Adult Disability Care in Columbiana, AL: In-Home Support

Local figures

Disability Care for Adults in Columbiana, AL: the local picture

21%

of residents aged 18 to 64 have a disability (9.6% in Shelby County)

132

residents aged 18 to 64 have difficulty doing errands alone

7.7%

of households have no vehicle (2.5% in Shelby County)

12

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

About 417 Columbiana residents aged 18 to 64 report a disability (21%; 9.6% in Shelby County).

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

7.7% of Columbiana households have no vehicle (2.5% in Shelby County); say in your posting if you need a caregiver who drives.

Columbiana compared with Shelby County and Alabama

Census figure	Columbiana	Shelby County	Alabama
Residents 18 to 64 with a disability	21%	9.6%	14%
Residents 18 to 64 with difficulty doing errands alone	6.6%	3.4%	5.0%
Households with no vehicle	7.7%	2.5%	5.4%
Residents 5+ who speak a language other than English at home	5.2%	8.4%	6.0%
Residents 65+ with a disability	37%	30%	38%
Residents 65+ below the poverty line (approx.)	11%	8.2%	12%
Median income, households headed by someone 65+	$76,339	$69,559	—

Older residents in towns around Columbiana

Town	Distance	Residents 65+	Disability (18 to 64)
Chelsea, AL	8.2 mi	2,538	9.6%
Calera, AL	8.9 mi	1,478	7.6%
Pelham, AL	12 mi	4,533	8.7%
Alabaster, AL	12 mi	4,876	11%
Indian Springs Village, AL	14 mi	723	5.4%
Montevallo, AL	14 mi	1,024	16%

Home health agencies serving Columbiana

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Sylacauga, AL	20 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 249-4363
Centerwell Home Health	Clanton, AL	25 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 755-9926
Compassus Home Health	Pell City, AL	32 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800
Amedisys Home Health Of Anniston	Anniston, AL	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 820-2503
Enhabit Home Health	Vernon, AL	94 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 367-2407

Straight-line miles from the center of Columbiana. 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 Columbiana

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 18% of the $6,362 monthly median income of Columbiana households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Columbiana: common questions

How much does disability care for adults cost in Columbiana?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 18% of the $6,362 monthly median income of Columbiana households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Alabama.

More near Columbiana

More senior care near Columbiana

Disability Care for Adults in nearby cities

Other care in Columbiana

More for Columbiana 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 Columbiana, AL