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

Local figures

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

14%

of residents aged 18 to 64 have a disability (14% in Madison County)

1,306

residents aged 18 to 64 have difficulty doing errands alone

7.1%

of households have no vehicle (4.9% in Madison County)

8

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

About 3,629 Richmond residents aged 18 to 64 report a disability (14%; 14% in Madison County).

1,306 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

7.1% of Richmond households have no vehicle (4.9% in Madison County); say in your posting if you need a caregiver who drives.

Richmond compared with Madison County and Kentucky

Census figure	Richmond	Madison County	Kentucky
Residents 18 to 64 with a disability	14%	14%	16%
Residents 18 to 64 with difficulty doing errands alone	5.0%	4.9%	5.9%
Households with no vehicle	7.1%	4.9%	6.8%
Residents 5+ who speak a language other than English at home	5.3%	3.8%	6.8%
Residents 65+ with a disability	48%	36%	39%
Residents 65+ below the poverty line (approx.)	12%	10%	13%
Median income, households headed by someone 65+	$45,410	$51,585	—

Older residents in towns around Richmond

Town	Distance	Residents 65+	Disability (18 to 64)
Berea, KY	9.7 mi	2,070	19%
Lancaster, KY	17 mi	697	22%
Irvine, KY	18 mi	498	22%
Nicholasville, KY	18 mi	4,549	16%
Winchester, KY	20 mi	3,498	23%
Wilmore, KY	22 mi	841	5.0%

Home health agencies serving Richmond

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Lexington, KY	25 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 252-4206
Family Home Health Care, LLC Dba Adoration Home Health	Lexington, KY	21 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 271-0611
Commonwealth Home Health	Richmond, KY	1.8 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 623-1075
Commonspirit Health At Home - Lexington	Lexington, KY	21 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 277-5111
Commonwealth Home Health	Lexington, KY	23 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(859) 255-4411

Straight-line miles from the center of Richmond. 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 Richmond

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 40% of the $3,784 monthly median income of Richmond 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 Richmond: common questions

How much does disability care for adults cost in Richmond?

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 40% of the $3,784 monthly median income of Richmond 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 Richmond

More senior care near Richmond

Disability Care for Adults in nearby cities

Other care in Richmond

More for Richmond 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 Richmond, KY