Adult Disability Care in Des Moines, WA: In-Home Support

Local figures

Disability Care for Adults in Des Moines, WA: the local picture

11%

of residents aged 18 to 64 have a disability (8.1% in King County)

671

residents aged 18 to 64 have difficulty doing errands alone

7.4%

of households have no vehicle (11% in King County)

19

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

About 2,162 Des Moines residents aged 18 to 64 report a disability (11%; 8.1% in King County).

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

7.4% of Des Moines households have no vehicle (11% in King County); say in your posting if you need a caregiver who drives.

Des Moines compared with King County and Washington

Census figure	Des Moines	King County	Washington
Residents 18 to 64 with a disability	11%	8.1%	11%
Residents 18 to 64 with difficulty doing errands alone	3.4%	2.8%	4.1%
Households with no vehicle	7.4%	11%	7.1%
Residents 5+ who speak a language other than English at home	35%	31%	21%
Residents 65+ with a disability	36%	30%	33%
Residents 65+ below the poverty line (approx.)	9.1%	9.3%	8.9%
Median income, households headed by someone 65+	$71,774	$76,893	—

Older residents in towns around Des Moines

Town	Distance	Residents 65+	Disability (18 to 64)
Normandy Park, WA	3.3 mi	1,423	7.6%
SeaTac, WA	3.9 mi	4,141	9.3%
Lakeland North, WA	3.9 mi	2,417	14%
Kent, WA	4.9 mi	16,138	9.3%
Federal Way, WA	5.4 mi	14,965	12%
Burien, WA	6.1 mi	8,213	11%

Home health agencies serving Des Moines

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Kline Galland Home Health	Seattle, WA	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(206) 805-1930
Eden Home Health	Tukwila, WA	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 717-8161
Evergreenhealth Home Care Services	Kirkland, WA	24 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(425) 899-3300
Signature Healthcare At Home	Federal Way, WA	4.7 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(253) 661-5166
Puget Sound Home Health Of King County	Tacoma, WA	15 mi	4 of 5	nursing, physical therapy, medical social work	(253) 735-4282

Straight-line miles from the center of Des Moines. 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 Des Moines

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 33% of the $5,981 monthly median income of Des Moines households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 Des Moines: common questions

How much does disability care for adults cost in Des Moines?

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 33% of the $5,981 monthly median income of Des Moines households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 Washington.

More near Des Moines

More senior care near Des Moines

Disability Care for Adults in nearby cities

Other care in Des Moines

More for Des Moines 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 Des Moines, WA