Home Health Aides in Elk Point, SD
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in Elk Point for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Elk Point, SD: the local picture
3 Medicare-certified home health agencies list Elk Point ZIP codes in their service area; the highest-rated are below, and 3 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 South Dakota earn a median $18.15 an hour (BLS, May 2025), with the middle half between $17.50 and $20.96.
Elk Point has about 450 residents aged 65 or older, 44% of whom report a disability.
Elk Point compared with Union County and South Dakota
| Census figure | Elk Point | Union County | South Dakota |
|---|---|---|---|
| Residents 65+ with a disability | 44% | 24% | 31% |
| Residents 65 or older | 18% | 19% | 18% |
| Residents 85 or older | 5.7% | 2.1% | 2.1% |
| Residents 65+ in households who live alone | 37% | 26% | 30% |
| Residents 65+ below the poverty line (approx.) | 7.5% | 12% | 10% |
| Residents 5+ who speak a language other than English at home | 0.9% | 3.0% | 7.1% |
| Median income, households headed by someone 65+ | $50,868 | $53,750 | — |
Older residents in towns around Elk Point
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| North Sioux City, SD | 14 mi | 640 | 13% |
| Vermillion, SD | 14 mi | 1,136 | 29% |
| Dakota Dunes, SD | 17 mi | 756 | 22% |
| Sioux City, IA | 20 mi | 12,804 | 33% |
| South Sioux City, NE | 20 mi | 1,535 | 26% |
| Dakota City, NE | 22 mi | 295 | 33% |
Medicare-certified home health agencies serving Elk Point
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aveanna Healthcare | Sioux City, IA | 18 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 233-5494 |
| Sanford Home Health | Sioux Falls, SD | 60 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (605) 328-5900 |
| Unitypoint At Home | Sioux City, IA | 18 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (712) 279-3279 |
Straight-line miles from the center of Elk Point. 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 Elk Point
At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 37% of the $4,239 monthly median income of Elk Point households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Elk Point: common questions
Which home health agencies serve Elk Point?
Medicare lists 3 certified agencies whose service area includes Elk Point ZIP codes. The highest-rated on Medicare’s quality stars include Aveanna Healthcare (4.5 of 5), Sanford Home Health (4 of 5), Unitypoint At Home (3.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Elk Point?
At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 37% of the $4,239 monthly median income of Elk Point households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Elk Point
Home Health Aides in nearby cities
- Home Health Aides in North Sioux City, SD
- Home Health Aides in Vermillion, SD
- Home Health Aides in Dakota Dunes, SD
- Home Health Aides in Sioux City, IA
- Home Health Aides in South Sioux City, NE
- Home Health Aides in Dakota City, NE
- Home Health Aides in Hawarden, IA
- Home Health Aides in Sergeant Bluff, IA
- Home Health Aides in Le Mars, IA
- Home Health Aides in Wayne, NE
- Home Health Aides in Sioux Center, IA
- Home Health Aides in Orange City, IA
- Home Health Aides in Yankton, SD
- Home Health Aides in Rock Valley, IA
- Home Health Aides in Canton, SD
- Home Health Aides in Harrisburg, SD
Other care in Elk Point
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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