Adult Disability Care in Gadsden, AL: In-Home Support

Local figures

Disability Care for Adults in Gadsden, AL: the local picture

20%

of residents aged 18 to 64 have a disability (17% in Etowah County)

1,552

residents aged 18 to 64 have difficulty doing errands alone

7.4%

of households have no vehicle (4.4% in Etowah County)

10

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

About 3,761 Gadsden residents aged 18 to 64 report a disability (20%; 17% in Etowah County).

1,552 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.4% of Gadsden households have no vehicle (4.4% in Etowah County); say in your posting if you need a caregiver who drives.

Gadsden compared with Etowah County and Alabama

Census figure	Gadsden	Etowah County	Alabama
Residents 18 to 64 with a disability	20%	17%	14%
Residents 18 to 64 with difficulty doing errands alone	8.2%	7.1%	5.0%
Households with no vehicle	7.4%	4.4%	5.4%
Residents 5+ who speak a language other than English at home	7.9%	4.3%	6.0%
Residents 65+ with a disability	39%	37%	38%
Residents 65+ below the poverty line (approx.)	24%	12%	12%
Median income, households headed by someone 65+	$35,137	$44,181	—

Older residents in towns around Gadsden

Town	Distance	Residents 65+	Disability (18 to 64)
Attalla, AL	6.2 mi	1,350	14%
Glencoe, AL	6.2 mi	1,184	11%
Rainbow City, AL	6.6 mi	1,947	21%
Southside, AL	8.0 mi	1,962	13%
Hokes Bluff, AL	8.9 mi	1,091	15%
Boaz, AL	15 mi	1,337	18%

Home health agencies serving Gadsden

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Aveanna Home Health	Gadsden, AL	6.0 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	—
Centerwell Home Health	Rainbow City, AL	6.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 442-1138
Amedisys Home Health Of Anniston	Anniston, AL	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 820-2503
Compassus Home Health	Pell City, AL	34 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(205) 313-2800
Prohealth Home Health, LLC	Huntsville, AL	55 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(256) 945-9100

Straight-line miles from the center of Gadsden. 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 Gadsden

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 40% of the $2,928 monthly median income of Gadsden 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.

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 Gadsden: common questions

How much does disability care for adults cost in Gadsden?

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 40% of the $2,928 monthly median income of Gadsden 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 near Gadsden

More senior care near Gadsden

Disability Care for Adults in nearby cities

Other care in Gadsden

More for Gadsden 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 Gadsden, AL