Adult Disability Care in Osceola, IA: In-Home Support

Local figures

Disability Care for Adults in Osceola, IA: the local picture

17%

of residents aged 18 to 64 have a disability (13% in Clarke County)

171

residents aged 18 to 64 have difficulty doing errands alone

18%

of households have no vehicle (13% in Clarke County)

5

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

About 539 Osceola residents aged 18 to 64 report a disability (17%; 13% in Clarke County).

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

18% of Osceola households have no vehicle (13% in Clarke County); say in your posting if you need a caregiver who drives.

Osceola compared with Clarke County and Iowa

Census figure	Osceola	Clarke County	Iowa
Residents 18 to 64 with a disability	17%	13%	11%
Residents 18 to 64 with difficulty doing errands alone	5.3%	3.9%	3.6%
Households with no vehicle	18%	13%	5.4%
Residents 5+ who speak a language other than English at home	13%	11%	9.1%
Residents 65+ with a disability	50%	42%	30%
Residents 65+ below the poverty line (approx.)	14%	9.7%	8.4%
Median income, households headed by someone 65+	$44,405	$50,893	—

Older residents in towns around Osceola

Town	Distance	Residents 65+	Disability (18 to 64)
Winterset, IA	25 mi	1,188	6.0%
Chariton, IA	25 mi	841	18%
Indianola, IA	25 mi	2,906	11%
Creston, IA	30 mi	1,464	18%
Norwalk, IA	31 mi	2,002	8.8%
West Des Moines, IA	36 mi	10,723	8.0%

Home health agencies serving Osceola

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Chariton, IA	25 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 774-2339
Mercyone Des Moines Home Care	Des Moines, IA	39 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 643-8383
Unitypoint At Home	Urbandale, IA	41 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 557-3100
Angels Care Home Health Of Iowa	Des Moines, IA	41 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 252-2847
Everystep	Creston, IA	29 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(855) 867-4592

Straight-line miles from the center of Osceola. 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 Osceola

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 41% of the $3,700 monthly median income of Osceola households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa'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 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 Osceola: common questions

How much does disability care for adults cost in Osceola?

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 41% of the $3,700 monthly median income of Osceola households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Iowa.

More near Osceola

More senior care near Osceola

Disability Care for Adults in nearby cities

Other care in Osceola

More for Osceola 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 Osceola, IA