Overnight Caregivers in Harlan, IA: Night Care at Home

Local figures

Overnight Caregivers in Harlan, IA: the local picture

7.8%

of residents 65+ have serious difficulty remembering, concentrating or deciding (6.7% in Shelby County)

47%

of residents 65+ in households live alone (31% in Shelby County)

286

residents 85 or older (5.8% of all residents)

0.9 mi

to the nearest hospital with an emergency department (Harlan)

About 85 Harlan residents 65 or older have serious difficulty remembering, concentrating or making decisions (7.8%; 6.7% in Shelby County). Confusion at night is a common reason families arrange overnight care.

509 older residents live alone (47% of those in households). For them an overnight caregiver means someone in the house after dark.

The nearest emergency hospital is Myrtue Medical Center in Harlan, about 0.9 mi away in a straight line; keep its number and the person’s medication list by the bed.

Harlan compared with Shelby County and Iowa

Census figure	Harlan	Shelby County	Iowa
Residents 65+ with serious difficulty remembering	7.8%	6.7%	5.8%
Residents 65+ in households who live alone	47%	31%	31%
Residents 85 or older	5.8%	4.0%	2.3%
Residents 65+ with difficulty dressing or bathing	4.0%	4.1%	5.1%
Residents 65+ with a disability	24%	23%	30%
Residents 65+ below the poverty line (approx.)	24%	16%	8.4%
Median income, households headed by someone 65+	$32,500	$53,889	—

Older residents in towns around Harlan

Town	Distance	Residents 65+	Memory difficulty (65+)
Atlantic, IA	24 mi	1,632	11%
Denison, IA	25 mi	1,109	4.8%
Missouri Valley, IA	30 mi	529	1.4%
Carroll, IA	38 mi	2,456	6.5%
Carter Lake, IA	39 mi	650	2.2%
Council Bluffs, IA	39 mi	10,951	6.0%

Emergency hospitals near Harlan

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Myrtue Medical Center	Harlan, IA	0.9 mi	3 of 5	(712) 755-5161
Audubon County Memorial Hospital	Audubon, IA	22 mi	not rated	(712) 563-2611
Manning Regional Healthcare Center	Manning, IA	23 mi	not rated	(712) 655-2072

Straight-line miles from the center of Harlan. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a overnight caregiver can help with

Help to the bathroom at night and back to bed
Turning and settling someone who cannot move easily
Watching for wandering or confusion
Medication reminders at bedtime and in the morning

Cost

What overnight care costs in Harlan

At $17.34 an hour (the Iowa median aide wage), a 10-hour overnight shift three nights a week comes to about $2,254 a month, and every night about $5,260 (194% of the $2,708 monthly median income of Harlan households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. 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 overnight caregiver

Overnight help is usually arranged when the person gets up in the night or the family caregiver is no longer getting enough sleep. Decide first whether you need an awake caregiver, who stays up through the shift, or one who may sleep in the home and is woken when needed; the two are paid differently.

Questions worth asking: Do you stay awake through the shift, or sleep and wake when called? Have you cared for someone with dementia at night? What would you do if my parent fell during the night? More in our overnight caregivers guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Overnight Caregivers in Harlan: common questions

How much does overnight care cost in Harlan?

At $17.34 an hour (the Iowa median aide wage), a 10-hour overnight shift three nights a week comes to about $2,254 a month, and every night about $5,260 (194% of the $2,708 monthly median income of Harlan households headed by someone 65+). Awake and asleep night shifts are often paid differently; agree it in writing. Iowa's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).

Overnight, live-in or 24-hour care: what is the difference?

Overnight care is a single night shift. A live-in caregiver lives in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake.

More near Harlan

More senior care near Harlan

Overnight Caregivers in nearby cities

Other care in Harlan

More for Harlan 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.

Overnight Caregivers in Harlan, IA