Spirit Lake, Iowa

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.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Nursing Assistants in Spirit Lake, IA: the local picture

6+
Medicare-certified nursing homes within 25 miles
362
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 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 figureSpirit LakeDickinson CountyIowa
Residents 85 or older5.1%3.5%2.3%
Residents 65+ with a disability37%28%30%
Residents 65 or older22%28%18%
Residents 65+ in households who live alone46%27%31%
Residents 65+ below the poverty line (approx.)13%6.0%8.4%
Households with no vehicle8.4%4.4%5.4%
Median income, households headed by someone 65+$37,228$66,162—

Older residents in towns around Spirit Lake

TownDistanceResidents 65+Residents 85+
Milford, IA5.4 mi80247
Estherville, IA14 mi1,332187
Jackson, MN16 mi714150
Spencer, IA19 mi2,495423
Worthington, MN28 mi2,256375
Emmetsburg, IA30 mi934228

Nursing homes near Spirit Lake

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Accura Healthcare Of Spirit LakeSpirit Lake, IA0.6 mi2 of 580(712) 336-3300
Accura Healthcare Of MilfordMilford, IA6.6 mi4 of 546(712) 338-4742
Good Samaritan - EsthervilleEstherville, IA15 mi3 of 562(712) 362-3522
Estherville Community Care CenterEstherville, IA15 mi2 of 546(712) 362-3594
Good Samaritan Society - JacksonJackson, MN15 mi4 of 546(507) 847-3100
Spencer Post Acute Rehabilitation CenterSpencer, IA19 mi1 of 582(712) 262-2344

Home health agencies serving Spirit Lake

AgencyOfficeDistanceCMS quality starsServices listedPhone
Aveanna HealthcareSioux City, IA90 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, home health aides(712) 233-5494
Avera @ HomeEstherville, IA15 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(712) 362-6169
Avera At Home Of Spencer HospitalSpencer, IA19 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, home health aides(712) 264-6380
Avera At Home MarshallMarshall, MN79 mi3.5 of 5nursing, 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 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 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.

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 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 near Spirit Lake

More senior care near 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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