Adult Disability Care in St. Paul, NE: In-Home Support

Local figures

Disability Care for Adults in St. Paul, NE: the local picture

12%

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

53

residents aged 18 to 64 have difficulty doing errands alone

2.3%

of households have no vehicle (3.0% in Howard County)

5

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

About 165 St. Paul residents aged 18 to 64 report a disability (12%; 9.2% in Howard County).

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

2.3% of St. Paul households have no vehicle (3.0% in Howard County); say in your posting if you need a caregiver who drives.

St. Paul compared with Howard County and Nebraska

Census figure	St. Paul	Howard County	Nebraska
Residents 18 to 64 with a disability	12%	9.2%	10%
Residents 18 to 64 with difficulty doing errands alone	3.9%	2.6%	3.4%
Households with no vehicle	2.3%	3.0%	5.4%
Residents 5+ who speak a language other than English at home	3.2%	2.5%	13%
Residents 65+ with a disability	50%	40%	32%
Residents 65+ below the poverty line (approx.)	5.4%	7.7%	9.2%
Median income, households headed by someone 65+	$40,250	$54,107	—

Older residents in towns around St. Paul

Town	Distance	Residents 65+	Disability (18 to 64)
Grand Island, NE	21 mi	7,806	12%
Central City, NE	25 mi	641	16%
Aurora, NE	34 mi	976	6.1%
Hastings, NE	43 mi	4,646	12%
Kearney, NE	48 mi	5,546	10%
York, NE	51 mi	1,607	12%

Home health agencies serving St. Paul

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Good Samaritan Society Home Health	Hastings, NE	43 mi	5 of 5	nursing, physical therapy, occupational therapy, home health aides	(308) 382-4054
Chi Health At Home - Grand Island	Grand Island, NE	20 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(308) 398-2600
Angels Care Progressive Home Health	Grand Island, NE	21 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(308) 589-0170
Brookestone Home Health & Hospice	Kearney, NE	47 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(308) 995-4375
Vchs Home Health	Ord, NE	36 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(308) 728-4355

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

At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 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. Paul: common questions

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

At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 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 Nebraska.

More near St. Paul

More senior care near St. Paul

Disability Care for Adults in nearby cities

Other care in St. Paul

More for St. Paul 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. Paul, NE