Adult Disability Care in Rochester, IL: In-Home Support

Local figures

Disability Care for Adults in Rochester, IL: the local picture

7.5%

of residents aged 18 to 64 have a disability (11% in Sangamon County)

65

residents aged 18 to 64 have difficulty doing errands alone

2.2%

of households have no vehicle (7.6% in Sangamon County)

7

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

About 157 Rochester residents aged 18 to 64 report a disability (7.5%; 11% in Sangamon County).

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

2.2% of Rochester households have no vehicle (7.6% in Sangamon County); say in your posting if you need a caregiver who drives.

Rochester compared with Sangamon County and Illinois

Census figure	Rochester	Sangamon County	Illinois
Residents 18 to 64 with a disability	7.5%	11%	9.7%
Residents 18 to 64 with difficulty doing errands alone	3.1%	4.1%	3.5%
Households with no vehicle	2.2%	7.6%	11%
Residents 5+ who speak a language other than English at home	0.0%	4.8%	24%
Residents 65+ with a disability	25%	31%	32%
Residents 65+ below the poverty line (approx.)	1.1%	8.0%	10%
Median income, households headed by someone 65+	$98,872	$65,003	—

Older residents in towns around Rochester

Town	Distance	Residents 65+	Disability (18 to 64)
Riverton, IL	7.2 mi	604	3.7%
Springfield, IL	7.3 mi	22,574	13%
Chatham, IL	10 mi	1,748	5.2%
Pawnee, IL	11 mi	430	11%
Sherman, IL	11 mi	891	1.4%
Auburn, IL	16 mi	706	15%

Home health agencies serving Rochester

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring V	Springfield, IL	9.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(217) 718-4889
Residential Home Health Of Southern Illinois	Glen Carbon, IL	72 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 642-6099
Enhabit Home Health	Springfield, IL	5.8 mi	3.5 of 5	nursing, physical therapy, occupational therapy	(217) 542-7138
Memorial Home Services	Springfield, IL	4.5 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(217) 788-4663
SC Home Health Nfp	Springfield, IL	5.8 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(217) 528-7541

Straight-line miles from the center of Rochester. 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 Rochester

At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 19% of the $8,239 monthly median income of Rochester households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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.

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 Rochester: common questions

How much does disability care for adults cost in Rochester?

At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 19% of the $8,239 monthly median income of Rochester households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 Illinois.

More near Rochester

More senior care near Rochester

Disability Care for Adults in nearby cities

Other care in Rochester

More for Rochester 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 Rochester, IL