CNA Home Care in Shenandoah, IA: Nursing Assistants

Local figures

Nursing Assistants in Shenandoah, IA: the local picture

6+

Medicare-certified nursing homes within 25 miles

312

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 Shenandoah are Accura Healthcare Of Shenandoah in Shenandoah (0.2 mi), Garden View Care Center in Shenandoah (0.5 mi), The Ambassador Sidney Inc in Sidney (14 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).

Shenandoah has about 250 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Shenandoah compared with Page County and Iowa

Census figure	Shenandoah	Page County	Iowa
Residents 85 or older	5.1%	3.9%	2.3%
Residents 65+ with a disability	37%	31%	30%
Residents 65 or older	26%	24%	18%
Residents 65+ in households who live alone	35%	34%	31%
Residents 65+ below the poverty line (approx.)	18%	12%	8.4%
Households with no vehicle	14%	7.5%	5.4%
Median income, households headed by someone 65+	$43,438	$43,342	—

Older residents in towns around Shenandoah

Town	Distance	Residents 65+	Residents 85+
Clarinda, IA	18 mi	1,227	237
Red Oak, IA	19 mi	1,021	245
Nebraska City, NE	26 mi	1,359	226
Glenwood, IA	28 mi	1,116	217
Plattsmouth, NE	32 mi	1,093	208
Auburn, NE	36 mi	782	72

Nursing homes near Shenandoah

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Accura Healthcare Of Shenandoah	Shenandoah, IA	0.2 mi	1 of 5	42	(712) 246-4627
Garden View Care Center	Shenandoah, IA	0.5 mi	not rated	50	(712) 246-4515
The Ambassador Sidney Inc	Sidney, IA	14 mi	4 of 5	46	(712) 374-2693
Azria Health Clarinda	Clarinda, IA	17 mi	2 of 5	70	(712) 542-5161
Tabor Manor Care Center	Tabor, IA	18 mi	1 of 5	46	(712) 629-2645
Red Oak Rehab And Care Center	Red Oak, IA	20 mi	3 of 5	58	(712) 623-5156

Home health agencies serving Shenandoah

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Pure Health Services, LLC	Clarinda, IA	18 mi	4 of 5	nursing, physical therapy, occupational therapy, home health aides	(712) 850-1323
Angels Care Home Health Of Iowa	Council Bluffs, IA	42 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 352-3640
Wel-Home Health Of Red Oak	Red Oak, IA	19 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(712) 623-2500
Home Sweet Home Care	Atlantic, IA	48 mi	not rated	nursing, home health aides	(712) 243-5343

Straight-line miles from the center of Shenandoah. 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 Shenandoah

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 42% of the $3,620 monthly median income of Shenandoah 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 Shenandoah: common questions

What nursing homes are near Shenandoah?

The closest Medicare-certified nursing homes are Accura Healthcare Of Shenandoah in Shenandoah (0.2 mi, 1 of 5 overall); Garden View Care Center in Shenandoah (0.5 mi, not rated overall); The Ambassador Sidney Inc in Sidney (14 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Shenandoah?

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 42% of the $3,620 monthly median income of Shenandoah 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 Shenandoah

More senior care near Shenandoah

Nursing Assistants in nearby cities

Other care in Shenandoah

More for Shenandoah 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 Shenandoah, IA