Adult Disability Care in Lexington, WA: In-Home Support

Local figures

Disability Care for Adults in Lexington, WA: the local picture

24%

of residents aged 18 to 64 have a disability (19% in Cowlitz County)

126

residents aged 18 to 64 have difficulty doing errands alone

0.0%

of households have no vehicle (6.2% in Cowlitz County)

5

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

About 589 Lexington residents aged 18 to 64 report a disability (24%; 19% in Cowlitz County).

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

0.0% of Lexington households have no vehicle (6.2% in Cowlitz County); say in your posting if you need a caregiver who drives.

Lexington compared with Cowlitz County and Washington

Census figure	Lexington	Cowlitz County	Washington
Residents 18 to 64 with a disability	24%	19%	11%
Residents 18 to 64 with difficulty doing errands alone	5.2%	7.1%	4.1%
Households with no vehicle	0.0%	6.2%	7.1%
Residents 5+ who speak a language other than English at home	2.8%	7.9%	21%
Residents 65+ with a disability	39%	39%	33%
Residents 65+ below the poverty line (approx.)	3.2%	7.6%	8.9%
Median income, households headed by someone 65+	$55,964	$54,222	—

Older residents in towns around Lexington

Town	Distance	Residents 65+	Disability (18 to 64)
Longview Heights, WA	2.1 mi	634	13%
Longview, WA	3.9 mi	7,663	23%
Kelso, WA	5.2 mi	2,194	19%
Kalama, WA	12 mi	590	10%
Woodland, WA	20 mi	1,246	21%
St. Helens, OR	23 mi	2,253	21%

Home health agencies serving Lexington

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Peacehealth Southwest Home Health	Vancouver, WA	40 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 759-1500
Assured Home Health And Hospice	Centralia, WA	37 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 330-2640
Physicians Choice	Wilsonville, OR	62 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 308-4060
Eden Home Health	Vancouver, WA	36 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 504-0122
Psa Healthcare Certified	Vancouver, WA	37 mi	not rated	nursing, medical social work	(360) 423-6098

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 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 Lexington

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 43% of the $4,664 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. Washington's minimum wage is $17.13 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 Lexington: common questions

How much does disability care for adults cost in Lexington?

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 43% of the $4,664 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. Washington's minimum wage is $17.13 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 Washington.

More near Lexington

More senior care near Lexington

Disability Care for Adults in nearby cities

Other care in Lexington

More for Lexington 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 Lexington, WA