Adult Disability Care in Muscle Shoals, AL: In-Home Support

Local figures

Disability Care for Adults in Muscle Shoals, AL: the local picture

8.1%

of residents aged 18 to 64 have a disability (16% in Colbert County)

281

residents aged 18 to 64 have difficulty doing errands alone

2.0%

of households have no vehicle (4.6% in Colbert County)

6

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

About 816 Muscle Shoals residents aged 18 to 64 report a disability (8.1%; 16% in Colbert County).

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

2.0% of Muscle Shoals households have no vehicle (4.6% in Colbert County); say in your posting if you need a caregiver who drives.

Muscle Shoals compared with Colbert County and Alabama

Census figure	Muscle Shoals	Colbert County	Alabama
Residents 18 to 64 with a disability	8.1%	16%	14%
Residents 18 to 64 with difficulty doing errands alone	2.8%	5.5%	5.0%
Households with no vehicle	2.0%	4.6%	5.4%
Residents 5+ who speak a language other than English at home	2.6%	2.4%	6.0%
Residents 65+ with a disability	34%	41%	38%
Residents 65+ below the poverty line (approx.)	13%	13%	12%
Median income, households headed by someone 65+	$42,463	$41,996	—

Older residents in towns around Muscle Shoals

Town	Distance	Residents 65+	Disability (18 to 64)
Sheffield, AL	3.7 mi	2,392	22%
Tuscumbia, AL	4.2 mi	1,963	15%
Florence, AL	6.2 mi	7,294	16%
Underwood-Petersville, AL	9.9 mi	787	23%
Russellville, AL	17 mi	1,593	8.6%
Moulton, AL	27 mi	967	20%

Home health agencies serving Muscle Shoals

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Preferred Home Health	Florence, AL	6.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 246-9972
Amedisys Home Health Of Florence	Florence, AL	6.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 766-1817
Centerwell Home Health	Moulton, AL	29 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 974-2741
Keller Home Care	Red Bay, AL	34 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(256) 356-8160
Enhabit Home Health	Decatur, AL	38 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(256) 355-5746

Straight-line miles from the center of Muscle Shoals. 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 Muscle Shoals

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 33% of the $3,539 monthly median income of Muscle Shoals households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Muscle Shoals: common questions

How much does disability care for adults cost in Muscle Shoals?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 33% of the $3,539 monthly median income of Muscle Shoals households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 Alabama.

More near Muscle Shoals

More senior care near Muscle Shoals

Disability Care for Adults in nearby cities

Other care in Muscle Shoals

More for Muscle Shoals 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 Muscle Shoals, AL