Overnight Caregivers in Onawa, IA: Night Care at Home

Local figures

Overnight Caregivers in Onawa, IA: the local picture

7.6%

of residents 65+ have serious difficulty remembering, concentrating or deciding (5.0% in Monona County)

54%

of residents 65+ in households live alone (39% in Monona County)

146

residents 85 or older (5.1% of all residents)

1.1 mi

to the nearest hospital with an emergency department (Onawa)

About 44 Onawa residents 65 or older have serious difficulty remembering, concentrating or making decisions (7.6%; 5.0% in Monona County). Confusion at night is a common reason families arrange overnight care.

303 older residents live alone (54% of those in households). For them an overnight caregiver means someone in the house after dark.

The nearest emergency hospital is Burgess Health Center in Onawa, about 1.1 mi away in a straight line; keep its number and the person’s medication list by the bed.

Onawa compared with Monona County and Iowa

Census figure	Onawa	Monona County	Iowa
Residents 65+ with serious difficulty remembering	7.6%	5.0%	5.8%
Residents 65+ in households who live alone	54%	39%	31%
Residents 85 or older	5.1%	4.3%	2.3%
Residents 65+ with difficulty dressing or bathing	9.3%	4.5%	5.1%
Residents 65+ with a disability	42%	30%	30%
Residents 65+ below the poverty line (approx.)	23%	10%	8.4%
Median income, households headed by someone 65+	$36,061	$38,363	—

Older residents in towns around Onawa

Town	Distance	Residents 65+	Memory difficulty (65+)
Sergeant Bluff, IA	29 mi	646	9.6%
Dakota City, NE	32 mi	295	3.7%
Blair, NE	34 mi	1,337	9.0%
Missouri Valley, IA	34 mi	529	1.4%
West Point, NE	34 mi	788	8.8%
South Sioux City, NE	34 mi	1,535	6.5%

Emergency hospitals near Onawa

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Burgess Health Center	Onawa, IA	1.1 mi	3 of 5	(712) 423-2311
Twelve Clans Unity Hospital	Winnebago, NE	24 mi	not rated	(402) 878-2231
Pender Community Hospital	Pender, NE	33 mi	not rated	(402) 385-3083

Straight-line miles from the center of Onawa. 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 Onawa

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 (175% of the $3,005 monthly median income of Onawa 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 Onawa: common questions

How much does overnight care cost in Onawa?

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 (175% of the $3,005 monthly median income of Onawa 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 Onawa

More senior care near Onawa

Overnight Caregivers in nearby cities

Other care in Onawa

More for Onawa 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 Onawa, IA