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

Local figures

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

11%

of residents 65+ have difficulty dressing or bathing (9.0% in Delaware County)

243

residents 85 or older (4.7% of all residents)

30%

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

$56,838

median yearly income of households headed by someone 65+

142 Manchester residents 65 or older have difficulty dressing or bathing (11%; 9.0% in Delaware County), and 296 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 243 residents are 85 or older (4.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Good Neighbor Home in Manchester (0.9 mi) and Edgewood Convalescent Home in Edgewood (11 mi).

Manchester compared with Delaware County and Iowa

Census figure	Manchester	Delaware County	Iowa
Residents 65+ with difficulty dressing or bathing	11%	9.0%	5.1%
Residents 65+ with serious difficulty walking	24%	19%	17%
Residents 65+ with serious difficulty remembering	8.3%	7.0%	5.8%
Residents 85 or older	4.7%	2.7%	2.3%
Residents 65+ in households who live alone	31%	30%	31%
Residents 65+ below the poverty line (approx.)	16%	11%	8.4%
Median income, households headed by someone 65+	$56,838	$53,235	—

Older residents in towns around Manchester

Town	Distance	Residents 65+	Self-care difficulty (65+)
Dyersville, IA	17 mi	734	4.3%
Monticello, IA	22 mi	913	3.4%
Independence, IA	23 mi	1,287	3.3%
Oelwein, IA	27 mi	1,348	5.5%
Center Point, IA	27 mi	356	7.3%
Anamosa, IA	28 mi	1,046	2.7%

Home health agencies serving Manchester

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Hiawatha, IA	33 mi	5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(319) 393-4742
Above And Beyond Home Health	Monticello, IA	22 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(319) 465-3059
Unitypoint At Home	Dubuque, IA	40 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(563) 583-5833
In-Home Care Connection Home Health Services	Moline, IL	85 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(309) 764-7477
Regional Medical Center Home Care	Manchester, IA	0.4 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(563) 927-7303

Nursing homes near Manchester (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Good Neighbor Home	Manchester, IA	0.9 mi	4 of 5	112	(563) 927-3907
Edgewood Convalescent Home	Edgewood, IA	11 mi	5 of 5	56	(563) 928-6461
Strawberry Point Lutheran Home	Strawberry Point, IA	15 mi	4 of 5	16	(563) 933-6037
Mercyone Dyersville Senior Care	Dyersville, IA	17 mi	5 of 5	40	(563) 875-2921

Straight-line miles from the center of Manchester. 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 Manchester

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, 267% of the $4,737 monthly median income of Manchester 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 Manchester: common questions

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

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, 267% of the $4,737 monthly median income of Manchester 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 Manchester

More senior care near Manchester

24-Hour Home Care in nearby cities

Other care in Manchester

More for Manchester 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 Manchester, IA