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

Local figures

Dementia Care in Hawarden, IA: the local picture

96

residents 85 or older (3.6% of all residents)

452

residents 65 or older (17% of Hawarden)

38%

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

6+

Medicare-certified nursing homes within 25 miles

Hawarden has about 96 residents aged 85 or older among 452 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.

38% of residents 65 and older report a disability (26% in Sioux County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

26% of older Hawarden 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.

Hawarden compared with Sioux County and Iowa

Census figure	Hawarden	Sioux County	Iowa
Residents 85 or older	3.6%	2.0%	2.3%
Residents 65 or older	17%	16%	18%
Residents 65+ with a disability	38%	26%	30%
Residents 65+ in households who live alone	26%	23%	31%
Residents 65+ below the poverty line (approx.)	17%	10%	8.4%
Residents 5+ who speak a language other than English at home	26%	12%	9.1%
Median income, households headed by someone 65+	$48,152	$60,475	—

Older residents in towns around Hawarden

Town	Distance	Residents 65+	Residents 85+
Sioux Center, IA	17 mi	1,060	174
Rock Valley, IA	17 mi	775	90
Canton, SD	21 mi	786	194
Orange City, IA	22 mi	1,082	114
Le Mars, IA	22 mi	1,918	237
Elk Point, SD	24 mi	450	144

Nursing homes near Hawarden

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hillcrest Health Care Center	Hawarden, IA	0.6 mi	1 of 5	64	(712) 551-1074
Alcester Care And Rehab Center, Inc	Alcester, SD	7.3 mi	5 of 5	44	(605) 934-2011
Akron Care Center, Inc	Akron, IA	13 mi	4 of 5	45	(712) 568-2422
Bethesda Of Beresford	Beresford, SD	16 mi	2 of 5	39	(605) 763-2050
Crown Pointe Estates Care Center	Sioux Center, IA	17 mi	4 of 5	99	(712) 722-8305
Hegg Memorial Health Center	Rock Valley, IA	17 mi	5 of 5	60	(712) 476-8200

Hospices serving Hawarden

Hospice	Office	Distance	Phone
Sioux Center Health Home Care And Hospice	Sioux Center, IA	16 mi	(712) 722-8108
Orange City Hospice	Orange City, IA	22 mi	(712) 737-5279
Avera @ Home	Sioux Falls, SD	38 mi	(605) 322-7705
Aseracare Hospice	Sioux Falls, SD	39 mi	(605) 338-2066

Straight-line miles from the center of Hawarden. 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 Hawarden

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 37% of the $4,013 monthly median income of Hawarden 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 Hawarden: common questions

What nursing homes are near Hawarden?

The closest Medicare-certified nursing homes are Hillcrest Health Care Center in Hawarden (0.6 mi, 1 of 5 overall); Alcester Care And Rehab Center, Inc in Alcester (7.3 mi, 5 of 5 overall); Akron Care Center, Inc in Akron (13 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Hawarden?

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 37% of the $4,013 monthly median income of Hawarden 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 Hawarden

More senior care near Hawarden

Dementia Care in nearby cities

Other care in Hawarden

More for Hawarden 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 Hawarden, IA