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

Local figures

Dementia Care in Marshalltown, IA: the local picture

698

residents 85 or older (2.5% of all residents)

4,563

residents 65 or older (17% of Marshalltown)

39%

of residents 65+ report a disability (33% in Marshall County)

6+

Medicare-certified nursing homes within 25 miles

Marshalltown has about 698 residents aged 85 or older among 4,563 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.

39% of residents 65 and older report a disability (33% in Marshall County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

37% of older Marshalltown 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.

Marshalltown compared with Marshall County and Iowa

Census figure	Marshalltown	Marshall County	Iowa
Residents 85 or older	2.5%	2.7%	2.3%
Residents 65 or older	17%	18%	18%
Residents 65+ with a disability	39%	33%	30%
Residents 65+ in households who live alone	37%	32%	31%
Residents 65+ below the poverty line (approx.)	12%	9.3%	8.4%
Residents 5+ who speak a language other than English at home	34%	25%	9.1%
Median income, households headed by someone 65+	$50,714	$51,189	—

Older residents in towns around Marshalltown

Town	Distance	Residents 65+	Residents 85+
Tama, IA	18 mi	496	76
Grinnell, IA	23 mi	2,034	290
Grundy Center, IA	24 mi	629	150
Newton, IA	24 mi	3,381	699
Eldora, IA	25 mi	481	54
Nevada, IA	29 mi	1,242	151

Nursing homes near Marshalltown

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Harmony Marshalltown	Marshalltown, IA	0.6 mi	1 of 5	72	(641) 752-4581
Accura Healthcare Of Marshalltown	Marshalltown, IA	1.2 mi	1 of 5	84	(641) 752-1553
Southridge Specialty Care	Marshalltown, IA	1.6 mi	2 of 5	82	(641) 752-4553
Iowa Veterans Home	Marshalltown, IA	1.9 mi	5 of 5	702	(641) 752-1501
Oakview Nursing Home	Conrad, IA	13 mi	3 of 5	46	(641) 366-2212
State Center Specialty Care	State Center, IA	14 mi	5 of 5	39	(641) 384-5407

Hospices serving Marshalltown

Hospice	Office	Distance	Phone
Iowa River Hospice	Marshalltown, IA	0.5 mi	(641) 753-7704
Heartland Hospice (West Des Moines)	Ames, IA	36 mi	(515) 346-3321
St Croix Hospice	Ankeny, IA	40 mi	(515) 276-2700
Mary Greeley Hospice Services	Ames, IA	41 mi	(515) 239-2011

Straight-line miles from the center of Marshalltown. 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 Marshalltown

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 $4,226 monthly median income of Marshalltown 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 Marshalltown: common questions

What nursing homes are near Marshalltown?

The closest Medicare-certified nursing homes are Harmony Marshalltown in Marshalltown (0.6 mi, 1 of 5 overall); Accura Healthcare Of Marshalltown in Marshalltown (1.2 mi, 1 of 5 overall); Southridge Specialty Care in Marshalltown (1.6 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Marshalltown?

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 $4,226 monthly median income of Marshalltown 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 Marshalltown

More senior care near Marshalltown

Dementia Care in nearby cities

Other care in Marshalltown

More for Marshalltown 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 Marshalltown, IA