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

Local figures

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

11%

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

137

residents aged 18 to 64 have difficulty doing errands alone

1.9%

of households have no vehicle (4.7% in Thurston County)

5

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

About 393 Rochester residents aged 18 to 64 report a disability (11%; 14% in Thurston County).

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

1.9% of Rochester households have no vehicle (4.7% in Thurston County); say in your posting if you need a caregiver who drives.

Rochester compared with Thurston County and Washington

Census figure	Rochester	Thurston County	Washington
Residents 18 to 64 with a disability	11%	14%	11%
Residents 18 to 64 with difficulty doing errands alone	3.9%	6.0%	4.1%
Households with no vehicle	1.9%	4.7%	7.1%
Residents 5+ who speak a language other than English at home	14%	12%	21%
Residents 65+ with a disability	27%	34%	33%
Residents 65+ below the poverty line (approx.)	9.4%	7.4%	8.9%
Median income, households headed by someone 65+	$59,327	$74,569	—

Older residents in towns around Rochester

Town	Distance	Residents 65+	Disability (18 to 64)
Grand Mound, WA	2.9 mi	543	7.7%
Centralia, WA	8.1 mi	3,901	19%
Chehalis, WA	12 mi	1,019	16%
Tumwater, WA	14 mi	4,204	13%
Olympia, WA	17 mi	11,040	17%
Lacey, WA	20 mi	11,337	15%

Home health agencies serving Rochester

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Assured Home Health And Hospice	Centralia, WA	8.1 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 330-2640
Harbors Home Health / Hospice	Hoquiam, WA	40 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 532-5454
Providence At Home With Compassus, Puget Sound South	Lacey, WA	19 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 459-8311
Multicare Good Samaritan Home Health	Tacoma, WA	42 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(253) 301-6400
Puget Sound Home Health Of Thurston County	Tumwater, WA	16 mi	not rated	—	(253) 581-9410

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 Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 40% of the $4,944 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. Washington's minimum wage is $17.13 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 Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 40% of the $4,944 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. Washington's minimum wage is $17.13 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 Washington.

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, WA