In-Home Support for Adults With Disabilities in Lexington, SC
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, SC: the local picture
About 1,176 Lexington residents aged 18 to 64 report a disability (8.4%; 12% in Lexington County).
271 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.6% of Lexington households have no vehicle (4.5% in Lexington County); say in your posting if you need a caregiver who drives.
Lexington compared with Lexington County and South Carolina
| Census figure | Lexington | Lexington County | South Carolina |
|---|---|---|---|
| Residents 18 to 64 with a disability | 8.4% | 12% | 12% |
| Residents 18 to 64 with difficulty doing errands alone | 1.9% | 4.6% | 4.2% |
| Households with no vehicle | 7.6% | 4.5% | 5.7% |
| Residents 5+ who speak a language other than English at home | 13% | 9.5% | 8.4% |
| Residents 65+ with a disability | 43% | 35% | 33% |
| Residents 65+ below the poverty line (approx.) | 9.8% | 8.4% | 11% |
| Median income, households headed by someone 65+ | $58,599 | $60,432 | — |
Older residents in towns around Lexington
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Oak Grove, SC | 4.1 mi | 1,990 | 12% |
| Red Bank, SC | 4.4 mi | 1,429 | 14% |
| Seven Oaks, SC | 5.9 mi | 3,237 | 15% |
| Springdale, SC | 6.7 mi | 447 | 15% |
| West Columbia, SC | 7.0 mi | 3,928 | 12% |
| White Knoll, SC | 7.1 mi | 540 | 9.2% |
Home health agencies serving Lexington
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Home Health Of Lexington | Lexington, SC | 1.6 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (803) 359-2253 |
| Enhabit Home Health Aiken | Columbia, SC | 7.4 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (803) 335-0977 |
| Pruitthealth Home Health-Columbia | Columbia, SC | 7.4 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (803) 626-0089 |
| Centerwell Home Health | Columbia, SC | 7.4 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (803) 731-2365 |
| Prisma Health Homecare | Columbia, SC | 11 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (803) 296-3100 |
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 South Carolina median aide wage of $14.48 an hour, 20 hours of help a week comes to about $1,255 a month in wages, which is 26% of the $4,883 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. South Carolina has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Lexington: common questions
How much does disability care for adults cost in Lexington?
At the South Carolina median aide wage of $14.48 an hour, 20 hours of help a week comes to about $1,255 a month in wages, which is 26% of the $4,883 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. South Carolina has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Carolina.
More senior care near Lexington
Disability Care for Adults in nearby cities
- Disability Care for Adults in Oak Grove, SC
- Disability Care for Adults in Red Bank, SC
- Disability Care for Adults in Seven Oaks, SC
- Disability Care for Adults in Springdale, SC
- Disability Care for Adults in West Columbia, SC
- Disability Care for Adults in White Knoll, SC
- Disability Care for Adults in Irmo, SC
- Disability Care for Adults in St. Andrews, SC
- Disability Care for Adults in Lake Murray of Richland, SC
- Disability Care for Adults in Pine Ridge, SC
- Disability Care for Adults in Cayce, SC
- Disability Care for Adults in Arthurtown, SC
- Disability Care for Adults in Forest Acres, SC
- Disability Care for Adults in Dentsville, SC
- Disability Care for Adults in Capitol View, SC
- Disability Care for Adults in Woodfield, SC
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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