Adult Disability Care in Asheville, NC: In-Home Support

Local figures

Disability Care for Adults in Asheville, NC: the local picture

12%

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

3,526

residents aged 18 to 64 have difficulty doing errands alone

7.6%

of households have no vehicle (4.7% in Buncombe County)

12

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

About 7,490 Asheville residents aged 18 to 64 report a disability (12%; 12% in Buncombe County).

3,526 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.6% of Asheville households have no vehicle (4.7% in Buncombe County); say in your posting if you need a caregiver who drives.

Asheville compared with Buncombe County and North Carolina

Census figure	Asheville	Buncombe County	North Carolina
Residents 18 to 64 with a disability	12%	12%	11%
Residents 18 to 64 with difficulty doing errands alone	5.8%	5.9%	3.9%
Households with no vehicle	7.6%	4.7%	5.3%
Residents 5+ who speak a language other than English at home	9.3%	9.4%	13%
Residents 65+ with a disability	31%	30%	33%
Residents 65+ below the poverty line (approx.)	12%	9.2%	11%
Median income, households headed by someone 65+	$62,221	$63,415	—

Older residents in towns around Asheville

Town	Distance	Residents 65+	Disability (18 to 64)
Emma, NC	3.2 mi	525	13%
Woodfin, NC	5.7 mi	1,374	14%
Royal Pines, NC	7.0 mi	975	5.3%
Avery Creek, NC	7.4 mi	561	17%
Weaverville, NC	8.9 mi	1,299	3.7%
Swannanoa, NC	9.5 mi	1,135	10%

Home health agencies serving Asheville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Adoration Home Health	Salisbury, NC	116 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(704) 639-1060
Centerwell Home Health	Asheville, NC	2.9 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Enhabit Home Health	Marion, NC	31 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(828) 659-6901
Home Care Services Of Haywood Regional Medical Center	Waynesville, NC	24 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(828) 452-8292
Transylvania Home Care & Hospice	Brevard, NC	26 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—

Straight-line miles from the center of Asheville. 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 Asheville

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 25% of the $5,185 monthly median income of Asheville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina'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.

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 Asheville: common questions

How much does disability care for adults cost in Asheville?

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 25% of the $5,185 monthly median income of Asheville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina'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 North Carolina.

More near Asheville

More senior care near Asheville

Disability Care for Adults in nearby cities

Other care in Asheville

More for Asheville 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 Asheville, NC