In-Home Dementia Care in Missouri Valley, IA

Local figures

Dementia Care in Missouri Valley, IA: the local picture

125

residents 85 or older (4.7% of all residents)

529

residents 65 or older (20% of Missouri Valley)

36%

of residents 65+ report a disability (28% in Harrison County)

6+

Medicare-certified nursing homes within 25 miles

Missouri Valley has about 125 residents aged 85 or older among 529 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.

36% of residents 65 and older report a disability (28% in Harrison County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

50% of older Missouri Valley 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.

Missouri Valley compared with Harrison County and Iowa

Census figure	Missouri Valley	Harrison County	Iowa
Residents 85 or older	4.7%	3.4%	2.3%
Residents 65 or older	20%	20%	18%
Residents 65+ with a disability	36%	28%	30%
Residents 65+ in households who live alone	50%	27%	31%
Residents 65+ below the poverty line (approx.)	4.1%	5.7%	8.4%
Residents 5+ who speak a language other than English at home	0.0%	1.4%	9.1%
Median income, households headed by someone 65+	$29,250	$49,750	—

Older residents in towns around Missouri Valley

Town	Distance	Residents 65+	Residents 85+
Blair, NE	12 mi	1,337	145
Carter Lake, IA	19 mi	650	100
Omaha, NE	22 mi	70,865	7,208
Council Bluffs, IA	22 mi	10,951	1,120
Ralston, NE	26 mi	1,048	133
La Vista, NE	27 mi	1,995	198

Nursing homes near Missouri Valley

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Azria Health Longview	Missouri Valley, IA	1.1 mi	1 of 5	100	(712) 642-2264
Good Shepherd Lutheran Community	Blair, NE	13 mi	1 of 5	84	(402) 426-4663
Crowell Memorial Home	Blair, NE	13 mi	1 of 5	74	(402) 426-2177
Florence Home	Omaha, NE	16 mi	4 of 5	126	(402) 827-6000
Azria Health Rose Vista	Woodbine, IA	16 mi	1 of 5	76	(712) 647-2010
Emerald Nursing & Rehab Legacy Pointe LLC	Omaha, NE	16 mi	1 of 5	108	(402) 455-6636

Hospices serving Missouri Valley

Hospice	Office	Distance	Phone
Generations Hospice Care Inc	Missouri Valley, IA	0.7 mi	(712) 642-4222
St Croix Hospice	Co Bluffs, IA	21 mi	(712) 318-2120
Gentiva I	Omaha, NE	22 mi	(402) 397-0990
Hillcrest Hospice	Council Bluffs, IA	23 mi	(712) 435-4910

Straight-line miles from the center of Missouri Valley. 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 Missouri Valley

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 62% of the $2,438 monthly median income of Missouri Valley 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 Missouri Valley: common questions

What nursing homes are near Missouri Valley?

The closest Medicare-certified nursing homes are Azria Health Longview in Missouri Valley (1.1 mi, 1 of 5 overall); Good Shepherd Lutheran Community in Blair (13 mi, 1 of 5 overall); Crowell Memorial Home in Blair (13 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Missouri Valley?

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 62% of the $2,438 monthly median income of Missouri Valley 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 Missouri Valley

More senior care near Missouri Valley

Dementia Care in nearby cities

Other care in Missouri Valley

More for Missouri Valley 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 Missouri Valley, IA