Onawa, Iowa

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.

A caregiver helping an older man with a meal at a kitchen table
Local figures

Personal Care in Onawa, IA: the local picture

9.3%
of residents 65+ have difficulty dressing or bathing (4.5% in Monona County)
28%
of residents 65+ have serious difficulty walking or climbing stairs (16% in Monona County)
146
residents 85 or older (5.1% of all residents)
5
Medicare-certified home health agencies list Onawa ZIP codes in their service area

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 figureOnawaMonona CountyIowa
Residents 65+ with difficulty dressing or bathing9.3%4.5%5.1%
Residents 65+ with serious difficulty walking28%16%17%
Residents 85 or older5.1%4.3%2.3%
Residents 65+ with a disability42%30%30%
Residents 65+ in households who live alone54%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

TownDistanceResidents 65+Self-care difficulty (65+)
Sergeant Bluff, IA29 mi6465.7%
Dakota City, NE32 mi2953.7%
Blair, NE34 mi1,3374.7%
Missouri Valley, IA34 mi5293.7%
West Point, NE34 mi78813%
South Sioux City, NE34 mi1,5350.9%

Home health agencies with aides serving Onawa

AgencyOfficeDistanceCMS quality starsServices listedPhone
Aveanna HealthcareSioux City, IA38 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, home health aides(712) 233-5494
Angels Care Home Health Of IowaCouncil Bluffs, IA55 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(712) 352-3640
Burgess Home HealthOnawa, IA1.1 mi3 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(712) 423-2311
Heights Home Health, IncMapleton, IA18 mi2 of 5nursing, physical therapy, occupational therapy, speech therapy, home health aides(712) 881-7144
Wel-Home Health Of Sergeant BluffSergeant Bluff, IA29 mi2 of 5nursing, 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 it covers

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
Cost

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.

Before you hire

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.

Questions

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.

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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