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.

Disability Care for Adults in Sioux Falls, SD: the local picture
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 figure | Sioux Falls | South Dakota |
|---|---|---|
| Residents 18 to 64 with a disability | 9.3% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 3.0% | 3.4% |
| Households with no vehicle | 5.5% | 5.2% |
| Residents 5+ who speak a language other than English at home | 11% | 7.1% |
| Residents 65+ with a disability | 29% | 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
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Harrisburg, SD | 7.4 mi | 312 | 11% |
| Tea, SD | 7.5 mi | 371 | 4.1% |
| Brandon, SD | 8.2 mi | 1,627 | 4.7% |
| Hartford, SD | 12 mi | 614 | 23% |
| Canton, SD | 18 mi | 786 | 16% |
| Dell Rapids, SD | 20 mi | 703 | 6.1% |
Home health agencies serving Sioux Falls
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Avera @ Home | Aberdeen, SD | 159 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (605) 622-5200 |
| Avera @ Home | Yankton, SD | 57 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (605) 668-8327 |
| State Home Care Services, Inc | Rapid City, SD | 325 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (605) 718-5004 |
| Sanford Home Health | Sioux Falls, SD | 0.8 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (605) 328-5900 |
| Aveanna Home Health | Sioux Falls, SD | 2.3 mi | 4 of 5 | nursing, 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 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 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.
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 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 senior care near Sioux Falls
Disability Care for Adults in nearby cities
- Disability Care for Adults in Harrisburg, SD
- Disability Care for Adults in Tea, SD
- Disability Care for Adults in Brandon, SD
- Disability Care for Adults in Hartford, SD
- Disability Care for Adults in Canton, SD
- Disability Care for Adults in Dell Rapids, SD
- Disability Care for Adults in Luverne, MN
- Disability Care for Adults in Rock Rapids, IA
- Disability Care for Adults in Rock Valley, IA
- Disability Care for Adults in Madison, SD
- Disability Care for Adults in Pipestone, MN
- Disability Care for Adults in Hawarden, IA
- Disability Care for Adults in Sioux Center, IA
- Disability Care for Adults in Orange City, IA
- Disability Care for Adults in Sibley, IA
- Disability Care for Adults in Sheldon, IA
Other care in Sioux Falls
- Companion Care in Sioux Falls
- Dementia Care in Sioux Falls
- Respite Care in Sioux Falls
- Live-In Caregivers in Sioux Falls
- Post-Surgery Care in Sioux Falls
- Senior Transportation in Sioux Falls
- Home Health Aides in Sioux Falls
- Nursing Assistants in Sioux Falls
- Personal Care in Sioux Falls
- Overnight Caregivers in Sioux Falls
- 24-Hour Home Care in Sioux Falls
- Mobility Assistance in Sioux Falls
- Parkinson’s Care in Sioux Falls
- Stroke Recovery Support in Sioux Falls
- Hospice Support in Sioux Falls
- Senior Meal Preparation in Sioux Falls
- Senior Housekeeping in Sioux Falls
- Medication Reminders in Sioux Falls
- Veterans’ Home Care in Sioux Falls
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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