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

Local figures

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

19%

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

9,576

residents aged 18 to 64 have difficulty doing errands alone

23%

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

4

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

About 25,767 Rochester residents aged 18 to 64 report a disability (19%; 13% in Monroe County).

9,576 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

23% of Rochester households have no vehicle (11% in Monroe County); say in your posting if you need a caregiver who drives.

Rochester compared with Monroe County and New York

Census figure	Rochester	Monroe County	New York
Residents 18 to 64 with a disability	19%	13%	9.8%
Residents 18 to 64 with difficulty doing errands alone	7.0%	4.6%	3.8%
Households with no vehicle	23%	11%	29%
Residents 5+ who speak a language other than English at home	19%	13%	31%
Residents 65+ with a disability	36%	30%	32%
Residents 65+ below the poverty line (approx.)	21%	10.0%	13%
Median income, households headed by someone 65+	$37,800	$58,039	—

Older residents in towns around Rochester

Town	Distance	Residents 65+	Disability (18 to 64)
Irondequoit, NY	3.6 mi	11,471	9.7%
Gates, NY	3.9 mi	956	18%
Brighton, NY	4.0 mi	7,492	6.1%
North Gates, NY	4.5 mi	1,926	10%
Greece, NY	5.1 mi	3,139	13%
Rochester Institute of Technology, NY	6.5 mi	0	15%

Home health agencies serving Rochester

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Rochester Regional Health Home Care	Rochester, NY	2.0 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(585) 214-1000
Americare Certified Special Services, Inc Chha	Brooklyn, NY	259 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(718) 535-3100
Ur Medicine Home Care, Certified Services, Inc	Webster, NY	8.5 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(585) 787-2233
Hcr / Hcr Home Care Chha (Rochester)	Rochester, NY	6.0 mi	2.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(585) 272-1930

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 New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 52% of the $3,150 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. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 52% of the $3,150 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. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member covers New York.

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, NY