Adult Disability Care in Keokuk, IA: In-Home Support

Local figures

Disability Care for Adults in Keokuk, IA: the local picture

15%

of residents aged 18 to 64 have a disability (15% in Lee County)

213

residents aged 18 to 64 have difficulty doing errands alone

7.7%

of households have no vehicle (5.0% in Lee County)

7

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

About 836 Keokuk residents aged 18 to 64 report a disability (15%; 15% in Lee County).

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

7.7% of Keokuk households have no vehicle (5.0% in Lee County); say in your posting if you need a caregiver who drives.

Keokuk compared with Lee County and Iowa

Census figure	Keokuk	Lee County	Iowa
Residents 18 to 64 with a disability	15%	15%	11%
Residents 18 to 64 with difficulty doing errands alone	3.9%	6.8%	3.6%
Households with no vehicle	7.7%	5.0%	5.4%
Residents 5+ who speak a language other than English at home	3.1%	2.6%	9.1%
Residents 65+ with a disability	34%	32%	30%
Residents 65+ below the poverty line (approx.)	8.4%	9.1%	8.4%
Median income, households headed by someone 65+	$40,938	$44,102	—

Older residents in towns around Keokuk

Town	Distance	Residents 65+	Disability (18 to 64)
Hamilton, IL	2.5 mi	542	18%
Fort Madison, IA	15 mi	2,208	20%
Canton, MO	20 mi	343	6.5%
West Burlington, IA	31 mi	631	9.1%
Burlington, IA	31 mi	5,107	15%
Quincy, IL	33 mi	7,928	16%

Home health agencies serving Keokuk

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Advanced Home Health Care Inc	Burlington, IA	31 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	31 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	50 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	16 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(319) 372-5225
Sunny Brook Home Care	Fairfield, IA	50 mi	1.5 of 5	nursing, home health aides	(641) 472-4808

Straight-line miles from the center of Keokuk. 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 Keokuk

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 44% of the $3,412 monthly median income of Keokuk 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.

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 Keokuk: common questions

How much does disability care for adults cost in Keokuk?

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 44% of the $3,412 monthly median income of Keokuk 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 near Keokuk

More senior care near Keokuk

Disability Care for Adults in nearby cities

Other care in Keokuk

More for Keokuk 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 Keokuk, IA