Home Health Aides in Fort Madison, IA: Hire In-Home Help

Local figures

Home Health Aides in Fort Madison, IA: the local picture

6

Medicare-certified home health agencies list Fort Madison ZIP codes in their service area

$17.34

median hourly wage of home care aides in Iowa (BLS, May 2025)

2,208

residents 65 or older (22% of Fort Madison)

40%

of residents 65+ report a disability (32% in Lee County)

6 Medicare-certified home health agencies list Fort Madison ZIP codes in their service area; the highest-rated are below, and 6 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.

Fort Madison has about 2,208 residents aged 65 or older, 40% of whom report a disability.

Fort Madison compared with Lee County and Iowa

Census figure	Fort Madison	Lee County	Iowa
Residents 65+ with a disability	40%	32%	30%
Residents 65 or older	22%	22%	18%
Residents 85 or older	3.0%	2.6%	2.3%
Residents 65+ in households who live alone	42%	33%	31%
Residents 65+ below the poverty line (approx.)	9.7%	9.1%	8.4%
Residents 5+ who speak a language other than English at home	2.7%	2.6%	9.1%
Median income, households headed by someone 65+	$38,590	$44,102	—

Older residents in towns around Fort Madison

Town	Distance	Residents 65+	65+ with a disability
Keokuk, IA	15 mi	2,065	34%
Hamilton, IL	16 mi	542	35%
West Burlington, IA	16 mi	631	37%
Burlington, IA	17 mi	5,107	35%
Mount Pleasant, IA	26 mi	1,634	35%
Canton, MO	35 mi	343	36%

Medicare-certified home health agencies serving Fort Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Advanced Home Health Care Inc	Burlington, IA	18 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(319) 753-6270
Southeast Iowa Regional Home Health	West Burlington, IA	17 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(319) 768-3350
Optimae Home Health Services	Fairfield, IA	42 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(641) 472-4464
Lee County Health Department	Fort Madison, IA	0.9 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(319) 372-5225
Sunny Brook Home Care	Fairfield, IA	42 mi	1.5 of 5	nursing, home health aides	(641) 472-4808
Nurse At Home	Burlington, IA	18 mi	1 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(319) 208-1353

Straight-line miles from the center of Fort Madison. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Fort Madison

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 47% of the $3,216 monthly median income of Fort Madison 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 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.

Questions

Home Health Aides in Fort Madison: common questions

Which home health agencies serve Fort Madison?

Medicare lists 6 certified agencies whose service area includes Fort Madison ZIP codes. The highest-rated on Medicare’s quality stars include Advanced Home Health Care Inc (4 of 5), Southeast Iowa Regional Home Health (3 of 5), Optimae Home Health Services (2.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Fort Madison?

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 47% of the $3,216 monthly median income of Fort Madison 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 near Fort Madison

More senior care near Fort Madison

Home Health Aides in nearby cities

Other care in Fort Madison

More for Fort Madison 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.

Home Health Aides in Fort Madison, IA