In-Home Support for Adults With Disabilities in Valley City, ND
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 Valley City for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Valley City, ND: the local picture
About 497 Valley City residents aged 18 to 64 report a disability (14%; 11% in Barnes County).
146 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
9.2% of Valley City households have no vehicle (6.4% in Barnes County); say in your posting if you need a caregiver who drives.
Valley City compared with Barnes County and North Dakota
| Census figure | Valley City | Barnes County | North Dakota |
|---|---|---|---|
| Residents 18 to 64 with a disability | 14% | 11% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 4.1% | 3.1% | 3.2% |
| Households with no vehicle | 9.2% | 6.4% | 5.9% |
| Residents 5+ who speak a language other than English at home | 4.8% | 3.6% | 6.7% |
| Residents 65+ with a disability | 34% | 30% | 31% |
| Residents 65+ below the poverty line (approx.) | 20% | 14% | 9.9% |
| Median income, households headed by someone 65+ | $41,733 | $51,500 | — |
Older residents in towns around Valley City
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Jamestown, ND | 33 mi | 3,200 | 18% |
| Casselton, ND | 37 mi | 293 | 9.9% |
| West Fargo, ND | 52 mi | 4,963 | 8.6% |
| Horace, ND | 53 mi | 294 | 8.0% |
| Fargo, ND | 56 mi | 17,510 | 9.7% |
| Moorhead, MN | 60 mi | 5,703 | 13% |
Home health agencies serving Valley City
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Chi Health At Home - Hha | Valley City, ND | 0.3 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (701) 845-6550 |
| City County Health District | Valley City, ND | 0.3 mi | not rated | nursing, physical therapy, home health aides | (701) 845-8518 |
Straight-line miles from the center of Valley City. 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 Valley City
At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 47% of the $3,478 monthly median income of Valley City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota's minimum wage is $7.25 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 Valley City: common questions
How much does disability care for adults cost in Valley City?
At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 47% of the $3,478 monthly median income of Valley City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota's minimum wage is $7.25 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 North Dakota.
More senior care near Valley City
Disability Care for Adults in nearby cities
Other care in Valley City
- Companion Care in Valley City
- Dementia Care in Valley City
- Respite Care in Valley City
- Live-In Caregivers in Valley City
- Post-Surgery Care in Valley City
- Senior Transportation in Valley City
- Home Health Aides in Valley City
- Nursing Assistants in Valley City
- Personal Care in Valley City
- Overnight Caregivers in Valley City
- 24-Hour Home Care in Valley City
- Mobility Assistance in Valley City
- Parkinson’s Care in Valley City
- Stroke Recovery Support in Valley City
- Hospice Support in Valley City
- Senior Meal Preparation in Valley City
- Senior Housekeeping in Valley City
- Medication Reminders in Valley City
- Veterans’ Home Care in Valley City
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 Valley City
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