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

Nursing Assistants in Onawa, IA: the local picture
The nearest Medicare-certified nursing homes to Onawa are Accura Healthcare Of Onawa in Onawa (1.0 mi), Pleasant View Care Center in Whiting (7.7 mi), Carl T Curtis Health Education Center Nursing Home in Macy (15 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).
Onawa has about 146 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Onawa compared with Monona County and Iowa
| Census figure | Onawa | Monona County | Iowa |
|---|---|---|---|
| Residents 85 or older | 5.1% | 4.3% | 2.3% |
| Residents 65+ with a disability | 42% | 30% | 30% |
| Residents 65 or older | 21% | 24% | 18% |
| Residents 65+ in households who live alone | 54% | 39% | 31% |
| Residents 65+ below the poverty line (approx.) | 23% | 10% | 8.4% |
| Households with no vehicle | 9.2% | 4.2% | 5.4% |
| Median income, households headed by someone 65+ | $36,061 | $38,363 | — |
Older residents in towns around Onawa
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Sergeant Bluff, IA | 29 mi | 646 | 65 |
| Dakota City, NE | 32 mi | 295 | 39 |
| Blair, NE | 34 mi | 1,337 | 145 |
| Missouri Valley, IA | 34 mi | 529 | 125 |
| West Point, NE | 34 mi | 788 | 175 |
| South Sioux City, NE | 34 mi | 1,535 | 261 |
Nursing homes near Onawa
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Accura Healthcare Of Onawa | Onawa, IA | 1.0 mi | 2 of 5 | 46 | (712) 423-2510 |
| Pleasant View Care Center | Whiting, IA | 7.7 mi | 4 of 5 | 70 | (712) 458-2417 |
| Carl T Curtis Health Education Center Nursing Home | Macy, NE | 15 mi | 4 of 5 | 25 | (402) 837-5381 |
| Maple Heights | Mapleton, IA | 17 mi | 5 of 5 | 58 | (712) 881-1680 |
| Accura Healthcare Of Tekamah | Tekamah, NE | 18 mi | 1 of 5 | 44 | (402) 374-1414 |
| Oakland Heights | Oakland, NE | 23 mi | 5 of 5 | 45 | (402) 685-5683 |
Home health agencies serving Onawa
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aveanna Healthcare | Sioux City, IA | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 233-5494 |
| Angels Care Home Health Of Iowa | Council Bluffs, IA | 55 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 352-3640 |
| Burgess Home Health | Onawa, IA | 1.1 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 423-2311 |
| Heights Home Health, Inc | Mapleton, IA | 18 mi | 2 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 881-7144 |
Straight-line miles from the center of Onawa. 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 Onawa
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 50% of the $3,005 monthly median income of Onawa 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 Onawa: common questions
What nursing homes are near Onawa?
The closest Medicare-certified nursing homes are Accura Healthcare Of Onawa in Onawa (1.0 mi, 2 of 5 overall); Pleasant View Care Center in Whiting (7.7 mi, 4 of 5 overall); Carl T Curtis Health Education Center Nursing Home in Macy (15 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Onawa?
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 50% of the $3,005 monthly median income of Onawa 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 Onawa
Nursing Assistants in nearby cities
- Nursing Assistants in Sergeant Bluff, IA
- Nursing Assistants in Dakota City, NE
- Nursing Assistants in Blair, NE
- Nursing Assistants in Missouri Valley, IA
- Nursing Assistants in West Point, NE
- Nursing Assistants in South Sioux City, NE
- Nursing Assistants in Sioux City, IA
- Nursing Assistants in Dakota Dunes, SD
- Nursing Assistants in Denison, IA
- Nursing Assistants in North Sioux City, SD
- Nursing Assistants in Fremont, NE
- Nursing Assistants in Harlan, IA
- Nursing Assistants in Wayne, NE
- Nursing Assistants in Valley, NE
- Nursing Assistants in Carter Lake, IA
- Nursing Assistants in Le Mars, IA
Other care in Onawa
- Companion Care in Onawa
- Dementia Care in Onawa
- Respite Care in Onawa
- Live-In Caregivers in Onawa
- Post-Surgery Care in Onawa
- Senior Transportation in Onawa
- Home Health Aides in Onawa
- Personal Care in Onawa
- Overnight Caregivers in Onawa
- 24-Hour Home Care in Onawa
- Mobility Assistance in Onawa
- Parkinson’s Care in Onawa
- Stroke Recovery Support in Onawa
- Disability Care for Adults in Onawa
- Hospice Support in Onawa
- Senior Meal Preparation in Onawa
- Senior Housekeeping in Onawa
- Medication Reminders in Onawa
- Veterans’ Home Care in Onawa
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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