Adult Disability Care in Charleston, MO: In-Home Support

Local figures

Disability Care for Adults in Charleston, MO: the local picture

20%

of residents aged 18 to 64 have a disability (25% in Mississippi County)

132

residents aged 18 to 64 have difficulty doing errands alone

22%

of households have no vehicle (14% in Mississippi County)

7

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

About 325 Charleston residents aged 18 to 64 report a disability (20%; 25% in Mississippi County).

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

22% of Charleston households have no vehicle (14% in Mississippi County); say in your posting if you need a caregiver who drives.

Charleston compared with Mississippi County and Missouri

Census figure	Charleston	Mississippi County	Missouri
Residents 18 to 64 with a disability	20%	25%	13%
Residents 18 to 64 with difficulty doing errands alone	7.9%	6.5%	4.7%
Households with no vehicle	22%	14%	6.6%
Residents 5+ who speak a language other than English at home	2.5%	1.1%	6.7%
Residents 65+ with a disability	44%	53%	34%
Residents 65+ below the poverty line (approx.)	8.1%	9.7%	10%
Median income, households headed by someone 65+	$36,458	$40,000	—

Older residents in towns around Charleston

Town	Distance	Residents 65+	Disability (18 to 64)
East Prairie, MO	9.9 mi	563	37%
Sikeston, MO	14 mi	3,549	18%
Scott City, MO	24 mi	562	8.0%
Chaffee, MO	26 mi	540	18%
New Madrid, MO	26 mi	560	15%
Cape Girardeau, MO	30 mi	7,947	13%

Home health agencies serving Charleston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Dexter, MO	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 243-0042
Amedisys Home Health Of Missouri	Poplar Bluff, MO	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(573) 727-9687
Adoration Home Health	Sikeston, MO	14 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(573) 472-2234
Visiting Nurse Association Of Southeast Missouri, Inc	Kennett, MO	61 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(573) 888-5892
Grace Reliant Health Services, LLC	Cape Girardeau, MO	30 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(573) 803-5009

Straight-line miles from the center of Charleston. 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 Charleston

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 45% of the $3,038 monthly median income of Charleston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Services in Missouri: how a relative becomes a paid caregiver.

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 Charleston: common questions

How much does disability care for adults cost in Charleston?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 45% of the $3,038 monthly median income of Charleston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Services in Missouri: how a relative becomes a paid caregiver covers Missouri.

More near Charleston

More senior care near Charleston

Disability Care for Adults in nearby cities

Other care in Charleston

More for Charleston 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 Charleston, MO