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The 9 Best In-Home Care Agencies in Des Moines, IA

The 9 top-rated in-home care agencies serving Des Moines, IA, ranked by the Care Close to Home Score from public reviews. Right at Home Des Moines ranks first with 4.8 stars from 192 Caring.com reviews. State licenses are not verified here, so ask each agency for its license or registration number.

Updated November 2026 · Data: public reviews, checked October 30, 2026 · How we list agencies

9 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
In-home caregiver helping an older woman put away groceries
Des Moines City Partner

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#8

Home Instead

215 N Warrior Ln, Waukee, IA 50263

★★★★★ 5.0 from 10 Caring.com reviews · License not verified

62.4

Our score

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#9

Iowa Home Care

2500 University Ave, West Des Moines, IA 50266

★★★½ 3.8 from 22 Google reviews · License not verified

48.9

Our score

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These are the top 9 agencies, ranked by the Care Close to Home Score from public reviews. We have not verified state licenses for them, so ask each agency for its license number. How we rank

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Guides for families

Cost of care in Iowa

Median hourly rate$41
20 hrs / week$3,562/mo
40 hrs / week$7,124/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in Iowa

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

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Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.

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In-home care in Des Moines, IA: how to compare agencies

We ranked the top nine in-home care agencies serving Des Moines, IA by their public reviews. They are ordered by the Care Close to Home Score, which combines the review rating (adjusted for how many reviews stand behind it), the number of reviews and whether a phone number is listed. Each has at least 10 public reviews.

We have not verified state licenses for these agencies: Iowa does not publish a usable roster of non-medical home care agencies, so this list is based on reviews, not on a license check. Ask each agency for its license or registration number if the state requires one.

Few agencies are based in Des Moines, IA itself, so most of the agencies listed are based in nearby towns and serve Des Moines, IA. Ask any agency to confirm it covers your address.

In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.

In Iowa, the median rate for in-home care is $41 an hour, about $3,562 a month for 20 hours a week (CareScout 2025).

Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay

More in-home care listings in Iowa

In-home care in Cedar Rapids 9 rankedIn-home care in Davenport 9 rankedIn-home care in Iowa City 7 rankedIn-home care in Sioux City 3 rankedIn-home care in Waterloo 9 rankedAll Iowa in-home care listings →

Questions Des Moines families ask

How do I choose an in-home care agency in Des Moines?

Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.

How are these agencies ranked?

The Care Close to Home Score is out of 100. About 70 points come from the review rating, adjusted so a handful of reviews counts for less than a hundred, about 24 from the number of reviews, and about 6 from having a phone number listed. Agencies cannot pay to rank higher, and the score does not include a state license check.

Are the agencies on this Des Moines list licensed?

We have not verified licenses for these agencies, because Iowa does not publish a usable roster of non-medical home care agencies. Ask each agency for its license or registration number if the state requires one, and confirm it with the state.

How do families pay for in-home care in Des Moines?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

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