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

Nursing Assistants in Milford, IA: the local picture
The nearest Medicare-certified nursing homes to Milford are Accura Healthcare Of Milford in Milford (1.2 mi), Accura Healthcare Of Spirit Lake in Spirit Lake (5.7 mi), Spencer Post Acute Rehabilitation Center in Spencer (13 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).
Milford has about 47 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Milford compared with Dickinson County and Iowa
| Census figure | Milford | Dickinson County | Iowa |
|---|---|---|---|
| Residents 85 or older | 1.4% | 3.5% | 2.3% |
| Residents 65+ with a disability | 23% | 28% | 30% |
| Residents 65 or older | 24% | 28% | 18% |
| Residents 65+ in households who live alone | 24% | 27% | 31% |
| Residents 65+ below the poverty line (approx.) | 6.7% | 6.0% | 8.4% |
| Households with no vehicle | 2.1% | 4.4% | 5.4% |
| Median income, households headed by someone 65+ | $49,643 | $66,162 | — |
Older residents in towns around Milford
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Spirit Lake, IA | 5.4 mi | 1,217 | 284 |
| Spencer, IA | 13 mi | 2,495 | 423 |
| Estherville, IA | 16 mi | 1,332 | 187 |
| Jackson, MN | 21 mi | 714 | 150 |
| Emmetsburg, IA | 28 mi | 934 | 228 |
| Worthington, MN | 30 mi | 2,256 | 375 |
Nursing homes near Milford
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Accura Healthcare Of Milford | Milford, IA | 1.2 mi | 4 of 5 | 46 | (712) 338-4742 |
| Accura Healthcare Of Spirit Lake | Spirit Lake, IA | 5.7 mi | 2 of 5 | 80 | (712) 336-3300 |
| Spencer Post Acute Rehabilitation Center | Spencer, IA | 13 mi | 1 of 5 | 82 | (712) 262-2344 |
| St Luke Lutheran Nursing Home | Spencer, IA | 15 mi | 2 of 5 | 79 | (712) 262-5931 |
| Good Samaritan - Estherville | Estherville, IA | 17 mi | 3 of 5 | 62 | (712) 362-3522 |
| Estherville Community Care Center | Estherville, IA | 17 mi | 2 of 5 | 46 | (712) 362-3594 |
Home health agencies serving Milford
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Avera @ Home | Estherville, IA | 17 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 362-6169 |
| Avera At Home Of Spencer Hospital | Spencer, IA | 14 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 264-6380 |
| Lakes Regional Healthcare Home Care | Spirit Lake, IA | 6.1 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 336-8709 |
| Sanford Home Health And Hospice Sheldon | Sheldon, IA | 37 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 324-6420 |
Straight-line miles from the center of Milford. 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 Milford
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 36% of the $4,137 monthly median income of Milford 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 Milford: common questions
What nursing homes are near Milford?
The closest Medicare-certified nursing homes are Accura Healthcare Of Milford in Milford (1.2 mi, 4 of 5 overall); Accura Healthcare Of Spirit Lake in Spirit Lake (5.7 mi, 2 of 5 overall); Spencer Post Acute Rehabilitation Center in Spencer (13 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Milford?
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 36% of the $4,137 monthly median income of Milford 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 Milford
Nursing Assistants in nearby cities
- Nursing Assistants in Spirit Lake, IA
- Nursing Assistants in Spencer, IA
- Nursing Assistants in Estherville, IA
- Nursing Assistants in Jackson, MN
- Nursing Assistants in Emmetsburg, IA
- Nursing Assistants in Worthington, MN
- Nursing Assistants in Sibley, IA
- Nursing Assistants in Windom, MN
- Nursing Assistants in Sheldon, IA
- Nursing Assistants in Fairmont, MN
- Nursing Assistants in Cherokee, IA
- Nursing Assistants in Storm Lake, IA
- Nursing Assistants in Algona, IA
- Nursing Assistants in St. James, MN
- Nursing Assistants in Orange City, IA
- Nursing Assistants in Rock Rapids, IA
Other care in Milford
- Companion Care in Milford
- Dementia Care in Milford
- Respite Care in Milford
- Live-In Caregivers in Milford
- Post-Surgery Care in Milford
- Senior Transportation in Milford
- Home Health Aides in Milford
- Personal Care in Milford
- Overnight Caregivers in Milford
- 24-Hour Home Care in Milford
- Mobility Assistance in Milford
- Parkinson’s Care in Milford
- Stroke Recovery Support in Milford
- Disability Care for Adults in Milford
- Hospice Support in Milford
- Senior Meal Preparation in Milford
- Senior Housekeeping in Milford
- Medication Reminders in Milford
- Veterans’ Home Care in Milford
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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