Adult Disability Care in Rolla, MO: In-Home Support

Local figures

Disability Care for Adults in Rolla, MO: the local picture

15%

of residents aged 18 to 64 have a disability (15% in Phelps County)

564

residents aged 18 to 64 have difficulty doing errands alone

7.7%

of households have no vehicle (6.1% in Phelps County)

7

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

About 2,030 Rolla residents aged 18 to 64 report a disability (15%; 15% in Phelps County).

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

7.7% of Rolla households have no vehicle (6.1% in Phelps County); say in your posting if you need a caregiver who drives.

Rolla compared with Phelps County and Missouri

Census figure	Rolla	Phelps County	Missouri
Residents 18 to 64 with a disability	15%	15%	13%
Residents 18 to 64 with difficulty doing errands alone	4.2%	5.8%	4.7%
Households with no vehicle	7.7%	6.1%	6.6%
Residents 5+ who speak a language other than English at home	8.5%	4.8%	6.7%
Residents 65+ with a disability	37%	38%	34%
Residents 65+ below the poverty line (approx.)	17%	12%	10%
Median income, households headed by someone 65+	$40,317	$47,348	—

Older residents in towns around Rolla

Town	Distance	Residents 65+	Disability (18 to 64)
St. James, MO	8.9 mi	898	26%
Cuba, MO	21 mi	540	23%
St. Robert, MO	23 mi	700	20%
Fort Leonard Wood, MO	24 mi	48	11%
Salem, MO	25 mi	1,025	21%
Waynesville, MO	26 mi	934	10%

Home health agencies serving Rolla

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Rolla, MO	0.2 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 341-3456
Elara Caring	Jefferson City, MO	51 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 690-1753
Central Missouri Home Health	Jefferson City, MO	51 mi	4 of 5	nursing, physical therapy, occupational therapy, home health aides	(573) 681-3777
Bjc Home Care Services	Saint Louis, MO	86 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 362-0200
Orthopaedic And Medical Home Health, LLC	Columbia, MO	75 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 474-1786

Straight-line miles from the center of Rolla. 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 Rolla

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 41% of the $3,360 monthly median income of Rolla households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.

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 Rolla: common questions

How much does disability care for adults cost in Rolla?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 41% of the $3,360 monthly median income of Rolla households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver covers Missouri.

More near Rolla

More senior care near Rolla

Disability Care for Adults in nearby cities

Other care in Rolla

More for Rolla 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 Rolla, MO