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

Local figures

Dementia Care in Shenandoah, IA: the local picture

250

residents 85 or older (5.1% of all residents)

1,280

residents 65 or older (26% of Shenandoah)

37%

of residents 65+ report a disability (31% in Page County)

6+

Medicare-certified nursing homes within 25 miles

Shenandoah has about 250 residents aged 85 or older among 1,280 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.

37% of residents 65 and older report a disability (31% in Page County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

35% of older Shenandoah 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.

Shenandoah compared with Page County and Iowa

Census figure	Shenandoah	Page County	Iowa
Residents 85 or older	5.1%	3.9%	2.3%
Residents 65 or older	26%	24%	18%
Residents 65+ with a disability	37%	31%	30%
Residents 65+ in households who live alone	35%	34%	31%
Residents 65+ below the poverty line (approx.)	18%	12%	8.4%
Residents 5+ who speak a language other than English at home	3.3%	2.5%	9.1%
Median income, households headed by someone 65+	$43,438	$43,342	—

Older residents in towns around Shenandoah

Town	Distance	Residents 65+	Residents 85+
Clarinda, IA	18 mi	1,227	237
Red Oak, IA	19 mi	1,021	245
Nebraska City, NE	26 mi	1,359	226
Glenwood, IA	28 mi	1,116	217
Plattsmouth, NE	32 mi	1,093	208
Auburn, NE	36 mi	782	72

Nursing homes near Shenandoah

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Accura Healthcare Of Shenandoah	Shenandoah, IA	0.2 mi	1 of 5	42	(712) 246-4627
Garden View Care Center	Shenandoah, IA	0.5 mi	not rated	50	(712) 246-4515
The Ambassador Sidney Inc	Sidney, IA	14 mi	4 of 5	46	(712) 374-2693
Azria Health Clarinda	Clarinda, IA	17 mi	2 of 5	70	(712) 542-5161
Tabor Manor Care Center	Tabor, IA	18 mi	1 of 5	46	(712) 629-2645
Red Oak Rehab And Care Center	Red Oak, IA	20 mi	3 of 5	58	(712) 623-5156

Hospices serving Shenandoah

Hospice	Office	Distance	Phone
Aseracare Hospice	Council Bluffs, IA	42 mi	(712) 723-3959
St Croix Hospice	Co Bluffs, IA	42 mi	(712) 318-2120
Care Initiatives Hospice - Greenfield	Greenfield, IA	62 mi	(641) 743-6226

Straight-line miles from the center of Shenandoah. 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 Shenandoah

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 42% of the $3,620 monthly median income of Shenandoah 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 Shenandoah: common questions

What nursing homes are near Shenandoah?

The closest Medicare-certified nursing homes are Accura Healthcare Of Shenandoah in Shenandoah (0.2 mi, 1 of 5 overall); Garden View Care Center in Shenandoah (0.5 mi, not rated overall); The Ambassador Sidney Inc in Sidney (14 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Shenandoah?

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 42% of the $3,620 monthly median income of Shenandoah 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 Shenandoah

More senior care near Shenandoah

Dementia Care in nearby cities

Other care in Shenandoah

More for Shenandoah 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 Shenandoah, IA