Adult Disability Care in Downingtown, PA: In-Home Support

Local figures

Disability Care for Adults in Downingtown, PA: the local picture

9.4%

of residents aged 18 to 64 have a disability (7.8% in Chester County)

184

residents aged 18 to 64 have difficulty doing errands alone

5.3%

of households have no vehicle (4.3% in Chester County)

20

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

About 512 Downingtown residents aged 18 to 64 report a disability (9.4%; 7.8% in Chester County).

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

5.3% of Downingtown households have no vehicle (4.3% in Chester County); say in your posting if you need a caregiver who drives.

Downingtown compared with Chester County and Pennsylvania

Census figure	Downingtown	Chester County	Pennsylvania
Residents 18 to 64 with a disability	9.4%	7.8%	12%
Residents 18 to 64 with difficulty doing errands alone	3.4%	2.9%	4.4%
Households with no vehicle	5.3%	4.3%	10%
Residents 5+ who speak a language other than English at home	19%	14%	12%
Residents 65+ with a disability	27%	23%	32%
Residents 65+ below the poverty line (approx.)	4.2%	5.6%	9.9%
Median income, households headed by someone 65+	$55,486	$84,884	—

Older residents in towns around Downingtown

Town	Distance	Residents 65+	Disability (18 to 64)
Thorndale, PA	2.7 mi	587	12%
Exton, PA	3.9 mi	619	3.9%
Lionville, PA	4.4 mi	1,311	8.6%
West Chester, PA	6.1 mi	2,377	10%
Coatesville, PA	6.4 mi	1,618	18%
Frazer, PA	8.0 mi	491	7.6%

Home health agencies serving Downingtown

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Revolutionary Home Health Inc.	Oreland, PA	28 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(215) 600-3360
Main Line Health Home Care & Hospice - Home Health	Radnor, PA	16 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(888) 533-3999
Patient Care	Wyomissing, PA	27 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(610) 373-0300
Amedisys Home Health	Lancaster, PA	31 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(717) 291-8396
Mercy Home Health	Newtown, PA	43 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(267) 569-0760

Straight-line miles from the center of Downingtown. 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 Downingtown

At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 27% of the $4,624 monthly median income of Downingtown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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 Downingtown: common questions

How much does disability care for adults cost in Downingtown?

At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 27% of the $4,624 monthly median income of Downingtown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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 Pennsylvania.

More near Downingtown

More senior care near Downingtown

Disability Care for Adults in nearby cities

Other care in Downingtown

More for Downingtown 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 Downingtown, PA