.
  • Vital Services Transportation – provides rides to vital services such as doctor appointments, social service appointments, pharmacy, grocery shopping, etc. To qualify a person must be unable to drive a car or not own a vehicle.  Income must not be higher than 150% of the Federal Poverty Level.
  • Assisted Transportation – Provided to seniors 60 and older who need to be accompanied by someone to medical appointments.  A CNA will assist the person to the vehicle, drive them to the appointment and drive them home.  The CNA will see that the person gets back into his/her home safely. Must be a Care Coordination client and unable to go to medical appointments alone.
  • Care Transitions – Care transitions involves a case manager working with clients who are discharged from Roanoke Memorial Hospital to help them locate services in order to return to their home in the community.  Care transitions helps the client keep doctors’ appointments and understand how to take medications as needed in order to help prevent readmissions to the hospital.
  • Legal Assistance – Legal advice and assistance with the preparation of Powers of Attorney, Advance Medical Directives, and simple wills. To qualify a person must have income no higher than 150% of the Federal Poverty Level.
  • Homemaker – Provides, through outside contractors, in-home homemaker services including household tasks such sweeping, mopping, dusting and other cleaning chores. Must be 60 or older and must need assistance with IADS (instrumental activities of daily living).
  • Personal Care– Provides, through outside contractors, in-home personal care including bathing, dressing, toileting and ambulation. Must be 60 or older and must need assistance with ADLS (Activities of Daily Living.)
  • Emergency Services – Provides, through donations, eyeglasses, canes or walkers and other items.
  • Adult Day Care – Through outside contract, provides daytime respite care for elderly with limited means. Must be 60 or older and require supervision in a structured setting.
  • Fan Care and Cooling Assistance – Placement of fans in homes of elderly who have a need for assistance. Air conditioners are given to those with no working air conditioner in the home and whose income is below 150% of the Federal Poverty Level.
  • Caregiver Support – Counseling for overburdened caregivers who are caring for individuals age 60 and over, respite and information and referral.
  • VICAP – Answers to questions about Medicare, Medicaid, Medigap, Medicare Advantage, Medicare Part D & long-term care insurance. Assistance figuring out medical bills.
  • Chronic Disease Self-Management – Program offers workshops for older adults and adults with disabilities to address the challenges of living with any chronic health condition. The program consists of a series of workshops that are conducted once a week for six weeks in community settings.  Workshop participants develop the skills and coping strategies they need to manage their symptoms through a group process that includes action planning, interactive learning, behavior modeling, problem solving, decision-making and most important, social support, for change. Some workshops may be held for those who have specific health conditions such as dementia or diabetes.
  • Soup for Seniors – A canned food drive held annually in February. All LOA clients, elderly living in low-income independent living and other seniors throughout the Roanoke Valley receive the loaded bag of soup to help get them through the harsh winter months.



LOA MISSION STATEMENT:                  

The LOA serves seniors 60 and older in the Roanoke Valley and Alleghany Highlands with a mission of helping older persons remain independent for as long as possible.  We are able to carry out this mission by providing services such as Meals on Wheels, Transportation, Case Management and Insurance Counseling.



In addition to receiving funds through the Older Americans Act, funding is received from the State General Assembly, local government contributions, United Way of Roanoke Valley, the Greater Alleghany Fund, foundation grants and donations.



Central Mailing Address:

PO Box 14205
Roanoke, VA  24038

Central Street Address:

4932 Frontage Road, NW
Roanoke, VA  24019

Phone:                         540-345-0451

Fax:                             540-981-1487

Email:                          info@loaa.org

Web:                            www.loaa.org

Toll Free:                     1-800-355-6222

Chief Executive Officer:  Ron Boyd