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

Local figures

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

14%

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

112

residents aged 18 to 64 have difficulty doing errands alone

1.0%

of households have no vehicle (6.5% in Rowan County)

6

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

About 267 Spencer residents aged 18 to 64 report a disability (14%; 13% in Rowan County).

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

1.0% of Spencer households have no vehicle (6.5% in Rowan County); say in your posting if you need a caregiver who drives.

Spencer compared with Rowan County and North Carolina

Census figure	Spencer	Rowan County	North Carolina
Residents 18 to 64 with a disability	14%	13%	11%
Residents 18 to 64 with difficulty doing errands alone	5.8%	4.7%	3.9%
Households with no vehicle	1.0%	6.5%	5.3%
Residents 5+ who speak a language other than English at home	6.7%	11%	13%
Residents 65+ with a disability	57%	37%	33%
Residents 65+ below the poverty line (approx.)	14%	11%	11%
Median income, households headed by someone 65+	$42,598	$49,033	—

Older residents in towns around Spencer

Town	Distance	Residents 65+	Disability (18 to 64)
Salisbury, NC	4.6 mi	6,127	14%
Granite Quarry, NC	6.2 mi	452	13%
Tyro, NC	7.3 mi	520	24%
Rockwell, NC	10 mi	395	13%
Lexington, NC	11 mi	3,040	15%
China Grove, NC	12 mi	708	19%

Home health agencies serving Spencer

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Adoration Home Health	Salisbury, NC	5.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(704) 639-1060
Bayada Home Health Care, Inc	Salisbury, NC	5.1 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(704) 633-7213
Amedisys Home Health Care	Thomasville, NC	22 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(336) 472-4449
Centerwell Home Health	Kernersville, NC	34 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(913) 814-2077
Enhabit Home Health	Lexington, NC	13 mi	3 of 5	nursing, physical therapy, occupational therapy	(336) 249-7813

Straight-line miles from the center of Spencer. 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 Spencer

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 37% of the $3,550 monthly median income of Spencer 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 Spencer: common questions

How much does disability care for adults cost in Spencer?

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 37% of the $3,550 monthly median income of Spencer 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 Spencer

More senior care near Spencer

Disability Care for Adults in nearby cities

Other care in Spencer

More for Spencer 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 Spencer, NC