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

Local figures

Dementia Care in Madrid, IA: the local picture

146

residents 85 or older (5.2% of all residents)

566

residents 65 or older (20% of Madrid)

41%

of residents 65+ report a disability (32% in Boone County)

6+

Medicare-certified nursing homes within 25 miles

Madrid has about 146 residents aged 85 or older among 566 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.

41% of residents 65 and older report a disability (32% in Boone County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

30% of older Madrid 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.

Madrid compared with Boone County and Iowa

Census figure	Madrid	Boone County	Iowa
Residents 85 or older	5.2%	2.2%	2.3%
Residents 65 or older	20%	20%	18%
Residents 65+ with a disability	41%	32%	30%
Residents 65+ in households who live alone	30%	32%	31%
Residents 65+ below the poverty line (approx.)	1.6%	4.2%	8.4%
Residents 5+ who speak a language other than English at home	3.8%	2.6%	9.1%
Median income, households headed by someone 65+	$61,250	$53,801	—

Older residents in towns around Madrid

Town	Distance	Residents 65+	Residents 85+
Polk City, IA	8.2 mi	874	29
Huxley, IA	12 mi	525	29
Boone, IA	12 mi	2,272	257
Johnston, IA	14 mi	3,741	475
Grimes, IA	14 mi	1,199	99
Perry, IA	14 mi	1,200	187

Nursing homes near Madrid

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Madrid Home For The Aged	Madrid, IA	0.4 mi	3 of 5	64	(515) 795-3007
Granger Nursing & Rehabilitation Center	Granger, IA	7.9 mi	3 of 5	67	(515) 999-2588
On With Life Long Term Care	Polk City, IA	8.8 mi	5 of 5	40	(515) 421-9200
Green Hills Health Care Center	Ames, IA	13 mi	5 of 5	56	(515) 296-5000
Kennybrook Village	Grimes, IA	13 mi	3 of 5	40	(515) 369-3900
Eastern Star Masonic Home	Boone, IA	13 mi	3 of 5	76	(515) 432-5274

Hospices serving Madrid

Hospice	Office	Distance	Phone
Mary Greeley Hospice Services	Ames, IA	14 mi	(515) 239-2011
Hospice Of The Midwest, LLC	Johnston, IA	15 mi	(515) 218-2143
St Croix Hospice	Ankeny, IA	17 mi	(515) 276-2700
Wesleylife Hospice	Urbandale, IA	18 mi	(515) 271-6777

Straight-line miles from the center of Madrid. 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 Madrid

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 $5,104 monthly median income of Madrid 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 Madrid: common questions

What nursing homes are near Madrid?

The closest Medicare-certified nursing homes are Madrid Home For The Aged in Madrid (0.4 mi, 3 of 5 overall); Granger Nursing & Rehabilitation Center in Granger (7.9 mi, 3 of 5 overall); On With Life Long Term Care in Polk City (8.8 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Madrid?

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 $5,104 monthly median income of Madrid 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 Madrid

More senior care near Madrid

Dementia Care in nearby cities

Other care in Madrid

More for Madrid 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 Madrid, IA