Adel, Iowa

Live-In Caregivers in Adel, IA

A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Adel for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Live-In Caregivers in Adel, IA: the local picture

144
residents 85 or older (2.2% of all residents)
354
households headed by someone 65+ own their home (76%)
71%
of Adel homes have 3 or more bedrooms (66% in Dallas County)
$7.25
Iowa minimum wage per hour

About 144 Adel residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 71% of homes in Adel have three or more bedrooms (66% in Dallas County), while 15% have one bedroom or none, where live-in care rarely works; the median home has 6.1 rooms.

Of Adel households headed by someone 65 or older, 354 own their home and 114 rent; among householders 85 and older it is 48 owners and 67 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Adel compared with Dallas County and Iowa

Census figureAdelDallas CountyIowa
Residents 85 or older2.2%1.9%2.3%
Residents 65+ in households who live alone33%28%31%
Residents 65+ with a disability21%27%30%
Residents 65+ below the poverty line (approx.)12%6.1%8.4%
Residents 65 or older12%13%18%
Residents 5+ who speak a language other than English at home7.1%13%9.1%
Median income, households headed by someone 65+$51,406$67,985—

Older residents in towns around Adel

TownDistanceResidents 65+Residents 85+
Waukee, IA6.8 mi3,250370
Clive, IA11 mi3,026433
Grimes, IA12 mi1,19999
Urbandale, IA12 mi6,881874
West Des Moines, IA13 mi10,7231,394
Windsor Heights, IA15 mi985125

Emergency hospitals near Adel

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Dallas County HospitalPerry, IA17 minot rated(515) 465-3547
Va Central Iowa Healthcare SystemDes Moines, IA18 mi4 of 5(515) 699-5999
Madison County Health Care SystemWinterset, IA19 minot rated(515) 462-2373

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

What it covers

What a live-in caregiver can help with

  • Help across the day: meals, housekeeping, personal care
  • Someone in the home overnight if help is needed
  • Medication reminders and appointment rides
  • Companionship and a steady routine
Cost

What live-in care costs in Adel

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.34 an hour (the Iowa median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,757 a month (88% of the $4,284 monthly median income of Adel households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,624 a month (295% of the $4,284 monthly median income of Adel households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

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

Questions

Live-In Caregivers in Adel: common questions

Where is the nearest emergency hospital to Adel?

Dallas County Hospital in Perry, about 17 mi in a straight line from the center of Adel (Medicare hospital file). Its listed phone number is (515) 465-3547. In an emergency, call 911.

How much does live-in care cost in Adel?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $17.34 an hour (the Iowa median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,757 a month (88% of the $4,284 monthly median income of Adel households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $12,624 a month (295% of the $4,284 monthly median income of Adel households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Iowa's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Adel?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Adel it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

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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