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

Disability Care for Adults in Louisa, KY: the local picture
About 318 Louisa residents aged 18 to 64 report a disability (23%; 22% in Lawrence County).
103 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
15% of Louisa households have no vehicle (5.6% in Lawrence County); say in your posting if you need a caregiver who drives.
Louisa compared with Lawrence County and Kentucky
| Census figure | Louisa | Lawrence County | Kentucky |
|---|---|---|---|
| Residents 18 to 64 with a disability | 23% | 22% | 16% |
| Residents 18 to 64 with difficulty doing errands alone | 7.4% | 9.1% | 5.9% |
| Households with no vehicle | 15% | 5.6% | 6.8% |
| Residents 5+ who speak a language other than English at home | 0.6% | 1.9% | 6.8% |
| Residents 65+ with a disability | 66% | 50% | 39% |
| Residents 65+ below the poverty line (approx.) | 24% | 17% | 13% |
| Median income, households headed by someone 65+ | $28,056 | $41,612 | — |
Older residents in towns around Louisa
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Kenova, WV | 20 mi | 760 | 23% |
| Burlington, OH | 21 mi | 716 | 21% |
| South Point, OH | 22 mi | 673 | 13% |
| Paintsville, KY | 23 mi | 630 | 29% |
| Huntington, WV | 23 mi | 8,425 | 18% |
| Grayson, KY | 23 mi | 631 | 14% |
Home health agencies serving Louisa
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Family Home Health Care, LLC Dba Adoration Home Health | Ashland, KY | 25 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (606) 324-2491 |
| Caretenders - Louisa | Louisa, KY | 0.7 mi | 4 of 5 | nursing, physical therapy, speech therapy, medical social work, home health aides | (606) 638-0521 |
| Commonwealth Home Health | Lexington, KY | 104 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (859) 255-4411 |
| King's Daughters' Medical Center Hha | Ashland, KY | 25 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (606) 408-9700 |
Straight-line miles from the center of Louisa. 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 Louisa
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 65% of the $2,338 monthly median income of Louisa 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 Louisa: common questions
How much does disability care for adults cost in Louisa?
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 65% of the $2,338 monthly median income of Louisa 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 Louisa
Disability Care for Adults in nearby cities
- Disability Care for Adults in Kenova, WV
- Disability Care for Adults in Burlington, OH
- Disability Care for Adults in South Point, OH
- Disability Care for Adults in Paintsville, KY
- Disability Care for Adults in Huntington, WV
- Disability Care for Adults in Grayson, KY
- Disability Care for Adults in Ashland, KY
- Disability Care for Adults in Westwood, KY
- Disability Care for Adults in Pea Ridge, WV
- Disability Care for Adults in Barboursville, WV
- Disability Care for Adults in Russell, KY
- Disability Care for Adults in Flatwoods, KY
- Disability Care for Adults in Ironton, OH
- Disability Care for Adults in Prestonsburg, KY
- Disability Care for Adults in Milton, WV
- Disability Care for Adults in Williamson, WV
Other care in Louisa
- Companion Care in Louisa
- Dementia Care in Louisa
- Respite Care in Louisa
- Live-In Caregivers in Louisa
- Post-Surgery Care in Louisa
- Senior Transportation in Louisa
- Home Health Aides in Louisa
- Nursing Assistants in Louisa
- Personal Care in Louisa
- Overnight Caregivers in Louisa
- 24-Hour Home Care in Louisa
- Mobility Assistance in Louisa
- Parkinson’s Care in Louisa
- Stroke Recovery Support in Louisa
- Hospice Support in Louisa
- Senior Meal Preparation in Louisa
- Senior Housekeeping in Louisa
- Medication Reminders in Louisa
- Veterans’ Home Care in Louisa
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 Louisa
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