Adult Disability Care in Spearfish, SD: In-Home Support

Local figures

Disability Care for Adults in Spearfish, SD: the local picture

15%

of residents aged 18 to 64 have a disability (13% in Lawrence County)

307

residents aged 18 to 64 have difficulty doing errands alone

7.4%

of households have no vehicle (4.8% in Lawrence County)

6

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

About 1,156 Spearfish residents aged 18 to 64 report a disability (15%; 13% in Lawrence County).

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

7.4% of Spearfish households have no vehicle (4.8% in Lawrence County); say in your posting if you need a caregiver who drives.

Spearfish compared with Lawrence County and South Dakota

Census figure	Spearfish	Lawrence County	South Dakota
Residents 18 to 64 with a disability	15%	13%	10%
Residents 18 to 64 with difficulty doing errands alone	3.9%	4.0%	3.4%
Households with no vehicle	7.4%	4.8%	5.2%
Residents 5+ who speak a language other than English at home	4.3%	4.7%	7.1%
Residents 65+ with a disability	30%	33%	31%
Residents 65+ below the poverty line (approx.)	12%	12%	10%
Median income, households headed by someone 65+	$57,813	$58,472	—

Older residents in towns around Spearfish

Town	Distance	Residents 65+	Disability (18 to 64)
Lead, SD	9.9 mi	818	18%
Belle Fourche, SD	12 mi	1,117	15%
Sturgis, SD	17 mi	1,375	18%
Summerset, SD	31 mi	248	8.3%
Blackhawk, SD	33 mi	550	12%
Colonial Pine Hills, SD	41 mi	793	3.1%

Home health agencies serving Spearfish

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Monument Health Home Plus Home Health	Spearfish, SD	2.4 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 644-4444
Monument Health Home Plus Home Health	Rapid City, SD	38 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 755-7710
Good Samaritan Soc-Home Health Of The Black Hills	Rapid City, SD	41 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(605) 342-0529
Heartland Home Health LLC	Belle Fourche, SD	13 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(605) 723-4663
State Home Care Services, Inc	Rapid City, SD	39 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 718-5004

Straight-line miles from the center of Spearfish. 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 Spearfish

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 $4,818 monthly median income of Spearfish 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 Spearfish: common questions

How much does disability care for adults cost in Spearfish?

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 $4,818 monthly median income of Spearfish 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 Spearfish

More senior care near Spearfish

Disability Care for Adults in nearby cities

Other care in Spearfish

More for Spearfish 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 Spearfish, SD