Adult Disability Care in St. James, NC: In-Home Support

Local figures

Disability Care for Adults in St. James, NC: the local picture

15%

of residents aged 18 to 64 have a disability (12% in Brunswick County)

307

residents aged 18 to 64 have difficulty doing errands alone

0.0%

of households have no vehicle (2.4% in Brunswick County)

8

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

About 365 St. James residents aged 18 to 64 report a disability (15%; 12% in Brunswick County).

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

0.0% of St. James households have no vehicle (2.4% in Brunswick County); say in your posting if you need a caregiver who drives.

St. James compared with Brunswick County and North Carolina

Census figure	St. James	Brunswick County	North Carolina
Residents 18 to 64 with a disability	15%	12%	11%
Residents 18 to 64 with difficulty doing errands alone	12%	3.9%	3.9%
Households with no vehicle	0.0%	2.4%	5.3%
Residents 5+ who speak a language other than English at home	7.1%	5.0%	13%
Residents 65+ with a disability	13%	24%	33%
Residents 65+ below the poverty line (approx.)	0.6%	5.7%	11%
Median income, households headed by someone 65+	$117,045	$69,925	—

Older residents in towns around St. James

Town	Distance	Residents 65+	Disability (18 to 64)
Oak Island, NC	2.4 mi	3,796	12%
Southport, NC	5.3 mi	2,014	12%
Boiling Spring Lakes, NC	7.0 mi	1,290	13%
Carolina Beach, NC	13 mi	1,351	8.7%
Shallotte, NC	16 mi	1,100	9.9%
Myrtle Grove, NC	17 mi	2,200	11%

Home health agencies serving St. James

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Pruitthealth At Home - Brunswick	Leland, NC	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(910) 473-5104
Well Care Home Health	Wilmington, NC	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(910) 362-9405
Centerwell Home Health	Delco, NC	25 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	—
Assistedcare Home Health Inc	Leland, NC	23 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(225) 299-3990
Adoration Home Health	Lenoir, NC	238 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	—

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

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 13% of the $9,754 monthly median income of St. James 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 St. James: common questions

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

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 13% of the $9,754 monthly median income of St. James 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 St. James

More senior care near St. James

Disability Care for Adults in nearby cities

Other care in St. James

More for St. James 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. James, NC