Home Health Aides in Madison, SD: Hire In-Home Help

Local figures

Home Health Aides in Madison, SD: the local picture

2

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

$18.15

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

1,384

residents 65 or older (23% of Madison)

48%

of residents 65+ report a disability (39% in Lake County)

2 Medicare-certified home health agencies list Madison ZIP codes in their service area; the highest-rated are below, and 2 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.

Madison has about 1,384 residents aged 65 or older, 48% of whom report a disability.

Madison compared with Lake County and South Dakota

Census figure	Madison	Lake County	South Dakota
Residents 65+ with a disability	48%	39%	31%
Residents 65 or older	23%	24%	18%
Residents 85 or older	5.1%	3.4%	2.1%
Residents 65+ in households who live alone	22%	21%	30%
Residents 65+ below the poverty line (approx.)	5.4%	5.0%	10%
Residents 5+ who speak a language other than English at home	4.0%	5.0%	7.1%
Median income, households headed by someone 65+	$50,938	$61,289	—

Older residents in towns around Madison

Town	Distance	Residents 65+	65+ with a disability
Dell Rapids, SD	23 mi	703	27%
Brookings, SD	26 mi	2,888	33%
Hartford, SD	28 mi	614	33%
Sioux Falls, SD	37 mi	28,329	29%
Brandon, SD	39 mi	1,627	32%
Pipestone, MN	40 mi	812	43%

Medicare-certified home health agencies serving Madison

Agency	Office	Distance	CMS quality stars	Services listed	Phone
State Home Care Services, Inc	Rapid City, SD	303 mi	4.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(605) 718-5004
Avera @ Home	Sioux Falls, SD	42 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(605) 322-4663

Straight-line miles from the center of 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 Madison

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 $4,245 monthly median income of Madison 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.

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 Madison: common questions

Which home health agencies serve Madison?

Medicare lists 2 certified agencies whose service area includes Madison ZIP codes. The highest-rated on Medicare’s quality stars include State Home Care Services, Inc (4.5 of 5), Avera @ Home (4 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Madison?

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 $4,245 monthly median income of Madison 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 near Madison

More senior care near Madison

Home Health Aides in nearby cities

Other care in Madison

More for 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 Madison, SD