Adult Disability Care in Madera, CA: In-Home Support

Local figures

Disability Care for Adults in Madera, CA: the local picture

12%

of residents aged 18 to 64 have a disability (12% in Madera County)

1,687

residents aged 18 to 64 have difficulty doing errands alone

7.8%

of households have no vehicle (5.0% in Madera County)

70

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

About 4,790 Madera residents aged 18 to 64 report a disability (12%; 12% in Madera County).

1,687 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.8% of Madera households have no vehicle (5.0% in Madera County); say in your posting if you need a caregiver who drives.

Madera compared with Madera County and California

Census figure	Madera	Madera County	California
Residents 18 to 64 with a disability	12%	12%	8.8%
Residents 18 to 64 with difficulty doing errands alone	4.2%	4.2%	3.3%
Households with no vehicle	7.8%	5.0%	7.1%
Residents 5+ who speak a language other than English at home	60%	46%	44%
Residents 65+ with a disability	50%	39%	33%
Residents 65+ below the poverty line (approx.)	21%	14%	12%
Median income, households headed by someone 65+	$42,581	$64,480	—

Older residents in towns around Madera

Town	Distance	Residents 65+	Disability (18 to 64)
Madera Acres, CA	3.3 mi	1,484	13%
Parksdale, CA	3.8 mi	279	12%
Bonadelle Ranchos, CA	11 mi	828	13%
Madera Ranchos, CA	12 mi	777	11%
Chowchilla, CA	13 mi	1,898	8.5%
Kerman, CA	17 mi	1,610	8.4%

Home health agencies serving Madera

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ardent Home Health Of Fresno	Fresno, CA	20 mi	5 of 5	nursing, physical therapy, medical social work, home health aides	(559) 408-5945
Silverline Staff Home Health	Fremont, CA	111 mi	5 of 5	—	(925) 476-5350
Telfair Home Health Care	Glendale, CA	218 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(818) 539-5244
1ST Choice Home Healthcare Fresno Inc	Fresno, CA	20 mi	4.5 of 5	—	—
Progressive Home Health Care	Modesto, CA	68 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(209) 505-1035

Straight-line miles from the center of Madera. 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 Madera

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 41% of the $3,548 monthly median income of Madera households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 California: IHSS, VA, Paid Family Leave.

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 Madera: common questions

How much does disability care for adults cost in Madera?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 41% of the $3,548 monthly median income of Madera households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 California: IHSS, VA, Paid Family Leave covers California.

More near Madera

More senior care near Madera

Disability Care for Adults in nearby cities

Other care in Madera

More for Madera 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 Madera, CA