In-Home Dementia and Alzheimer's Care in Keokuk, 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 Keokuk for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Keokuk, IA: the local picture
Keokuk has about 232 residents aged 85 or older among 2,065 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.
34% of residents 65 and older report a disability (32% in Lee County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
40% of older Keokuk 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.
Keokuk compared with Lee County and Iowa
| Census figure | Keokuk | Lee County | Iowa |
|---|---|---|---|
| Residents 85 or older | 2.4% | 2.6% | 2.3% |
| Residents 65 or older | 21% | 22% | 18% |
| Residents 65+ with a disability | 34% | 32% | 30% |
| Residents 65+ in households who live alone | 40% | 33% | 31% |
| Residents 65+ below the poverty line (approx.) | 8.4% | 9.1% | 8.4% |
| Residents 5+ who speak a language other than English at home | 3.1% | 2.6% | 9.1% |
| Median income, households headed by someone 65+ | $40,938 | $44,102 | — |
Older residents in towns around Keokuk
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Hamilton, IL | 2.5 mi | 542 | 75 |
| Fort Madison, IA | 15 mi | 2,208 | 302 |
| Canton, MO | 20 mi | 343 | 44 |
| West Burlington, IA | 31 mi | 631 | 128 |
| Burlington, IA | 31 mi | 5,107 | 787 |
| Quincy, IL | 33 mi | 7,928 | 1,285 |
Nursing homes near Keokuk
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Southeast Iowa Healthcare Center | Keokuk, IA | 0.8 mi | 4 of 5 | 55 | (319) 524-1800 |
| Mississippi Valley | Keokuk, IA | 0.9 mi | 3 of 5 | 83 | (319) 524-5321 |
| River Hills Village In Keokuk | Keokuk, IA | 1.7 mi | 3 of 5 | 84 | (319) 524-5772 |
| Montrose Health Center | Montrose, IA | 8.1 mi | 3 of 5 | 44 | (319) 463-5438 |
| Birkwood Village Of Fort Madison | Fort Madison, IA | 15 mi | 3 of 5 | 80 | (319) 372-8021 |
| Clark County Nursing Home | Kahoka, MO | 17 mi | 2 of 5 | 99 | (660) 727-3303 |
Hospices serving Keokuk
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Lee County Health Department | Fort Madison, IA | 16 mi | (319) 372-5225 |
| Southeast Iowa Regional Hospice | West Burlington, IA | 31 mi | (319) 768-3350 |
| Everystep | Mount Pleasant, IA | 39 mi | (319) 385-4472 |
| Hospice Compassus - Northeast Iowa | Cedar Rapids, IA | 108 mi | (319) 362-2500 |
Straight-line miles from the center of Keokuk. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in Keokuk
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 44% of the $3,412 monthly median income of Keokuk 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.
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.
Dementia Care in Keokuk: common questions
What nursing homes are near Keokuk?
The closest Medicare-certified nursing homes are Southeast Iowa Healthcare Center in Keokuk (0.8 mi, 4 of 5 overall); Mississippi Valley in Keokuk (0.9 mi, 3 of 5 overall); River Hills Village In Keokuk in Keokuk (1.7 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Keokuk?
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 44% of the $3,412 monthly median income of Keokuk 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 senior care near Keokuk
Dementia Care in nearby cities
- Dementia Care in Hamilton, IL
- Dementia Care in Fort Madison, IA
- Dementia Care in Canton, MO
- Dementia Care in West Burlington, IA
- Dementia Care in Burlington, IA
- Dementia Care in Quincy, IL
- Dementia Care in Macomb, IL
- Dementia Care in Mount Pleasant, IA
- Dementia Care in Palmyra, MO
- Dementia Care in Bushnell, IL
- Dementia Care in Hannibal, MO
- Dementia Care in Rushville, IL
- Dementia Care in Fairfield, IA
- Dementia Care in Monmouth, IL
- Dementia Care in Monroe City, MO
- Dementia Care in Bloomfield, IA
Other care in Keokuk
- Companion Care in Keokuk
- Respite Care in Keokuk
- Live-In Caregivers in Keokuk
- Post-Surgery Care in Keokuk
- Senior Transportation in Keokuk
- Home Health Aides in Keokuk
- Nursing Assistants in Keokuk
- Personal Care in Keokuk
- Overnight Caregivers in Keokuk
- 24-Hour Home Care in Keokuk
- Mobility Assistance in Keokuk
- Parkinson’s Care in Keokuk
- Stroke Recovery Support in Keokuk
- Disability Care for Adults in Keokuk
- Hospice Support in Keokuk
- Senior Meal Preparation in Keokuk
- Senior Housekeeping in Keokuk
- Medication Reminders in Keokuk
- Veterans’ Home Care in Keokuk
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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