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

Disability Care for Adults in Orchidlands Estates, HI: the local picture
About 477 Orchidlands Estates residents aged 18 to 64 report a disability (25%; 13% in Hawaii County).
158 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.7% of Orchidlands Estates households have no vehicle (4.8% in Hawaii County); say in your posting if you need a caregiver who drives.
Orchidlands Estates compared with Hawaii County and Hawaii
| Census figure | Orchidlands Estates | Hawaii County | Hawaii |
|---|---|---|---|
| Residents 18 to 64 with a disability | 25% | 13% | 9.2% |
| Residents 18 to 64 with difficulty doing errands alone | 8.3% | 5.0% | 3.4% |
| Households with no vehicle | 3.7% | 4.8% | 8.2% |
| Residents 5+ who speak a language other than English at home | 23% | 23% | 25% |
| Residents 65+ with a disability | 26% | 33% | 32% |
| Residents 65+ below the poverty line (approx.) | 16% | 11% | 9.2% |
| Median income, households headed by someone 65+ | $66,190 | $69,877 | — |
Older residents in towns around Orchidlands Estates
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Ainaloa, HI | 2.8 mi | 993 | 25% |
| Hawaiian Acres, HI | 2.9 mi | 664 | 9.5% |
| Hawaiian Paradise Park, HI | 3.4 mi | 3,062 | 17% |
| Kurtistown, HI | 4.2 mi | 833 | 12% |
| Hawaiian Beaches, HI | 5.6 mi | 1,159 | 17% |
| Hilo, HI | 10 mi | 11,451 | 13% |
Home health agencies serving Orchidlands Estates
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Bayada Home Health Care | Hilo, HI | 11 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (808) 933-1702 |
| Home Health Kauai | Lihue, HI | 327 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (808) 245-5121 |
| Kaiser Permanente Care At Home, Big Island Home Health | Kailua Kona, HI | 63 mi | 2 of 5 | — | (808) 334-4440 |
| Kohala Home Health Care Of North Hi Comm Hosp | Kamuela, HI | 55 mi | 1.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (808) 881-4711 |
Straight-line miles from the center of Orchidlands Estates. 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 Orchidlands Estates
At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 29% of the $5,516 monthly median income of Orchidlands Estates households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 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 Orchidlands Estates: common questions
How much does disability care for adults cost in Orchidlands Estates?
At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 29% of the $5,516 monthly median income of Orchidlands Estates households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 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 Hawaii.
More senior care near Orchidlands Estates
Disability Care for Adults in nearby cities
- Disability Care for Adults in Ainaloa, HI
- Disability Care for Adults in Hawaiian Acres, HI
- Disability Care for Adults in Hawaiian Paradise Park, HI
- Disability Care for Adults in Kurtistown, HI
- Disability Care for Adults in Hawaiian Beaches, HI
- Disability Care for Adults in Hilo, HI
- Disability Care for Adults in Mountain View, HI
- Disability Care for Adults in Waimea, HI
- Disability Care for Adults in Honaunau-Napoopoo, HI
- Disability Care for Adults in Captain Cook, HI
- Disability Care for Adults in Waikoloa Village, HI
- Disability Care for Adults in Hawaiian Ocean View, HI
- Disability Care for Adults in Holualoa, HI
- Disability Care for Adults in Kahaluu-Keauhou, HI
- Disability Care for Adults in Kaiminani, HI
Other care in Orchidlands Estates
- Companion Care in Orchidlands Estates
- Dementia Care in Orchidlands Estates
- Respite Care in Orchidlands Estates
- Live-In Caregivers in Orchidlands Estates
- Post-Surgery Care in Orchidlands Estates
- Senior Transportation in Orchidlands Estates
- Home Health Aides in Orchidlands Estates
- Nursing Assistants in Orchidlands Estates
- Personal Care in Orchidlands Estates
- Overnight Caregivers in Orchidlands Estates
- 24-Hour Home Care in Orchidlands Estates
- Mobility Assistance in Orchidlands Estates
- Parkinson’s Care in Orchidlands Estates
- Stroke Recovery Support in Orchidlands Estates
- Hospice Support in Orchidlands Estates
- Senior Meal Preparation in Orchidlands Estates
- Senior Housekeeping in Orchidlands Estates
- Medication Reminders in Orchidlands Estates
- Veterans’ Home Care in Orchidlands Estates
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 Orchidlands Estates
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