Adult Disability Care in The Dalles, OR: In-Home Support

Local figures

Disability Care for Adults in The Dalles, OR: the local picture

14%

of residents aged 18 to 64 have a disability (16% in Wasco County)

592

residents aged 18 to 64 have difficulty doing errands alone

8.1%

of households have no vehicle (6.0% in Wasco County)

2

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

About 1,280 The Dalles residents aged 18 to 64 report a disability (14%; 16% in Wasco County).

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

8.1% of The Dalles households have no vehicle (6.0% in Wasco County); say in your posting if you need a caregiver who drives.

The Dalles compared with Wasco County and Oregon

Census figure	The Dalles	Wasco County	Oregon
Residents 18 to 64 with a disability	14%	16%	13%
Residents 18 to 64 with difficulty doing errands alone	6.6%	6.6%	5.0%
Households with no vehicle	8.1%	6.0%	7.1%
Residents 5+ who speak a language other than English at home	18%	19%	15%
Residents 65+ with a disability	36%	35%	34%
Residents 65+ below the poverty line (approx.)	7.1%	9.3%	9.9%
Median income, households headed by someone 65+	$52,012	$51,897	—

Older residents in towns around The Dalles

Town	Distance	Residents 65+	Disability (18 to 64)
White Salmon, WA	18 mi	790	11%
Hood River, OR	20 mi	1,359	8.4%
Goldendale, WA	22 mi	852	21%
Mount Hood Villages, OR	45 mi	1,303	8.8%
Sandy, OR	56 mi	1,664	15%
Washougal, WA	58 mi	2,932	13%

Home health agencies serving The Dalles

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Providence Home Health	Portland, OR	70 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(503) 215-4646
Adventist Health Home Care	The Dalles, OR	1.8 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(541) 296-7280

Straight-line miles from the center of The Dalles. 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 The Dalles

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 43% of the $4,334 monthly median income of The Dalles households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 The Dalles: common questions

How much does disability care for adults cost in The Dalles?

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 43% of the $4,334 monthly median income of The Dalles households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Oregon.

More near The Dalles

More senior care near The Dalles

Disability Care for Adults in nearby cities

Other care in The Dalles

More for The Dalles 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 The Dalles, OR