In-Home Dementia and Alzheimer's Care in Sioux City, IA
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Sioux City for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Sioux City, IA: the local picture
Sioux City has about 1,235 residents aged 85 or older among 12,804 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.
33% of residents 65 and older report a disability. The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
36% of older Sioux City 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.
Sioux City compared with Iowa
| Census figure | Sioux City | Iowa |
|---|---|---|
| Residents 85 or older | 1.4% | 2.3% |
| Residents 65 or older | 15% | 18% |
| Residents 65+ with a disability | 33% | 30% |
| Residents 65+ in households who live alone | 36% | 31% |
| Residents 65+ below the poverty line (approx.) | 13% | 8.4% |
| Residents 5+ who speak a language other than English at home | 22% | 9.1% |
| Median income, households headed by someone 65+ | $46,909 | — |
Older residents in towns around Sioux City
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| South Sioux City, NE | 2.6 mi | 1,535 | 261 |
| Dakota Dunes, SD | 4.8 mi | 756 | 0 |
| Dakota City, NE | 5.6 mi | 295 | 39 |
| North Sioux City, SD | 6.0 mi | 640 | 0 |
| Sergeant Bluff, IA | 7.0 mi | 646 | 65 |
| Elk Point, SD | 20 mi | 450 | 144 |
Nursing homes near Sioux City
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| St Luke's Regional Medical Center SNF | Sioux City, IA | 0.6 mi | 5 of 5 | 20 | (712) 279-5697 |
| Holy Spirit Retirement Home | Sioux City, IA | 2.5 mi | 3 of 5 | 78 | (712) 252-2726 |
| Casa De Paz Health Care Center | Sioux City, IA | 2.6 mi | 2 of 5 | 71 | (712) 233-3127 |
| Continental Falls | South Sioux City, NE | 2.6 mi | 2 of 5 | 77 | (402) 494-3043 |
| Accura Healthcare Of Sioux City, LLC | Sioux City, IA | 2.9 mi | 4 of 5 | 46 | (712) 239-5025 |
| Adept Nursing & Rehab Of South Sioux City | South Sioux City, NE | 2.9 mi | 1 of 5 | 72 | (402) 494-4273 |
Hospices serving Sioux City
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Hospice Of Midwest | Sioux City, IA | 2.1 mi | (712) 317-3720 |
| St. Croix Hospice | South Sioux City, NE | 2.5 mi | (402) 252-5132 |
| Care Initiatives Hospice - Sioux City | Sioux City, IA | 2.7 mi | (712) 239-1226 |
| Burgess Hospice | Onawa, IA | 35 mi | (712) 423-2311 |
Straight-line miles from the center of Sioux City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in Sioux City
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 38% of the $3,909 monthly median income of Sioux City 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.
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.
Dementia Care in Sioux City: common questions
What nursing homes are near Sioux City?
The closest Medicare-certified nursing homes are St Luke's Regional Medical Center SNF in Sioux City (0.6 mi, 5 of 5 overall); Holy Spirit Retirement Home in Sioux City (2.5 mi, 3 of 5 overall); Casa De Paz Health Care Center in Sioux City (2.6 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Sioux City?
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 38% of the $3,909 monthly median income of Sioux City 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 senior care near Sioux City
Dementia Care in nearby cities
- Dementia Care in South Sioux City, NE
- Dementia Care in Dakota Dunes, SD
- Dementia Care in Dakota City, NE
- Dementia Care in North Sioux City, SD
- Dementia Care in Sergeant Bluff, IA
- Dementia Care in Elk Point, SD
- Dementia Care in Le Mars, IA
- Dementia Care in Vermillion, SD
- Dementia Care in Hawarden, IA
- Dementia Care in Onawa, IA
- Dementia Care in Wayne, NE
- Dementia Care in Orange City, IA
- Dementia Care in Sioux Center, IA
- Dementia Care in Cherokee, IA
- Dementia Care in West Point, NE
- Dementia Care in Rock Valley, IA
Other care in Sioux City
- Companion Care in Sioux City
- Respite Care in Sioux City
- Live-In Caregivers in Sioux City
- Post-Surgery Care in Sioux City
- Senior Transportation in Sioux City
- Home Health Aides in Sioux City
- Nursing Assistants in Sioux City
- Personal Care in Sioux City
- Overnight Caregivers in Sioux City
- 24-Hour Home Care in Sioux City
- Mobility Assistance in Sioux City
- Parkinson’s Care in Sioux City
- Stroke Recovery Support in Sioux City
- Disability Care for Adults in Sioux City
- Hospice Support in Sioux City
- Senior Meal Preparation in Sioux City
- Senior Housekeeping in Sioux City
- Medication Reminders in Sioux City
- Veterans’ Home Care in Sioux City
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.
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