Adult Disability Care in Le Mars, IA: In-Home Support

Local figures

Disability Care for Adults in Le Mars, IA: the local picture

10%

of residents aged 18 to 64 have a disability (9.8% in Plymouth County)

264

residents aged 18 to 64 have difficulty doing errands alone

5.8%

of households have no vehicle (3.8% in Plymouth County)

6

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

About 625 Le Mars residents aged 18 to 64 report a disability (10%; 9.8% in Plymouth County).

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

5.8% of Le Mars households have no vehicle (3.8% in Plymouth County); say in your posting if you need a caregiver who drives.

Le Mars compared with Plymouth County and Iowa

Census figure	Le Mars	Plymouth County	Iowa
Residents 18 to 64 with a disability	10%	9.8%	11%
Residents 18 to 64 with difficulty doing errands alone	4.4%	3.2%	3.6%
Households with no vehicle	5.8%	3.8%	5.4%
Residents 5+ who speak a language other than English at home	12%	6.9%	9.1%
Residents 65+ with a disability	35%	27%	30%
Residents 65+ below the poverty line (approx.)	14%	10%	8.4%
Median income, households headed by someone 65+	$42,768	$56,204	—

Older residents in towns around Le Mars

Town	Distance	Residents 65+	Disability (18 to 64)
Orange City, IA	16 mi	1,082	7.5%
Sioux Center, IA	20 mi	1,060	5.2%
Hawarden, IA	22 mi	452	20%
Sioux City, IA	23 mi	12,804	13%
North Sioux City, SD	24 mi	640	9.9%
South Sioux City, NE	25 mi	1,535	10.0%

Home health agencies serving Le Mars

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Aveanna Healthcare	Sioux City, IA	21 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(712) 233-5494
Floyd Valley Hospital Community Health Services	Le Mars, IA	1.0 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(712) 546-3335
Orange City Home Health	Orange City, IA	17 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 737-5279
Unitypoint At Home	Sioux City, IA	21 mi	3.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(712) 279-3279
Sioux Center Home Health And Hospice	Sioux Center, IA	21 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 722-8108

Straight-line miles from the center of Le Mars. 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 Le Mars

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 42% of the $3,564 monthly median income of Le Mars 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 Le Mars: common questions

How much does disability care for adults cost in Le Mars?

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 42% of the $3,564 monthly median income of Le Mars 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 Le Mars

More senior care near Le Mars

Disability Care for Adults in nearby cities

Other care in Le Mars

More for Le Mars 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 Le Mars, IA