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

Personal Care in Onawa, IA: the local picture
About 54 Onawa residents aged 65 or older have difficulty dressing or bathing (9.3%; 4.5% in Monona County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
162 have serious difficulty walking or climbing stairs (28%), so many personal care visits also mean help getting to the bathroom or shower safely.
146 of the 609 older residents are 85 or older; needs for hands-on help rise with age.
Onawa compared with Monona County and Iowa
| Census figure | Onawa | Monona County | Iowa |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 9.3% | 4.5% | 5.1% |
| Residents 65+ with serious difficulty walking | 28% | 16% | 17% |
| Residents 85 or older | 5.1% | 4.3% | 2.3% |
| Residents 65+ with a disability | 42% | 30% | 30% |
| Residents 65+ in households who live alone | 54% | 39% | 31% |
| 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+ | Self-care difficulty (65+) |
|---|---|---|---|
| Sergeant Bluff, IA | 29 mi | 646 | 5.7% |
| Dakota City, NE | 32 mi | 295 | 3.7% |
| Blair, NE | 34 mi | 1,337 | 4.7% |
| Missouri Valley, IA | 34 mi | 529 | 3.7% |
| West Point, NE | 34 mi | 788 | 13% |
| South Sioux City, NE | 34 mi | 1,535 | 0.9% |
Home health agencies with aides serving Onawa
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Aveanna Healthcare | Sioux City, IA | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 233-5494 |
| Angels Care Home Health Of Iowa | Council Bluffs, IA | 55 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 352-3640 |
| Burgess Home Health | Onawa, IA | 1.1 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (712) 423-2311 |
| Heights Home Health, Inc | Mapleton, IA | 18 mi | 2 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (712) 881-7144 |
| Wel-Home Health Of Sergeant Bluff | Sergeant Bluff, IA | 29 mi | 2 of 5 | nursing, physical therapy, occupational therapy, home health aides | (712) 943-7644 |
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 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 Onawa
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 50% of the $3,005 monthly median income of Onawa 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 Onawa: common questions
How much does personal care cost in Onawa?
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 50% of the $3,005 monthly median income of Onawa 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 Onawa
Personal Care in nearby cities
- Personal Care in Sergeant Bluff, IA
- Personal Care in Dakota City, NE
- Personal Care in Blair, NE
- Personal Care in Missouri Valley, IA
- Personal Care in West Point, NE
- Personal Care in South Sioux City, NE
- Personal Care in Sioux City, IA
- Personal Care in Dakota Dunes, SD
- Personal Care in Denison, IA
- Personal Care in North Sioux City, SD
- Personal Care in Fremont, NE
- Personal Care in Harlan, IA
- Personal Care in Wayne, NE
- Personal Care in Valley, NE
- Personal Care in Carter Lake, IA
- Personal Care in Le Mars, IA
Other care in Onawa
- Companion Care in Onawa
- Dementia Care in Onawa
- Respite Care in Onawa
- Live-In Caregivers in Onawa
- Post-Surgery Care in Onawa
- Senior Transportation in Onawa
- Home Health Aides in Onawa
- Nursing Assistants in Onawa
- Overnight Caregivers in Onawa
- 24-Hour Home Care in Onawa
- Mobility Assistance in Onawa
- Parkinson’s Care in Onawa
- Stroke Recovery Support in Onawa
- Disability Care for Adults in Onawa
- Hospice Support in Onawa
- Senior Meal Preparation in Onawa
- Senior Housekeeping in Onawa
- Medication Reminders in Onawa
- Veterans’ Home Care in Onawa
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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