In-Home Support for Adults With Disabilities in Guilford, PA
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 Guilford for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Guilford, PA: the local picture
About 102 Guilford residents aged 18 to 64 report a disability (4.0%; 13% in Franklin County).
5 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
0.0% of Guilford households have no vehicle (4.6% in Franklin County); say in your posting if you need a caregiver who drives.
Guilford compared with Franklin County and Pennsylvania
| Census figure | Guilford | Franklin County | Pennsylvania |
|---|---|---|---|
| Residents 18 to 64 with a disability | 4.0% | 13% | 12% |
| Residents 18 to 64 with difficulty doing errands alone | 0.2% | 3.8% | 4.4% |
| Households with no vehicle | 0.0% | 4.6% | 10% |
| Residents 5+ who speak a language other than English at home | 23% | 7.6% | 12% |
| Residents 65+ with a disability | 29% | 34% | 32% |
| Residents 65+ below the poverty line (approx.) | 1.5% | 6.4% | 9.9% |
| Median income, households headed by someone 65+ | $64,583 | $56,266 | — |
Older residents in towns around Guilford
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Fayetteville, PA | 1.9 mi | 680 | 13% |
| Chambersburg, PA | 3.1 mi | 4,249 | 19% |
| Shippensburg, PA | 9.9 mi | 1,201 | 18% |
| Greencastle, PA | 11 mi | 857 | 7.2% |
| Waynesboro, PA | 11 mi | 1,607 | 15% |
| Wayne Heights, PA | 12 mi | 483 | 13% |
Home health agencies serving Guilford
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Wellspan Vna Home Care | York, PA | 46 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (717) 812-4433 |
| Advantage Home Health And Hospice | Mechanicsburg, PA | 36 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (717) 590-8878 |
| Accentcare Home Health Of Central Pennsylvania | Elizabethtown, PA | 55 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (717) 367-2571 |
| Spiritrust Lutheran Home Care & Hospice | Chambersburg, PA | 3.2 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (717) 264-8178 |
| Residential Home Health Of Carlisle, LLC | Mechanicsburg, PA | 37 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (888) 923-5842 |
Straight-line miles from the center of Guilford. 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 Guilford
At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 23% of the $5,382 monthly median income of Guilford households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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 Guilford: common questions
How much does disability care for adults cost in Guilford?
At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 23% of the $5,382 monthly median income of Guilford households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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 Pennsylvania.
More senior care near Guilford
Disability Care for Adults in nearby cities
- Disability Care for Adults in Fayetteville, PA
- Disability Care for Adults in Chambersburg, PA
- Disability Care for Adults in Shippensburg, PA
- Disability Care for Adults in Greencastle, PA
- Disability Care for Adults in Waynesboro, PA
- Disability Care for Adults in Wayne Heights, PA
- Disability Care for Adults in State Line, PA
- Disability Care for Adults in Carroll Valley, PA
- Disability Care for Adults in Fountainhead-Orchard Hills, MD
- Disability Care for Adults in Paramount-Long Meadow, MD
- Disability Care for Adults in Maugansville, MD
- Disability Care for Adults in Smithsburg, MD
- Disability Care for Adults in Hagerstown, MD
- Disability Care for Adults in Gettysburg, PA
- Disability Care for Adults in Robinwood, MD
- Disability Care for Adults in Emmitsburg, MD
Other care in Guilford
- Companion Care in Guilford
- Dementia Care in Guilford
- Respite Care in Guilford
- Live-In Caregivers in Guilford
- Post-Surgery Care in Guilford
- Senior Transportation in Guilford
- Home Health Aides in Guilford
- Nursing Assistants in Guilford
- Personal Care in Guilford
- Overnight Caregivers in Guilford
- 24-Hour Home Care in Guilford
- Mobility Assistance in Guilford
- Parkinson’s Care in Guilford
- Stroke Recovery Support in Guilford
- Hospice Support in Guilford
- Senior Meal Preparation in Guilford
- Senior Housekeeping in Guilford
- Medication Reminders in Guilford
- Veterans’ Home Care in Guilford
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 Guilford
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