24-Hour Home Care in Fort Madison, IA: Round-the-Clock Care

Local figures

24-Hour Home Care in Fort Madison, IA: the local picture

7.2%

of residents 65+ have difficulty dressing or bathing (5.1% in Lee County)

302

residents 85 or older (3.0% of all residents)

40%

of residents 65+ report a disability (32% in Lee County)

$38,590

median yearly income of households headed by someone 65+

145 Fort Madison residents 65 or older have difficulty dressing or bathing (7.2%; 5.1% in Lee County), and 409 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 302 residents are 85 or older (3.0% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Birkwood Village Of Fort Madison in Fort Madison (1.0 mi) and Montrose Health Center in Montrose (7.6 mi).

Fort Madison compared with Lee County and Iowa

Census figure	Fort Madison	Lee County	Iowa
Residents 65+ with difficulty dressing or bathing	7.2%	5.1%	5.1%
Residents 65+ with serious difficulty walking	20%	16%	17%
Residents 65+ with serious difficulty remembering	8.7%	7.6%	5.8%
Residents 85 or older	3.0%	2.6%	2.3%
Residents 65+ in households who live alone	42%	33%	31%
Residents 65+ below the poverty line (approx.)	9.7%	9.1%	8.4%
Median income, households headed by someone 65+	$38,590	$44,102	—

Older residents in towns around Fort Madison

Town	Distance	Residents 65+	Self-care difficulty (65+)
Keokuk, IA	15 mi	2,065	6.7%
Hamilton, IL	16 mi	542	3.0%
West Burlington, IA	16 mi	631	4.1%
Burlington, IA	17 mi	5,107	9.9%
Mount Pleasant, IA	26 mi	1,634	9.7%
Canton, MO	35 mi	343	13%

Home health agencies serving Fort Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Advanced Home Health Care Inc	Burlington, IA	18 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(319) 753-6270
Southeast Iowa Regional Home Health	West Burlington, IA	17 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(319) 768-3350
Optimae Home Health Services	Fairfield, IA	42 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 472-4464
Lee County Health Department	Fort Madison, IA	0.9 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(319) 372-5225
Sunny Brook Home Care	Fairfield, IA	42 mi	1.5 of 5	nursing, home health aides	(641) 472-4808

Nursing homes near Fort Madison (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Birkwood Village Of Fort Madison	Fort Madison, IA	1.0 mi	3 of 5	80	(319) 372-8021
Montrose Health Center	Montrose, IA	7.6 mi	3 of 5	44	(319) 463-5438
West Point Care Center Inc	West Point, IA	8.8 mi	5 of 5	46	(319) 837-6117
River Hills Village In Keokuk	Keokuk, IA	14 mi	3 of 5	84	(319) 524-5772

Straight-line miles from the center of Fort Madison. 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 Fort Madison

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, 393% of the $3,216 monthly median income of Fort Madison 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 Fort Madison: common questions

How much does 24-hour home care cost in Fort Madison?

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, 393% of the $3,216 monthly median income of Fort Madison 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 Fort Madison

More senior care near Fort Madison

24-Hour Home Care in nearby cities

Other care in Fort Madison

More for Fort Madison 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 Fort Madison, IA