Certified Nursing Assistants (CNAs) for Home Care in St. Paul, NE
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in St. Paul for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in St. Paul, NE: the local picture
The nearest Medicare-certified nursing homes to St. Paul are Brookefield Park in St Paul (0.7 mi), Good Samaritan Society - Grand Island Village in Grand Island (20 mi), Tiffany Square in Grand Island (21 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in Nebraska earn a median $17.38 an hour (BLS, May 2025, home health and personal care aides). Nebraska's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
St. Paul has about 172 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
St. Paul compared with Howard County and Nebraska
| Census figure | St. Paul | Howard County | Nebraska |
|---|---|---|---|
| Residents 85 or older | 6.2% | 3.3% | 2.0% |
| Residents 65+ with a disability | 50% | 40% | 32% |
| Residents 65 or older | 25% | 23% | 17% |
| Residents 65+ in households who live alone | 33% | 28% | 31% |
| Residents 65+ below the poverty line (approx.) | 5.4% | 7.7% | 9.2% |
| Households with no vehicle | 2.3% | 3.0% | 5.4% |
| Median income, households headed by someone 65+ | $40,250 | $54,107 | — |
Older residents in towns around St. Paul
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Grand Island, NE | 21 mi | 7,806 | 1,163 |
| Central City, NE | 25 mi | 641 | 68 |
| Aurora, NE | 34 mi | 976 | 161 |
| Hastings, NE | 43 mi | 4,646 | 523 |
| Kearney, NE | 48 mi | 5,546 | 737 |
| York, NE | 51 mi | 1,607 | 213 |
Nursing homes near St. Paul
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Brookefield Park | St Paul, NE | 0.7 mi | 4 of 5 | 70 | (308) 754-5486 |
| Good Samaritan Society - Grand Island Village | Grand Island, NE | 20 mi | 1 of 5 | 67 | (308) 384-3535 |
| Tiffany Square | Grand Island, NE | 21 mi | 2 of 5 | 103 | (308) 384-2333 |
| Adept Nursing & Rehab Of Grand Island | Grand Island, NE | 21 mi | 1 of 5 | 76 | (308) 382-5440 |
| Chi Health St. Francis | Grand Island, NE | 21 mi | 3 of 5 | 36 | (308) 398-5880 |
| Eventide Prairie Commons Care Center | Grand Island, NE | 23 mi | 1 of 5 | 36 | (308) 321-1122 |
Home health agencies serving St. Paul
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Good Samaritan Society Home Health | Hastings, NE | 43 mi | 5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (308) 382-4054 |
| Chi Health At Home - Grand Island | Grand Island, NE | 20 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (308) 398-2600 |
| Angels Care Progressive Home Health | Grand Island, NE | 21 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (308) 589-0170 |
| Brookestone Home Health & Hospice | Kearney, NE | 47 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (308) 995-4375 |
Straight-line miles from the center of St. Paul. 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 St. Paul
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 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 St. Paul: common questions
What nursing homes are near St. Paul?
The closest Medicare-certified nursing homes are Brookefield Park in St Paul (0.7 mi, 4 of 5 overall); Good Samaritan Society - Grand Island Village in Grand Island (20 mi, 1 of 5 overall); Tiffany Square in Grand Island (21 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in St. Paul?
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 monthly median income of St. Paul households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 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 St. Paul
Nursing Assistants in nearby cities
- Nursing Assistants in Grand Island, NE
- Nursing Assistants in Central City, NE
- Nursing Assistants in Aurora, NE
- Nursing Assistants in Hastings, NE
- Nursing Assistants in Kearney, NE
- Nursing Assistants in York, NE
- Nursing Assistants in Minden, NE
- Nursing Assistants in Columbus, NE
- Nursing Assistants in Broken Bow, NE
- Nursing Assistants in David City, NE
Other care in St. Paul
- Companion Care in St. Paul
- Dementia Care in St. Paul
- Respite Care in St. Paul
- Live-In Caregivers in St. Paul
- Post-Surgery Care in St. Paul
- Senior Transportation in St. Paul
- Home Health Aides in St. Paul
- Personal Care in St. Paul
- Overnight Caregivers in St. Paul
- 24-Hour Home Care in St. Paul
- Mobility Assistance in St. Paul
- Parkinson’s Care in St. Paul
- Stroke Recovery Support in St. Paul
- Disability Care for Adults in St. Paul
- Hospice Support in St. Paul
- Senior Meal Preparation in St. Paul
- Senior Housekeeping in St. Paul
- Medication Reminders in St. Paul
- Veterans’ Home Care in St. Paul
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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