Hospice Support in Onawa, IA: Caregivers at Home

Local figures

Hospice Support in Onawa, IA: the local picture

4

Medicare-certified hospices serve Onawa ZIP codes

146

residents 85 or older (5.1% of all residents)

54%

of residents 65+ in households live alone (39% in Monona County)

42%

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

Medicare lists 4 hospices whose service area includes Onawa ZIP codes, the nearest offices being Burgess Hospice in Onawa (1.1 mi) and Care Initiatives Hospice - Sioux City in Sioux City (33 mi).

303 Onawa residents 65 or older live alone (54% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

Onawa compared with Monona County and Iowa

Census figure	Onawa	Monona County	Iowa
Residents 85 or older	5.1%	4.3%	2.3%
Residents 65+ in households who live alone	54%	39%	31%
Residents 65+ with a disability	42%	30%	30%
Residents 65+ with difficulty dressing or bathing	9.3%	4.5%	5.1%
Residents 65 or older	21%	24%	18%
Residents 65+ below the poverty line (approx.)	23%	10%	8.4%
Median income, households headed by someone 65+	$36,061	$38,363	—

Older residents in towns around Onawa

Town	Distance	Residents 65+	Live alone (65+)
Sergeant Bluff, IA	29 mi	646	27%
Dakota City, NE	32 mi	295	11%
Blair, NE	34 mi	1,337	36%
Missouri Valley, IA	34 mi	529	50%
West Point, NE	34 mi	788	44%
South Sioux City, NE	34 mi	1,535	25%

Hospices serving Onawa

Hospice	Office	Distance	Phone
Burgess Hospice	Onawa, IA	1.1 mi	(712) 423-2311
Care Initiatives Hospice - Sioux City	Sioux City, IA	33 mi	(712) 239-1226
Generations Hospice Care Inc	Missouri Valley, IA	34 mi	(712) 642-4222
St Croix Hospice	Co Bluffs, IA	55 mi	(712) 318-2120

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 caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support 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 caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Hospice Support in Onawa: common questions

How much does hospice support 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).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near Onawa

More senior care near Onawa

Hospice Support 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.

In-Home Hospice Support in Onawa, IA