Certified Nursing Assistants (CNAs) for Home Care in Madrid, IA
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Madrid for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Madrid, IA: the local picture
The nearest Medicare-certified nursing homes to Madrid are Madrid Home For The Aged in Madrid (0.4 mi), Granger Nursing & Rehabilitation Center in Granger (7.9 mi), On With Life Long Term Care in Polk City (8.8 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).
Madrid has about 146 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Madrid compared with Boone County and Iowa
| Census figure | Madrid | Boone County | Iowa |
|---|---|---|---|
| Residents 85 or older | 5.2% | 2.2% | 2.3% |
| Residents 65+ with a disability | 41% | 32% | 30% |
| Residents 65 or older | 20% | 20% | 18% |
| Residents 65+ in households who live alone | 30% | 32% | 31% |
| Residents 65+ below the poverty line (approx.) | 1.6% | 4.2% | 8.4% |
| Households with no vehicle | 2.2% | 5.5% | 5.4% |
| Median income, households headed by someone 65+ | $61,250 | $53,801 | — |
Older residents in towns around Madrid
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Polk City, IA | 8.2 mi | 874 | 29 |
| Huxley, IA | 12 mi | 525 | 29 |
| Boone, IA | 12 mi | 2,272 | 257 |
| Johnston, IA | 14 mi | 3,741 | 475 |
| Grimes, IA | 14 mi | 1,199 | 99 |
| Perry, IA | 14 mi | 1,200 | 187 |
Nursing homes near Madrid
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Madrid Home For The Aged | Madrid, IA | 0.4 mi | 3 of 5 | 64 | (515) 795-3007 |
| Granger Nursing & Rehabilitation Center | Granger, IA | 7.9 mi | 3 of 5 | 67 | (515) 999-2588 |
| On With Life Long Term Care | Polk City, IA | 8.8 mi | 5 of 5 | 40 | (515) 421-9200 |
| Green Hills Health Care Center | Ames, IA | 13 mi | 5 of 5 | 56 | (515) 296-5000 |
| Kennybrook Village | Grimes, IA | 13 mi | 3 of 5 | 40 | (515) 369-3900 |
| Eastern Star Masonic Home | Boone, IA | 13 mi | 3 of 5 | 76 | (515) 432-5274 |
Home health agencies serving Madrid
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Urbandale, IA | 18 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (515) 277-0977 |
| Mercyone Des Moines Home Care | Des Moines, IA | 22 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (515) 643-8383 |
| Mary Greeley Home Health Services | Ames, IA | 16 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (515) 239-6730 |
| Unitypoint At Home | Urbandale, IA | 18 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (515) 557-3100 |
Straight-line miles from the center of Madrid. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What CNAs costs in Madrid
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 29% of the $5,104 monthly median income of Madrid 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.
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.
Nursing Assistants in Madrid: common questions
What nursing homes are near Madrid?
The closest Medicare-certified nursing homes are Madrid Home For The Aged in Madrid (0.4 mi, 3 of 5 overall); Granger Nursing & Rehabilitation Center in Granger (7.9 mi, 3 of 5 overall); On With Life Long Term Care in Polk City (8.8 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Madrid?
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 29% of the $5,104 monthly median income of Madrid 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 senior care near Madrid
Nursing Assistants in nearby cities
- Nursing Assistants in Polk City, IA
- Nursing Assistants in Huxley, IA
- Nursing Assistants in Boone, IA
- Nursing Assistants in Johnston, IA
- Nursing Assistants in Grimes, IA
- Nursing Assistants in Perry, IA
- Nursing Assistants in Ames, IA
- Nursing Assistants in Ankeny, IA
- Nursing Assistants in Urbandale, IA
- Nursing Assistants in Saylorville, IA
- Nursing Assistants in Clive, IA
- Nursing Assistants in Windsor Heights, IA
- Nursing Assistants in Waukee, IA
- Nursing Assistants in Nevada, IA
- Nursing Assistants in Adel, IA
- Nursing Assistants in West Des Moines, IA
Other care in Madrid
- Companion Care in Madrid
- Dementia Care in Madrid
- Respite Care in Madrid
- Live-In Caregivers in Madrid
- Post-Surgery Care in Madrid
- Senior Transportation in Madrid
- Home Health Aides in Madrid
- Personal Care in Madrid
- Overnight Caregivers in Madrid
- 24-Hour Home Care in Madrid
- Mobility Assistance in Madrid
- Parkinson’s Care in Madrid
- Stroke Recovery Support in Madrid
- Disability Care for Adults in Madrid
- Hospice Support in Madrid
- Senior Meal Preparation in Madrid
- Senior Housekeeping in Madrid
- Medication Reminders in Madrid
- Veterans’ Home Care in Madrid
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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