Adult Disability Care in Cascades, VA: In-Home Support

Local figures

Disability Care for Adults in Cascades, VA: the local picture

6.2%

of residents aged 18 to 64 have a disability (5.4% in Loudoun County)

190

residents aged 18 to 64 have difficulty doing errands alone

4.9%

of households have no vehicle (2.9% in Loudoun County)

44

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

About 482 Cascades residents aged 18 to 64 report a disability (6.2%; 5.4% in Loudoun County).

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

4.9% of Cascades households have no vehicle (2.9% in Loudoun County); say in your posting if you need a caregiver who drives.

Cascades compared with Loudoun County and Virginia

Census figure	Cascades	Loudoun County	Virginia
Residents 18 to 64 with a disability	6.2%	5.4%	10%
Residents 18 to 64 with difficulty doing errands alone	2.4%	1.8%	3.5%
Households with no vehicle	4.9%	2.9%	6.1%
Residents 5+ who speak a language other than English at home	30%	35%	17%
Residents 65+ with a disability	22%	28%	31%
Residents 65+ below the poverty line (approx.)	8.9%	5.7%	8.8%
Median income, households headed by someone 65+	$106,316	$104,179	—

Older residents in towns around Cascades

Town	Distance	Residents 65+	Disability (18 to 64)
Countryside, VA	1.4 mi	1,290	3.5%
Sugarland Run, VA	1.5 mi	1,431	4.5%
Lowes Island, VA	1.7 mi	1,323	4.8%
Dulles Town Center, VA	2.2 mi	358	7.5%
Sterling, VA	3.1 mi	3,618	5.3%
University Center, VA	3.3 mi	418	8.7%

Home health agencies serving Cascades

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Five Star Home Health Care	Chantilly, VA	12 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(703) 661-4555
Grace Home Healthcare LLC	Fairfax, VA	15 mi	5 of 5	nursing, physical therapy	(703) 865-7370
Sunshine Home Healthcare, LLC	Alexandria, VA	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(301) 266-0738
Pathwell Home Health & Hospice	Reston, VA	8.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(540) 450-8680
Revival Homecare Agency	Annandale, VA	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(703) 341-6670

Straight-line miles from the center of Cascades. 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 Cascades

At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 14% of the $8,860 monthly median income of Cascades households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.

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 Cascades: common questions

How much does disability care for adults cost in Cascades?

At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 14% of the $8,860 monthly median income of Cascades households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus covers Virginia.

More near Cascades

More senior care near Cascades

Disability Care for Adults in nearby cities

Other care in Cascades

More for Cascades 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 Cascades, VA