24-Hour Home Care in Charles City, IA: Round-the-Clock Care

Local figures

24-Hour Home Care in Charles City, IA: the local picture

5.5%

of residents 65+ have difficulty dressing or bathing (5.9% in Floyd County)

388

residents 85 or older (5.4% of all residents)

44%

of residents 65+ report a disability (37% in Floyd County)

$45,526

median yearly income of households headed by someone 65+

86 Charles City residents 65 or older have difficulty dressing or bathing (5.5%; 5.9% in Floyd County), and 384 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 388 residents are 85 or older (5.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Chautauqua Guest Home #3 in Charles City (0.6 mi) and Chautauqua Guest Home #2 in Charles City (0.9 mi).

Charles City compared with Floyd County and Iowa

Census figure	Charles City	Floyd County	Iowa
Residents 65+ with difficulty dressing or bathing	5.5%	5.9%	5.1%
Residents 65+ with serious difficulty walking	25%	20%	17%
Residents 65+ with serious difficulty remembering	12%	10%	5.8%
Residents 85 or older	5.4%	4.2%	2.3%
Residents 65+ in households who live alone	41%	32%	31%
Residents 65+ below the poverty line (approx.)	11%	7.7%	8.4%
Median income, households headed by someone 65+	$45,526	$49,658	—

Older residents in towns around Charles City

Town	Distance	Residents 65+	Self-care difficulty (65+)
Osage, IA	17 mi	897	10%
New Hampton, IA	18 mi	695	1.4%
Waverly, IA	26 mi	1,954	1.4%
Mason City, IA	27 mi	6,215	4.0%
Hampton, IA	35 mi	981	5.6%
Cresco, IA	35 mi	828	11%

Home health agencies serving Charles City

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Mercyone Des Moines Home Care	Des Moines, IA	113 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 643-8383
Floyd County Public Health/ Home Health Care	Charles City, IA	0.3 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(641) 257-6111
Chickasaw Co Public Health & Home Care Services	New Hampton, IA	18 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 394-4053
Family First Homecare Of Iowa	Urbandale, IA	113 mi	not rated	nursing, home health aides	(515) 280-2180
Maxim Healthcare Services Inc.	Omaha, NE	214 mi	not rated	nursing, home health aides	(402) 399-8888

Nursing homes near Charles City (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Chautauqua Guest Home #3	Charles City, IA	0.6 mi	5 of 5	57	(641) 228-5351
Chautauqua Guest Home #2	Charles City, IA	0.9 mi	5 of 5	53	(641) 228-2353
Ams Memorial-Greene	Greene, IA	14 mi	1 of 5	31	(641) 823-4531
Faith Lutheran Home	Osage, IA	16 mi	4 of 5	50	(641) 732-5511

Straight-line miles from the center of Charles City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Charles City

24-hour care is 168 paid hours a week. At $17.34 an hour (the Iowa median aide wage) that is about $12,624 a month in wages before any overtime, 333% of the $3,794 monthly median income of Charles City households headed by someone 65+. Rates are agreed with each caregiver. 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 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Charles City: common questions

How much does 24-hour home care cost in Charles City?

24-hour care is 168 paid hours a week. At $17.34 an hour (the Iowa median aide wage) that is about $12,624 a month in wages before any overtime, 333% of the $3,794 monthly median income of Charles City households headed by someone 65+. Rates are agreed with each caregiver. Iowa's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Charles City

More senior care near Charles City

24-Hour Home Care in nearby cities

Other care in Charles City

More for Charles City 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.

24-Hour Home Care in Charles City, IA