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.

Disability Care for Adults in Steilacoom, WA: the local picture
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 figure | Steilacoom | Pierce County | Washington |
|---|---|---|---|
| Residents 18 to 64 with a disability | 9.7% | 12% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 3.2% | 4.8% | 4.1% |
| Households with no vehicle | 2.9% | 5.4% | 7.1% |
| Residents 5+ who speak a language other than English at home | 10% | 16% | 21% |
| Residents 65+ with a disability | 32% | 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
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Lakewood, WA | 3.0 mi | 10,825 | 19% |
| North Fort Lewis, WA | 3.3 mi | 0 | 12% |
| University Place, WA | 3.8 mi | 6,796 | 10% |
| DuPont, WA | 5.0 mi | 1,027 | 13% |
| Fort Lewis, WA | 5.2 mi | 26 | 5.2% |
| McChord AFB, WA | 5.4 mi | 0 | 3.7% |
Home health agencies serving Steilacoom
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Puget Sound Home Health | Tacoma, WA | 5.7 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (253) 581-9410 |
| Centerwell Home Health | Tacoma, WA | 5.7 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (253) 475-6862 |
| Signature Healthcare At Home | Federal Way, WA | 17 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (253) 661-5166 |
| Chi Franciscan Health At Home | University Place, WA | 4.8 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (253) 543-7026 |
| Multicare Good Samaritan Home Health | Tacoma, WA | 9.2 mi | 3 of 5 | nursing, 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 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 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.
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 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 senior care near Steilacoom
Disability Care for Adults in nearby cities
- Disability Care for Adults in Lakewood, WA
- Disability Care for Adults in North Fort Lewis, WA
- Disability Care for Adults in University Place, WA
- Disability Care for Adults in DuPont, WA
- Disability Care for Adults in Fort Lewis, WA
- Disability Care for Adults in McChord AFB, WA
- Disability Care for Adults in Fircrest, WA
- Disability Care for Adults in Fox Island, WA
- Disability Care for Adults in Parkland, WA
- Disability Care for Adults in Wollochet, WA
- Disability Care for Adults in Tacoma, WA
- Disability Care for Adults in Midland, WA
- Disability Care for Adults in Longbranch, WA
- Disability Care for Adults in Spanaway, WA
- Disability Care for Adults in Artondale, WA
- Disability Care for Adults in Clover Creek, WA
Other care in Steilacoom
- Companion Care in Steilacoom
- Dementia Care in Steilacoom
- Respite Care in Steilacoom
- Live-In Caregivers in Steilacoom
- Post-Surgery Care in Steilacoom
- Senior Transportation in Steilacoom
- Home Health Aides in Steilacoom
- Nursing Assistants in Steilacoom
- Personal Care in Steilacoom
- Overnight Caregivers in Steilacoom
- 24-Hour Home Care in Steilacoom
- Mobility Assistance in Steilacoom
- Parkinson’s Care in Steilacoom
- Stroke Recovery Support in Steilacoom
- Hospice Support in Steilacoom
- Senior Meal Preparation in Steilacoom
- Senior Housekeeping in Steilacoom
- Medication Reminders in Steilacoom
- Veterans’ Home Care in Steilacoom
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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