Fairfield, Iowa

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

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Fairfield for free and hire a caregiver directly, with no agency mark-up.

A smiling caregiver with her arm around an older woman in a bright room at home
Local figures

Dementia Care in Fairfield, IA: the local picture

265
residents 85 or older (2.8% of all residents)
2,519
residents 65 or older (27% of Fairfield)
16%
of residents 65+ report a disability (19% in Jefferson County)
6+
Medicare-certified nursing homes within 25 miles

Fairfield has about 265 residents aged 85 or older among 2,519 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.

16% of residents 65 and older report a disability (19% in Jefferson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

40% of older Fairfield 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.

Fairfield compared with Jefferson County and Iowa

Census figureFairfieldJefferson CountyIowa
Residents 85 or older2.8%2.2%2.3%
Residents 65 or older27%27%18%
Residents 65+ with a disability16%19%30%
Residents 65+ in households who live alone40%32%31%
Residents 65+ below the poverty line (approx.)12%9.9%8.4%
Residents 5+ who speak a language other than English at home22%16%9.1%
Median income, households headed by someone 65+$44,167$54,143—

Older residents in towns around Fairfield

TownDistanceResidents 65+Residents 85+
Mount Pleasant, IA22 mi1,634295
Ottumwa, IA24 mi4,107773
Washington, IA25 mi1,683262
Bloomfield, IA29 mi514140
Kalona, IA36 mi68483
Oskaloosa, IA40 mi2,347306

Nursing homes near Fairfield

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Prestige Care Center Of FairfieldFairfield, IA0.8 mi1 of 573(641) 469-2140
Parkview Care CenterFairfield, IA1.3 mi1 of 570(641) 472-5022
Parkview HomeWayland, IA18 mi5 of 534(319) 256-3525
Country Lane ManorKeosauqua, IA19 mi1 of 560(319) 293-3761
Park PlaceMount Pleasant, IA22 mi4 of 549(319) 385-6192
Woodland Health And RehabilitationMount Pleasant, IA22 mi3 of 562(319) 385-1400

Hospices serving Fairfield

HospiceOfficeDistancePhone
EverystepMount Pleasant, IA21 mi(319) 385-4472
Good Samaritan Society Home Care And HospiceOttumwa, IA23 mi(641) 684-9309
Hospice Of Washington CountyWashington, IA25 mi(319) 653-7321
Mahaska Health Partnership Hospice ServicesOskaloosa, IA41 mi(641) 672-3140

Straight-line miles from the center of Fairfield. 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 Fairfield

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 41% of the $3,681 monthly median income of Fairfield 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 Fairfield: common questions

What nursing homes are near Fairfield?

The closest Medicare-certified nursing homes are Prestige Care Center Of Fairfield in Fairfield (0.8 mi, 1 of 5 overall); Parkview Care Center in Fairfield (1.3 mi, 1 of 5 overall); Parkview Home in Wayland (18 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Fairfield?

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 41% of the $3,681 monthly median income of Fairfield 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.

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.

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