In-Home Support for Adults With Disabilities in St. Matthews, KY
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in St. Matthews for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in St. Matthews, KY: the local picture
About 859 St. Matthews residents aged 18 to 64 report a disability (7.6%; 13% in Jefferson County).
215 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
5.9% of St. Matthews households have no vehicle (8.7% in Jefferson County); say in your posting if you need a caregiver who drives.
St. Matthews compared with Jefferson County and Kentucky
| Census figure | St. Matthews | Jefferson County | Kentucky |
|---|---|---|---|
| Residents 18 to 64 with a disability | 7.6% | 13% | 16% |
| Residents 18 to 64 with difficulty doing errands alone | 1.9% | 4.8% | 5.9% |
| Households with no vehicle | 5.9% | 8.7% | 6.8% |
| Residents 5+ who speak a language other than English at home | 6.6% | 13% | 6.8% |
| Residents 65+ with a disability | 36% | 33% | 39% |
| Residents 65+ below the poverty line (approx.) | 6.7% | 11% | 13% |
| Median income, households headed by someone 65+ | $58,795 | $52,849 | — |
Older residents in towns around St. Matthews
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Graymoor-Devondale, KY | 2.0 mi | 771 | 12% |
| Hurstbourne, KY | 2.6 mi | 943 | 5.1% |
| Lyndon, KY | 2.9 mi | 2,125 | 5.4% |
| Indian Hills, KY | 3.2 mi | 809 | 4.0% |
| Douglass Hills, KY | 4.7 mi | 1,599 | 11% |
| Jeffersontown, KY | 4.8 mi | 6,398 | 10% |
Home health agencies serving St. Matthews
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Louisville, KY | 1.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (502) 895-4213 |
| Amedisys Sp-KY, LLC Dba Adoration Home Health | Louisville, KY | 1.5 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (502) 429-4550 |
| Baptist Health Home Care KY, LLC Dba Baptist Home Health Care | Louisville, KY | 1.8 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (502) 454-5656 |
| Housecall Home Health, LLC Dba Adoration Home Health | Louisville, KY | 4.5 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (502) 244-5441 |
| Saint Joseph-Anc Home Care Services, LLC D/B/A Commonspirit At Home- Louisville | Louisville, KY | 11 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (502) 584-2456 |
Straight-line miles from the center of St. Matthews. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What disability care for adults costs in St. Matthews
At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 31% of the $4,900 monthly median income of St. Matthews households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.
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.
Disability Care for Adults in St. Matthews: common questions
How much does disability care for adults cost in St. Matthews?
At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 31% of the $4,900 monthly median income of St. Matthews households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services covers Kentucky.
More senior care near St. Matthews
Disability Care for Adults in nearby cities
- Disability Care for Adults in Graymoor-Devondale, KY
- Disability Care for Adults in Hurstbourne, KY
- Disability Care for Adults in Lyndon, KY
- Disability Care for Adults in Indian Hills, KY
- Disability Care for Adults in Douglass Hills, KY
- Disability Care for Adults in Jeffersontown, KY
- Disability Care for Adults in Anchorage, KY
- Disability Care for Adults in Louisville, KY
- Disability Care for Adults in Middletown, KY
- Disability Care for Adults in Jeffersonville, IN
- Disability Care for Adults in Prospect, KY
- Disability Care for Adults in Clarksville, IN
- Disability Care for Adults in Shively, KY
- Disability Care for Adults in Crestwood, KY
- Disability Care for Adults in New Albany, IN
- Disability Care for Adults in Charlestown, IN
Other care in St. Matthews
- Companion Care in St. Matthews
- Dementia Care in St. Matthews
- Respite Care in St. Matthews
- Live-In Caregivers in St. Matthews
- Post-Surgery Care in St. Matthews
- Senior Transportation in St. Matthews
- Home Health Aides in St. Matthews
- Nursing Assistants in St. Matthews
- Personal Care in St. Matthews
- Overnight Caregivers in St. Matthews
- 24-Hour Home Care in St. Matthews
- Mobility Assistance in St. Matthews
- Parkinson’s Care in St. Matthews
- Stroke Recovery Support in St. Matthews
- Hospice Support in St. Matthews
- Senior Meal Preparation in St. Matthews
- Senior Housekeeping in St. Matthews
- Medication Reminders in St. Matthews
- Veterans’ Home Care in St. Matthews
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.
Find disability care for adults in St. Matthews
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