Office: (276) 964-4915
Toll-Free: (800) 656-2272
Fax: (276) 963-0130

Below is a list of services provided by Appalachian Agency For Senior Citizens. For more information on a service please follow the links provided.

ALLCare For Seniors

This program of all-inclusive care for the elderly is a program of the Commonwealth of Virginia and AASC. By coordinating, providing, and supervising all home and health care services, AllCARE helps frail, older individuals stay safe and comfortable at home.

Generations Day Care

Generations operates adult and child day care services at Cedar Bluff, and adult day care services at Haysi. The Cedar Bluff facility provides services for participants in Buchanan, Russell, and Tazewell counties. The Haysi facility provides services for Dickenson, Buchanan, and Russell County participants.

Four-County Transit

Anyone of any age can ride Four County Transit’s public routes. We are a fully coordinated public transit system serving the residents of Buchanan, Dickenson, Russell, and Tazewell counties.

Care Coordination

Care Coordination links older people with appropriate long-term care services so they can maintain their independence. Care coordinators provide outreach, assessment, and care planning. Through this program, individuals learn about and/or receive assistance from AASC and partner organizations.


Our Nutrition program provides hot, frozen, or canned meals to eligible senior citizens. This is one nutritious meal per day, seven days a week. We deliver the meals every 14 days.

In-Home Services

AASC provides services to individuals 60 years or older, based upon an assessment of their needs. Medicaid is the insurance that helps provide personal care aides or homemakers to qualified persons throughout the four counties that our agency serves, which are; Tazewell, Russell, Buchanan, and Dickenson counties. These services are intended to assist the frail, elderly and disabled to remain at home and to prevent them from being placed in a nursing home. Private pay is also available based on the Federal Poverty Sliding Scale Fee.

Personal Care

Personal Care services are provided by aides who are trained to assist individuals with their personal needs, with stand-by assistance, and with supervision. In order to qualify for services a client must be unable to perform one or more “activities of daily living”, which include: eating, dressing, bathing, toileting, grooming, transferring in and out of chair/bed or walking. Personal care is available to qualified persons that are frail, have disabilities, or are at risk of nursing home placement, with particular attention to low-income individuals.


Homemaking services are provided by individuals that are trained to assist people who are elderly, frail, have disabilities, or are at risk of being placed in a nursing home. To qualify for homemaker services an individual must be unable to perform one or more “instrumental activities of daily living” which include: preparing meals, shopping, doing laundry, and light housework. The Federal Poverty guidelines are also used to determine if there would be a charge for any services.


The ombudsman is an advocate helps older adults have a voice in what happens to them, ensures their quality of care meets the standards set forth in state and federal laws and guidelines, and works with residents, families, and management to ensure that nursing home and assisted living facility residents are treated with dignity and respect.


The Virginia Department for the Aging (VDA) has funded Appalachian Agency for Senior Citizens (AASC) to provide public guardianship services to individuals in Buchanan and Tazewell counties.

Emergency In-Home Repair

Emergency Home Repair improves housing occupied by low-income persons by completing limited repairs and removing imminent health and safety hazards and/or barriers to habitability in their homes.