Adult Disability Care in San Diego, CA: In-Home Support

Local figures

Disability Care for Adults in San Diego, CA: the local picture

7.7%

of residents aged 18 to 64 have a disability (8.5% in San Diego County)

22,539

residents aged 18 to 64 have difficulty doing errands alone

6.6%

of households have no vehicle (5.5% in San Diego County)

257

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

About 68,960 San Diego residents aged 18 to 64 report a disability (7.7%; 8.5% in San Diego County).

22,539 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

6.6% of San Diego households have no vehicle (5.5% in San Diego County); say in your posting if you need a caregiver who drives.

San Diego compared with San Diego County and California

Census figure	San Diego	San Diego County	California
Residents 18 to 64 with a disability	7.7%	8.5%	8.8%
Residents 18 to 64 with difficulty doing errands alone	2.5%	3.1%	3.3%
Households with no vehicle	6.6%	5.5%	7.1%
Residents 5+ who speak a language other than English at home	39%	37%	44%
Residents 65+ with a disability	31%	31%	33%
Residents 65+ below the poverty line (approx.)	10%	9.5%	12%
Median income, households headed by someone 65+	$80,124	$78,324	—

Older residents in towns around San Diego

Town	Distance	Residents 65+	Disability (18 to 64)
La Mesa, CA	7.3 mi	9,437	11%
Lemon Grove, CA	8.2 mi	4,042	13%
Santee, CA	9.1 mi	9,812	9.9%
El Cajon, CA	10 mi	15,161	13%
Casa de Oro-Mount Helix, CA	10 mi	4,223	11%
La Presa, CA	10 mi	5,288	12%

Home health agencies serving San Diego

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Absolute Home Health Inc	San Diego, CA	1.2 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(858) 541-2000
Health Plus Home Health Care Inc	San Diego, CA	2.5 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(619) 223-2779
Advantage Health Systems	San Diego, CA	7.0 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(858) 433-0469
Trio Home Health Care Of San Diego Inc	Encinitas, CA	18 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(760) 632-8746
Archer Health Inc	Carlsbad, CA	26 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 689-5049

Straight-line miles from the center of San Diego. 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 San Diego

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 22% of the $6,677 monthly median income of San Diego households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

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 San Diego: common questions

How much does disability care for adults cost in San Diego?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 22% of the $6,677 monthly median income of San Diego households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave covers California.

More near San Diego

More senior care near San Diego

Disability Care for Adults in nearby cities

Other care in San Diego

More for San Diego 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 San Diego, CA