2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities
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Senior Care & Assisted Living Costs in Marshalltown, IA

2026 monthly care rates for Marshalltown (Marshall County), local Census affordability metrics, and 4 CMS-certified care facilities.

Assisted Living🏠
$4,510/mo
$54,120/yr
-27% vs U.S. avg
Memory Care🧠
$5,500/mo
$66,000/yr
-27% vs U.S. avg
In-Home Care🤝
$25.48/hr
$4,860/mo (44h/wk)
-27% vs U.S. avg
Nursing Home (Semi)🏥
$6,970/mo
Private: $7,860/mo
-27% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$4,510/mo
Memory Care$5,500/mo
Home Care$25.48/hr
Nursing Semi$6,970/mo
Nursing Priv$7,860/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $125k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Marshalltown, IA

40.8 hrs/wk Break-even threshold

At Marshalltown, IA's average caregiver rate of $25.48/hr, hiring in-home care equals the $4,510/mo cost of Assisted Living at exactly 40.8 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.8 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,208/mo

Saves $2,302/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$4,858 vs. $4,510/mo

Full-time home care costs $348/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$8,832/mo

Assisted Living saves $4,322/mo; Memory Care averages $5,500/mo.

Marshalltown vs. Iowa & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Marshall County economic indicators.

Marshalltown, IA$4,510/mo
Iowa State Average$4,740/mo
U.S. National Median$6,200/mo

Marshall County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $72,785/yr ($6,065/mo)
Median Home Value $134,100
Median Gross Rent $860/mo
Iowa Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Marshalltown, IA

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Iowa Veterans Home
1301 Summit, Marshalltown, IA 50158 • 6417521501
702 Certified Beds Government - State CCN: 16A002
5/5 CMS Rating
Southridge Specialty Care
309 West Merle Hibbs Blvd., Marshalltown, IA 50158 • 6417524553
82 Certified Beds Non profit - Corporation CCN: 165209
2/5 CMS Rating
Accura Healthcare Of Marshalltown
2401 South Second Street, Marshalltown, IA 50158 • 6417521553
84 Certified Beds For profit - Corporation CCN: 165451
1/5 CMS Rating
Harmony Marshalltown
910 East Olive, Marshalltown, IA 50158 • 6417524581
72 Certified Beds For profit - Corporation CCN: 165385
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Marshalltown

The estimated median cost of assisted living in Marshalltown, IA is $4,510 per month ($54,120 per year), adjusted for Marshall County housing and income data.
A semi-private room in a skilled nursing facility in Marshalltown averages $6,970 per month, while a private room averages $7,860 per month.
In-home caregiver services in Marshalltown, IA average $25.48 per hour, or roughly $4,860 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Iowa is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby Iowa Cities

Albion, IA $4,510/mo Haverhill, IA $4,510/mo Ferguson, IA $4,510/mo Le Grand, IA $4,510/mo Laurel, IA $4,510/mo Liscomb, IA $4,510/mo Gilman, IA $4,510/mo Conrad, IA $4,620/mo Melbourne, IA $4,510/mo Beaman, IA $4,620/mo Montour, IA $4,380/mo Garwin, IA $4,380/mo