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

Disability Care for Adults in O'Fallon, IL: the local picture
About 1,658 O'Fallon residents aged 18 to 64 report a disability (9.3%; 14% in St. Clair County).
650 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
5.9% of O'Fallon households have no vehicle (7.5% in St. Clair County); say in your posting if you need a caregiver who drives.
O'Fallon compared with St. Clair County and Illinois
| Census figure | O'Fallon | St. Clair County | Illinois |
|---|---|---|---|
| Residents 18 to 64 with a disability | 9.3% | 14% | 9.7% |
| Residents 18 to 64 with difficulty doing errands alone | 3.7% | 5.6% | 3.5% |
| Households with no vehicle | 5.9% | 7.5% | 11% |
| Residents 5+ who speak a language other than English at home | 5.2% | 5.0% | 24% |
| Residents 65+ with a disability | 28% | 33% | 32% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 10% | 10% |
| Median income, households headed by someone 65+ | $70,929 | $54,949 | — |
Older residents in towns around O'Fallon
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Shiloh, IL | 3.5 mi | 2,294 | 9.9% |
| Fairview Heights, IL | 4.8 mi | 3,239 | 13% |
| Swansea, IL | 5.1 mi | 2,699 | 7.1% |
| Scott AFB, IL | 5.2 mi | 33 | 12% |
| Lebanon, IL | 5.7 mi | 794 | 10% |
| Caseyville, IL | 6.7 mi | 828 | 24% |
Home health agencies serving O'Fallon
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Adoration Home Health | O Fallon, IL | 2.2 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (618) 622-8854 |
| Aw Health Care | Saint Louis, MO | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Evertrue Home Health | St. Louis, MO | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Elara Caring V | Springfield, IL | 82 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (217) 718-4889 |
| Residential Home Health Of Southern Illinois | Glen Carbon, IL | 12 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 642-6099 |
Straight-line miles from the center of O'Fallon. 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 O'Fallon
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 27% of the $5,911 monthly median income of O'Fallon households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
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 O'Fallon: common questions
How much does disability care for adults cost in O'Fallon?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 27% of the $5,911 monthly median income of O'Fallon households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Illinois.
More senior care near O'Fallon
Disability Care for Adults in nearby cities
- Disability Care for Adults in Shiloh, IL
- Disability Care for Adults in Fairview Heights, IL
- Disability Care for Adults in Swansea, IL
- Disability Care for Adults in Scott AFB, IL
- Disability Care for Adults in Lebanon, IL
- Disability Care for Adults in Caseyville, IL
- Disability Care for Adults in Belleville, IL
- Disability Care for Adults in Collinsville, IL
- Disability Care for Adults in Mascoutah, IL
- Disability Care for Adults in Troy, IL
- Disability Care for Adults in Maryville, IL
- Disability Care for Adults in Freeburg, IL
- Disability Care for Adults in Glen Carbon, IL
- Disability Care for Adults in Pontoon Beach, IL
- Disability Care for Adults in East St. Louis, IL
- Disability Care for Adults in Madison, IL
Other care in O'Fallon
- Companion Care in O'Fallon
- Dementia Care in O'Fallon
- Respite Care in O'Fallon
- Live-In Caregivers in O'Fallon
- Post-Surgery Care in O'Fallon
- Senior Transportation in O'Fallon
- Home Health Aides in O'Fallon
- Nursing Assistants in O'Fallon
- Personal Care in O'Fallon
- Overnight Caregivers in O'Fallon
- 24-Hour Home Care in O'Fallon
- Mobility Assistance in O'Fallon
- Parkinson’s Care in O'Fallon
- Stroke Recovery Support in O'Fallon
- Hospice Support in O'Fallon
- Senior Meal Preparation in O'Fallon
- Senior Housekeeping in O'Fallon
- Medication Reminders in O'Fallon
- Veterans’ Home Care in O'Fallon
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 O'Fallon
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