In-Home Support for Adults With Disabilities in Belle Fourche, SD
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 Belle Fourche for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Belle Fourche, SD: the local picture
About 480 Belle Fourche residents aged 18 to 64 report a disability (15%; 12% in Butte County).
151 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
5.9% of Belle Fourche households have no vehicle (5.6% in Butte County); say in your posting if you need a caregiver who drives.
Belle Fourche compared with Butte County and South Dakota
| Census figure | Belle Fourche | Butte County | South Dakota |
|---|---|---|---|
| Residents 18 to 64 with a disability | 15% | 12% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 4.6% | 4.0% | 3.4% |
| Households with no vehicle | 5.9% | 5.6% | 5.2% |
| Residents 5+ who speak a language other than English at home | 4.7% | 2.7% | 7.1% |
| Residents 65+ with a disability | 44% | 39% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 11% | 10% |
| Median income, households headed by someone 65+ | $43,338 | $44,401 | — |
Older residents in towns around Belle Fourche
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Spearfish, SD | 12 mi | 2,676 | 15% |
| Lead, SD | 22 mi | 818 | 18% |
| Sturgis, SD | 25 mi | 1,375 | 18% |
| Summerset, SD | 41 mi | 248 | 8.3% |
| Blackhawk, SD | 44 mi | 550 | 12% |
| Rapid City, SD | 52 mi | 16,108 | 14% |
Home health agencies serving Belle Fourche
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Monument Health Home Plus Home Health | Spearfish, SD | 12 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (605) 644-4444 |
| Heartland Home Health LLC | Belle Fourche, SD | 1.1 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (605) 723-4663 |
| State Home Care Services, Inc | Rapid City, SD | 48 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (605) 718-5004 |
| Interim Healthcare | Rapid City, SD | 48 mi | 3 of 5 | nursing, physical therapy, occupational therapy, home health aides | (605) 348-5885 |
Straight-line miles from the center of Belle Fourche. 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 Belle Fourche
At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 44% of the $3,612 monthly median income of Belle Fourche households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Belle Fourche: common questions
How much does disability care for adults cost in Belle Fourche?
At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 44% of the $3,612 monthly median income of Belle Fourche households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 South Dakota.
More senior care near Belle Fourche
Disability Care for Adults in nearby cities
- Disability Care for Adults in Spearfish, SD
- Disability Care for Adults in Lead, SD
- Disability Care for Adults in Sturgis, SD
- Disability Care for Adults in Summerset, SD
- Disability Care for Adults in Blackhawk, SD
- Disability Care for Adults in Rapid City, SD
- Disability Care for Adults in Colonial Pine Hills, SD
- Disability Care for Adults in Box Elder, SD
- Disability Care for Adults in Rapid Valley, SD
- Disability Care for Adults in Newcastle, WY
Other care in Belle Fourche
- Companion Care in Belle Fourche
- Dementia Care in Belle Fourche
- Respite Care in Belle Fourche
- Live-In Caregivers in Belle Fourche
- Post-Surgery Care in Belle Fourche
- Senior Transportation in Belle Fourche
- Home Health Aides in Belle Fourche
- Nursing Assistants in Belle Fourche
- Personal Care in Belle Fourche
- Overnight Caregivers in Belle Fourche
- 24-Hour Home Care in Belle Fourche
- Mobility Assistance in Belle Fourche
- Parkinson’s Care in Belle Fourche
- Stroke Recovery Support in Belle Fourche
- Hospice Support in Belle Fourche
- Senior Meal Preparation in Belle Fourche
- Senior Housekeeping in Belle Fourche
- Medication Reminders in Belle Fourche
- Veterans’ Home Care in Belle Fourche
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 Belle Fourche
Posting is free and takes about ten minutes. Caregivers near Belle Fourche can see it as soon as it is live.
Create your free family accountLooking for caregiving work instead? Create a free caregiver profile.
