Adult Disability Care in Astoria, OR: In-Home Support

Local figures

Disability Care for Adults in Astoria, OR: the local picture

18%

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

312

residents aged 18 to 64 have difficulty doing errands alone

7.7%

of households have no vehicle (7.7% in Clatsop County)

1

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

About 1,038 Astoria residents aged 18 to 64 report a disability (18%; 17% in Clatsop County).

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

7.7% of Astoria households have no vehicle (7.7% in Clatsop County); say in your posting if you need a caregiver who drives.

Astoria compared with Clatsop County and Oregon

Census figure	Astoria	Clatsop County	Oregon
Residents 18 to 64 with a disability	18%	17%	13%
Residents 18 to 64 with difficulty doing errands alone	5.3%	6.5%	5.0%
Households with no vehicle	7.7%	7.7%	7.1%
Residents 5+ who speak a language other than English at home	7.6%	6.9%	15%
Residents 65+ with a disability	38%	37%	34%
Residents 65+ below the poverty line (approx.)	10%	9.9%	9.9%
Median income, households headed by someone 65+	$47,225	$56,696	—

Older residents in towns around Astoria

Town	Distance	Residents 65+	Disability (18 to 64)
Warrenton, OR	5.6 mi	1,330	16%
Seaside, OR	15 mi	1,873	31%
Raymond, WA	34 mi	829	22%
Vernonia, OR	38 mi	418	16%
Longview, WA	41 mi	7,663	23%
Longview Heights, WA	41 mi	634	13%

Home health agencies serving Astoria

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Providence Home Health	Portland, OR	74 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 215-4646

Straight-line miles from the center of Astoria. 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 Astoria

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Astoria: common questions

How much does disability care for adults cost in Astoria?

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Oregon.

More near Astoria

More senior care near Astoria

Disability Care for Adults in nearby cities

Other care in Astoria

More for Astoria 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 Astoria, OR