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

Nursing Assistants in Spirit Lake, IA: the local picture
The nearest Medicare-certified nursing homes to Spirit Lake are Accura Healthcare Of Spirit Lake in Spirit Lake (0.6 mi), Accura Healthcare Of Milford in Milford (6.6 mi), Good Samaritan - Estherville in Estherville (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).
Spirit Lake has about 284 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Spirit Lake compared with Dickinson County and Iowa
| Census figure | Spirit Lake | Dickinson County | Iowa |
|---|---|---|---|
| Residents 85 or older | 5.1% | 3.5% | 2.3% |
| Residents 65+ with a disability | 37% | 28% | 30% |
| Residents 65 or older | 22% | 28% | 18% |
| Residents 65+ in households who live alone | 46% | 27% | 31% |
| Residents 65+ below the poverty line (approx.) | 13% | 6.0% | 8.4% |
| Households with no vehicle | 8.4% | 4.4% | 5.4% |
| Median income, households headed by someone 65+ | $37,228 | $66,162 | — |
Older residents in towns around Spirit Lake
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Milford, IA | 5.4 mi | 802 | 47 |
| Estherville, IA | 14 mi | 1,332 | 187 |
| Jackson, MN | 16 mi | 714 | 150 |
| Spencer, IA | 19 mi | 2,495 | 423 |
| Worthington, MN | 28 mi | 2,256 | 375 |
| Emmetsburg, IA | 30 mi | 934 | 228 |
Nursing homes near Spirit Lake
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Accura Healthcare Of Spirit Lake | Spirit Lake, IA | 0.6 mi | 2 of 5 | 80 | (712) 336-3300 |
| Accura Healthcare Of Milford | Milford, IA | 6.6 mi | 4 of 5 | 46 | (712) 338-4742 |
| Good Samaritan - Estherville | Estherville, IA | 15 mi | 3 of 5 | 62 | (712) 362-3522 |
| Estherville Community Care Center | Estherville, IA | 15 mi | 2 of 5 | 46 | (712) 362-3594 |
| Good Samaritan Society - Jackson | Jackson, MN | 15 mi | 4 of 5 | 46 | (507) 847-3100 |
| Spencer Post Acute Rehabilitation Center | Spencer, IA | 19 mi | 1 of 5 | 82 | (712) 262-2344 |
Home health agencies serving Spirit Lake
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aveanna Healthcare | Sioux City, IA | 90 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 233-5494 |
| Avera @ Home | Estherville, IA | 15 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 | 19 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 264-6380 |
| Avera At Home Marshall | Marshall, MN | 79 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (507) 537-7070 |
Straight-line miles from the center of Spirit Lake. 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 Spirit Lake
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 48% of the $3,102 monthly median income of Spirit Lake 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 Spirit Lake: common questions
What nursing homes are near Spirit Lake?
The closest Medicare-certified nursing homes are Accura Healthcare Of Spirit Lake in Spirit Lake (0.6 mi, 2 of 5 overall); Accura Healthcare Of Milford in Milford (6.6 mi, 4 of 5 overall); Good Samaritan - Estherville in Estherville (15 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Spirit Lake?
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 48% of the $3,102 monthly median income of Spirit Lake 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 Spirit Lake
Nursing Assistants in nearby cities
- Nursing Assistants in Milford, IA
- Nursing Assistants in Estherville, IA
- Nursing Assistants in Jackson, MN
- Nursing Assistants in Spencer, IA
- Nursing Assistants in Worthington, MN
- Nursing Assistants in Emmetsburg, IA
- Nursing Assistants in Windom, MN
- Nursing Assistants in Sibley, IA
- Nursing Assistants in Fairmont, MN
- Nursing Assistants in Sheldon, IA
- Nursing Assistants in St. James, MN
- Nursing Assistants in Algona, IA
- Nursing Assistants in Cherokee, IA
- Nursing Assistants in Rock Rapids, IA
- Nursing Assistants in Blue Earth, MN
- Nursing Assistants in Storm Lake, IA
Other care in Spirit Lake
- Companion Care in Spirit Lake
- Dementia Care in Spirit Lake
- Respite Care in Spirit Lake
- Live-In Caregivers in Spirit Lake
- Post-Surgery Care in Spirit Lake
- Senior Transportation in Spirit Lake
- Home Health Aides in Spirit Lake
- Personal Care in Spirit Lake
- Overnight Caregivers in Spirit Lake
- 24-Hour Home Care in Spirit Lake
- Mobility Assistance in Spirit Lake
- Parkinson’s Care in Spirit Lake
- Stroke Recovery Support in Spirit Lake
- Disability Care for Adults in Spirit Lake
- Hospice Support in Spirit Lake
- Senior Meal Preparation in Spirit Lake
- Senior Housekeeping in Spirit Lake
- Medication Reminders in Spirit Lake
- Veterans’ Home Care in Spirit Lake
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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