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

Local figures

Dementia Care in Knoxville, IA: the local picture

484

residents 85 or older (6.5% of all residents)

1,720

residents 65 or older (23% of Knoxville)

44%

of residents 65+ report a disability (37% in Marion County)

6+

Medicare-certified nursing homes within 25 miles

Knoxville has about 484 residents aged 85 or older among 1,720 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.

44% of residents 65 and older report a disability (37% in Marion County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

27% of older Knoxville 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.

Knoxville compared with Marion County and Iowa

Census figure	Knoxville	Marion County	Iowa
Residents 85 or older	6.5%	3.2%	2.3%
Residents 65 or older	23%	19%	18%
Residents 65+ with a disability	44%	37%	30%
Residents 65+ in households who live alone	27%	26%	31%
Residents 65+ below the poverty line (approx.)	10%	7.8%	8.4%
Residents 5+ who speak a language other than English at home	2.9%	3.3%	9.1%
Median income, households headed by someone 65+	$49,705	$56,557	—

Older residents in towns around Knoxville

Town	Distance	Residents 65+	Residents 85+
Pella, IA	11 mi	2,017	360
Chariton, IA	23 mi	841	247
Oskaloosa, IA	24 mi	2,347	306
Indianola, IA	24 mi	2,906	461
Carlisle, IA	24 mi	523	135
Albia, IA	25 mi	812	204

Nursing homes near Knoxville

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Accura Healthcare Of Knoxville, LLC	Knoxville, IA	0.7 mi	2 of 5	60	(641) 842-2187
West Ridge Specialty Care	Knoxville, IA	0.8 mi	4 of 5	78	(641) 842-3153
Accura Healthcare Of Pleasantville, LLC	Pleasantville, IA	10 mi	1 of 5	46	(515) 848-5718
The Cottages	Pella, IA	12 mi	1 of 5	100	(641) 628-1244
Chariton Specialty Care	Chariton, IA	23 mi	2 of 5	60	(641) 774-5921
Oskaloosa Care Center	Oskaloosa, IA	23 mi	1 of 5	83	(641) 676-3414

Hospices serving Knoxville

Hospice	Office	Distance	Phone
Hospice Of Pella, The Comfort House	Pella, IA	11 mi	(641) 628-6644
Mahaska Health Partnership Hospice Services	Oskaloosa, IA	24 mi	(641) 672-3140
Care Initiatives Hospice - Albia	Albia, IA	26 mi	(641) 932-3488
Everystep	Des Moines, IA	30 mi	(515) 274-3400

Straight-line miles from the center of Knoxville. 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 Knoxville

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 36% of the $4,142 monthly median income of Knoxville 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 Knoxville: common questions

What nursing homes are near Knoxville?

The closest Medicare-certified nursing homes are Accura Healthcare Of Knoxville, LLC in Knoxville (0.7 mi, 2 of 5 overall); West Ridge Specialty Care in Knoxville (0.8 mi, 4 of 5 overall); Accura Healthcare Of Pleasantville, LLC in Pleasantville (10 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Knoxville?

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 36% of the $4,142 monthly median income of Knoxville 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 Knoxville

More senior care near Knoxville

Dementia Care in nearby cities

Other care in Knoxville

More for Knoxville 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 Knoxville, IA