Adult Disability Care in Akwesasne, NY: In-Home Support

Local figures

Disability Care for Adults in Akwesasne, NY: the local picture

22%

of residents aged 18 to 64 have a disability (17% in Franklin County)

175

residents aged 18 to 64 have difficulty doing errands alone

8.9%

of households have no vehicle (11% in Franklin County)

3

Medicare-certified home health agencies list Akwesasne ZIP codes in their service area

About 529 Akwesasne residents aged 18 to 64 report a disability (22%; 17% in Franklin County).

175 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

8.9% of Akwesasne households have no vehicle (11% in Franklin County); say in your posting if you need a caregiver who drives.

Akwesasne compared with Franklin County and New York

Census figure	Akwesasne	Franklin County	New York
Residents 18 to 64 with a disability	22%	17%	9.8%
Residents 18 to 64 with difficulty doing errands alone	7.4%	6.9%	3.8%
Households with no vehicle	8.9%	11%	29%
Residents 5+ who speak a language other than English at home	27%	7.0%	31%
Residents 65+ with a disability	45%	35%	32%
Residents 65+ below the poverty line (approx.)	18%	11%	13%
Median income, households headed by someone 65+	$50,598	$47,367	—

Older residents in towns around Akwesasne

Town	Distance	Residents 65+	Disability (18 to 64)
Massena, NY	11 mi	2,091	15%
Malone, NY	20 mi	995	21%
Potsdam, NY	26 mi	845	13%
Canton, NY	35 mi	931	18%
Ogdensburg, NY	43 mi	1,561	25%
Dannemora, NY	49 mi	131	5.2%

Home health agencies serving Akwesasne

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Hcr / Hcr Home Care Chha (Plattsburgh)	Plattsburgh, NY	63 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(518) 310-0900
Franklin County Public Health Services Chha	Malone, NY	20 mi	2.5 of 5	nursing, physical therapy, home health aides	(518) 481-1710
Health Services Of Northern New York Inc Chha	Potsdam, NY	26 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(315) 265-4065

Straight-line miles from the center of Akwesasne. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What disability care for adults costs in Akwesasne

At the New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 39% of the $4,217 monthly median income of Akwesasne households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

Before you hire

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.

Questions

Disability Care for Adults in Akwesasne: common questions

How much does disability care for adults cost in Akwesasne?

At the New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 39% of the $4,217 monthly median income of Akwesasne households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member covers New York.

More near Akwesasne

More senior care near Akwesasne

Disability Care for Adults in nearby cities

Other care in Akwesasne

More for Akwesasne families

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.

In-Home Support for Adults With Disabilities in Akwesasne, NY