Adult Disability Care in Washington, IA: In-Home Support

Local figures

Disability Care for Adults in Washington, IA: the local picture

16%

of residents aged 18 to 64 have a disability (11% in Washington County)

289

residents aged 18 to 64 have difficulty doing errands alone

6.2%

of households have no vehicle (4.8% in Washington County)

7

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

About 650 Washington residents aged 18 to 64 report a disability (16%; 11% in Washington County).

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

6.2% of Washington households have no vehicle (4.8% in Washington County); say in your posting if you need a caregiver who drives.

Washington compared with Washington County and Iowa

Census figure	Washington	Washington County	Iowa
Residents 18 to 64 with a disability	16%	11%	11%
Residents 18 to 64 with difficulty doing errands alone	7.1%	3.9%	3.6%
Households with no vehicle	6.2%	4.8%	5.4%
Residents 5+ who speak a language other than English at home	7.9%	7.7%	9.1%
Residents 65+ with a disability	37%	32%	30%
Residents 65+ below the poverty line (approx.)	7.8%	7.0%	8.4%
Median income, households headed by someone 65+	$41,645	$56,090	—

Older residents in towns around Washington

Town	Distance	Residents 65+	Disability (18 to 64)
Kalona, IA	13 mi	684	4.8%
Mount Pleasant, IA	24 mi	1,634	17%
Fairfield, IA	25 mi	2,519	11%
Iowa City, IA	26 mi	9,354	9.1%
Coralville, IA	28 mi	3,097	7.6%
Tiffin, IA	28 mi	586	9.0%

Home health agencies serving Washington

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Centerville, IA	73 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(641) 437-1117
University Of Iowa Health Care Medical Center Downtown Home Health	Coralville, IA	28 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(319) 358-2740
Johnson County Visiting Nurse Association	Iowa City, IA	25 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(319) 337-9686
Optimae Home Health Services	Fairfield, IA	25 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 472-4464
Washington Co. Public Health	Washington, IA	0.4 mi	1.5 of 5	nursing, physical therapy, home health aides	(319) 653-7758

Straight-line miles from the center of Washington. 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 Washington

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 43% of the $3,470 monthly median income of Washington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa'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.

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 Washington: common questions

How much does disability care for adults cost in Washington?

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 43% of the $3,470 monthly median income of Washington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa'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 Iowa.

More near Washington

More senior care near Washington

Disability Care for Adults in nearby cities

Other care in Washington

More for Washington 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 Washington, IA