In-Home Support for Adults With Disabilities in Town and Country, 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 Town and Country for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Town and Country, WA: the local picture
About 348 Town and Country residents aged 18 to 64 report a disability (13%; 14% in Spokane County).
196 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
1.4% of Town and Country households have no vehicle (6.8% in Spokane County); say in your posting if you need a caregiver who drives.
Town and Country compared with Spokane County and Washington
| Census figure | Town and Country | Spokane County | Washington |
|---|---|---|---|
| Residents 18 to 64 with a disability | 13% | 14% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 7.5% | 5.5% | 4.1% |
| Households with no vehicle | 1.4% | 6.8% | 7.1% |
| Residents 5+ who speak a language other than English at home | 4.0% | 7.8% | 21% |
| Residents 65+ with a disability | 26% | 35% | 33% |
| Residents 65+ below the poverty line (approx.) | 9.0% | 9.9% | 8.9% |
| Median income, households headed by someone 65+ | $62,292 | $57,920 | — |
Older residents in towns around Town and Country
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Country Homes, WA | 1.4 mi | 866 | 15% |
| Spokane, WA | 4.2 mi | 38,258 | 15% |
| Mead, WA | 4.9 mi | 1,227 | 15% |
| Airway Heights, WA | 9.2 mi | 1,041 | 16% |
| Spokane Valley, WA | 9.9 mi | 18,679 | 16% |
| Suncrest, WA | 11 mi | 1,274 | 8.5% |
Home health agencies serving Town and Country
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Manito Home Health | Spokane, WA | 5.4 mi | 5 of 5 | — | (509) 210-3741 |
| Eden Home Health | Spokane Valley, WA | 6.9 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (509) 505-5315 |
| Centerwell Health Services | Spokane, WA | 0.9 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (509) 464-4970 |
| Providence At Home With Compassus Home Health, Inwa | Spokane Valley, WA | 6.9 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (509) 534-4300 |
| Providence At Home With Compassus, Snohomish County | Everett, WA | 223 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (425) 261-4800 |
Straight-line miles from the center of Town and Country. 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 Town and Country
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 38% of the $5,191 monthly median income of Town and Country 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 Town and Country: common questions
How much does disability care for adults cost in Town and Country?
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 38% of the $5,191 monthly median income of Town and Country 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 Town and Country
Disability Care for Adults in nearby cities
- Disability Care for Adults in Country Homes, WA
- Disability Care for Adults in Spokane, WA
- Disability Care for Adults in Mead, WA
- Disability Care for Adults in Airway Heights, WA
- Disability Care for Adults in Spokane Valley, WA
- Disability Care for Adults in Suncrest, WA
- Disability Care for Adults in Fairchild AFB, WA
- Disability Care for Adults in Liberty Lake, WA
- Disability Care for Adults in Otis Orchards-East Farms, WA
- Disability Care for Adults in Deer Park, WA
- Disability Care for Adults in Medical Lake, WA
- Disability Care for Adults in Cheney, WA
- Disability Care for Adults in Post Falls, ID
- Disability Care for Adults in Rathdrum, ID
- Disability Care for Adults in Hayden, ID
- Disability Care for Adults in Coeur d'Alene, ID
Other care in Town and Country
- Companion Care in Town and Country
- Dementia Care in Town and Country
- Respite Care in Town and Country
- Live-In Caregivers in Town and Country
- Post-Surgery Care in Town and Country
- Senior Transportation in Town and Country
- Home Health Aides in Town and Country
- Nursing Assistants in Town and Country
- Personal Care in Town and Country
- Overnight Caregivers in Town and Country
- 24-Hour Home Care in Town and Country
- Mobility Assistance in Town and Country
- Parkinson’s Care in Town and Country
- Stroke Recovery Support in Town and Country
- Hospice Support in Town and Country
- Senior Meal Preparation in Town and Country
- Senior Housekeeping in Town and Country
- Medication Reminders in Town and Country
- Veterans’ Home Care in Town and Country
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 Town and Country
Posting is free and takes about ten minutes. Caregivers near Town and Country can see it as soon as it is live.
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