Adult Disability Care in Alta Sierra, CA: In-Home Support

Local figures

Disability Care for Adults in Alta Sierra, CA: the local picture

8.1%

of residents aged 18 to 64 have a disability (12% in Nevada County)

159

residents aged 18 to 64 have difficulty doing errands alone

0.0%

of households have no vehicle (4.2% in Nevada County)

22

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

About 319 Alta Sierra residents aged 18 to 64 report a disability (8.1%; 12% in Nevada County).

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

0.0% of Alta Sierra households have no vehicle (4.2% in Nevada County); say in your posting if you need a caregiver who drives.

Alta Sierra compared with Nevada County and California

Census figure	Alta Sierra	Nevada County	California
Residents 18 to 64 with a disability	8.1%	12%	8.8%
Residents 18 to 64 with difficulty doing errands alone	4.0%	4.4%	3.3%
Households with no vehicle	0.0%	4.2%	7.1%
Residents 5+ who speak a language other than English at home	5.3%	9.1%	44%
Residents 65+ with a disability	25%	27%	33%
Residents 65+ below the poverty line (approx.)	6.0%	11%	12%
Median income, households headed by someone 65+	$92,800	$70,332	—

Older residents in towns around Alta Sierra

Town	Distance	Residents 65+	Disability (18 to 64)
Lake of the Pines, CA	6.1 mi	1,582	9.5%
Grass Valley, CA	6.5 mi	4,483	28%
Meadow Vista, CA	8.6 mi	1,163	7.5%
Nevada City, CA	9.3 mi	1,296	3.0%
Lake Wildwood, CA	11 mi	2,022	6.3%
North Auburn, CA	14 mi	3,672	11%

Home health agencies serving Alta Sierra

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Freedom Home Health And Hospice Care Services, Inc	Marysville, CA	25 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(530) 742-4800
Compassionate Home Health, Ltd	Roseville, CA	28 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 677-1711
Caringhand Home Health Solutions, Inc	Sacramento, CA	51 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 476-3205
Silverline Staff Home Health	Fremont, CA	121 mi	5 of 5	—	(925) 476-5350
Advanced Home Health, Inc	Roseville, CA	29 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(916) 978-0744

Straight-line miles from the center of Alta Sierra. 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 Alta Sierra

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 19% of the $7,733 monthly median income of Alta Sierra households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

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 Alta Sierra: common questions

How much does disability care for adults cost in Alta Sierra?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 19% of the $7,733 monthly median income of Alta Sierra households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave covers California.

More near Alta Sierra

More senior care near Alta Sierra

Disability Care for Adults in nearby cities

Other care in Alta Sierra

More for Alta Sierra 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 Alta Sierra, CA