In-Home Support for Adults With Disabilities in Hot Springs, SD
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 Hot Springs for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Hot Springs, SD: the local picture
About 234 Hot Springs residents aged 18 to 64 report a disability (14%; 11% in Fall River County).
48 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
11% of Hot Springs households have no vehicle (6.6% in Fall River County); say in your posting if you need a caregiver who drives.
Hot Springs compared with Fall River County and South Dakota
| Census figure | Hot Springs | Fall River County | South Dakota |
|---|---|---|---|
| Residents 18 to 64 with a disability | 14% | 11% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 2.8% | 1.8% | 3.4% |
| Households with no vehicle | 11% | 6.6% | 5.2% |
| Residents 5+ who speak a language other than English at home | 6.6% | 4.1% | 7.1% |
| Residents 65+ with a disability | 42% | 39% | 31% |
| Residents 65+ below the poverty line (approx.) | 8.9% | 8.3% | 10% |
| Median income, households headed by someone 65+ | $59,000 | $59,142 | — |
Older residents in towns around Hot Springs
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Colonial Pine Hills, SD | 42 mi | 793 | 3.1% |
| Rapid City, SD | 47 mi | 16,108 | 14% |
| Newcastle, WY | 47 mi | 610 | 8.4% |
| Chadron, NE | 47 mi | 805 | 8.3% |
| Rapid Valley, SD | 48 mi | 1,292 | 9.2% |
| Blackhawk, SD | 51 mi | 550 | 12% |
Home health agencies serving Hot Springs
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Monument Health Home Plus Home Health | Rapid City, SD | 46 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (605) 755-7710 |
| State Home Care Services, Inc | Rapid City, SD | 52 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (605) 718-5004 |
| Interim Healthcare | Rapid City, SD | 52 mi | 3 of 5 | nursing, physical therapy, occupational therapy, home health aides | (605) 348-5885 |
Straight-line miles from the center of Hot Springs. 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 Hot Springs
At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 32% of the $4,917 monthly median income of Hot Springs households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Hot Springs: common questions
How much does disability care for adults cost in Hot Springs?
At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 32% of the $4,917 monthly median income of Hot Springs households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 South Dakota.
More senior care near Hot Springs
Disability Care for Adults in nearby cities
- Disability Care for Adults in Colonial Pine Hills, SD
- Disability Care for Adults in Rapid City, SD
- Disability Care for Adults in Newcastle, WY
- Disability Care for Adults in Chadron, NE
- Disability Care for Adults in Rapid Valley, SD
- Disability Care for Adults in Blackhawk, SD
- Disability Care for Adults in Box Elder, SD
- Disability Care for Adults in Summerset, SD
- Disability Care for Adults in Lead, SD
- Disability Care for Adults in Sturgis, SD
Other care in Hot Springs
- Companion Care in Hot Springs
- Dementia Care in Hot Springs
- Respite Care in Hot Springs
- Live-In Caregivers in Hot Springs
- Post-Surgery Care in Hot Springs
- Senior Transportation in Hot Springs
- Home Health Aides in Hot Springs
- Nursing Assistants in Hot Springs
- Personal Care in Hot Springs
- Overnight Caregivers in Hot Springs
- 24-Hour Home Care in Hot Springs
- Mobility Assistance in Hot Springs
- Parkinson’s Care in Hot Springs
- Stroke Recovery Support in Hot Springs
- Hospice Support in Hot Springs
- Senior Meal Preparation in Hot Springs
- Senior Housekeeping in Hot Springs
- Medication Reminders in Hot Springs
- Veterans’ Home Care in Hot Springs
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 Hot Springs
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