Home Health Aides in Onawa, IA: Hire In-Home Help

Local figures

Home Health Aides in Onawa, IA: the local picture

5

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

$17.34

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

609

residents 65 or older (21% of Onawa)

42%

of residents 65+ report a disability (30% in Monona County)

5 Medicare-certified home health agencies list Onawa ZIP codes in their service area; the highest-rated are below, and 5 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.

Onawa has about 609 residents aged 65 or older, 42% of whom report a disability.

Onawa compared with Monona County and Iowa

Census figure	Onawa	Monona County	Iowa
Residents 65+ with a disability	42%	30%	30%
Residents 65 or older	21%	24%	18%
Residents 85 or older	5.1%	4.3%	2.3%
Residents 65+ in households who live alone	54%	39%	31%
Residents 65+ below the poverty line (approx.)	23%	10%	8.4%
Residents 5+ who speak a language other than English at home	2.3%	2.3%	9.1%
Median income, households headed by someone 65+	$36,061	$38,363	—

Older residents in towns around Onawa

Town	Distance	Residents 65+	65+ with a disability
Sergeant Bluff, IA	29 mi	646	34%
Dakota City, NE	32 mi	295	33%
Blair, NE	34 mi	1,337	39%
Missouri Valley, IA	34 mi	529	36%
West Point, NE	34 mi	788	34%
South Sioux City, NE	34 mi	1,535	26%

Medicare-certified home health agencies serving Onawa

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Aveanna Healthcare	Sioux City, IA	38 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(712) 233-5494
Angels Care Home Health Of Iowa	Council Bluffs, IA	55 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 352-3640
Burgess Home Health	Onawa, IA	1.1 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 423-2311
Heights Home Health, Inc	Mapleton, IA	18 mi	2 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(712) 881-7144
Wel-Home Health Of Sergeant Bluff	Sergeant Bluff, IA	29 mi	2 of 5	nursing, physical therapy, occupational therapy, home health aides	(712) 943-7644

Straight-line miles from the center of Onawa. 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 Onawa

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 50% of the $3,005 monthly median income of Onawa 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 Onawa: common questions

Which home health agencies serve Onawa?

Medicare lists 5 certified agencies whose service area includes Onawa ZIP codes. The highest-rated on Medicare’s quality stars include Aveanna Healthcare (4.5 of 5), Angels Care Home Health Of Iowa (4 of 5), Burgess Home Health (3 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Onawa?

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 50% of the $3,005 monthly median income of Onawa 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 Onawa

More senior care near Onawa

Home Health Aides in nearby cities

Other care in Onawa

More for Onawa 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 Onawa, IA