Adult Disability Care in Tacoma, WA: In-Home Support

Local figures

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

14%

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

8,289

residents aged 18 to 64 have difficulty doing errands alone

8.8%

of households have no vehicle (5.4% in Pierce County)

16

Medicare-certified home health agencies list Tacoma ZIP codes in their service area

About 19,874 Tacoma residents aged 18 to 64 report a disability (14%; 12% in Pierce County).

8,289 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

8.8% of Tacoma households have no vehicle (5.4% in Pierce County); say in your posting if you need a caregiver who drives.

Tacoma compared with Pierce County and Washington

Census figure	Tacoma	Pierce County	Washington
Residents 18 to 64 with a disability	14%	12%	11%
Residents 18 to 64 with difficulty doing errands alone	5.9%	4.8%	4.1%
Households with no vehicle	8.8%	5.4%	7.1%
Residents 5+ who speak a language other than English at home	19%	16%	21%
Residents 65+ with a disability	38%	36%	33%
Residents 65+ below the poverty line (approx.)	11%	8.8%	8.9%
Median income, households headed by someone 65+	$60,212	$70,061	—

Older residents in towns around Tacoma

Town	Distance	Residents 65+	Disability (18 to 64)
Fircrest, WA	3.0 mi	1,314	5.3%
University Place, WA	4.8 mi	6,796	10%
Fife, WA	5.3 mi	790	7.6%
Waller, WA	5.4 mi	1,331	11%
Midland, WA	5.9 mi	1,223	17%
Wollochet, WA	5.9 mi	1,739	9.8%

Home health agencies serving Tacoma

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Puget Sound Home Health	Tacoma, WA	3.5 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(253) 581-9410
Centerwell Home Health	Tacoma, WA	3.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(253) 475-6862
Eden Home Health	Tukwila, WA	32 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(360) 717-8161
Puget Sound Home Health Of King County	Tacoma, WA	3.5 mi	4 of 5	nursing, physical therapy, medical social work	(253) 735-4282
Signature Healthcare At Home	Federal Way, WA	8.4 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(253) 661-5166

Straight-line miles from the center of Tacoma. 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 Tacoma

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 40% of the $5,018 monthly median income of Tacoma 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 Tacoma: common questions

How much does disability care for adults cost in Tacoma?

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 40% of the $5,018 monthly median income of Tacoma 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 Tacoma

More senior care near Tacoma

Disability Care for Adults in nearby cities

Other care in Tacoma

More for Tacoma 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 Tacoma, WA