Home Health Aides in Council Bluffs, IA
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Council Bluffs for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in Council Bluffs, IA: the local picture
23 Medicare-certified home health agencies list Council Bluffs ZIP codes in their service area; the highest-rated are below, and 7 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.
Home health and personal care aides in Iowa earn a median $17.34 an hour (BLS, May 2025), with the middle half between $16.14 and $19.05.
Council Bluffs has about 10,951 residents aged 65 or older, 39% of whom report a disability.
Council Bluffs compared with Pottawattamie County and Iowa
| Census figure | Council Bluffs | Pottawattamie County | Iowa |
|---|---|---|---|
| Residents 65+ with a disability | 39% | 36% | 30% |
| Residents 65 or older | 17% | 19% | 18% |
| Residents 85 or older | 1.8% | 2.2% | 2.3% |
| Residents 65+ in households who live alone | 35% | 30% | 31% |
| Residents 65+ below the poverty line (approx.) | 12% | 9.9% | 8.4% |
| Residents 5+ who speak a language other than English at home | 8.6% | 6.9% | 9.1% |
| Median income, households headed by someone 65+ | $46,195 | $52,811 | — |
Older residents in towns around Council Bluffs
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Carter Lake, IA | 4.9 mi | 650 | 42% |
| Bellevue, NE | 7.7 mi | 9,953 | 35% |
| Offutt AFB, NE | 8.7 mi | 98 | 41% |
| Ralston, NE | 9.9 mi | 1,048 | 34% |
| Omaha, NE | 11 mi | 70,865 | 30% |
| La Vista, NE | 12 mi | 1,995 | 33% |
Medicare-certified home health agencies serving Council Bluffs
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Amedisys Home Health Of The Midlands | Omaha, NE | 10 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (402) 342-5566 |
| Prime Home Care | La Vista, NE | 12 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (402) 390-2492 |
| Centerwell Home Health | Omaha, NE | 14 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (402) 343-9433 |
| Aveanna Home Health | Council Bluffs, IA | 1.2 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 325-8989 |
| Angels Care Home Health Of Iowa | Council Bluffs, IA | 2.3 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 352-3640 |
| Accentcare Home Health Of Nebraska | Omaha, NE | 10 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (402) 999-6297 |
| Freedom In Home Services, LLC | Omaha, NE | 11 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (402) 934-2224 |
| Chi Health At Home - Omaha | Omaha, NE | 11 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (402) 898-8000 |
Straight-line miles from the center of Council Bluffs. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in Council Bluffs
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 39% of the $3,850 monthly median income of Council Bluffs 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 home health aide
Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.
Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Home Health Aides in Council Bluffs: common questions
Which home health agencies serve Council Bluffs?
Medicare lists 23 certified agencies whose service area includes Council Bluffs ZIP codes. The highest-rated on Medicare’s quality stars include Amedisys Home Health Of The Midlands (4.5 of 5), Prime Home Care (4.5 of 5), Centerwell Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Council Bluffs?
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 39% of the $3,850 monthly median income of Council Bluffs 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).
What is the difference between a home health aide and a CNA?
Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.
More senior care near Council Bluffs
Home Health Aides in nearby cities
- Home Health Aides in Carter Lake, IA
- Home Health Aides in Bellevue, NE
- Home Health Aides in Offutt AFB, NE
- Home Health Aides in Ralston, NE
- Home Health Aides in Omaha, NE
- Home Health Aides in La Vista, NE
- Home Health Aides in Papillion, NE
- Home Health Aides in Glenwood, IA
- Home Health Aides in Chalco, NE
- Home Health Aides in Plattsmouth, NE
- Home Health Aides in Gretna, NE
- Home Health Aides in Missouri Valley, IA
- Home Health Aides in Blair, NE
- Home Health Aides in Valley, NE
- Home Health Aides in Ashland, NE
- Home Health Aides in Fremont, NE
Other care in Council Bluffs
- Companion Care in Council Bluffs
- Dementia Care in Council Bluffs
- Respite Care in Council Bluffs
- Live-In Caregivers in Council Bluffs
- Post-Surgery Care in Council Bluffs
- Senior Transportation in Council Bluffs
- Nursing Assistants in Council Bluffs
- Personal Care in Council Bluffs
- Overnight Caregivers in Council Bluffs
- 24-Hour Home Care in Council Bluffs
- Mobility Assistance in Council Bluffs
- Parkinson’s Care in Council Bluffs
- Stroke Recovery Support in Council Bluffs
- Disability Care for Adults in Council Bluffs
- Hospice Support in Council Bluffs
- Senior Meal Preparation in Council Bluffs
- Senior Housekeeping in Council Bluffs
- Medication Reminders in Council Bluffs
- Veterans’ Home Care in Council Bluffs
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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