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

Personal Care in Decorah, IA: the local picture
About 44 Decorah residents aged 65 or older have difficulty dressing or bathing (2.6%; 3.2% in Winneshiek County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
119 have serious difficulty walking or climbing stairs (7.0%), so many personal care visits also mean help getting to the bathroom or shower safely.
266 of the 1,807 older residents are 85 or older; needs for hands-on help rise with age.
Decorah compared with Winneshiek County and Iowa
| Census figure | Decorah | Winneshiek County | Iowa |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 2.6% | 3.2% | 5.1% |
| Residents 65+ with serious difficulty walking | 7.0% | 11% | 17% |
| Residents 85 or older | 3.5% | 2.8% | 2.3% |
| Residents 65+ with a disability | 22% | 24% | 30% |
| Residents 65+ in households who live alone | 32% | 25% | 31% |
| Residents 65+ below the poverty line (approx.) | 11% | 9.7% | 8.4% |
| Median income, households headed by someone 65+ | $51,453 | $59,525 | — |
Older residents in towns around Decorah
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Waukon, IA | 16 mi | 1,054 | 12% |
| Cresco, IA | 17 mi | 828 | 11% |
| Postville, IA | 19 mi | 310 | 4.9% |
| Caledonia, MN | 27 mi | 618 | 3.8% |
| New Hampton, IA | 32 mi | 695 | 1.4% |
| Prairie du Chien, WI | 37 mi | 1,374 | 7.8% |
Home health agencies with aides serving Decorah
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Winnmed Home Health | Decorah, IA | 1.5 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (563) 387-3024 |
| Community Health Services | Cresco, IA | 18 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (563) 547-2989 |
| V M H Comunity & Home Care | Waukon, IA | 16 mi | 2 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (563) 568-5660 |
| Universal Pediatrics | Dubuque, IA | 76 mi | not rated | nursing, home health aides | (563) 557-5762 |
Straight-line miles from the center of Decorah. 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 Decorah
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 35% of the $4,288 monthly median income of Decorah 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 Decorah: common questions
How much does personal care cost in Decorah?
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 35% of the $4,288 monthly median income of Decorah 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 Decorah
Personal Care in nearby cities
- Personal Care in Waukon, IA
- Personal Care in Cresco, IA
- Personal Care in Postville, IA
- Personal Care in Caledonia, MN
- Personal Care in New Hampton, IA
- Personal Care in Prairie du Chien, WI
- Personal Care in Chatfield, MN
- Personal Care in La Crescent, MN
- Personal Care in Oelwein, IA
- Personal Care in La Crosse, WI
- Personal Care in French Island, WI
- Personal Care in Charles City, IA
- Personal Care in St. Charles, MN
- Personal Care in Viroqua, WI
- Personal Care in Onalaska, WI
- Personal Care in Osage, IA
Other care in Decorah
- Companion Care in Decorah
- Dementia Care in Decorah
- Respite Care in Decorah
- Live-In Caregivers in Decorah
- Post-Surgery Care in Decorah
- Senior Transportation in Decorah
- Home Health Aides in Decorah
- Nursing Assistants in Decorah
- Overnight Caregivers in Decorah
- 24-Hour Home Care in Decorah
- Mobility Assistance in Decorah
- Parkinson’s Care in Decorah
- Stroke Recovery Support in Decorah
- Disability Care for Adults in Decorah
- Hospice Support in Decorah
- Senior Meal Preparation in Decorah
- Senior Housekeeping in Decorah
- Medication Reminders in Decorah
- Veterans’ Home Care in Decorah
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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