Steilacoom, Washington

In-Home Support for Adults With Disabilities in Steilacoom, WA

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 Steilacoom for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Disability Care for Adults in Steilacoom, WA: the local picture

9.7%
of residents aged 18 to 64 have a disability (12% in Pierce County)
121
residents aged 18 to 64 have difficulty doing errands alone
2.9%
of households have no vehicle (5.4% in Pierce County)
10
Medicare-certified home health agencies list Steilacoom ZIP codes in their service area

About 370 Steilacoom residents aged 18 to 64 report a disability (9.7%; 12% in Pierce County).

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

2.9% of Steilacoom households have no vehicle (5.4% in Pierce County); say in your posting if you need a caregiver who drives.

Steilacoom compared with Pierce County and Washington

Census figureSteilacoomPierce CountyWashington
Residents 18 to 64 with a disability9.7%12%11%
Residents 18 to 64 with difficulty doing errands alone3.2%4.8%4.1%
Households with no vehicle2.9%5.4%7.1%
Residents 5+ who speak a language other than English at home10%16%21%
Residents 65+ with a disability32%36%33%
Residents 65+ below the poverty line (approx.)5.1%8.8%8.9%
Median income, households headed by someone 65+$101,827$70,061—

Older residents in towns around Steilacoom

TownDistanceResidents 65+Disability (18 to 64)
Lakewood, WA3.0 mi10,82519%
North Fort Lewis, WA3.3 mi012%
University Place, WA3.8 mi6,79610%
DuPont, WA5.0 mi1,02713%
Fort Lewis, WA5.2 mi265.2%
McChord AFB, WA5.4 mi03.7%

Home health agencies serving Steilacoom

AgencyOfficeDistanceCMS quality starsServices listedPhone
Puget Sound Home HealthTacoma, WA5.7 mi5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work(253) 581-9410
Centerwell Home HealthTacoma, WA5.7 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(253) 475-6862
Signature Healthcare At HomeFederal Way, WA17 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(253) 661-5166
Chi Franciscan Health At HomeUniversity Place, WA4.8 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, home health aides(253) 543-7026
Multicare Good Samaritan Home HealthTacoma, WA9.2 mi3 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(253) 301-6400

Straight-line miles from the center of Steilacoom. 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 Steilacoom

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 23% of the $8,486 monthly median income of Steilacoom households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 Steilacoom: common questions

How much does disability care for adults cost in Steilacoom?

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 23% of the $8,486 monthly median income of Steilacoom households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 Washington.

More near Steilacoom

More senior care near Steilacoom

Disability Care for Adults in nearby cities

Other care in Steilacoom

More for Steilacoom 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.

Find disability care for adults in Steilacoom

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