In-Home Support for Adults With Disabilities in Fort Madison, IA
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 Fort Madison for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Fort Madison, IA: the local picture
About 1,073 Fort Madison residents aged 18 to 64 report a disability (20%; 15% in Lee County).
643 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
6.5% of Fort Madison households have no vehicle (5.0% in Lee County); say in your posting if you need a caregiver who drives.
Fort Madison compared with Lee County and Iowa
| Census figure | Fort Madison | Lee County | Iowa |
|---|---|---|---|
| Residents 18 to 64 with a disability | 20% | 15% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 12% | 6.8% | 3.6% |
| Households with no vehicle | 6.5% | 5.0% | 5.4% |
| Residents 5+ who speak a language other than English at home | 2.7% | 2.6% | 9.1% |
| Residents 65+ with a disability | 40% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 9.7% | 9.1% | 8.4% |
| Median income, households headed by someone 65+ | $38,590 | $44,102 | — |
Older residents in towns around Fort Madison
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Keokuk, IA | 15 mi | 2,065 | 15% |
| Hamilton, IL | 16 mi | 542 | 18% |
| West Burlington, IA | 16 mi | 631 | 9.1% |
| Burlington, IA | 17 mi | 5,107 | 15% |
| Mount Pleasant, IA | 26 mi | 1,634 | 17% |
| Canton, MO | 35 mi | 343 | 6.5% |
Home health agencies serving Fort Madison
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Advanced Home Health Care Inc | Burlington, IA | 18 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (319) 753-6270 |
| Southeast Iowa Regional Home Health | West Burlington, IA | 17 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (319) 768-3350 |
| Optimae Home Health Services | Fairfield, IA | 42 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (641) 472-4464 |
| Lee County Health Department | Fort Madison, IA | 0.9 mi | 2 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (319) 372-5225 |
| Sunny Brook Home Care | Fairfield, IA | 42 mi | 1.5 of 5 | nursing, home health aides | (641) 472-4808 |
Straight-line miles from the center of Fort Madison. 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 Fort Madison
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 47% of the $3,216 monthly median income of Fort Madison 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.
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 Fort Madison: common questions
How much does disability care for adults cost in Fort Madison?
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 47% of the $3,216 monthly median income of Fort Madison 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 senior care near Fort Madison
Disability Care for Adults in nearby cities
- Disability Care for Adults in Keokuk, IA
- Disability Care for Adults in Hamilton, IL
- Disability Care for Adults in West Burlington, IA
- Disability Care for Adults in Burlington, IA
- Disability Care for Adults in Mount Pleasant, IA
- Disability Care for Adults in Canton, MO
- Disability Care for Adults in Macomb, IL
- Disability Care for Adults in Fairfield, IA
- Disability Care for Adults in Monmouth, IL
- Disability Care for Adults in Bushnell, IL
- Disability Care for Adults in Quincy, IL
- Disability Care for Adults in Washington, IA
- Disability Care for Adults in Aledo, IL
- Disability Care for Adults in Abingdon, IL
- Disability Care for Adults in Rushville, IL
- Disability Care for Adults in Galesburg, IL
Other care in Fort Madison
- Companion Care in Fort Madison
- Dementia Care in Fort Madison
- Respite Care in Fort Madison
- Live-In Caregivers in Fort Madison
- Post-Surgery Care in Fort Madison
- Senior Transportation in Fort Madison
- Home Health Aides in Fort Madison
- Nursing Assistants in Fort Madison
- Personal Care in Fort Madison
- Overnight Caregivers in Fort Madison
- 24-Hour Home Care in Fort Madison
- Mobility Assistance in Fort Madison
- Parkinson’s Care in Fort Madison
- Stroke Recovery Support in Fort Madison
- Hospice Support in Fort Madison
- Senior Meal Preparation in Fort Madison
- Senior Housekeeping in Fort Madison
- Medication Reminders in Fort Madison
- Veterans’ Home Care in Fort Madison
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 Fort Madison
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