CNA Home Care in Creston, IA: Nursing Assistants

Local figures

Nursing Assistants in Creston, IA: the local picture

6+

Medicare-certified nursing homes within 25 miles

309

certified beds in the 6 nearest nursing homes

$17.34

median hourly wage of home care aides in Iowa (BLS, May 2025)

$7.25

Iowa minimum wage per hour

The nearest Medicare-certified nursing homes to Creston are Accura Healthcare Of Creston in Creston (0.8 mi), Creston Specialty Care in Creston (1.2 mi), Lenox Care Center in Lenox (16 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.

Aides in Iowa earn a median $17.34 an hour (BLS, May 2025, home health and personal care aides). Iowa's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Creston has about 153 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Creston compared with Union County and Iowa

Census figure	Creston	Union County	Iowa
Residents 85 or older	2.1%	1.9%	2.3%
Residents 65+ with a disability	28%	29%	30%
Residents 65 or older	20%	21%	18%
Residents 65+ in households who live alone	49%	38%	31%
Residents 65+ below the poverty line (approx.)	6.1%	6.0%	8.4%
Households with no vehicle	6.5%	5.9%	5.4%
Median income, households headed by someone 65+	$38,826	$44,638	—

Older residents in towns around Creston

Town	Distance	Residents 65+	Residents 85+
Winterset, IA	27 mi	1,188	185
Osceola, IA	30 mi	1,025	132
Atlantic, IA	41 mi	1,632	242
Clarinda, IA	41 mi	1,227	237
Adel, IA	42 mi	792	144
Waukee, IA	44 mi	3,250	370

Nursing homes near Creston

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Accura Healthcare Of Creston	Creston, IA	0.8 mi	2 of 5	31	(641) 782-5012
Creston Specialty Care	Creston, IA	1.2 mi	2 of 5	74	(641) 782-8511
Lenox Care Center	Lenox, IA	16 mi	3 of 5	36	(641) 333-2226
Greenfield Rehabilitation & Health Care Center	Greenfield, IA	17 mi	3 of 5	46	(641) 743-6131
Corning Specialty Care	Corning, IA	20 mi	4 of 5	40	(641) 322-4061
Clearview Home	Mount Ayr, IA	25 mi	4 of 5	82	(641) 464-2240

Home health agencies serving Creston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Angels Care Home Health Of Iowa	Council Bluffs, IA	77 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 352-3640
Unitypoint At Home	Urbandale, IA	52 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(515) 557-3100
Everystep	Creston, IA	1.2 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(855) 867-4592

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

What it covers

What a nursing assistant can help with

Bathing, dressing, grooming and toileting
Safe transfers, repositioning and walking
Help with eating and fluids
Taking and noting vital signs if asked

Cost

What CNAs costs in Creston

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 46% of the $3,236 monthly median income of Creston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 nursing assistant

To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.

Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.

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

Questions

Nursing Assistants in Creston: common questions

What nursing homes are near Creston?

The closest Medicare-certified nursing homes are Accura Healthcare Of Creston in Creston (0.8 mi, 2 of 5 overall); Creston Specialty Care in Creston (1.2 mi, 2 of 5 overall); Lenox Care Center in Lenox (16 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Creston?

At the Iowa median aide wage of $17.34 an hour, 20 hours of help a week comes to about $1,503 a month in wages, which is 46% of the $3,236 monthly median income of Creston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Iowa's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can a CNA give medication?

Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.

More near Creston

More senior care near Creston

Nursing Assistants in nearby cities

Other care in Creston

More for Creston 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.

Certified Nursing Assistants (CNAs) for Home Care in Creston, IA