Adult Disability Care in West Columbia, SC: In-Home Support

Local figures

Disability Care for Adults in West Columbia, SC: the local picture

12%

of residents aged 18 to 64 have a disability (12% in Lexington County)

542

residents aged 18 to 64 have difficulty doing errands alone

13%

of households have no vehicle (4.5% in Lexington County)

11

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

About 1,269 West Columbia residents aged 18 to 64 report a disability (12%; 12% in Lexington County).

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

13% of West Columbia households have no vehicle (4.5% in Lexington County); say in your posting if you need a caregiver who drives.

West Columbia compared with Lexington County and South Carolina

Census figure	West Columbia	Lexington County	South Carolina
Residents 18 to 64 with a disability	12%	12%	12%
Residents 18 to 64 with difficulty doing errands alone	5.1%	4.6%	4.2%
Households with no vehicle	13%	4.5%	5.7%
Residents 5+ who speak a language other than English at home	15%	9.5%	8.4%
Residents 65+ with a disability	41%	35%	33%
Residents 65+ below the poverty line (approx.)	8.6%	8.4%	11%
Median income, households headed by someone 65+	$47,161	$60,432	—

Older residents in towns around West Columbia

Town	Distance	Residents 65+	Disability (18 to 64)
Springdale, SC	2.2 mi	447	15%
Oak Grove, SC	3.0 mi	1,990	12%
St. Andrews, SC	4.2 mi	2,745	14%
Cayce, SC	4.4 mi	2,419	12%
Seven Oaks, SC	4.5 mi	3,237	15%
Arthurtown, SC	5.9 mi	117	7.3%

Home health agencies serving West Columbia

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Of Lexington	Lexington, SC	7.9 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 359-2253
Amedisys Home Health Of Camden	Camden, SC	35 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 713-9774
Pruitthealth Home Health-Low Country	Bluffton, SC	116 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(843) 872-0946
Prisma Health Homecare	Columbia, SC	3.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 296-3100
Centerwell Home Health	Columbia, SC	4.0 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 731-2365

Straight-line miles from the center of West Columbia. 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 West Columbia

At the South Carolina median aide wage of $14.48 an hour, 20 hours of help a week comes to about $1,255 a month in wages, which is 32% of the $3,930 monthly median income of West Columbia households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Carolina has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 West Columbia: common questions

How much does disability care for adults cost in West Columbia?

At the South Carolina median aide wage of $14.48 an hour, 20 hours of help a week comes to about $1,255 a month in wages, which is 32% of the $3,930 monthly median income of West Columbia households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Carolina has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 South Carolina.

More near West Columbia

More senior care near West Columbia

Disability Care for Adults in nearby cities

Other care in West Columbia

More for West Columbia 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 West Columbia, SC