24-Hour Home Care in Missouri Valley, IA

Local figures

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

3.7%

of residents 65+ have difficulty dressing or bathing (6.8% in Harrison County)

125

residents 85 or older (4.7% of all residents)

36%

of residents 65+ report a disability (28% in Harrison County)

$29,250

median yearly income of households headed by someone 65+

16 Missouri Valley residents 65 or older have difficulty dressing or bathing (3.7%; 6.8% in Harrison County), and 96 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 125 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 Azria Health Longview in Missouri Valley (1.1 mi) and Good Shepherd Lutheran Community in Blair (13 mi).

Missouri Valley compared with Harrison County and Iowa

Census figure	Missouri Valley	Harrison County	Iowa
Residents 65+ with difficulty dressing or bathing	3.7%	6.8%	5.1%
Residents 65+ with serious difficulty walking	22%	17%	17%
Residents 65+ with serious difficulty remembering	1.4%	4.8%	5.8%
Residents 85 or older	4.7%	3.4%	2.3%
Residents 65+ in households who live alone	50%	27%	31%
Residents 65+ below the poverty line (approx.)	4.1%	5.7%	8.4%
Median income, households headed by someone 65+	$29,250	$49,750	—

Older residents in towns around Missouri Valley

Town	Distance	Residents 65+	Self-care difficulty (65+)
Blair, NE	12 mi	1,337	4.7%
Carter Lake, IA	19 mi	650	8.5%
Omaha, NE	22 mi	70,865	5.6%
Council Bluffs, IA	22 mi	10,951	6.6%
Ralston, NE	26 mi	1,048	12%
La Vista, NE	27 mi	1,995	5.5%

Home health agencies serving Missouri Valley

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Of The Midlands	Omaha, NE	22 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(402) 342-5566
Centerwell Home Health	Omaha, NE	23 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(402) 343-9433
Chi Health At Home - Omaha	Omaha, NE	20 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(402) 898-8000
Angels Care Home Health Of Iowa	Council Bluffs, IA	21 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 352-3640
Accentcare Home Health Of Nebraska	Omaha, NE	22 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(402) 999-6297

Nursing homes near Missouri Valley (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Azria Health Longview	Missouri Valley, IA	1.1 mi	1 of 5	100	(712) 642-2264
Good Shepherd Lutheran Community	Blair, NE	13 mi	1 of 5	84	(402) 426-4663
Crowell Memorial Home	Blair, NE	13 mi	1 of 5	74	(402) 426-2177
Florence Home	Omaha, NE	16 mi	4 of 5	126	(402) 827-6000

Straight-line miles from the center of Missouri Valley. 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 Missouri Valley

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, 518% of the $2,438 monthly median income of Missouri Valley 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 Missouri Valley: common questions

How much does 24-hour home care cost in Missouri Valley?

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, 518% of the $2,438 monthly median income of Missouri Valley 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 Missouri Valley

More senior care near Missouri Valley

24-Hour Home Care in nearby cities

Other care in Missouri Valley

More for Missouri Valley 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.