Adult Disability Care in Prestonsburg, KY: In-Home Support

Local figures

Disability Care for Adults in Prestonsburg, KY: the local picture

30%

of residents aged 18 to 64 have a disability (27% in Floyd County)

221

residents aged 18 to 64 have difficulty doing errands alone

12%

of households have no vehicle (11% in Floyd County)

3

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

About 587 Prestonsburg residents aged 18 to 64 report a disability (30%; 27% in Floyd County).

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

12% of Prestonsburg households have no vehicle (11% in Floyd County); say in your posting if you need a caregiver who drives.

Prestonsburg compared with Floyd County and Kentucky

Census figure	Prestonsburg	Floyd County	Kentucky
Residents 18 to 64 with a disability	30%	27%	16%
Residents 18 to 64 with difficulty doing errands alone	11%	12%	5.9%
Households with no vehicle	12%	11%	6.8%
Residents 5+ who speak a language other than English at home	1.9%	1.6%	6.8%
Residents 65+ with a disability	56%	53%	39%
Residents 65+ below the poverty line (approx.)	11%	16%	13%
Median income, households headed by someone 65+	$35,195	$35,676	—

Older residents in towns around Prestonsburg

Town	Distance	Residents 65+	Disability (18 to 64)
Paintsville, KY	9.8 mi	630	29%
Pikeville, KY	19 mi	1,283	24%
Williamson, WV	27 mi	616	49%
Louisa, KY	31 mi	499	23%
West Liberty, KY	32 mi	477	18%
Hazard, KY	38 mi	934	32%

Home health agencies serving Prestonsburg

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Home Care Health Services, Inc	Pikeville, KY	18 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(606) 432-2111
Logan Arh Home Health Agency	Logan, WV	44 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(304) 752-2535
Highlands Arh Home Health	Prestonsburg, KY	1.4 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 598-5858

Straight-line miles from the center of Prestonsburg. 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 Prestonsburg

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 52% of the $2,933 monthly median income of Prestonsburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Prestonsburg: common questions

How much does disability care for adults cost in Prestonsburg?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 52% of the $2,933 monthly median income of Prestonsburg households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services covers Kentucky.

More near Prestonsburg

More senior care near Prestonsburg

Disability Care for Adults in nearby cities

Other care in Prestonsburg

More for Prestonsburg 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 Prestonsburg, KY