Dementia Care in Asbury, IA: In-Home Alzheimer's Care

Local figures

Dementia Care in Asbury, IA: the local picture

79

residents 85 or older (1.3% of all residents)

887

residents 65 or older (15% of Asbury)

13%

of residents 65+ report a disability (26% in Dubuque County)

6+

Medicare-certified nursing homes within 25 miles

Asbury has about 79 residents aged 85 or older among 887 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

13% of residents 65 and older report a disability (26% in Dubuque County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

22% of older Asbury residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Asbury compared with Dubuque County and Iowa

Census figure	Asbury	Dubuque County	Iowa
Residents 85 or older	1.3%	2.7%	2.3%
Residents 65 or older	15%	19%	18%
Residents 65+ with a disability	13%	26%	30%
Residents 65+ in households who live alone	22%	29%	31%
Residents 65+ below the poverty line (approx.)	7.1%	9.5%	8.4%
Residents 5+ who speak a language other than English at home	7.4%	4.8%	9.1%
Median income, households headed by someone 65+	$62,469	$56,542	—

Older residents in towns around Asbury

Town	Distance	Residents 65+	Residents 85+
Dubuque, IA	3.8 mi	12,258	1,779
Dyersville, IA	17 mi	734	172
Galena, IL	19 mi	1,117	111
Platteville, WI	22 mi	1,286	170
Lancaster, WI	23 mi	935	117
Monticello, IA	28 mi	913	144

Nursing homes near Asbury

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hawkeye Care Center Dubuque	Asbury, IA	1.3 mi	3 of 5	80	(563) 583-6447
Grand Meadows Senior Living & Health Care	Asbury, IA	1.3 mi	2 of 5	32	(563) 588-1413
Ennoble Nursing And Rehab	Dubuque, IA	3.1 mi	5 of 5	85	(563) 557-1076
Luther Manor At Hillcrest	Dubuque, IA	3.3 mi	1 of 5	103	(563) 588-1413
Dubuque Specialty Care	Dubuque, IA	3.6 mi	2 of 5	84	(563) 556-0673
Harmony Dubuque	Dubuque, IA	5.5 mi	2 of 5	75	(563) 556-1161

Hospices serving Asbury

Hospice	Office	Distance	Phone
Hospice Of Dubuque	Dubuque, IA	2.1 mi	(563) 582-1220
Above & Beyond Hospice Care	Monticello, IA	29 mi	(319) 465-4637
St Croix Hospice	Strawberry Point, IA	41 mi	(563) 933-2070
Hospice Compassus - Northeast Iowa	Cedar Rapids, IA	60 mi	(319) 362-2500

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

What it covers

What a dementia caregiver can help with

Keeping a predictable daily routine
Gentle help with bathing, dressing and toileting
Meals, hydration and medication reminders
Calming approaches for sundowning, agitation and repeated questions

Cost

What dementia care costs in Asbury

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 29% of the $5,206 monthly median income of Asbury households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in Asbury: common questions

What nursing homes are near Asbury?

The closest Medicare-certified nursing homes are Hawkeye Care Center Dubuque in Asbury (1.3 mi, 3 of 5 overall); Grand Meadows Senior Living & Health Care in Asbury (1.3 mi, 2 of 5 overall); Ennoble Nursing And Rehab in Dubuque (3.1 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Asbury?

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 29% of the $5,206 monthly median income of Asbury households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

More near Asbury

More senior care near Asbury

Dementia Care in nearby cities

Other care in Asbury

More for Asbury 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.

In-Home Dementia and Alzheimer's Care in Asbury, IA