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.

Live-In Caregivers in Adel, IA: the local picture
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 figure | Adel | Dallas County | Iowa |
|---|---|---|---|
| Residents 85 or older | 2.2% | 1.9% | 2.3% |
| Residents 65+ in households who live alone | 33% | 28% | 31% |
| Residents 65+ with a disability | 21% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 12% | 6.1% | 8.4% |
| Residents 65 or older | 12% | 13% | 18% |
| Residents 5+ who speak a language other than English at home | 7.1% | 13% | 9.1% |
| Median income, households headed by someone 65+ | $51,406 | $67,985 | — |
Older residents in towns around Adel
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Waukee, IA | 6.8 mi | 3,250 | 370 |
| Clive, IA | 11 mi | 3,026 | 433 |
| Grimes, IA | 12 mi | 1,199 | 99 |
| Urbandale, IA | 12 mi | 6,881 | 874 |
| West Des Moines, IA | 13 mi | 10,723 | 1,394 |
| Windsor Heights, IA | 15 mi | 985 | 125 |
Emergency hospitals near Adel
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Dallas County Hospital | Perry, IA | 17 mi | not rated | (515) 465-3547 |
| Va Central Iowa Healthcare System | Des Moines, IA | 18 mi | 4 of 5 | (515) 699-5999 |
| Madison County Health Care System | Winterset, IA | 19 mi | not 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 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
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.
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.
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.
More senior care near Adel
Live-In Caregivers in nearby cities
- Live-In Caregivers in Waukee, IA
- Live-In Caregivers in Clive, IA
- Live-In Caregivers in Grimes, IA
- Live-In Caregivers in Urbandale, IA
- Live-In Caregivers in West Des Moines, IA
- Live-In Caregivers in Windsor Heights, IA
- Live-In Caregivers in Johnston, IA
- Live-In Caregivers in Perry, IA
- Live-In Caregivers in Winterset, IA
- Live-In Caregivers in Norwalk, IA
- Live-In Caregivers in Polk City, IA
- Live-In Caregivers in Saylorville, IA
- Live-In Caregivers in Madrid, IA
- Live-In Caregivers in Des Moines, IA
- Live-In Caregivers in Ankeny, IA
- Live-In Caregivers in Pleasant Hill, IA
Other care in Adel
- Companion Care in Adel
- Dementia Care in Adel
- Respite Care in Adel
- Post-Surgery Care in Adel
- Senior Transportation in Adel
- Home Health Aides in Adel
- Nursing Assistants in Adel
- Personal Care in Adel
- Overnight Caregivers in Adel
- 24-Hour Home Care in Adel
- Mobility Assistance in Adel
- Parkinson’s Care in Adel
- Stroke Recovery Support in Adel
- Disability Care for Adults in Adel
- Hospice Support in Adel
- Senior Meal Preparation in Adel
- Senior Housekeeping in Adel
- Medication Reminders in Adel
- Veterans’ Home Care in Adel
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.
Find live-in care in Adel
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