In-Home Support for Adults With Disabilities in Fairfield, AL
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Fairfield for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Fairfield, AL: the local picture
About 783 Fairfield residents aged 18 to 64 report a disability (14%; 13% in Jefferson County).
201 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
15% of Fairfield households have no vehicle (7.0% in Jefferson County); say in your posting if you need a caregiver who drives.
Fairfield compared with Jefferson County and Alabama
| Census figure | Fairfield | Jefferson County | Alabama |
|---|---|---|---|
| Residents 18 to 64 with a disability | 14% | 13% | 14% |
| Residents 18 to 64 with difficulty doing errands alone | 3.7% | 4.1% | 5.0% |
| Households with no vehicle | 15% | 7.0% | 5.4% |
| Residents 5+ who speak a language other than English at home | 0.4% | 7.6% | 6.0% |
| Residents 65+ with a disability | 33% | 38% | 38% |
| Residents 65+ below the poverty line (approx.) | 15% | 13% | 12% |
| Median income, households headed by someone 65+ | $41,080 | $51,066 | — |
Older residents in towns around Fairfield
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Midfield, AL | 1.4 mi | 628 | 19% |
| Brighton, AL | 2.9 mi | 563 | 14% |
| Pleasant Grove, AL | 3.6 mi | 1,899 | 10% |
| Homewood, AL | 6.4 mi | 3,070 | 4.6% |
| Forestdale, AL | 6.9 mi | 2,601 | 8.7% |
| Hueytown, AL | 7.2 mi | 3,098 | 21% |
Home health agencies serving Fairfield
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Birmingham, AL | 6.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 836-0777 |
| Centerwell Home Health | Hoover, AL | 10 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 739-7800 |
| Amedisys Home Health Lakeshore Of Birmingham | Homewood, AL | 6.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 868-0147 |
| Compassus Home Health | Birmingham, AL | 10 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 313-2800 |
| Aveanna Home Health | Hoover, AL | 10 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (205) 685-0421 |
Straight-line miles from the center of Fairfield. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What disability care for adults costs in Fairfield
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 34% of the $3,423 monthly median income of Fairfield 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.
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.
Disability Care for Adults in Fairfield: common questions
How much does disability care for adults cost in Fairfield?
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 34% of the $3,423 monthly median income of Fairfield 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 senior care near Fairfield
Disability Care for Adults in nearby cities
- Disability Care for Adults in Midfield, AL
- Disability Care for Adults in Brighton, AL
- Disability Care for Adults in Pleasant Grove, AL
- Disability Care for Adults in Homewood, AL
- Disability Care for Adults in Forestdale, AL
- Disability Care for Adults in Hueytown, AL
- Disability Care for Adults in Bessemer, AL
- Disability Care for Adults in Birmingham, AL
- Disability Care for Adults in Adamsville, AL
- Disability Care for Adults in Hoover, AL
- Disability Care for Adults in Vestavia Hills, AL
- Disability Care for Adults in Mountain Brook, AL
- Disability Care for Adults in Graysville, AL
- Disability Care for Adults in Fultondale, AL
- Disability Care for Adults in Tarrant, AL
- Disability Care for Adults in Indian Springs Village, AL
Other care in Fairfield
- Companion Care in Fairfield
- Dementia Care in Fairfield
- Respite Care in Fairfield
- Live-In Caregivers in Fairfield
- Post-Surgery Care in Fairfield
- Senior Transportation in Fairfield
- Home Health Aides in Fairfield
- Nursing Assistants in Fairfield
- Personal Care in Fairfield
- Overnight Caregivers in Fairfield
- 24-Hour Home Care in Fairfield
- Mobility Assistance in Fairfield
- Parkinson’s Care in Fairfield
- Stroke Recovery Support in Fairfield
- Hospice Support in Fairfield
- Senior Meal Preparation in Fairfield
- Senior Housekeeping in Fairfield
- Medication Reminders in Fairfield
- Veterans’ Home Care in Fairfield
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.
Find disability care for adults in Fairfield
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