1 / 6TheKey (formerly Generation Solutions) is a home care agency in Roanoke offering in-home support ranging from a few hours a week to live-in care. Most reviewers describe attentive nurses, responsive office staff, and caregivers who genuinely connect with clients, though a handful report inconsistent caregiver quality or staffing turnover.
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TheKey is a home care agency serving Roanoke, Virginia offering At-Home Care. Care is billed by the hour and no doctor's referral is needed. Amenities include Emergency Call System, 24-Hour Staff and Medication Management. Families rate it 4.6 out of 5 across 34 reviews.
TheKey is a home care provider offering aging in place services in Roanoke, Virginia, with 24/7 support delivered by trusted caregivers trained in compassionate, whole-person care. The company serves families seeking to maintain independence and quality of life at home through flexible hourly, 24/7, or live-in arrangements.
The company structures its approach around the Balanced Care Method, an evidence-based framework centered on six pillars: cognitive stimulation, nutritious meals, physical movement, social connection, meaningful activities, and restful sleep. This method is designed to help clients thrive by keeping their minds sharp, bodies strong, and days filled with purpose.
TheKey offers specialized services tailored to different care needs, including general household support and assistance with daily living, specialized memory care that preserves comfort and dignity for those experiencing memory loss, respite care that provides relief while maintaining consistent support, and comfort-focused care with emotional support during advanced illness.
The caregiving teams are locally based in Roanoke and combine deep familiarity with the community alongside the training standards and 24+ years of home care experience from TheKey's national organization. Each client is supported by a personally matched caregiver, a caregiver manager, and a client success manager, all available 24/7 to ensure consistent, seamless care.
Care plans are personalized and developed through an initial in-home assessment that centers on the client's routines, preferences, and goals. TheKey emphasizes meeting clients where they are with culturally sensitive, professional expertise delivered by caregivers who live and work within the Roanoke community.
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Help Me Choose4.6overall · 34 ratings combined
4.6★ on Google (34)
Teresa Paynotta
Jul 2026
As an employee, I can say it's AWESOME so far. If you want good wages and an unbelievable benefits package... Contact them. They have locations in many other states. Check them out.. I'm super glad that I did and I think I'll be with them until I retire.
Shane Peterson
Dec 2025
My husband is a Veteran & the VA pays for a few hours of respite care for me. I have had 4 other agencies here to help me. I was robbed & my identity stolen by one company caregiver. Three others sent unqualified workers who sat & watched videos or played games on their phones. I never felt comfortable leaving or taking a nap so I did housework which is not respite! When the Key sent a caregiver I was so pleased! 😃 She knew about my husband’s needs. She has training & even brought things like puzzles & games to help with dementia. She is knowledgeable & her time here is all about her patient. I am hoping to be able to get her here for two days next year. I am very happy with the Key & I recommend them highly!! I wish I could give 10 stars ⭐️ ⭐️ ⭐️ ⭐️ ⭐️ ⭐️ ⭐️ ⭐️ ⭐️ ⭐️
Lynn Will
Apr 2025
We truly enjoy our home health aide and assistance provided in our home. She is skilled and knowledgable. Our nurse Karen is very supportive.
C T
Apr 2025
We are extremely pleased with the service we have received. We truly couldn't ask for a better home health company.
Lauren Hardy
Apr 2025
TheKey has been an amazing company to collaborate with! Great communication. Effective leadership.
TheKey offers At-Home Care.
TheKey is located at 1133 2nd St SW in Roanoke, Virginia.
TheKey (formerly Generation Solutions) is a home care agency in Roanoke offering in-home support ranging from a few hours a week to live-in care. Most reviewers describe attentive nurses, responsive office staff, and caregivers who genuinely connect with clients, though a handful report inconsistent caregiver quality or staffing turnover.
Submit the Request Information form on this page to connect with TheKey and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
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