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

Local figures

Dementia Care in Monticello, IA: the local picture

144

residents 85 or older (3.5% of all residents)

913

residents 65 or older (22% of Monticello)

36%

of residents 65+ report a disability (27% in Jones County)

6+

Medicare-certified nursing homes within 25 miles

Monticello has about 144 residents aged 85 or older among 913 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 (27% in Jones County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

33% of older Monticello 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.

Monticello compared with Jones County and Iowa

Census figure	Monticello	Jones County	Iowa
Residents 85 or older	3.5%	2.8%	2.3%
Residents 65 or older	22%	21%	18%
Residents 65+ with a disability	36%	27%	30%
Residents 65+ in households who live alone	33%	24%	31%
Residents 65+ below the poverty line (approx.)	6.8%	8.6%	8.4%
Residents 5+ who speak a language other than English at home	3.8%	2.8%	9.1%
Median income, households headed by someone 65+	$49,375	$59,489	—

Older residents in towns around Monticello

Town	Distance	Residents 65+	Residents 85+
Anamosa, IA	9.6 mi	1,046	270
Dyersville, IA	18 mi	734	172
Manchester, IA	22 mi	1,331	243
Marion, IA	24 mi	7,523	710
Mount Vernon, IA	24 mi	497	38
Robins, IA	27 mi	476	43

Nursing homes near Monticello

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Monticello Nursing & Rehab Center	Monticello, IA	0.2 mi	3 of 5	75	(319) 465-5415
Anamosa Care Center	Anamosa, IA	9.7 mi	5 of 5	64	(319) 462-4356
Accura Healthcare Of Cascade LLC	Cascade, IA	9.9 mi	2 of 5	46	(563) 852-3277
Mercyone Dyersville Senior Care	Dyersville, IA	17 mi	5 of 5	40	(563) 875-2921
Good Neighbor Home	Manchester, IA	22 mi	4 of 5	112	(563) 927-3907
Mechanicsville Specialty Care	Mechanicsville, IA	23 mi	5 of 5	39	(563) 346-0982

Hospices serving Monticello

Hospice	Office	Distance	Phone
Above & Beyond Hospice Care	Monticello, IA	0.7 mi	(319) 465-4637
Hospice Of Mercy	Hiawatha, IA	28 mi	(319) 398-6496
Unitypoint Hospice	Cedar Rapids, IA	28 mi	(319) 874-4907
Care Initiatives Hospice - Cedar Rapids	Cedar Rapids, IA	32 mi	(319) 390-4161

Straight-line miles from the center of Monticello. 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 Monticello

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 37% of the $4,115 monthly median income of Monticello 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 Monticello: common questions

What nursing homes are near Monticello?

The closest Medicare-certified nursing homes are Monticello Nursing & Rehab Center in Monticello (0.2 mi, 3 of 5 overall); Anamosa Care Center in Anamosa (9.7 mi, 5 of 5 overall); Accura Healthcare Of Cascade LLC in Cascade (9.9 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Monticello?

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 37% of the $4,115 monthly median income of Monticello 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 Monticello

More senior care near Monticello

Dementia Care in nearby cities

Other care in Monticello

More for Monticello 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 Monticello, IA