Adult Disability Care in Horace, ND: In-Home Support

Local figures

Disability Care for Adults in Horace, ND: the local picture

8.0%

of residents aged 18 to 64 have a disability (9.3% in Cass County)

9

residents aged 18 to 64 have difficulty doing errands alone

1.2%

of households have no vehicle (6.8% in Cass County)

4

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

About 217 Horace residents aged 18 to 64 report a disability (8.0%; 9.3% in Cass County).

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

1.2% of Horace households have no vehicle (6.8% in Cass County); say in your posting if you need a caregiver who drives.

Horace compared with Cass County and North Dakota

Census figure	Horace	Cass County	North Dakota
Residents 18 to 64 with a disability	8.0%	9.3%	10%
Residents 18 to 64 with difficulty doing errands alone	0.3%	2.8%	3.2%
Households with no vehicle	1.2%	6.8%	5.9%
Residents 5+ who speak a language other than English at home	4.3%	8.9%	6.7%
Residents 65+ with a disability	22%	30%	31%
Residents 65+ below the poverty line (approx.)	5.8%	7.6%	9.9%
Median income, households headed by someone 65+	$64,861	$62,681	—

Older residents in towns around Horace

Town	Distance	Residents 65+	Disability (18 to 64)
West Fargo, ND	6.9 mi	4,963	8.6%
Fargo, ND	8.4 mi	17,510	9.7%
Moorhead, MN	11 mi	5,703	13%
Dilworth, MN	13 mi	571	18%
Casselton, ND	17 mi	293	9.9%
Barnesville, MN	25 mi	359	3.7%

Home health agencies serving Horace

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Essentia Health Home Care West	Detroit Lakes, MN	51 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(218) 847-0808
Sanford Home Care Fargo	Fargo, ND	8.3 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(701) 234-4900
Ethos Home Health	Fargo, ND	4.2 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(701) 356-3803
Nizhoni Healthcare Services, LLC	Fargo, ND	8.3 mi	not rated	—	(701) 639-4183

Straight-line miles from the center of Horace. 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 Horace

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 30% of the $5,405 monthly median income of Horace households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Horace: common questions

How much does disability care for adults cost in Horace?

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 30% of the $5,405 monthly median income of Horace households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 North Dakota.

More near Horace

More senior care near Horace

Disability Care for Adults in nearby cities

Other care in Horace

More for Horace families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Horace, ND