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Senior Care Costs in Des Moines, IA (2026)

Compare nursing home, assisted living, and home care costs in Des Moines.

Nursing Home (Private)

$7,105/mo

State avg: $7,604

Assisted Living

$3,971/mo

State avg: $4,250

Home Health Aide

$23.36/hr

$4,111/mo (8hr/day)

Adult Day Care

$1,619/mo

National avg: $1,692

Cost Comparison

Care TypeDes MoinesIowa AvgNational Avg
Nursing Home (Private)$7,105/mo$7,604/mo$9,514/mo
Assisted Living$3,971/mo$4,250/mo$4,612/mo
Home Health Aide$23.36/hr$25.00/hr$25.82/hr
Adult Day Care$1,619/mo$1,733/mo$1,692/mo

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Nursing Home (Private Room) in Iowa

Monthly Cost

$7,604

Annual Cost

$91,248

5-Year Projection

$456,240

Total (12mo)

$91,248

vs. National Average

Iowa$7,604/mo
National Avg$9,541/mo

$1,937/mo lower than national average (-20.3%)

Medicare & Medicaid Coverage

  • Medicare: Covers up to 100 days of skilled nursing facility care after a qualifying hospital stay (first 20 days fully covered, days 21-100 with copay).
  • Medicaid: May cover nursing home and some home care costs for eligible individuals. Income and asset limits apply and vary by state.
  • Long-Term Care Insurance: Can cover costs not paid by Medicare or Medicaid. Premiums depend on age and coverage level.
  • VA Benefits: Veterans may qualify for Aid and Attendance benefits to help cover care costs.
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* Estimates based on Genworth Cost of Care Survey data. Actual costs may vary by facility, location, and level of care needed. Consult a certified elder care advisor or financial planner specializing in senior care for personalized guidance.

Frequently Asked Questions

How much does a nursing home cost in Des Moines, IA?
A private room nursing home in Des Moines costs approximately $7,105/month ($85,260/year). This is $2,409 below the national average.
What is the cost of assisted living in Des Moines?
Assisted living in Des Moines, IA costs approximately $3,971/month ($47,652/year).
How much do home health aides charge in Des Moines?
Home health aides in Des Moines charge approximately $23.36/hour. For full-time care (8 hours/day, 22 days/month), that totals about $4,111/month.
Is Des Moines an affordable place for senior care?
Yes, Des Moines has nursing home costs that are below the national average, making it a relatively affordable option for senior care.

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Data verified March 2026 · Source: Genworth Cost of Care Survey