In-Home Personal Care in Creston, IA
Hands-on help with bathing, dressing, toileting and grooming, at home and on the person’s own schedule. Post what you need in Creston for free and hire a caregiver directly, with no agency mark-up.

Personal Care in Creston, IA: the local picture
About 133 Creston residents aged 65 or older have difficulty dressing or bathing (9.5%; 9.1% in Union County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
283 have serious difficulty walking or climbing stairs (20%), so many personal care visits also mean help getting to the bathroom or shower safely.
153 of the 1,464 older residents are 85 or older; needs for hands-on help rise with age.
Creston compared with Union County and Iowa
| Census figure | Creston | Union County | Iowa |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 9.5% | 9.1% | 5.1% |
| Residents 65+ with serious difficulty walking | 20% | 20% | 17% |
| Residents 85 or older | 2.1% | 1.9% | 2.3% |
| Residents 65+ with a disability | 28% | 29% | 30% |
| Residents 65+ in households who live alone | 49% | 38% | 31% |
| Residents 65+ below the poverty line (approx.) | 6.1% | 6.0% | 8.4% |
| Median income, households headed by someone 65+ | $38,826 | $44,638 | — |
Older residents in towns around Creston
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Winterset, IA | 27 mi | 1,188 | 8.4% |
| Osceola, IA | 30 mi | 1,025 | 1.6% |
| Atlantic, IA | 41 mi | 1,632 | 4.7% |
| Clarinda, IA | 41 mi | 1,227 | 6.5% |
| Adel, IA | 42 mi | 792 | 0.0% |
| Waukee, IA | 44 mi | 3,250 | 5.6% |
Home health agencies with aides serving Creston
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Angels Care Home Health Of Iowa | Council Bluffs, IA | 77 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 352-3640 |
| Unitypoint At Home | Urbandale, IA | 52 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (515) 557-3100 |
| Everystep | Creston, IA | 1.2 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (855) 867-4592 |
Straight-line miles from the center of Creston. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a personal care aide can help with
- Bathing or showering, with a shower chair if needed
- Dressing and undressing
- Toileting and incontinence care
- Grooming: hair, shaving and oral care
What personal care costs in Creston
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 46% of the $3,236 monthly median income of Creston 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 personal care aide
The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.
Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Personal Care in Creston: common questions
How much does personal care cost in Creston?
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 46% of the $3,236 monthly median income of Creston 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).
What is the difference between personal care and companion care?
Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.
More senior care near Creston
Personal Care in nearby cities
- Personal Care in Winterset, IA
- Personal Care in Osceola, IA
- Personal Care in Atlantic, IA
- Personal Care in Clarinda, IA
- Personal Care in Adel, IA
- Personal Care in Waukee, IA
- Personal Care in Red Oak, IA
- Personal Care in West Des Moines, IA
- Personal Care in Norwalk, IA
- Personal Care in Indianola, IA
- Personal Care in Clive, IA
- Personal Care in Urbandale, IA
- Personal Care in Windsor Heights, IA
- Personal Care in Grimes, IA
- Personal Care in Des Moines, IA
- Personal Care in Johnston, IA
Other care in Creston
- Companion Care in Creston
- Dementia Care in Creston
- Respite Care in Creston
- Live-In Caregivers in Creston
- Post-Surgery Care in Creston
- Senior Transportation in Creston
- Home Health Aides in Creston
- Nursing Assistants in Creston
- Overnight Caregivers in Creston
- 24-Hour Home Care in Creston
- Mobility Assistance in Creston
- Parkinson’s Care in Creston
- Stroke Recovery Support in Creston
- Disability Care for Adults in Creston
- Hospice Support in Creston
- Senior Meal Preparation in Creston
- Senior Housekeeping in Creston
- Medication Reminders in Creston
- Veterans’ Home Care in Creston
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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