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

Local figures

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

262

residents 85 or older (3.6% of all residents)

671

households headed by someone 65+ own their home (63%)

57%

of Washington homes have 3 or more bedrooms (68% in Washington County)

$7.25

Iowa minimum wage per hour

About 262 Washington 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. 57% of homes in Washington have three or more bedrooms (68% in Washington County), while 12% have one bedroom or none, where live-in care rarely works; the median home has 6 rooms.

Of Washington households headed by someone 65 or older, 671 own their home and 392 rent; among householders 85 and older it is 30 owners and 121 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Washington compared with Washington County and Iowa

Census figure	Washington	Washington County	Iowa
Residents 85 or older	3.6%	2.3%	2.3%
Residents 65+ in households who live alone	39%	28%	31%
Residents 65+ with a disability	37%	32%	30%
Residents 65+ below the poverty line (approx.)	7.8%	7.0%	8.4%
Residents 65 or older	23%	20%	18%
Residents 5+ who speak a language other than English at home	7.9%	7.7%	9.1%
Median income, households headed by someone 65+	$41,645	$56,090	—

Older residents in towns around Washington

Town	Distance	Residents 65+	Residents 85+
Kalona, IA	13 mi	684	83
Mount Pleasant, IA	24 mi	1,634	295
Fairfield, IA	25 mi	2,519	265
Iowa City, IA	26 mi	9,354	1,347
Coralville, IA	28 mi	3,097	510
Tiffin, IA	28 mi	586	16

Emergency hospitals near Washington

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Washington County Hospital And Clinics	Washington, IA	0.4 mi	not rated	(319) 653-5481
Henry County Health Center	Mount Pleasant, IA	24 mi	not rated	(319) 385-3141
Jefferson County Health Center	Fairfield, IA	25 mi	2 of 5	(641) 472-4111

Straight-line miles from the center of Washington. 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 Washington

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 (108% of the $3,470 monthly median income of Washington 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 (364% of the $3,470 monthly median income of Washington 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 Washington: common questions

Where is the nearest emergency hospital to Washington?

Washington County Hospital And Clinics in Washington, about 0.4 mi in a straight line from the center of Washington (Medicare hospital file). Its listed phone number is (319) 653-5481. In an emergency, call 911.

How much does live-in care cost in Washington?

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 (108% of the $3,470 monthly median income of Washington 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 (364% of the $3,470 monthly median income of Washington 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 Washington?

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 Washington 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 Washington

More senior care near Washington

Live-In Caregivers in nearby cities

Other care in Washington

More for Washington 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 Washington, IA