Adult Disability Care in Fairfield, IA: In-Home Support

Local figures

Disability Care for Adults in Fairfield, IA: the local picture

11%

of residents aged 18 to 64 have a disability (13% in Jefferson County)

252

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle (7.5% in Jefferson County)

4

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

About 623 Fairfield residents aged 18 to 64 report a disability (11%; 13% in Jefferson County).

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

11% of Fairfield households have no vehicle (7.5% in Jefferson County); say in your posting if you need a caregiver who drives.

Fairfield compared with Jefferson County and Iowa

Census figure	Fairfield	Jefferson County	Iowa
Residents 18 to 64 with a disability	11%	13%	11%
Residents 18 to 64 with difficulty doing errands alone	4.6%	5.4%	3.6%
Households with no vehicle	11%	7.5%	5.4%
Residents 5+ who speak a language other than English at home	22%	16%	9.1%
Residents 65+ with a disability	16%	19%	30%
Residents 65+ below the poverty line (approx.)	12%	9.9%	8.4%
Median income, households headed by someone 65+	$44,167	$54,143	—

Older residents in towns around Fairfield

Town	Distance	Residents 65+	Disability (18 to 64)
Mount Pleasant, IA	22 mi	1,634	17%
Ottumwa, IA	24 mi	4,107	14%
Washington, IA	25 mi	1,683	16%
Bloomfield, IA	29 mi	514	14%
Kalona, IA	36 mi	684	4.8%
Oskaloosa, IA	40 mi	2,347	15%

Home health agencies serving Fairfield

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Centerville, IA	51 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(641) 437-1117
Iowa Home Care, L L C	Ottumwa, IA	23 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 226-5050
Optimae Home Health Services	Fairfield, IA	0.5 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 472-4464
Sunny Brook Home Care	Fairfield, IA	0.5 mi	1.5 of 5	nursing, home health aides	(641) 472-4808

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 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 Fairfield

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 41% of the $3,681 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. Iowa'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 Fairfield: common questions

How much does disability care for adults cost in Fairfield?

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 41% of the $3,681 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. Iowa'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 Iowa.

More near Fairfield

More senior care near Fairfield

Disability Care for Adults in nearby cities

Other care in Fairfield

More for Fairfield 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 Fairfield, IA