Live-In Caregivers in Shenandoah, IA: 24-Hour Home Care

Local figures

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

250

residents 85 or older (5.1% of all residents)

515

households headed by someone 65+ own their home (67%)

50%

of Shenandoah homes have 3 or more bedrooms (60% in Page County)

$7.25

Iowa minimum wage per hour

About 250 Shenandoah 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. 50% of homes in Shenandoah have three or more bedrooms (60% in Page County), while 21% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Shenandoah households headed by someone 65 or older, 515 own their home and 248 rent; among householders 85 and older it is 72 owners and 98 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Shenandoah compared with Page County and Iowa

Census figure	Shenandoah	Page County	Iowa
Residents 85 or older	5.1%	3.9%	2.3%
Residents 65+ in households who live alone	35%	34%	31%
Residents 65+ with a disability	37%	31%	30%
Residents 65+ below the poverty line (approx.)	18%	12%	8.4%
Residents 65 or older	26%	24%	18%
Residents 5+ who speak a language other than English at home	3.3%	2.5%	9.1%
Median income, households headed by someone 65+	$43,438	$43,342	—

Older residents in towns around Shenandoah

Town	Distance	Residents 65+	Residents 85+
Clarinda, IA	18 mi	1,227	237
Red Oak, IA	19 mi	1,021	245
Nebraska City, NE	26 mi	1,359	226
Glenwood, IA	28 mi	1,116	217
Plattsmouth, NE	32 mi	1,093	208
Auburn, NE	36 mi	782	72

Emergency hospitals near Shenandoah

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Shenandoah Medical Center	Shenandoah, IA	0.4 mi	not rated	(712) 246-1230
George C Grape Community Hospital	Hamburg, IA	17 mi	not rated	(712) 382-1515
Clarinda Regional Health Center	Clarinda, IA	18 mi	4 of 5	(712) 542-2176

Straight-line miles from the center of Shenandoah. 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 Shenandoah

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 (104% of the $3,620 monthly median income of Shenandoah 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 (349% of the $3,620 monthly median income of Shenandoah 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 Shenandoah: common questions

Where is the nearest emergency hospital to Shenandoah?

Shenandoah Medical Center in Shenandoah, about 0.4 mi in a straight line from the center of Shenandoah (Medicare hospital file). Its listed phone number is (712) 246-1230. In an emergency, call 911.

How much does live-in care cost in Shenandoah?

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 (104% of the $3,620 monthly median income of Shenandoah 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 (349% of the $3,620 monthly median income of Shenandoah 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 Shenandoah?

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 Shenandoah 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 near Shenandoah

More senior care near Shenandoah

Live-In Caregivers in nearby cities

Other care in Shenandoah

More for Shenandoah 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.

Live-In Caregivers in Shenandoah, IA