In-Home Support for Adults With Disabilities in Russellville, AL
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Russellville for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Russellville, AL: the local picture
About 513 Russellville residents aged 18 to 64 report a disability (8.6%; 15% in Franklin County).
143 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.2% of Russellville households have no vehicle (7.7% in Franklin County); say in your posting if you need a caregiver who drives.
Russellville compared with Franklin County and Alabama
| Census figure | Russellville | Franklin County | Alabama |
|---|---|---|---|
| Residents 18 to 64 with a disability | 8.6% | 15% | 14% |
| Residents 18 to 64 with difficulty doing errands alone | 2.4% | 6.2% | 5.0% |
| Households with no vehicle | 7.2% | 7.7% | 5.4% |
| Residents 5+ who speak a language other than English at home | 40% | 18% | 6.0% |
| Residents 65+ with a disability | 47% | 41% | 38% |
| Residents 65+ below the poverty line (approx.) | 16% | 11% | 12% |
| Median income, households headed by someone 65+ | $30,428 | $40,526 | — |
Older residents in towns around Russellville
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Tuscumbia, AL | 15 mi | 1,963 | 15% |
| Muscle Shoals, AL | 17 mi | 3,033 | 8.1% |
| Sheffield, AL | 17 mi | 2,392 | 22% |
| Haleyville, AL | 20 mi | 700 | 18% |
| Florence, AL | 23 mi | 7,294 | 16% |
| Red Bay, AL | 24 mi | 637 | 22% |
Home health agencies serving Russellville
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Home Health Of Florence | Florence, AL | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 766-1817 |
| Preferred Home Health | Florence, AL | 23 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 246-9972 |
| Centerwell Home Health | Moulton, AL | 29 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 974-2741 |
| Amedisys Home Health Of Fort Payne | Rainesville, AL | 107 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 844-8303 |
| Amedisys Home Health, A Lawrence Medical Center Partner | Moulton, AL | 29 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (256) 974-2298 |
Straight-line miles from the center of Russellville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What disability care for adults costs in Russellville
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 46% of the $2,536 monthly median income of Russellville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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.
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.
Disability Care for Adults in Russellville: common questions
How much does disability care for adults cost in Russellville?
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 46% of the $2,536 monthly median income of Russellville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Alabama.
More senior care near Russellville
Disability Care for Adults in nearby cities
- Disability Care for Adults in Tuscumbia, AL
- Disability Care for Adults in Muscle Shoals, AL
- Disability Care for Adults in Sheffield, AL
- Disability Care for Adults in Haleyville, AL
- Disability Care for Adults in Florence, AL
- Disability Care for Adults in Red Bay, AL
- Disability Care for Adults in Moulton, AL
- Disability Care for Adults in Underwood-Petersville, AL
- Disability Care for Adults in Hamilton, AL
- Disability Care for Adults in Iuka, MS
- Disability Care for Adults in Trinity, AL
- Disability Care for Adults in Winfield, AL
- Disability Care for Adults in Fulton, MS
- Disability Care for Adults in Decatur, AL
- Disability Care for Adults in Hartselle, AL
- Disability Care for Adults in Athens, AL
Other care in Russellville
- Companion Care in Russellville
- Dementia Care in Russellville
- Respite Care in Russellville
- Live-In Caregivers in Russellville
- Post-Surgery Care in Russellville
- Senior Transportation in Russellville
- Home Health Aides in Russellville
- Nursing Assistants in Russellville
- Personal Care in Russellville
- Overnight Caregivers in Russellville
- 24-Hour Home Care in Russellville
- Mobility Assistance in Russellville
- Parkinson’s Care in Russellville
- Stroke Recovery Support in Russellville
- Hospice Support in Russellville
- Senior Meal Preparation in Russellville
- Senior Housekeeping in Russellville
- Medication Reminders in Russellville
- Veterans’ Home Care in Russellville
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.
Find disability care for adults in Russellville
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