Adult Disability Care in Centerville, IA: In-Home Support

Local figures

Disability Care for Adults in Centerville, IA: the local picture

22%

of residents aged 18 to 64 have a disability (16% in Appanoose County)

296

residents aged 18 to 64 have difficulty doing errands alone

8.4%

of households have no vehicle (6.9% in Appanoose County)

7

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

About 668 Centerville residents aged 18 to 64 report a disability (22%; 16% in Appanoose County).

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

8.4% of Centerville households have no vehicle (6.9% in Appanoose County); say in your posting if you need a caregiver who drives.

Centerville compared with Appanoose County and Iowa

Census figure	Centerville	Appanoose County	Iowa
Residents 18 to 64 with a disability	22%	16%	11%
Residents 18 to 64 with difficulty doing errands alone	9.7%	5.8%	3.6%
Households with no vehicle	8.4%	6.9%	5.4%
Residents 5+ who speak a language other than English at home	5.6%	6.8%	9.1%
Residents 65+ with a disability	38%	34%	30%
Residents 65+ below the poverty line (approx.)	12%	11%	8.4%
Median income, households headed by someone 65+	$36,563	$45,000	—

Older residents in towns around Centerville

Town	Distance	Residents 65+	Disability (18 to 64)
Albia, IA	21 mi	812	15%
Bloomfield, IA	24 mi	514	14%
Chariton, IA	30 mi	841	18%
Ottumwa, IA	31 mi	4,107	14%
Kirksville, MO	40 mi	2,261	9.7%
Oskaloosa, IA	41 mi	2,347	15%

Home health agencies serving Centerville

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Centerville, IA	0.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(641) 437-1117
Elara Caring	Chariton, IA	30 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 774-2339
Iowa Home Care, L L C	Ottumwa, IA	32 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 226-5050
Optimae Home Health Services	Fairfield, IA	51 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 472-4464
Everystep	Des Moines, IA	70 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 558-9591

Straight-line miles from the center of Centerville. 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 Centerville

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 49% of the $3,047 monthly median income of Centerville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa'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 Centerville: common questions

How much does disability care for adults cost in Centerville?

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 49% of the $3,047 monthly median income of Centerville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa'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 Iowa.

More near Centerville

More senior care near Centerville

Disability Care for Adults in nearby cities

Other care in Centerville

More for Centerville 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 Centerville, IA