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

Disability Care for Adults in Waterloo, IL: the local picture
About 541 Waterloo residents aged 18 to 64 report a disability (8.6%; 7.7% in Monroe County).
230 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
6.3% of Waterloo households have no vehicle (4.0% in Monroe County); say in your posting if you need a caregiver who drives.
Waterloo compared with Monroe County and Illinois
| Census figure | Waterloo | Monroe County | Illinois |
|---|---|---|---|
| Residents 18 to 64 with a disability | 8.6% | 7.7% | 9.7% |
| Residents 18 to 64 with difficulty doing errands alone | 3.6% | 2.7% | 3.5% |
| Households with no vehicle | 6.3% | 4.0% | 11% |
| Residents 5+ who speak a language other than English at home | 2.6% | 2.1% | 24% |
| Residents 65+ with a disability | 34% | 28% | 32% |
| Residents 65+ below the poverty line (approx.) | 12% | 8.3% | 10% |
| Median income, households headed by someone 65+ | $65,884 | $63,522 | — |
Older residents in towns around Waterloo
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Columbia, IL | 8.8 mi | 1,839 | 7.4% |
| Millstadt, IL | 8.8 mi | 1,072 | 5.7% |
| Smithton, IL | 10 mi | 984 | 3.2% |
| Oakville, MO | 12 mi | 7,845 | 8.0% |
| Red Bud, IL | 12 mi | 798 | 14% |
| Imperial, MO | 12 mi | 649 | 12% |
Home health agencies serving Waterloo
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Adoration Home Health | O Fallon, IL | 21 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (618) 622-8854 |
| Evertrue Home Health | St. Louis, MO | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Aw Health Care | Saint Louis, MO | 24 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Residential Home Health Of Southern Illinois | Glen Carbon, IL | 31 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 642-6099 |
| Apollo Medical | Saint Louis, MO | 27 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 692-0611 |
Straight-line miles from the center of Waterloo. 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 Waterloo
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 29% of the $5,490 monthly median income of Waterloo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 Waterloo: common questions
How much does disability care for adults cost in Waterloo?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 29% of the $5,490 monthly median income of Waterloo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 Illinois.
More senior care near Waterloo
Disability Care for Adults in nearby cities
- Disability Care for Adults in Columbia, IL
- Disability Care for Adults in Millstadt, IL
- Disability Care for Adults in Smithton, IL
- Disability Care for Adults in Oakville, MO
- Disability Care for Adults in Red Bud, IL
- Disability Care for Adults in Imperial, MO
- Disability Care for Adults in Dupo, IL
- Disability Care for Adults in Arnold, MO
- Disability Care for Adults in Barnhart, MO
- Disability Care for Adults in Pevely, MO
- Disability Care for Adults in Mehlville, MO
- Disability Care for Adults in Herculaneum, MO
- Disability Care for Adults in Freeburg, IL
- Disability Care for Adults in Crystal City, MO
- Disability Care for Adults in Belleville, IL
- Disability Care for Adults in Lemay, MO
Other care in Waterloo
- Companion Care in Waterloo
- Dementia Care in Waterloo
- Respite Care in Waterloo
- Live-In Caregivers in Waterloo
- Post-Surgery Care in Waterloo
- Senior Transportation in Waterloo
- Home Health Aides in Waterloo
- Nursing Assistants in Waterloo
- Personal Care in Waterloo
- Overnight Caregivers in Waterloo
- 24-Hour Home Care in Waterloo
- Mobility Assistance in Waterloo
- Parkinson’s Care in Waterloo
- Stroke Recovery Support in Waterloo
- Hospice Support in Waterloo
- Senior Meal Preparation in Waterloo
- Senior Housekeeping in Waterloo
- Medication Reminders in Waterloo
- Veterans’ Home Care in Waterloo
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 Waterloo
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