Adult Disability Care in Middlesborough, KY: In-Home Support

Local figures

Disability Care for Adults in Middlesborough, KY: the local picture

21%

of residents aged 18 to 64 have a disability (23% in Bell County)

537

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle (11% in Bell County)

2

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

About 1,091 Middlesborough residents aged 18 to 64 report a disability (21%; 23% in Bell County).

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

11% of Middlesborough households have no vehicle (11% in Bell County); say in your posting if you need a caregiver who drives.

Middlesborough compared with Bell County and Kentucky

Census figure	Middlesborough	Bell County	Kentucky
Residents 18 to 64 with a disability	21%	23%	16%
Residents 18 to 64 with difficulty doing errands alone	10%	9.7%	5.9%
Households with no vehicle	11%	11%	6.8%
Residents 5+ who speak a language other than English at home	0.8%	0.5%	6.8%
Residents 65+ with a disability	63%	55%	39%
Residents 65+ below the poverty line (approx.)	20%	19%	13%
Median income, households headed by someone 65+	$29,163	$28,744	—

Older residents in towns around Middlesborough

Town	Distance	Residents 65+	Disability (18 to 64)
Harrogate, TN	5.0 mi	837	16%
Tazewell, TN	14 mi	496	26%
New Tazewell, TN	14 mi	438	31%
Barbourville, KY	20 mi	688	21%
Maynardville, TN	26 mi	287	20%
Williamsburg, KY	26 mi	705	16%

Home health agencies serving Middlesborough

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Care	Middlesboro, KY	0.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(606) 248-1062
Middlesboro Arh Home Health Agency	Middlesboro, KY	0.3 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(606) 242-1404

Straight-line miles from the center of Middlesborough. 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 Middlesborough

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 62% of the $2,430 monthly median income of Middlesborough 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.

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 Middlesborough: common questions

How much does disability care for adults cost in Middlesborough?

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 62% of the $2,430 monthly median income of Middlesborough 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 near Middlesborough

More senior care near Middlesborough

Disability Care for Adults in nearby cities

Other care in Middlesborough

More for Middlesborough 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 Middlesborough, KY