In-Home Support for Adults With Disabilities in Olympia, WA
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 Olympia for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Olympia, WA: the local picture
About 5,868 Olympia residents aged 18 to 64 report a disability (17%; 14% in Thurston County).
2,539 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.6% of Olympia households have no vehicle (4.7% in Thurston County); say in your posting if you need a caregiver who drives.
Olympia compared with Thurston County and Washington
| Census figure | Olympia | Thurston County | Washington |
|---|---|---|---|
| Residents 18 to 64 with a disability | 17% | 14% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 7.4% | 6.0% | 4.1% |
| Households with no vehicle | 7.6% | 4.7% | 7.1% |
| Residents 5+ who speak a language other than English at home | 12% | 12% | 21% |
| Residents 65+ with a disability | 37% | 34% | 33% |
| Residents 65+ below the poverty line (approx.) | 9.4% | 7.4% | 8.9% |
| Median income, households headed by someone 65+ | $66,496 | $74,569 | — |
Older residents in towns around Olympia
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Tumwater, WA | 3.7 mi | 4,204 | 13% |
| Lacey, WA | 4.6 mi | 11,337 | 15% |
| Tanglewilde, WA | 5.4 mi | 923 | 17% |
| DuPont, WA | 13 mi | 1,027 | 13% |
| Yelm, WA | 14 mi | 775 | 18% |
| Longbranch, WA | 14 mi | 1,236 | 20% |
Home health agencies serving Olympia
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Assured Home Health And Hospice | Centralia, WA | 22 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (360) 330-2640 |
| Providence At Home With Compassus, Puget Sound South | Lacey, WA | 5.4 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (360) 459-8311 |
| Multicare Good Samaritan Home Health | Tacoma, WA | 26 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (253) 301-6400 |
| Careage Home Health | Dupont, WA | 13 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (253) 853-4457 |
| Puget Sound Home Health Of Thurston County | Tumwater, WA | 2.1 mi | not rated | — | (253) 581-9410 |
Straight-line miles from the center of Olympia. 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 Olympia
At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 36% of the $5,541 monthly median income of Olympia households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 Olympia: common questions
How much does disability care for adults cost in Olympia?
At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 36% of the $5,541 monthly median income of Olympia households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 Washington.
More senior care near Olympia
Disability Care for Adults in nearby cities
- Disability Care for Adults in Tumwater, WA
- Disability Care for Adults in Lacey, WA
- Disability Care for Adults in Tanglewilde, WA
- Disability Care for Adults in DuPont, WA
- Disability Care for Adults in Yelm, WA
- Disability Care for Adults in Longbranch, WA
- Disability Care for Adults in North Yelm, WA
- Disability Care for Adults in North Fort Lewis, WA
- Disability Care for Adults in Fort Lewis, WA
- Disability Care for Adults in Shelton, WA
- Disability Care for Adults in Steilacoom, WA
- Disability Care for Adults in Rochester, WA
- Disability Care for Adults in Grand Mound, WA
- Disability Care for Adults in Fox Island, WA
- Disability Care for Adults in Lakewood, WA
- Disability Care for Adults in McChord AFB, WA
Other care in Olympia
- Companion Care in Olympia
- Dementia Care in Olympia
- Respite Care in Olympia
- Live-In Caregivers in Olympia
- Post-Surgery Care in Olympia
- Senior Transportation in Olympia
- Home Health Aides in Olympia
- Nursing Assistants in Olympia
- Personal Care in Olympia
- Overnight Caregivers in Olympia
- 24-Hour Home Care in Olympia
- Mobility Assistance in Olympia
- Parkinson’s Care in Olympia
- Stroke Recovery Support in Olympia
- Hospice Support in Olympia
- Senior Meal Preparation in Olympia
- Senior Housekeeping in Olympia
- Medication Reminders in Olympia
- Veterans’ Home Care in Olympia
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 Olympia
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