It's no secret, most of us would like to stay in our own home as we age. Yet, sometimes our loved ones just need a little extra help to remain comfortable at home. That's where Always Best Care can help....we are dedicated to exceeding expectations....always.
They say that your golden years are the best years of your life. For most older Americans, that's how it should be - a time to relax, reflect, and live life in a familiar place. After all, senior citizens in the U.S. have worked tirelessly to build a better economy, serve their communities, and raise families.
However, as seniors grow older, completing daily tasks like showering and enjoying activities such as visiting Ushers Ferry Historic Village in Swisher, IA gets harder without someone by their side. Unfortunately, many older Americans aren't able to rely on their adult children for help. The reality in today's world is that family members do not have the skills or time to dedicate to caring for their parents. That's where Always Best Care Senior Services comes in.
Our in-home care services are for people who prefer to stay at home as they grow older but need ongoing care that family or friends cannot provide. More and more older adults prefer to live far away from long-term, institutionalized facilities and closer to the place where they feel most comfortable - their home. Home care in Swisher, IA is a safe, effective way to give your loved ones the care they need when they need it the most.
Home Care Services
Service AreasSince 1996, Always Best Care has provided non-medical in-home care for seniors to help them maintain a healthy lifestyle as they get older. We are proud to have helped more than 25,000 seniors maintain higher levels of dignity and respect. We focus on providing seniors with the highest level of in-home care available so that they may live happily and independently.
Unlike some senior care companies, we genuinely want to be included in our clients' lives. We believe that personalized care is always the better option over a "one size fits all" approach. To make sure our senior clients receive the best care possible, we pair them with compassionate caregivers who understand their unique needs. That way, they may provide care accordingly without compromising their wellbeing.
The Always Best Care difference lies in life's little moments - where compassionate care and trustworthy experience come together to help seniors live a fruitful, healthy life. Whether you are an aging adult that can't quite keep up with life's daily tasks or the child of a senior who needs regular in-home services, Always Best Care is here to help.
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Home is where the heart is. While that saying can sound a tad cliche, it is especially true for many seniors living in America. When given a choice, older adults most often prefer to grow older at home. An AARP study found that three out of four adults over the age of 50 want to stay in their homes and communities as they age.
When you begin to think about why, it makes sense. Home offers a sense of security, comfort, and familiarity.
The truth is, as we age, we begin to rely on others for help. When a family is too busy or lives too far away to fulfill this role, in-home senior care is often the best solution. Home care services allow seniors to enjoy personal independence while also receiving trustworthy assistance from a trained caregiver.
At Always Best Care, we offer a comprehensive range of home care services to help seniors stay healthy while they get the help they need to remain independent. As your senior loved one gets older, giving them the gift of senior care is one of the best ways to show your love, even if you live far away.
To give our senior clients the best care possible, we offer a full spectrum of in-home care services:
If your senior loved one has specific care needs, our personal care services are a great choice to consider. Personal care includes the standard caregiving duties associated with companion care and includes help with tasks such as dressing and grooming. Personal care can also help individuals with chronic conditions like diabetes.
Common personal care services include assistance with:
Sometimes, seniors need helpful reminders to maintain a high quality of life at home. If you or your senior has trouble with everyday tasks like cooking, our home helper services will be very beneficial.
Common home helper care services include assistance with:
Using this kind of care is a fantastic way to make life easier for you or your senior loved one. At Always Best Care, our talented caregivers often fill the role of a companion for seniors. That way, older adults can enjoy their favorite local activities, such as visiting Downtown Park in Swisher, IA with friends while also receiving the care they need daily or weekly.
Common companionship services include:
According to AARP, more than 53 million adults living in the U.S. provide care to someone over 50 years old. Unfortunately, these caregivers experience stress, exhaustion, and even depression. Our respite care services help family caregivers address urgent obligations, spend time with their children, and enjoy nearby activities. Perhaps more importantly, respite care gives family members time to recharge and regroup. Taking personal time to de-stress reduces the risk of caregiver burnout. So, if you've always wanted to eat at the local Cobble Hill or visit Future Birthplace of Captain Kirk, don't feel bad. Doing so is great for both you and your loved one.
At the end of the day, our goal is to become a valuable part of your senior's daily routine. That way, we may help give them the highest quality of life possible. We know that staying at home is important for your loved one, and we are here to help make sure that is possible.
If you have been on the fence about non-medical home care, there has never been a better time than now to give your senior the care, assistance, and companionship they deserve.
Always Best Care in-home services are for older adults who prefer to stay at home but need ongoing care that friends and family cannot provide. In-home care is a safe, effective way for seniors to age gracefully in a familiar place and live independent, non-institutionalized lives. The benefits of non-medical home care are numerous. Here are just a few reasons to consider senior care services from Always Best Care:
According to AARP, 9 out of 10 seniors prefer to age in place within the comfort of their own home. With in-home care, seniors have a way to stay at home, receive the care they need, and maintain a sense of independence, improving overall wellness.
If you or a member of your family have assumed the role of caregiver for your senior loved one, you know how stressful the job can be. Between caregiver burnout and constant worry, being a family caregiver is hard. In-home care relieves your burden and gives you peace of mind knowing that your older family member is in expert hands.
Unlike nursing homes, where the staff and residents rotate frequently, seniors can foster new friendships and build bonds with their caregiver. Seniors who socialize on a regular basis are often happier, which fosters positivity and leads to increased wellbeing.
No two seniors need the same kind of in-home care assistance. That is why each of our Care Plans is tailored to meet our client's individual needs. We offer plans that cover everything from light housekeeping to more involved duties like transportation to doctor's appointments. Our Care Coordinators will work closely with you to develop a personalized plan to ensure your senior's needs are exceeded.
Always Best Care offers a full array of care options for patients at all levels of health. With our trusted elderly care services, your loved one will receive the level of care necessary for them to enjoy the highest possible quality of life.
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While it's true that some seniors have complicated medical needs that prevent them from staying at home, aging in place is often the best arrangement for seniors and their families. With a trusted caregiver, seniors have the opportunity to live with a sense of dignity and do so as they see fit - something that is unavailable to many older people today.
In-home care makes it possible for millions of seniors to age in place every year. Rather than moving to a strange nursing home, seniors have the chance to stay at home where they feel the happiest and most comfortable.
How much does a senior's home truly mean to them?
A study published by the American Society on Aging found that more than half of seniors say their home's emotional value means more than how much their home is worth in monetary value. It stands to reason, then, that a senior's home is where they want to grow old.
With the help of elderly care in Swisher, IA, seniors don't have to age in a sterilized care facility. Instead, they can age gracefully in the place they want to be most: their home. In contrast, seniors who move to a long-term care facility must adapt to new environments, new people, and new systems that the facility implements. At this stage in life, this kind of drastic change can be more harmful than helpful.
Institutional care facilities like nursing homes often put large groups of people together to live in one location. On any given day, dozens of staff members and caregivers run in and out of these facilities. Being around so many new people in a relatively small living environment can be dangerous for a seniors' health and wellbeing. When you consider that thousands of seniors passed away in nursing homes during the COVID-19 pandemic, opting for in-home care is often a safer, healthier choice for seniors.
Aging in place has been shown to improve seniors' quality of life, which helps boost physical health and also helps insulate them from viral and bacterial risks found in elderly living facilities.
For many seniors, the ability to live independently with assistance from a caregiver is a priceless option. With in-home care, seniors experience a higher level of independence and freedom - much more so than in other settings like a nursing home. When a senior has the chance to age in place, they get to live life on their own terms, inside the house that they helped make into a home. More independence means more control over their personal lives, too, which leads to increased levels of fulfillment, happiness, and personal gratification. Over time, these positive feelings can manifest into a healthier, longer life.
More independence, a healthier life, and increased comfort are only a few benefits of aging in place. You have to take into consideration the role of cost and convenience. Simply put, it's usually easier and more affordable to help seniors age in place than it is to move them into an institutional care facility. According to the US Department of Housing and Urban Development, seniors who age in the comfort of their homes can save thousands of dollars per month.
In-home care services from Always Best Care, for instance, are often less expensive than long-term solutions, which can cost upwards of six figures per year. To make matters worse, many residential care facilities are reluctant to accept long-term care insurance and other types of payment assistance.
With Always Best Care's home care services, seniors and their families have a greater level of control over their care plans. In-home care gives seniors the chance to form a bond with a trusted caregiver and also receive unmatched care that is catered to their needs. In long-term care facilities, seniors and their loved ones have much less control over their care plan and have less of a say in who provides their care.
In-home care is a valuable resource that empowers seniors to age in place on their own terms. However, a big concern for many families and their loved ones is how much in-home care costs. If you're worried that in-home care is too expensive, you may be pleasantly surprised to learn that it is one of the most affordable senior care arrangements available.
Typically, hiring an Always Best Care in-home caregiver for a few hours a week is more affordable than sending your loved one to a long-term care facility. This is true even for seniors with more complex care needs.
At Always Best Care, we will work closely with you and your family to develop a Care Plan that not only meets your care needs, but your budget requirements, too. Once we discover the level of care that you or your senior need, we develop an in-home care plan that you can afford.
In addition to our flexible care options, families should also consider the following resources to help offset potential home care costs:
When you or your senior loved one needs assistance managing daily tasks at home, finding a qualified caregiver can be challenging. It takes a special kind of person to provide reliable care for your senior loved one. However, a caregiver's role involves more than meal preparation and medication reminders. Many seniors rely on their caregivers for companionship, too.
Our companion care services give seniors the chance to socialize in a safe environment and engage in activities at home. These important efforts boost morale and provide much-needed relief from repetitive daily routines. A one-on-one, engaging conversation can sharpen seniors' minds and give them something in which to be excited.
At Always Best Care, we only hire care providers that we would trust to care for our own loved ones. Our senior caregivers in Swisher, IA understand how important it is to listen and communicate with their seniors. A seemingly small interaction, like a short hug goodbye, can make a major difference in a senior's day. Instead of battling against feelings of isolation, seniors begin to look forward to seeing their caregiver each week.
Understanding the nuances of senior care is just one of the reasons why our care providers are so great at their job.
Unlike some senior care companies, our caregivers must undergo extensive training before they work for Always Best Care. In addition, our caregivers receive ongoing training throughout the year. This training ensures that their standard of care matches up to the high standards we've come to expect. During this training, they will brush up on their communication skills, safety awareness, and symptom spotting. That way, your loved one receives the highest level of non-medical home care from day one.
While it's true that many seniors prefer to age at home, sometimes in-home care isn't the best fit. For those seniors and their families, choosing an assisted living facility makes more sense. Unfortunately, finding the optimal care facility is easier said than done in today's day and age. That's when Always Best Care's assisted living referral services begin to make a lot of sense.
Assisted living is a form of housing intended for seniors who require varying degrees of medical and personal attention. Accommodations may include single rooms, apartments, or shared living arrangements. Assisted living communities are typically designed to resemble a home-like environment and are physically constructed to encourage the independence of residents.
At assisted living communities, seniors receive help with daily activities such as bathing, dressing, and eating. They may also benefit from coordination of services with outside healthcare providers, and monitoring of resident activities to ensure their health, safety, and well-being. Caregivers who work at assisted living communities can also provide medication administration and personal care services for older adults.
Other services offered within assisted living communities can include some or all of the following:
At Always Best Care, our representatives can match your senior's emotional, physical, and financial needs with viable assisted living communities nearby. Results are based on comparative data, so you can select the best choice for you or your loved one.
Always Best Care works closely with local senior living communities to gain valuable knowledge that we then use to help seniors and their loved ones make informed decisions. This information can include basic care and rent, resident availability, and services provided. Because Always Best Care is compensated by these communities, we provide senior living referral services at no extra cost to you.
Some of the most popular assisted living communities to consider in our area include the following:
For many seniors, moving into a senior living community revolves around how and when they want to make a transition to more involved care. Some seniors are more proactive about transitioning to independent living. Others choose to remain home until their care needs or other requirements are satisfied. Remember - our staff is here to help. Contact our office today to learn more about assisted living communities and how we can find a facility that exceeds your expectations.
The first step in getting quality in-home care starts with a personal consultation with an experienced Always Best Care Care Coordinator. This initial consultation is crucial for our team to learn more about you or your elderly loved one to discover the level of care required. Topics of this consultation typically include:
A discussion of your needs and how our trained caregivers can offer assistance in the most effective way
A draft of your care plan, which includes highly detailed notes and a framework for the care that you or your senior will receive
Discuss payment options and help coordinate billing with your insurance provider
Our caregivers are trained to spot changes that clients exhibit, like mental and physical decline. As your trusted senior care company, we will constantly assess and update your Care Plan to meet any new emotional, intellectual, physical, and emotional needs.
If you have never considered in-home care before, we understand that you and your family may have concerns about your Care Plan and its Care Coordinator. To help give you peace of mind, know that every team member and caregiver must undergo comprehensive training before being assigned to a Care Plan.
At the end of the day, we only hire the best of the best at Always Best Care. Whether you need home care in Swisher, IA 24-hours a day or only need a respite for a couple of hours, we are here to serve you.
When you're ready, we encourage you to contact your local Always Best Care representative to set up a Care Consultation. Our Care Coordinators would be happy to meet with you in person to get to know you better, discuss your needs, and help put together a personalized Care Plan specific to your needs.
William “Bill” Keating, 74, of Tiffin, Iowa, peacefully passed on Tuesday, August 25, 2026, while vacationing in Canada. The family will host visitation from 9 to 11 a.m. on Friday, September 11, 2026, at Holy Trinity Lutheran Church, 650 240th Street, North Liberty, Iowa. A celebration of life service begins at 11 a.m. with lunch to follow. A 2:30 p.m. burial with military honors will take place at Blain Cemetery in Swisher, Iowa. After the burial there will be an informal gathering at the Swisher American Legion.Bill was...
William “Bill” Keating, 74, of Tiffin, Iowa, peacefully passed on Tuesday, August 25, 2026, while vacationing in Canada. The family will host visitation from 9 to 11 a.m. on Friday, September 11, 2026, at Holy Trinity Lutheran Church, 650 240th Street, North Liberty, Iowa. A celebration of life service begins at 11 a.m. with lunch to follow. A 2:30 p.m. burial with military honors will take place at Blain Cemetery in Swisher, Iowa. After the burial there will be an informal gathering at the Swisher American Legion.
Bill was born December 9, 1951, in Cedar Rapids, the son of Leo and Nona (Trainor) Keating. He graduated from Jefferson High School with the Class of 1970. Bill served honorably in the United States Army for two years. He worked for the U.S. Postal Service retiring after 35 years. He was a member of the American Postal Workers Union.
Bill was a faithful and charter member of Holy Trinity Lutheran Church, where he participated in several mission trips, various committees and Thursday Men’s Bible study. He was proud to help remodel and maintain the current church. Bill loved classic rock and roll and the blues. He shared his love of music by playing guitar regularly at church, Florida social events and numerous West Music's “Weekend Warriors” showcases.
Bill was an avid St, Louis Cardinals , Green Bay Packers and Iowa Hawkeyes fan. He loved to play cards, laugh and tease his friends and family. In Tiffin Bill enjoyed tending his garden, mowing lawn, talking to the neighbors and teasing the neighbor kids and dogs. He enjoyed spending his winters in Florida where he was a member of the Elks, Punta Gorda, Florida chapter. He loved playing cards, shuffleboard and bocce ball; socializing with family and friends; and taking walks along the canal to check on the gators.
For many years, Bill made his home on an acreage in Swisher, where he enjoyed farming, gardening, and raising cattle. He continued his friendship with neighbors and friends from Swisher. He looked forward to playing horseshoes on Tuesdays with the guys.
Bill and his life partner of over 26 years, Nancy, were best friends. They enjoyed quiet evenings at home; laughing over silly and dumb stuff; playing cards and games with friends and family; and traveling to places on their bucket list.
Bill loved being a father and was proud of his kids. Bill loved his family and extended family and they loved him.
Survivors include his life partner, Nancy Grove of Tiffin; his children, Brook (Brett) Campbell and Chad Keating, both of Oxford, Iowa; his sister, Nancy (Steve) Burrier of Kansas City; his nephews, Nate (Annie) and Tony (Jill) Lamb; great-nieces, Lily and Tessa; great-nephew, Luke; Nancy’s nephews, Josh and Brian Grove; Nancy’s great-nieces, Sierra and d Nola Leech; and many other close family, friends and neighbors. (You and Bill know who you are.)
He was preceded in death by his parents.
Despite his quiet and kind demeanor, Bill had a devilish sense of humor. Everyone who knew him loved him and will miss him.
In lieu of flowers, memorials may be directed to Camp Courageous, 12007 190th Street, Monticello, Iowa 52310, or Holy Trinity Lutheran Church, 650 240th Street, North Liberty, Iowa 52317.
SWISHER, Iowa (KCRG) - The Iowa Department of Transportation plans to install a temporary traffic signal at Highway 965 and 120th Street Northwest before a southbound Wright Brothers Boulevard ramp closes in July.The DOT says traffic has increased at the intersection because of backups on I-380 and ongoing data center construction in southwest Cedar Rapids. The ramp closure is expected to last about two months.Residents say congestion is spreadingSwisher resident Kate Reder said she avoids the intersection entirely dur...
SWISHER, Iowa (KCRG) - The Iowa Department of Transportation plans to install a temporary traffic signal at Highway 965 and 120th Street Northwest before a southbound Wright Brothers Boulevard ramp closes in July.
The DOT says traffic has increased at the intersection because of backups on I-380 and ongoing data center construction in southwest Cedar Rapids. The ramp closure is expected to last about two months.
Swisher resident Kate Reder said she avoids the intersection entirely during peak traffic hours.
“I don’t go anywhere during that time,” Reder said.
Reder said drivers cutting through town to reach the interstate have made the intersection more dangerous.
“They all cut through town to get to the interstate and that has made that intersection really dangerous,” she said.
Reder said she does not expect the temporary signal to fully address the backup.
“It’s gonna keep everything backed up. I really don’t think it’s gonna help. It’s gonna help with traffic accidents,” she said.
Resident Curtis Hartsock said the congestion has spread beyond the main intersection to neighborhood streets and gravel roads.
“It’s only gotten worse,” Hartsock said.
Hartsock said drivers are using alternate routes to avoid the busiest intersections, which he said compounds the problem.
“Even all the shortcuts on the gravel are extremely full because they’re trying to get around the big intersections. And then it just makes it worse,” he said.
The DOT said the temporary signal is designed to improve safety before the July closure increases traffic further. Residents said a temporary fix is not the long-term solution they are looking for.
The second-most-expensive project in the Iowa Department of Transportation’s 2027-31 highway construction program needs more money.The Gordon Drive Viaduct in Sioux City is scheduled to be replaced in 2027-30 at a cost of $206 million. It’s marked as “underfunded” with the note that it’s eligible for funding from other sources.The other underfunded project is converting the at-grade intersection of Iowa Highway 27/58 at Greenhill Road in Cedar Falls into a full interchange in 2029 for $54.65 millio...
The second-most-expensive project in the Iowa Department of Transportation’s 2027-31 highway construction program needs more money.
The Gordon Drive Viaduct in Sioux City is scheduled to be replaced in 2027-30 at a cost of $206 million. It’s marked as “underfunded” with the note that it’s eligible for funding from other sources.
The other underfunded project is converting the at-grade intersection of Iowa Highway 27/58 at Greenhill Road in Cedar Falls into a full interchange in 2029 for $54.65 million. (All figures in this story are rounded, with fiscal year or years of significant work.)
The biggest project, cost-wise, in the $4.2 billion highway plan that was approved by the Iowa Transportation Commission on June 9 is replacement of the Interstate 80 bridge over the Mississippi River. The Illinois Department of Transportation is the lead agency in the project, which includes rebuilding the I-80/88 interchange. If things go as planned, Iowa will contribute $241.2 million in 2028-30 for a replacement on the downriver side of the current bridge.
The third-largest project is a milestone one: completion of the U.S. Highway 61 expressway in Eastern Iowa. The segment from Mediapolis to Iowa 78, which includes a new roadbed and interchange, will wrap up soon. The segment between Iowa 78 and Iowa 92, including a bypass of Wapello, is slated for $165.7 million and will last the entire five-year span.
Following that is the perpetual construction zone known as Interstate 35/80 in Des Moines’ western suburbs. The ramp from southbound I-35 to eastbound I-235 at the west mixmaster is being changed from a cloverleaf loop to a flyover ramp. This $125 million project is hitting the ground running; construction lettings are set for July 28, the first availability in the fiscal year. That’s in addition to finishing lane expansion between University and Douglas avenues ($13.3 million).
Rounding out the top five projects in cost is the U.S. 30 Missouri Valley bypass ($103.7 million, 2028 and 2031).
Here is a collection of the most expensive or noteworthy items in the plan. Both Dickinson and Hardin counties have no projects scheduled.
The big stuff for upgrading I-380 to six lanes between the North Liberty and Swisher exits starts in 2030. So far, $56.2 million has been allocated.
After I-35 is six-laned between Iowa 210 and U.S. 30 in the next year ($58.5 million), a separate project to expand/replace the U.S. 30 interchange itself will start in 2029 ($65.74 million).
Completion of the expansion of I-80 between the northeast mixmaster and U.S. 65 is in 2027 ($33.25 million).
A $34.1 million grade-and-pave for the northbound lanes of I-35 from the Cumming exit into Polk County in 2027 connects to where the interstate expands to three lanes. Perhaps that will be extended southward.
New bridges for I-80 capable of carrying three lanes of traffic in each direction are still ahead for the exits at U.S. 169 ($30.4 million, 2028 and 2030), U.S. 63 ($33 million, 2029/31), Iowa 21 ($17.7 million, 2027-28), and Iowa 149 ($32 million, 2027/29).
The southbound lanes of I-29 between Iowa 175 and the Blencoe exit will be replaced in 2028 ($25 million).
Original rest areas to be replaced are on I-80 eastbound near Mitchellville ($17 million in 2028-29, with a massive expansion of truck parking), I-29 in both directions near Onawa (northbound 2027, southbound 2029, $10.25 million), I-80 westbound near Underwood ($6.2 million, 2031), and the eastbound I-80 truck parking site north of Wilton ($7 million, 2030).
The U.S. 151 Springville exit remains set for 2028 ($27.3 million).
Ideas for U.S. 20 on the west side of Dubuque have gone through multiple iterations dating back to 2013. The final plan, $12.5 million in 2028, adds a frontage road to the south side of the highway but keeps at-grade stoplights with Old Highway Road, Northwest Arterial, and Crescent Ridge.
It will cost $32 million to build an interchange for U.S. 30 on the west side of Nevada in 2028-29. Once the exit for 610th Avenue/18th Street, by Van Wall Equipment, is completed, all remaining at-grade intersections from the east side of Nevada to Ames will be closed, making U.S. 30 a full freeway there.
As part of a $2.9 million Revitalize Iowa’s Sound Economy grant for De Witt to expand an industrial park, the intersection of U.S. 30 and 300th Street will become the second “reduced conflict intersection” in the state. This type of intersection, also known as a “J-turn,” which bans direct left turns from the intersecting road, has met stiff resistance elsewhere in the state. That includes in State Center, where residents successfully persuaded the DOT to install offset right-turn lanes on U.S. 30 instead. Those will make it easier for through traffic to change lanes.
An offset right-turn lane also is coming to westbound Iowa 100 at 44th Street in Marion ($500,000 Traffic Safety Improvement Program award). Nearby, next year, left turns will be banned from Munier Road onto eastbound Iowa 100.
Two roundabouts will be placed on U.S. 30 on the south side of Boone in 2027 ($6.7 million).
Replacement costs for two bridges on Iowa 175 have skyrocketed. The bridge over the Des Moines River near Dayton first appeared in the 2022 plan, scheduled for 2026, at $8.4 million. It’s been delayed twice and is now programmed for 2028 at $15.5 million. A bridge in Lake View still is set for 2029, but it’s gone from $3.9 million to $8 million.
The Burlington Street (Iowa 1) bridge over the Iowa River in Iowa City is technically a bridge pair that falls under two jurisdictions. The state has $6.9 million included for replacement in 2030, but the city of Iowa City expects overall costs to be in the neighborhood of $30 million.
The long U.S. 34 bridge over the East Nodaway River and Union Pacific Railroad by Corning will be replaced in 2030 ($21.2 million).
Rehabilitation of the Iowa 149/Business U.S. 63 viaduct in Ottumwa has been pushed back, from $33.8 million in 2029 to $36.9 million in 2031. A paving project just to its north, from Second Street past Woodland Avenue, will take place in 2028 ($7 million).
New to the list this year are new bridges on opposite borders of the state: Iowa 175 at Decatur, Neb., and U.S. 67 (the Centennial Bridge) at Rock Island. Those won’t start until 2031 at the earliest, and the latter has $60 million set aside that year alone.
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