In-Home Support for Adults With Disabilities in West Des Moines, IA
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 West Des Moines for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in West Des Moines, IA: the local picture
About 3,633 West Des Moines residents aged 18 to 64 report a disability (8.0%; 9.9% in Polk County).
856 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.9% of West Des Moines households have no vehicle (5.8% in Polk County); say in your posting if you need a caregiver who drives.
West Des Moines compared with Polk County and Iowa
| Census figure | West Des Moines | Polk County | Iowa |
|---|---|---|---|
| Residents 18 to 64 with a disability | 8.0% | 9.9% | 11% |
| Residents 18 to 64 with difficulty doing errands alone | 1.9% | 3.2% | 3.6% |
| Households with no vehicle | 3.9% | 5.8% | 5.4% |
| Residents 5+ who speak a language other than English at home | 13% | 15% | 9.1% |
| Residents 65+ with a disability | 28% | 31% | 30% |
| Residents 65+ below the poverty line (approx.) | 5.7% | 7.5% | 8.4% |
| Median income, households headed by someone 65+ | $67,044 | $59,099 | — |
Older residents in towns around West Des Moines
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Clive, IA | 4.5 mi | 3,026 | 4.0% |
| Windsor Heights, IA | 5.2 mi | 985 | 9.8% |
| Waukee, IA | 5.9 mi | 3,250 | 4.7% |
| Urbandale, IA | 6.0 mi | 6,881 | 6.8% |
| Norwalk, IA | 6.4 mi | 2,002 | 8.8% |
| Grimes, IA | 8.9 mi | 1,199 | 6.0% |
Home health agencies serving West Des Moines
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aveanna Healthcare | West Des Moines, IA | 1.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (515) 497-7700 |
| Centerwell Home Health | Urbandale, IA | 6.3 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (515) 277-0977 |
| Good Samaritan Society-Home Care | Indianola, IA | 19 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (515) 961-2596 |
| Elara Caring | Chariton, IA | 44 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (641) 774-2339 |
| Mercyone Des Moines Home Care | Des Moines, IA | 8.7 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (515) 643-8383 |
Straight-line miles from the center of West Des Moines. 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 West Des Moines
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 27% of the $5,587 monthly median income of West Des Moines 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.
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 West Des Moines: common questions
How much does disability care for adults cost in West Des Moines?
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 27% of the $5,587 monthly median income of West Des Moines 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 senior care near West Des Moines
Disability Care for Adults in nearby cities
- Disability Care for Adults in Clive, IA
- Disability Care for Adults in Windsor Heights, IA
- Disability Care for Adults in Waukee, IA
- Disability Care for Adults in Urbandale, IA
- Disability Care for Adults in Norwalk, IA
- Disability Care for Adults in Grimes, IA
- Disability Care for Adults in Des Moines, IA
- Disability Care for Adults in Johnston, IA
- Disability Care for Adults in Saylorville, IA
- Disability Care for Adults in Adel, IA
- Disability Care for Adults in Pleasant Hill, IA
- Disability Care for Adults in Carlisle, IA
- Disability Care for Adults in Ankeny, IA
- Disability Care for Adults in Polk City, IA
- Disability Care for Adults in Altoona, IA
- Disability Care for Adults in Indianola, IA
Other care in West Des Moines
- Companion Care in West Des Moines
- Dementia Care in West Des Moines
- Respite Care in West Des Moines
- Live-In Caregivers in West Des Moines
- Post-Surgery Care in West Des Moines
- Senior Transportation in West Des Moines
- Home Health Aides in West Des Moines
- Nursing Assistants in West Des Moines
- Personal Care in West Des Moines
- Overnight Caregivers in West Des Moines
- 24-Hour Home Care in West Des Moines
- Mobility Assistance in West Des Moines
- Parkinson’s Care in West Des Moines
- Stroke Recovery Support in West Des Moines
- Hospice Support in West Des Moines
- Senior Meal Preparation in West Des Moines
- Senior Housekeeping in West Des Moines
- Medication Reminders in West Des Moines
- Veterans’ Home Care in West Des Moines
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 West Des Moines
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