Adult Disability Care in Bismarck, ND: In-Home Support

Local figures

Disability Care for Adults in Bismarck, ND: the local picture

12%

of residents aged 18 to 64 have a disability (9.9% in Burleigh County)

1,563

residents aged 18 to 64 have difficulty doing errands alone

7.3%

of households have no vehicle (6.1% in Burleigh County)

7

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

About 5,003 Bismarck residents aged 18 to 64 report a disability (12%; 9.9% in Burleigh County).

1,563 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.3% of Bismarck households have no vehicle (6.1% in Burleigh County); say in your posting if you need a caregiver who drives.

Bismarck compared with Burleigh County and North Dakota

Census figure	Bismarck	Burleigh County	North Dakota
Residents 18 to 64 with a disability	12%	9.9%	10%
Residents 18 to 64 with difficulty doing errands alone	3.6%	3.0%	3.2%
Households with no vehicle	7.3%	6.1%	5.9%
Residents 5+ who speak a language other than English at home	5.1%	4.6%	6.7%
Residents 65+ with a disability	33%	31%	31%
Residents 65+ below the poverty line (approx.)	9.1%	8.1%	9.9%
Median income, households headed by someone 65+	$58,780	$61,483	—

Older residents in towns around Bismarck

Town	Distance	Residents 65+	Disability (18 to 64)
Lincoln, ND	4.7 mi	315	2.9%
Mandan, ND	5.6 mi	4,015	8.6%
Beulah, ND	57 mi	609	2.3%

Home health agencies serving Bismarck

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Chi Health At Home	Bismarck, ND	0.8 mi	3.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(701) 530-4500
Sanford Home Care Fargo	Fargo, ND	187 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(701) 234-4900
Sanford Home Care - Hha	Mandan, ND	6.7 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(701) 323-8400
Caringedge Healthcare Of Minot	Minot, ND	101 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(701) 240-9834
Ethos Home Health	Fargo, ND	186 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(701) 356-3803

Straight-line miles from the center of Bismarck. 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 Bismarck

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 34% of the $4,898 monthly median income of Bismarck households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Bismarck: common questions

How much does disability care for adults cost in Bismarck?

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 34% of the $4,898 monthly median income of Bismarck households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Dakota.

More near Bismarck

More senior care near Bismarck

Disability Care for Adults in nearby cities

Other care in Bismarck

More for Bismarck 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 Bismarck, ND