Adult Disability Care in Fircrest, WA: In-Home Support

Local figures

Disability Care for Adults in Fircrest, WA: the local picture

5.3%

of residents aged 18 to 64 have a disability (12% in Pierce County)

80

residents aged 18 to 64 have difficulty doing errands alone

8.5%

of households have no vehicle (5.4% in Pierce County)

13

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

About 232 Fircrest residents aged 18 to 64 report a disability (5.3%; 12% in Pierce County).

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

8.5% of Fircrest households have no vehicle (5.4% in Pierce County); say in your posting if you need a caregiver who drives.

Fircrest compared with Pierce County and Washington

Census figure	Fircrest	Pierce County	Washington
Residents 18 to 64 with a disability	5.3%	12%	11%
Residents 18 to 64 with difficulty doing errands alone	1.8%	4.8%	4.1%
Households with no vehicle	8.5%	5.4%	7.1%
Residents 5+ who speak a language other than English at home	15%	16%	21%
Residents 65+ with a disability	34%	36%	33%
Residents 65+ below the poverty line (approx.)	2.5%	8.8%	8.9%
Median income, households headed by someone 65+	$85,809	$70,061	—

Older residents in towns around Fircrest

Town	Distance	Residents 65+	Disability (18 to 64)
University Place, WA	1.8 mi	6,796	10%
Tacoma, WA	3.0 mi	33,418	14%
Wollochet, WA	4.6 mi	1,739	9.8%
Lakewood, WA	4.6 mi	10,825	19%
Steilacoom, WA	5.6 mi	1,270	9.7%
Midland, WA	6.3 mi	1,223	17%

Home health agencies serving Fircrest

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Puget Sound Home Health	Tacoma, WA	2.4 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(253) 581-9410
Centerwell Home Health	Tacoma, WA	2.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(253) 475-6862
Eden Home Health	Tukwila, WA	35 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 717-8161
Signature Healthcare At Home	Federal Way, WA	11 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(253) 661-5166
Chi Franciscan Health At Home	University Place, WA	1.1 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(253) 543-7026

Straight-line miles from the center of Fircrest. 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 Fircrest

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 28% of the $7,151 monthly median income of Fircrest 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 Fircrest: common questions

How much does disability care for adults cost in Fircrest?

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 28% of the $7,151 monthly median income of Fircrest 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 Fircrest

More senior care near Fircrest

Disability Care for Adults in nearby cities

Other care in Fircrest

More for Fircrest 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 Fircrest, WA