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

Local figures

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

11%

of residents aged 18 to 64 have a disability (11% in Merced County)

22

residents aged 18 to 64 have difficulty doing errands alone

2.2%

of households have no vehicle (7.3% in Merced County)

44

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

About 134 Madera Ranchos residents aged 18 to 64 report a disability (11%; 11% in Merced County).

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

2.2% of Madera Ranchos households have no vehicle (7.3% in Merced County); say in your posting if you need a caregiver who drives.

Madera Ranchos compared with Merced County and California

Census figure	Madera Ranchos	Merced County	California
Residents 18 to 64 with a disability	11%	11%	8.8%
Residents 18 to 64 with difficulty doing errands alone	1.8%	3.9%	3.3%
Households with no vehicle	2.2%	7.3%	7.1%
Residents 5+ who speak a language other than English at home	14%	53%	44%
Residents 65+ with a disability	44%	40%	33%
Residents 65+ below the poverty line (approx.)	6.2%	16%	12%
Median income, households headed by someone 65+	$127,083	$44,830	—

Older residents in towns around Madera Ranchos

Town	Distance	Residents 65+	Disability (18 to 64)
Bonadelle Ranchos, CA	3.0 mi	828	13%
Parksdale, CA	8.0 mi	279	12%
Old Fig Garden, CA	9.8 mi	1,143	9.7%
Fresno, CA	11 mi	67,512	13%
Madera, CA	12 mi	6,515	12%
Madera Acres, CA	13 mi	1,484	13%

Home health agencies serving Madera Ranchos

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Ardent Home Health Of Fresno	Fresno, CA	9.6 mi	5 of 5	nursing, physical therapy, medical social work, home health aides	(559) 408-5945
Silverline Staff Home Health	Fremont, CA	123 mi	5 of 5	—	(925) 476-5350
1ST Choice Home Healthcare Fresno Inc	Fresno, CA	9.6 mi	4.5 of 5	—	—
Unique Care Plus Inc	Chatsworth, CA	198 mi	4.5 of 5	—	(818) 600-1691
Concordia Health Care Provider, Inc	La Verne, CA	228 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(626) 281-7400

Straight-line miles from the center of Madera Ranchos. 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 Ranchos

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 14% of the $10,590 monthly median income of Madera Ranchos 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 Ranchos: common questions

How much does disability care for adults cost in Madera Ranchos?

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 14% of the $10,590 monthly median income of Madera Ranchos 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 Ranchos

More senior care near Madera Ranchos

Disability Care for Adults in nearby cities

Other care in Madera Ranchos

More for Madera Ranchos 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 Ranchos, CA