Adult Disability Care in Smithfield, NC: In-Home Support

Local figures

Disability Care for Adults in Smithfield, NC: the local picture

20%

of residents aged 18 to 64 have a disability (11% in Johnston County)

384

residents aged 18 to 64 have difficulty doing errands alone

11%

of households have no vehicle (3.7% in Johnston County)

13

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

About 1,311 Smithfield residents aged 18 to 64 report a disability (20%; 11% in Johnston County).

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

11% of Smithfield households have no vehicle (3.7% in Johnston County); say in your posting if you need a caregiver who drives.

Smithfield compared with Johnston County and North Carolina

Census figure	Smithfield	Johnston County	North Carolina
Residents 18 to 64 with a disability	20%	11%	11%
Residents 18 to 64 with difficulty doing errands alone	5.8%	3.7%	3.9%
Households with no vehicle	11%	3.7%	5.3%
Residents 5+ who speak a language other than English at home	12%	16%	13%
Residents 65+ with a disability	45%	34%	33%
Residents 65+ below the poverty line (approx.)	19%	9.6%	11%
Median income, households headed by someone 65+	$40,392	$53,545	—

Older residents in towns around Smithfield

Town	Distance	Residents 65+	Disability (18 to 64)
Selma, NC	3.6 mi	1,072	16%
Wilson's Mills, NC	4.3 mi	174	7.9%
Clayton, NC	11 mi	2,993	8.7%
Archer Lodge, NC	11 mi	907	6.9%
Benson, NC	14 mi	816	13%
Wendell, NC	19 mi	2,044	13%

Home health agencies serving Smithfield

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Pruitthealth At Home - Wake	Raleigh, NC	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(919) 838-2768
Centerwell Home Health	Goldsboro, NC	27 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Centerwell Home Health	Raleigh, NC	27 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—
Well Care Home Health Of The Southern Triangle, Inc.	Holly Springs, NC	29 mi	4.5 of 5	—	(919) 346-0075
Well Care Home Health, Inc	Raleigh, NC	29 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(919) 846-1018

Straight-line miles from the center of Smithfield. 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 Smithfield

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 39% of the $3,366 monthly median income of Smithfield households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 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 Smithfield: common questions

How much does disability care for adults cost in Smithfield?

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 39% of the $3,366 monthly median income of Smithfield households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina's minimum wage is $7.25 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 North Carolina.

More near Smithfield

More senior care near Smithfield

Disability Care for Adults in nearby cities

Other care in Smithfield

More for Smithfield 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 Smithfield, NC