In-Home Support for Adults With Disabilities in Adel, IA
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Adel for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Adel, IA: the local picture
About 319 Adel residents aged 18 to 64 report a disability (8.7%; 6.2% in Dallas County).
92 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
5.6% of Adel households have no vehicle (2.9% in Dallas County); say in your posting if you need a caregiver who drives.
Adel compared with Dallas County and Iowa
| Census figure | Adel | Dallas County | Iowa |
|---|---|---|---|
| Residents 18 to 64 with a disability | 8.7% | 6.2% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 2.5% | 1.8% | 3.6% |
| Households with no vehicle | 5.6% | 2.9% | 5.4% |
| Residents 5+ who speak a language other than English at home | 7.1% | 13% | 9.1% |
| Residents 65+ with a disability | 21% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 12% | 6.1% | 8.4% |
| Median income, households headed by someone 65+ | $51,406 | $67,985 | — |
Older residents in towns around Adel
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Waukee, IA | 6.8 mi | 3,250 | 4.7% |
| Clive, IA | 11 mi | 3,026 | 4.0% |
| Grimes, IA | 12 mi | 1,199 | 6.0% |
| Urbandale, IA | 12 mi | 6,881 | 6.8% |
| West Des Moines, IA | 13 mi | 10,723 | 8.0% |
| Windsor Heights, IA | 15 mi | 985 | 9.8% |
Home health agencies serving Adel
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aveanna Healthcare | West Des Moines, IA | 11 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (515) 497-7700 |
| Centerwell Home Health | Urbandale, IA | 15 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (515) 277-0977 |
| Mercyone Des Moines Home Care | Des Moines, IA | 20 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (515) 643-8383 |
| Faith Home Health Care | West Des Moines, IA | 14 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (319) 330-1755 |
| Unitypoint At Home | Urbandale, IA | 15 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (515) 557-3100 |
Straight-line miles from the center of Adel. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Adel
At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 35% of the $4,284 monthly median income of Adel households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa's minimum wage is $7.25 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Adel: common questions
How much does disability care for adults cost in Adel?
At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 35% of the $4,284 monthly median income of Adel households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Iowa.
More senior care near Adel
Disability Care for Adults in nearby cities
- Disability Care for Adults in Waukee, IA
- Disability Care for Adults in Clive, IA
- Disability Care for Adults in Grimes, IA
- Disability Care for Adults in Urbandale, IA
- Disability Care for Adults in West Des Moines, IA
- Disability Care for Adults in Windsor Heights, IA
- Disability Care for Adults in Johnston, IA
- Disability Care for Adults in Perry, IA
- Disability Care for Adults in Winterset, IA
- Disability Care for Adults in Norwalk, IA
- Disability Care for Adults in Polk City, IA
- Disability Care for Adults in Saylorville, IA
- Disability Care for Adults in Madrid, IA
- Disability Care for Adults in Des Moines, IA
- Disability Care for Adults in Ankeny, IA
- Disability Care for Adults in Pleasant Hill, IA
Other care in Adel
- Companion Care in Adel
- Dementia Care in Adel
- Respite Care in Adel
- Live-In Caregivers in Adel
- Post-Surgery Care in Adel
- Senior Transportation in Adel
- Home Health Aides in Adel
- Nursing Assistants in Adel
- Personal Care in Adel
- Overnight Caregivers in Adel
- 24-Hour Home Care in Adel
- Mobility Assistance in Adel
- Parkinson’s Care in Adel
- Stroke Recovery Support in Adel
- Hospice Support in Adel
- Senior Meal Preparation in Adel
- Senior Housekeeping in Adel
- Medication Reminders in Adel
- Veterans’ Home Care in Adel
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.
Find disability care for adults in Adel
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