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

Local figures

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

9.5%

of residents 65+ have difficulty dressing or bathing (3.8% in Boone County)

146

residents 85 or older (5.2% of all residents)

41%

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

$61,250

median yearly income of households headed by someone 65+

46 Madrid residents 65 or older have difficulty dressing or bathing (9.5%; 3.8% in Boone County), and 142 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 146 residents are 85 or older (5.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Madrid Home For The Aged in Madrid (0.4 mi) and Granger Nursing & Rehabilitation Center in Granger (7.9 mi).

Madrid compared with Boone County and Iowa

Census figure	Madrid	Boone County	Iowa
Residents 65+ with difficulty dressing or bathing	9.5%	3.8%	5.1%
Residents 65+ with serious difficulty walking	29%	18%	17%
Residents 65+ with serious difficulty remembering	7.0%	4.2%	5.8%
Residents 85 or older	5.2%	2.2%	2.3%
Residents 65+ in households who live alone	30%	32%	31%
Residents 65+ below the poverty line (approx.)	1.6%	4.2%	8.4%
Median income, households headed by someone 65+	$61,250	$53,801	—

Older residents in towns around Madrid

Town	Distance	Residents 65+	Self-care difficulty (65+)
Polk City, IA	8.2 mi	874	0.0%
Huxley, IA	12 mi	525	8.2%
Boone, IA	12 mi	2,272	5.3%
Johnston, IA	14 mi	3,741	2.4%
Grimes, IA	14 mi	1,199	10.0%
Perry, IA	14 mi	1,200	4.9%

Home health agencies serving Madrid

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Urbandale, IA	18 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(515) 277-0977
Mercyone Des Moines Home Care	Des Moines, IA	22 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 643-8383
Mary Greeley Home Health Services	Ames, IA	16 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 239-6730
Unitypoint At Home	Urbandale, IA	18 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 557-3100
Wesley Life Home Health	Urbandale, IA	18 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 978-2777

Nursing homes near Madrid (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Madrid Home For The Aged	Madrid, IA	0.4 mi	3 of 5	64	(515) 795-3007
Granger Nursing & Rehabilitation Center	Granger, IA	7.9 mi	3 of 5	67	(515) 999-2588
On With Life Long Term Care	Polk City, IA	8.8 mi	5 of 5	40	(515) 421-9200
Green Hills Health Care Center	Ames, IA	13 mi	5 of 5	56	(515) 296-5000

Straight-line miles from the center of Madrid. 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 Madrid

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, 247% of the $5,104 monthly median income of Madrid 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 Madrid: common questions

How much does 24-hour home care cost in Madrid?

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, 247% of the $5,104 monthly median income of Madrid 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 Madrid

More senior care near Madrid

24-Hour Home Care in nearby cities

Other care in Madrid

More for Madrid 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 Madrid, IA