Sioux Falls, South Dakota

In-Home Support for Adults With Disabilities in Sioux Falls, SD

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 Sioux Falls for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Disability Care for Adults in Sioux Falls, SD: the local picture

9.3%
of residents aged 18 to 64 have a disability
3,683
residents aged 18 to 64 have difficulty doing errands alone
5.5%
of households have no vehicle
17
Medicare-certified home health agencies list Sioux Falls ZIP codes in their service area

About 11,336 Sioux Falls residents aged 18 to 64 report a disability (9.3%).

3,683 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

5.5% of Sioux Falls households have no vehicle; say in your posting if you need a caregiver who drives.

Sioux Falls compared with South Dakota

Census figureSioux FallsSouth Dakota
Residents 18 to 64 with a disability9.3%10%
Residents 18 to 64 with difficulty doing errands alone3.0%3.4%
Households with no vehicle5.5%5.2%
Residents 5+ who speak a language other than English at home11%7.1%
Residents 65+ with a disability29%31%
Residents 65+ below the poverty line (approx.)7.9%10%
Median income, households headed by someone 65+$57,752—

Older residents in towns around Sioux Falls

TownDistanceResidents 65+Disability (18 to 64)
Harrisburg, SD7.4 mi31211%
Tea, SD7.5 mi3714.1%
Brandon, SD8.2 mi1,6274.7%
Hartford, SD12 mi61423%
Canton, SD18 mi78616%
Dell Rapids, SD20 mi7036.1%

Home health agencies serving Sioux Falls

AgencyOfficeDistanceCMS quality starsServices listedPhone
Avera @ HomeAberdeen, SD159 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 622-5200
Avera @ HomeYankton, SD57 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 668-8327
State Home Care Services, IncRapid City, SD325 mi4.5 of 5nursing, physical therapy, occupational therapy, home health aides(605) 718-5004
Sanford Home HealthSioux Falls, SD0.8 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 328-5900
Aveanna Home HealthSioux Falls, SD2.3 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(605) 335-3373

Straight-line miles from the center of Sioux Falls. 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 Sioux Falls

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 33% of the $4,813 monthly median income of Sioux Falls households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Sioux Falls: common questions

How much does disability care for adults cost in Sioux Falls?

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 33% of the $4,813 monthly median income of Sioux Falls households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 South Dakota.

More near Sioux Falls

More senior care near Sioux Falls

Disability Care for Adults in nearby cities

Other care in Sioux Falls

More for Sioux Falls 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.

Find disability care for adults in Sioux Falls

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