Adult Disability Care in St. Helena, CA: In-Home Support

Local figures

Disability Care for Adults in St. Helena, CA: the local picture

5.9%

of residents aged 18 to 64 have a disability (9.2% in Napa County)

46

residents aged 18 to 64 have difficulty doing errands alone

4.4%

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

23

Medicare-certified home health agencies list St. Helena ZIP codes in their service area

About 149 St. Helena residents aged 18 to 64 report a disability (5.9%; 9.2% in Napa County).

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

4.4% of St. Helena households have no vehicle (4.8% in Napa County); say in your posting if you need a caregiver who drives.

St. Helena compared with Napa County and California

Census figure	St. Helena	Napa County	California
Residents 18 to 64 with a disability	5.9%	9.2%	8.8%
Residents 18 to 64 with difficulty doing errands alone	1.8%	3.7%	3.3%
Households with no vehicle	4.4%	4.8%	7.1%
Residents 5+ who speak a language other than English at home	32%	34%	44%
Residents 65+ with a disability	20%	32%	33%
Residents 65+ below the poverty line (approx.)	11%	8.5%	12%
Median income, households headed by someone 65+	$111,897	$84,991	—

Older residents in towns around St. Helena

Town	Distance	Residents 65+	Disability (18 to 64)
Angwin, CA	4.6 mi	354	6.5%
Calistoga, CA	7.8 mi	1,287	5.7%
Yountville, CA	9.9 mi	1,701	12%
Fetters Hot Springs-Agua Caliente, CA	13 mi	441	11%
Santa Rosa, CA	14 mi	33,650	11%
Boyes Hot Springs, CA	14 mi	1,198	7.7%

Home health agencies serving St. Helena

Agency	Office	Distance	CMS quality stars	Services listed	Phone
National Home Health Services-West, Inc	Fremont, CA	73 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(415) 812-2955
Silverline Staff Home Health	Fremont, CA	73 mi	5 of 5	—	(925) 476-5350
Blc Homehealth Inc	San Leandro, CA	57 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 612-8541
Accentcare Home Health Of California, Inc	San Ramon, CA	59 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 734-1604
Best Home Health Providers, Inc	Hayward, CA	64 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(510) 783-1274

Straight-line miles from the center of St. Helena. 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 St. Helena

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 16% of the $9,325 monthly median income of St. Helena households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

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 St. Helena: common questions

How much does disability care for adults cost in St. Helena?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 16% of the $9,325 monthly median income of St. Helena households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave covers California.

More near St. Helena

More senior care near St. Helena

Disability Care for Adults in nearby cities

Other care in St. Helena

More for St. Helena 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 St. Helena, CA