Osceola, Iowa

Live-In Caregivers in Osceola, 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 Osceola for free and hire a caregiver directly, with no agency mark-up.

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Local figures

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

132
residents 85 or older (2.4% of all residents)
343
households headed by someone 65+ own their home (53%)
64%
of Osceola homes have 3 or more bedrooms (67% in Clarke County)
$7.25
Iowa minimum wage per hour

About 132 Osceola 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. 64% of homes in Osceola have three or more bedrooms (67% in Clarke County), while 13% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Osceola households headed by someone 65 or older, 343 own their home and 299 rent; among householders 85 and older it is 33 owners and 46 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Osceola compared with Clarke County and Iowa

Census figureOsceolaClarke CountyIowa
Residents 85 or older2.4%2.3%2.3%
Residents 65+ in households who live alone35%30%31%
Residents 65+ with a disability50%42%30%
Residents 65+ below the poverty line (approx.)14%9.7%8.4%
Residents 65 or older19%20%18%
Residents 5+ who speak a language other than English at home13%11%9.1%
Median income, households headed by someone 65+$44,405$50,893—

Older residents in towns around Osceola

TownDistanceResidents 65+Residents 85+
Winterset, IA25 mi1,188185
Chariton, IA25 mi841247
Indianola, IA25 mi2,906461
Creston, IA30 mi1,464153
Norwalk, IA31 mi2,002380
West Des Moines, IA36 mi10,7231,394

Emergency hospitals near Osceola

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Clarke County HospitalOsceola, IA0.9 mi5 of 5(641) 342-2184
Decatur County HospitalLeon, IA21 minot rated(641) 446-4871
Madison County Health Care SystemWinterset, IA24 minot rated(515) 462-2373

Straight-line miles from the center of Osceola. 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 Osceola

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 (102% of the $3,700 monthly median income of Osceola 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 (341% of the $3,700 monthly median income of Osceola 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 Osceola: common questions

Where is the nearest emergency hospital to Osceola?

Clarke County Hospital in Osceola, about 0.9 mi in a straight line from the center of Osceola (Medicare hospital file). Its listed phone number is (641) 342-2184. In an emergency, call 911.

How much does live-in care cost in Osceola?

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 (102% of the $3,700 monthly median income of Osceola 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 (341% of the $3,700 monthly median income of Osceola 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 Osceola?

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 Osceola 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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