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

Disability Care for Adults in Lexington, KY: the local picture
About 23,623 Lexington residents aged 18 to 64 report a disability (12%).
6,870 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.2% of Lexington households have no vehicle; say in your posting if you need a caregiver who drives.
Lexington compared with Kentucky
| Census figure | Lexington | Kentucky |
|---|---|---|
| Residents 18 to 64 with a disability | 12% | 16% |
| Residents 18 to 64 with difficulty doing errands alone | 3.3% | 5.9% |
| Households with no vehicle | 7.2% | 6.8% |
| Residents 5+ who speak a language other than English at home | 16% | 6.8% |
| Residents 65+ with a disability | 32% | 39% |
| Residents 65+ below the poverty line (approx.) | 8.0% | 13% |
| Median income, households headed by someone 65+ | $59,717 | — |
Older residents in towns around Lexington
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Nicholasville, KY | 12 mi | 4,549 | 16% |
| Versailles, KY | 15 mi | 1,899 | 15% |
| Winchester, KY | 15 mi | 3,498 | 23% |
| Paris, KY | 15 mi | 1,741 | 15% |
| Georgetown, KY | 16 mi | 4,268 | 15% |
| Wilmore, KY | 16 mi | 841 | 5.0% |
Home health agencies serving Lexington
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Frankfort Regional Healthcare At Home | Lexington, KY | 1.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 269-2587 |
| Centerwell Home Health | Lexington, KY | 1.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 252-4206 |
| Family Home Health Care, LLC Dba Adoration Home Health | Lexington, KY | 2.7 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 271-0611 |
| Amedisys Sp-KY, LLC Dba Adoration Home Health | Mount Sterling, KY | 28 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (859) 498-5199 |
| Professional Home Health Care, Inc | London, KY | 68 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (606) 864-0724 |
Straight-line miles from the center of Lexington. 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 Lexington
At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 31% of the $4,976 monthly median income of Lexington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.
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 Lexington: common questions
How much does disability care for adults cost in Lexington?
At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 31% of the $4,976 monthly median income of Lexington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services covers Kentucky.
More senior care near Lexington
Disability Care for Adults in nearby cities
- Disability Care for Adults in Nicholasville, KY
- Disability Care for Adults in Versailles, KY
- Disability Care for Adults in Winchester, KY
- Disability Care for Adults in Paris, KY
- Disability Care for Adults in Georgetown, KY
- Disability Care for Adults in Wilmore, KY
- Disability Care for Adults in Richmond, KY
- Disability Care for Adults in Lawrenceburg, KY
- Disability Care for Adults in Frankfort, KY
- Disability Care for Adults in Cynthiana, KY
- Disability Care for Adults in Mount Sterling, KY
- Disability Care for Adults in Harrodsburg, KY
- Disability Care for Adults in Lancaster, KY
- Disability Care for Adults in Berea, KY
- Disability Care for Adults in Danville, KY
- Disability Care for Adults in Stanton, KY
Other care in Lexington
- Companion Care in Lexington
- Dementia Care in Lexington
- Respite Care in Lexington
- Live-In Caregivers in Lexington
- Post-Surgery Care in Lexington
- Senior Transportation in Lexington
- Home Health Aides in Lexington
- Nursing Assistants in Lexington
- Personal Care in Lexington
- Overnight Caregivers in Lexington
- 24-Hour Home Care in Lexington
- Mobility Assistance in Lexington
- Parkinson’s Care in Lexington
- Stroke Recovery Support in Lexington
- Hospice Support in Lexington
- Senior Meal Preparation in Lexington
- Senior Housekeeping in Lexington
- Medication Reminders in Lexington
- Veterans’ Home Care in Lexington
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 Lexington
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