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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.

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Home Care In Des Moines, IA

Home Care Des Moines, IA

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 the historic Terrace Hill Historic Site 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 Des Moines, IA is a safe, effective way to give your loved ones the care they need when they need it the most.

 In-Home Care Des Moines, IA

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The Always Best Care Difference

Since 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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“Tracey Gray helped me in the biggest way today! She saved my day and I am so thankful for her choice to help me! Thank you! #CertPrint #AlwaysBestCare”

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TESTIMONIALS

“Always best care provided excellent caregivers to us. I am really happy with the care and support they provided to my father. Highly recommended to all!”

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“On behalf of my family, I would like to thank Always Best care for all the support your caregivers have provided to my mother. She was very pleased with the care she received. I confidently recommend Always Best Care to all.”

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TESTIMONIALS

“Always Best Care in Cedar Valley IA realy helps me a lot. They have Reliable Caregivers who helped me to take care of my loved one for several years. They are highly trained and managed well the daily routines and activities like bathing and dressing. Caregivers of always best care is dependable and passionate to their work. I am satisfied and so glad that I chose their service. Highly recommend whoever needs their caregiving service!”

Melanie S.

What is Non-Medical Senior Care in Des Moines, IA?

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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.

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When you begin to think about why, it makes sense. Home offers a sense of security, comfort, and familiarity.

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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.

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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.

 Senior Care Des Moines, IA

Types of Elderly Care in Des Moines, IA

To give our senior clients the best care possible, we offer a full spectrum of in-home care services:

Personal Care

Personal 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:

  • Eating
  • Mobility Issues
  • Incontinence
  • Bathing
  • Dressing
  • Grooming

Respite Care Des Moines, IA
Home Helper

Home Helper Services

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:

  • Medication Reminders
  • Meal Preparation
  • Pet Care
  • Prescription Refills
  • Morning Wake-Up
  • Walking
  • Reading
 Caregivers Des Moines, IA
Companionship Services

Companionship Services

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 Good Park with friends while also receiving the care they need daily or weekly.

Common companionship services include:

  • Grocery Shopping
  • Transportation to Appointments
  • Nutritional Assistance
  • Conversation
  • Planning Outings
  • Completing Errands
  • Transportation to Community
  • Events and Social Outings
Home Care Des Moines, IA
Respite Care

Respite Care Services

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 Flemings Prime Steakhouse Wine Bar or visit Witmer House, 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.

 In-Home Care Des Moines, IA

Benefits of Home Care in Des Moines, IA

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:

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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Aging in Place: The Preferred Choice for Most Seniors

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.

Here are just a few of the reasons why older men and women prefer to age at home:

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 Des Moines, 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.

 Elderly Care Des Moines, IA

Affordable 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:

If your loved one qualifies, Medicaid may help reduce in-home care costs. Review your IA's Medicaid program laws and benefits, and make sure your senior's financial and medical needs meet Medicaid eligibility requirements.
Attendance and aid benefits through military service can cover a portion of the costs associated with in-home care for veterans and their spouses.
Many senior care services like in-home care are included in long-term care insurance options. Research different long-term care solutions to find a plan that provides coverage for senior care.
Home care can be included as part of a senior's private insurance plan. Read over your loved one's insurance policy carefully or speak with their insurance provider to determine if in-home care is covered.
Depending on the life insurance plan, you may be able to apply your policy toward long-term care. You may be able to use long-term-care coverage to help pay for in-home elderly care.
 Senior Care Des Moines, IA

Compassionate Care. Trusted Caregivers.

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 Des Moines, 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.

Assisted Living Referral Services

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.


Respite Care Des Moines, IA

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:

  • Housekeeping
  • Laundry
  • Recreational Activities
  • Social Outings
  • Emergency Medical Response
  • Medication Monitoring
  • Family Visitation
  • Personal Care
 Caregivers Des Moines, IA

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:

  • Edencrest at Beaverdale
  • Edencrest at Riverwoods
  • Addington Place of Des Moines
  • 3801 Grand Retirement Campus
  • Valley View Village
  • Luther Park Community
Home Care Des Moines, IA

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.

 In-Home Care Des Moines, IA

Taking the First Step with Always Best Care

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

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A draft of your care plan, which includes highly detailed notes and a framework for the care that you or your senior will receive

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Discuss payment options and help coordinate billing with your insurance provider

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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 Des Moines, 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.

 Elderly Care Des Moines, IA

Latest News in Des Moines, IA

Iowa's hands-free law banning drivers holding cell phones now in effect. What to know:

As Iowa's new law banning handheld cell phones while driving takes effect July 1, the Iowa State Patrol has a very simple message for drivers."We need the phone out of people’s hands," said Sgt. Alex Dinkla.After years of efforts, Iowa joins 30 other states in banning drivers from using ...

As Iowa's new law banning handheld cell phones while driving takes effect July 1, the Iowa State Patrol has a very simple message for drivers.

"We need the phone out of people’s hands," said Sgt. Alex Dinkla.

After years of efforts, Iowa joins 30 other states in banning drivers from using cell phones or other electronic devices, except in hands-free or voice-activated mode.

Iowa law already banned texting while driving, but Dinkla said the old law was difficult to enforce because it wasn't always clear if a driver was texting.

"This new law, it really cleans a lot of that up," he said. "It says take the phone out of the hand and in a nutshell, we know this is going to save lives in Iowa."

Here's what to know about the new law:

Which electronic devices are drivers banned from using?

In addition to cell phones, the law bans drivers from using tablets, laptops, PDAs, electronic gaming devices and other similar portable devices — so no typing, scrolling or streaming behind the wheel.

A car's built-in GPS navigation system does not count as a prohibited device, meaning drivers can use their car's integrated system — as long as they enter their destination before the car begins moving.

Can I use my phone in hands-free mode?

Yes. Drivers are allowed to use cell phones if they are in hands-free or voice-activated mode. However, you can't swipe or scroll.

What's the best way to comply with Iowa's new hands-free law?

Dinkla said there are several cheap ways to comply with the law, such as buying a phone mount to attach to the car's dashboard, buying an auxiliary Bluetooth if the car doesn't have its own system built in or putting the phone on speaker mode and setting it down.

"They can still use their GPS navigation tool on their phone," he said. "They just need to make sure that they enter that address where they’re going before they start to drive, put that unit up on the dash in the mount and they’re good to go."

What will enforcement look like once the law takes effect July 1?

For the first six months, police will only issue warnings for violating the law.

Dinkla said the Governor's Traffic Safety Bureau has printed 30,000 cards with information on how to comply with the new law that officers will hand out to drivers when they make traffic stops.

The education campaign will also include billboards, radio and television ads and outreach to media, Dinkla said.

"We are going to make sure that we do tons of education this first six months," he said.

Iowa saw 355 traffic fatalities in 2024 and 379 in 2023, according to the Governor's Traffic Safety Bureau.

What are the penalties for violating the law?

Beginning in 2026, someone who violates the law will receive a fine of $100, up from $45 for violating the current texting-while-driving ban.

Someone who causes a serious injury will be subject to a $500 fine and and possible suspension of their driver's license, while someone who causes a death will receive a $1,000 fine.

Stephen Gruber-Miller covers the Iowa Statehouse and politics for the Register. He can be reached by email at [email protected] or by phone at 515-284-8169. Follow him on X at @sgrubermiller.

Central Iowa's rivers face monumental challenges beyond the current lawn watering ban

Nitrates, fecal bacteria, sediment and other pollutants in the Des Moines and Raccoon rivers threaten safe drinking water for 20% of the state’s population. That's one of the findings from a sweeping study commissioned by Polk County supervisors in 2023 and released Tuesday.Matt McCoy, Polk County Board of Supervisors chair, said the goal was to “provide a comprehe...

Nitrates, fecal bacteria, sediment and other pollutants in the Des Moines and Raccoon rivers threaten safe drinking water for 20% of the state’s population. That's one of the findings from a sweeping study commissioned by Polk County supervisors in 2023 and released Tuesday.

Matt McCoy, Polk County Board of Supervisors chair, said the goal was to “provide a comprehensive, unbiased analysis of water quality” in the rivers, which converge in Des Moines and eventually drain into the Mississippi River.

The report also recommends regional and state-level actions, including:

“The cost of addressing these problems is enormous, but the consequences of not addressing them is not an option,” McCoy said at the supervisors’ meeting Tuesday.

Sixteen scientists from Iowa and across the country contributed to the Central Iowa Source Water Research Assessment (CISWRA). It’s grouped around four topics: drinking water security, recreation, stream flow and ecological health and habitat.

The executive summary said “pavement-filled cities” contribute to impaired waters, but “agricultural production, which is the predominant use of the land in our watersheds, has an overwhelming influence on the rivers.”

Fertilizer and manure that washes off farm fields threaten drinking water sources and increase the likelihood of harmful algal blooms, the authors said. Historical alterations to rivers and streams, like channel straightening and more extreme weather from climate change, also contribute to water quality challenges.

“The problems identified in this report are not new to the stakeholders in Polk County, but this report is timely, given the existing conversations around the high levels of nitrates that this community is dealing with currently,” McCoy said.

Since June 12, the Des Moines area has been under its first lawn watering ban due to elevated nitrate levels in the Raccoon and Des Moines rivers.

Central Iowa Water Works officials said compliance has cut water demand by more than 30%, allowing the regional water utility to keep pace with nitrate removal and stay under the federal threshold of 10 milligrams per liter (mg/L) for public drinking water.

The standard was set decades ago to prevent blue baby syndrome, a life-threatening condition that causes low oxygen levels in an infant’s blood. But a growing number of studies have linked nitrate concentrations lower than 10 mg/L to colorectal cancer, thyroid disease and other health issues.

The CISWRA researchers found around 40% of the nitrogen in the Raccoon and Des Moines rivers comes from farm fertilizer. Roughly 20% stems from manure, while 20% comes from nitrogen-fixing crops, predominantly soybeans.

Around 18% comes from atmospheric deposition, a process where nitrogen falls back to the earth with rain and snow or as particles. Just 2% comes from developed land and water that flows out of sewage treatment plants.

The summary report states that "nitrate levels in central Iowa are among the highest in the nation,” even when compared to other agriculturally intense regions.

The 10 people who gave public comments at the Polk County supervisors' meeting said this is a pivotal time for water quality.

“It doesn’t have to be this way,” said Mike Tramontina, a Des Moines resident representing the Iowa Chapter of the Sierra Club. “Our rivers can be cleaned up. The Des Moines and the Raccoon can be brought back to drinkable, swimmable and fishable quality and by natural processes.”

Tramontina said politicians too often resist solutions over concerns that they could harm farmers.

“I hope that in all future discussions, every time you hear someone say, ‘What about the farmers?’ I hope one of you will turn and say, ‘What about the babies?’” Tramontina said, referring to nitrates and blue baby syndrome.

Tramontina and others, including Michael Schmidt, general counsel of the Iowa Environmental Council, criticized the state’s Nutrient Reduction Strategy. They said it has not made significant progress in improving water quality since it was released in 2013.

Schmidt said many individuals are voluntarily adopting conservation practices, but larger-scale changes are needed to protect the state’s water.

“If you look below the surface, which is hard to do in most Iowa Lakes, you can see that the problem is not just a drought or wet weather, it's what people are putting on the land upstream,” Schmidt said.

He said several of the new report's recommendations — comprehensive watershed planning, clear benchmarks for progress, funding for additional water monitoring and improved manure management practices — will be key to protecting public and environmental health.

Matt Russell, interim executive director of the Iowa Farmers Union, delivered a written statement from Aaron Lehman, IFU’s president.

“We all know that agriculture is contributing to our water quality challenges in Iowa. The good news is that means farmers can be an important part of solving this problem,” Lehman wrote.

As millions of dollars of federal conservation funding has been cut or frozen under the Trump administration, Lehman's statement said that IFU looks forward to working with Polk County and other partners to scale up best practices for water quality.

Polk County's efforts to improve water quality

McCoy emphasized that solutions are within grasp if urban and rural Iowa work cooperatively.

“The work that Polk County has engaged in under the direction and leadership of Jonathan Swanson highlight some of the best practices if implemented statewide, which would have enormous benefits in these watersheds,” McCoy said.

Jonathan Swanson, water resources supervisor with Polk County Public Works, highlighted the batch and build program his team developed. It aims to reduce barriers for neighboring landowners to add saturated buffers and bioreactors to treat field tile drainage before it empties into ditches and streams. He said the program has scaled up to 13 counties in Iowa and other Midwestern states.

Other programs focus on installing wetlands — which naturally filter water, store stormwater and create wildlife habitat — adding cover crops and restoring streams.

With a large urban population, Swanson said the county also faces its own “distinctly urban difficulties,” like stormwater runoff. The Rain Campaign offers resources to help residents add rain barrels, permeable pavement and certain types of landscaping to prevent runoff.

“For us, making a difference has come through diversified approaches to putting conservation on the ground,” Swanson said.

Swanson said his team is eager to dig into the new CISWRA report to see how they can do more to improve water quality in central Iowa.

Iowa fire departments under strain from cost, delivery time for new fire trucks

Sales of pancakes and concert tickets help, but aren't enough, for smaller Iowa communities buying increasingly expensive new fire engines.That's because fire vehicles, that not so long ago cost hundreds of thousands of dollars, now cost millions, leaving fire departments big and small having to get creative — with fundraisers for replacements or for spare parts to keep existing equipment running.Delivery of vehicles and gear departments may have formerly waited a year or less to receive may now take double or triple that...

Sales of pancakes and concert tickets help, but aren't enough, for smaller Iowa communities buying increasingly expensive new fire engines.

That's because fire vehicles, that not so long ago cost hundreds of thousands of dollars, now cost millions, leaving fire departments big and small having to get creative — with fundraisers for replacements or for spare parts to keep existing equipment running.

Delivery of vehicles and gear departments may have formerly waited a year or less to receive may now take double or triple that, or longer. And the rising costs and production times have prompted the nation's largest firefighters' labor union to call the situation a public safety hazard and demand a federal probe into the fire vehicle manufacturing industry.

The Ely Fire Department, which serves a city of about 2,300 people and two townships in Linn County, ordered a new fire engine last year before it had the funding in place, said Ely City Council member Mark Becicka, one of the all-volunteer department's firefighters and emergency medical technicians.

Becicka said the department went ahead with the replacement of the more than 27-year-old Engine 294 because a delay would have made the replacement more difficult and costlier.

"We really have to balance risk versus necessity," he said.

The department's call volumes are increasing as the reliability of its current engine decreases. More small parts are wearing out, including switches for emergency lights, a tachometer that's missing a digit, leaks in a backup air compressor and a water system hose, and knobs on the water pump control panel that don't lock into place.

"We knew we couldn't afford to wait," Becicka said.

But the $950,000 fundraising goal to pay for the new engine is still far more than the department's about $150,000 annual budget, he said. Its nonprofit arm has raised about $150,000 since a kickoff event in August 2024, with an annual July 4 pancake breakfast and a Sept. 26 concert expected to bring in more.

“We just have to be more creative and patient," Becicka said.

The department has three years before it receives the new engine, at which time it would need to take out a loan to cover any remaining gap between the cost and what's been raised, he said.

Meanwhile, in Des Moines, almost 10 times the size of Ely, something has to give. The fire department needs more funding or vehicles' lifespans will have to be extended. And "we haven’t acquired more funding," said city Fire Marshal Jonathan Lund.

Edward Kelly, president of the International Association of Fire Fighters labor union, said fire vehicles' doubled prices and multi-year order backlogs are a "critical hazard in public safety," citing reports that dozens of broken-down fire trucks were unavailable during the deadly Los Angeles wildfires earlier this year.

Metro cities are paying millions of dollars but waiting years for fire trucks

Emergency vehicles don't last forever.

"Ladder trucks and engines typically last 15 to 20 years before the cost of repairs becomes too high compared to their value," said a news release about the purchase of a new ladder truck for the Johnston-Grimes Metropolitan Fire District.

The truck with a 100-foot ladder, hose and 300-gallon water tank and pump replaced a ladder truck originally purchased in 2004 for $750,000.

The new one cost more than double that — $1.7 million — and did not arrive until almost three years after it was ordered in March 2022.

Johnston-Grimes' new ladder truck is "essential for ensuring the effectiveness and safety of fire operations," the release said.

Ankeny City Council documents describe a new 107-foot ladder truck the council approved purchasing in January as the primary fire response vehicle at Ankeny Fire Department's Fire Station No. 1.

The new truck will replace a 2011 ladder truck that has had a "less-than-ideal reliability record" since it was damaged in a 2018 storm, according to a council document.

The cost: almost $2.4 million, and the new ladder truck is not expected to be ready for delivery until around 2029.

On June 9, the Des Moines City Council approved the purchase of two fire engines and a 100-foot ladder truck to replace older trucks that will be placed in reserve. The fire department's current 100-foot reserve ladder truck is 24 years old. A 2018 frontline ladder truck is ready to go into reserve, along with engines from 2008 and 2017.

"When replacing fleet vehicles, we prioritize replacement of the units with the most wear and tear, engine hours, and miles to ensure the fleet is as healthy as possible," Lund wrote in an email to the Des Moines Register.

The new engines cost nearly $1.4 million each, and the ladder truck $2.3 million. Delivery of the engines is expected after July 1, 2027, and the ladder truck's delivery is slated for at least a year later.

The prices metro cities are paying fall within the current average range for engines and ladder trucks, according to a fire vehicle manufacturing industry spokesperson: $1.2 million to $1.5 million for custom-made pumper trucks, the typical fire engines, and $1.3 million to $2 million or more for aerials, or ladder trucks, depending on the type.

Gary Pacilio, speaking for the Fire Apparatus Manufacturers Association, said the price range for a pumper about a decade ago was $600,000 to $800,000, and for an aerial, $800,000 to $1.2 million.

That change goes well beyond the rate of inflation in consumer prices alone, according to the U.S. Bureau of Labor Statistics. A $600,000 purchase in 2015 would be the equivalent of about $825,000 in 2025, for example. But that $825,000 is about $400,000 or more short of the price for a new pumper.

Why did fire vehicles become so much more expensive?

Pacilio is the executive vice president of operations for Fouts Bros. Inc., a Georgia-based manufacturer of fire apparatus including pumpers, tankers and rescue vehicles. And he is a past president of the Fire Apparatus Manufacturers Association, which represents companies that produce emergency vehicles or their components in the U.S. and Canada.

A surge in demand driven by federal money distributed to local governments during the COVID-19 pandemic exceeded manufacturers' capacities in North America. That combined with the pandemic's disruptions to parts supply chains and labor resulted in an order backlog the industry is still working through, Pacilio said.

In May, the International Association of Fire Fighters and American Economic Liberties Project, an anti-monopoly group, requested the U.S. Department of Justice and Federal Trade Commission launch an antitrust investigation into the fire vehicle manufacturing industry over concerns including consolidation, with three companies controlling about two-thirds of the market.

But Pacilio said it's misleading to consider the effects of consolidation on the industry as the only reason for inflation.

“We’re all in this together. We’re all trying to find the right path. But this influx of orders is unprecedented,” he said.

Manufacturers are planning for additional production capacity, he said, but obtaining enough skilled workers continues to be a struggle.

And he said the industry's generations-long focus on custom-made fire vehicles that are unique to each fire department — with custom chassis and positioning of storage compartments and water pump control panels, for example — adds complexity that drives up costs and production lead times.

The more complex, he said, "the harder these are to build, the more hours it requires to build them, the fewer you can get out."

Big advantages for bigger departments

Des Moines' size means it's economical to have an in-house repair garage. A superintendent and four mechanics staff the shop on Dean Avenue and they can be called out after hours and on weekends to address critical repair needs at emergency scenes.

“Our goal is to keep the cost down,” said Jim Clark, the garage's superintendent.

Des Moines' vehicles ideally see 10 years of frontline service and then spend at least five years in reserve, where, Lund said, they can be pulled back into active service when frontline units are down for repairs, or when they're needed at special events and during exceptionally busy times.

Even wrecked vehicles can have a long afterlife. There’s a room at the garage full of shelves stocked with various parts recovered from vehicles over time, including whole motors and exhaust systems.

It's not just fire engines and ladder trucks that have gotten more expensive and take longer to receive once ordered, but also ambulances and personal protective equipment.

The Ankeny Fire Department's budget presentation in January included a request for an additional $20,000 in the safety equipment budget because of "unprecedented price increases."

Des Moines' garage also can repair firefighters' respirator masks, the tools used to extricate victims from wrecked cars, and often respirator packs. A third party services the tanks that supply firefighters' air, but Clark said “99% of the time, we can repair the pack" that holds an air tank.

Des Moines also can spend more now to avoid problems later. Lund said while the city previously ordered one or two ambulances a year that would arrive in 12 to 14 months or less, because of 36-month lead times that force the extension of frontline vehicles' service, it ordered seven new ambulances in March.

Can Ely keep up?

In-house repair garages of Des Moines' scale and ordering in bulk in advance are not feasible options for many other departments, especially small ones.

In Ely, Becicka said, that capability gap highlights the fact that smaller departments don’t have the same access to funding but face the same issues of rising costs and production lead times.

The department there is reaching out to the local community and businesses for donations and applying for grants to assist with the purchase of Engine 294.

“We couldn’t do it without the community we have around us," he said, adding that it is a source of pride that the community is directly supporting the new engine through donations, not just through their taxes.

"It's helping us help them," he said.

Want to help? The Ely Fire Department's fundraising website is available at elyfire.com/meetfutureely294, and event information is available at facebook.com/elyfiredepartment/events.

Reuters contributed to this article.

Phillip Sitter covers the suburbs for the Des Moines Register. Phillip can be reached via email at [email protected]. Find outmore about him online in the Register's staff directory.

Things To Do in Des Moines this weekend: Fireworks, Independence Day celebrations and more

Ready to celebrate Independence Day?Check out these events and activities happening across the Metro July 3-6, but make sure you check the weather and put on sunscreen before you head out.Thursday, July 3Waukee Independence Day Celebration, 1255 Warrior LaneFind the full schedule here.Visit Wauk...

Ready to celebrate Independence Day?

Check out these events and activities happening across the Metro July 3-6, but make sure you check the weather and put on sunscreen before you head out.

Thursday, July 3

Waukee Independence Day Celebration, 1255 Warrior LaneFind the full schedule here.Visit Waukee's Centennial Park for the annual Fourth of July parade, inflatables, live music, fireworks and more.

Urbandale Fourth of July Celebration, Lions ParkFind the full schedule here.Urbandale is home to one of the largest Fourth of July celebrations in the area. This longstanding tradition includes a 2-mile-long parade, a premier carnival, an entertainment garden, live music, as well as a variety of other activities. The annual community event is organized by a group of volunteers and is primarily self-funded with help from local business sponsors and fundraising.

All-American Extravaganza, Prairie Meadows Casino3 p.m. ThursdayCost: FreeFind the full schedule here.Visit Prairie Meadows for its free, family-friendly All-American Extravaganza. Enjoy live racing, outdoor live music, food, fireworks and more.

Junction Street Party, Historic Valley Junction5 p.m. ThursdayCost: FreeFind the full schedule here.Revel in the spirit of independence with live music, bites from local food trucks and shop at the Valley Junction Farmers Market.

Independence Day Parade, West Des Moines6:30 p.m. ThursdayCost: FreeThe annual West Des Moines Independence Day parade starts at Valley High School and ends at Wilson Park. See the full parade route here.

Yankee Doodle Pops, Iowa State Capitol West Terrace8:30 p.m. ThursdayCost: FreeThe Des Moines Symphony's 31st annual Yankee Doodle Pops, Iowa's largest single-day concert event. The family-friendly patriotic concert concludes with a spectacular fireworks display over the downtown Des Moines skyline. Find parking information here.

Friday, July 4

Waukee Independence Day Celebration, 1255 Warrior LaneFind the full schedule here.Visit Waukee's Centennial Park for the annual Fourth of July parade, inflatables, live music, fireworks and more.

Urbandale Fourth of July Celebration, Lions ParkFind the full schedule here.Urbandale is home to one of the largest 4th of July celebrations in the area. This longstanding tradition includes a 2-mile-long parade, a premier carnival, an entertainment garden, live music, as well as a variety of other activities. The annual community event is organized by a group of volunteers and is primarily self-funded with help from local business sponsors and fundraising.

Independence Day and Historic Baseball, Living History Farms9 a.m. to 4 p.m. FridayCost: All activities are included with general admission.Find the full schedule here.Celebrate a historic Independence Day in the town of Walnut Hill. 1876 marks the first centennial of the United States, and Living History Farms’ Independence Day activities truly show what this day meant to those in the 19th century — a day of family fun and games.

Altoona Fourth of July parade, 8th Street, Altoona1o a.m. FridayCost: FreeCelebrate Independence Day with the Altoona Area Historical Society and its annual parade. The parade begins at the Altoona Public Library and ends at Haines Park.

Hometown Pride + Fourth of July Fireworks, Norwalk10 a.m. FridayCost: FreeNorwalk Hometown Pride's annual celebration kicks off with the parade at 10 a.m. The fun continues throughout the day and ends with fireworks at dusk. Find the full parade map here.

Fourth of July Foam Party at Paws & Pints, 6218 Willowmere DriveNoon to 3 p.m. FridayCost: FreeFind more information here.

Rock-It in the Park, Union Park, 2009 Saylor Road, Des MoinesNoon to 6 p.m. FridayCost: FreeFree lunch for the first 500 attendees, kids' activities, games and prizes, outdoor music and more. Find more information here.

Independence Day Celebration at Madison County Winery, 3021 Saint Charles Road, St. Charles5 p.m. FridayCost: FreeLive music by Madison County Line. Picnic-style foods, the national anthem, followed by fireworks.

West Des Moines Community Band Concert, Jamie Hurd Amphitheater, 4100 Mills Civic Parkway7 p.m. FridayCost: FreeEnjoy the West Des Moines Community Band's Fourth of July concert. Bring a blanket or lawn chair and unwind to the tunes of this talented local band.

4th of July night lights at Carlisle High School, 430 School St., Carlisle8 p.m. FridayCost: FreeJoin Carlisle Cars n Coffee for a free car show at Carlisle High School. Find more information here.

Yoga in the Park, 410 West First St., Ankeny8 a.m. SaturdayCost: FreeBring a yoga mat and a friend to enjoy one hour of free outdoor yoga every Saturday morning May 24 through Aug. 30 at Wagner Park.

Stars and Stripes Night with the Des Moines Menace, Valley Stadium7 p.m. SaturdayCost: Tickets start at $15 and must be purchased onlineCelebrate Independence Day weekend with the Des Moines Menace's annual patriotic match against Sunflower State FC. Free entry for military, veterans and first responders with valid ID. The first 500 fans will receive a Menace beach towel.

Music Under the Stars at Laurisden Amphitheater, Water Works Park, 2251 George Flagg Parkway, Des Moines7 p.m. SundayCost: FreeThe longest-running free summer event in Des Moines is Music Under the Stars, a free professional concert and jazz band performances. Sunday will feature a retro-inspired evening channeling vintage vibes with horn soloist Kristen Ronning and the classic big band stylings of vocalist Max Wellman.

Other events

Looking for a fireworks show? We've got you covered. Find our list of central Iowa fireworks shows here.

The Des Moines Biergarten at Water Works Park has opened for the season. Enjoy a family-friendly atmosphere, beer, food and live entertainment every Wednesday through Sunday from noon to 9 p.m.

Friday: Sun and clouds mixed with a slight chance of thunderstorms during the afternoon. High around 92 degrees Fahrenheit. Winds SSW at 10-15 mph. Chance of rain 30%.

Friday night: Partly cloudy skies early. Scattered thunderstorms are developing later at night. Low 74 degrees. Winds SSW at 10-15 mph. Chance of rain 40%.

Saturday: Variable clouds with scattered thunderstorms. High 88 degrees. Winds SW at 10-15 mph. Chance of rain 50%.

Saturday night: Scattered thunderstorms. Low 70 degrees. Winds WSW at 5-10 mph. Chance of rain 50%.

Sunday: Sunshine and clouds mixed. High 87 degrees. Winds WNW at 5-10 mph.

Sunday night: Cloudy with a few showers. Low 69 degrees. Winds NE at 5-10 mph. Chance of rain 30%.

Have a weekend event or favorite place to grab a bite on the weekend? Share it with us by emailing [email protected].

Iowa Lottery Mega Millions, Pick 3 Midday results for July 1, 2025

The Iowa Lottery offers several draw games for those aiming to win big with rewards ranging from $1,000 to millions. The most an Iowan has ever won from playing the lottery was $343 million in 2018 off the Powerball.Don’t miss out on the winnings. Here’s a look at Tuesday, July 1, 2025, winning numbers for each game:Winning Mega Millions numbers from July 1 drawing19-28-31-39-54, ...

The Iowa Lottery offers several draw games for those aiming to win big with rewards ranging from $1,000 to millions. The most an Iowan has ever won from playing the lottery was $343 million in 2018 off the Powerball.

Don’t miss out on the winnings. Here’s a look at Tuesday, July 1, 2025, winning numbers for each game:

Winning Mega Millions numbers from July 1 drawing

19-28-31-39-54, Mega Ball: 05

Winning Pick-3 numbers from July 1 drawing

Midday: 0-6-1

Evening: 0-9-0

Check Pick-3 payouts and previous drawings here.

Winning Pick-4 numbers from July 1 drawing

Midday: 9-4-9-8

Evening: 9-9-3-8

Check Pick-4 payouts and previous drawings here.

Winning Lucky For Life numbers from July 1 drawing

01-02-19-30-33, Lucky Ball: 02

When are the Iowa Lottery drawings held?

Winning lottery numbers are sponsored by Jackpocket, the official digital lottery courier of the USA TODAY Network.

Where can you buy lottery tickets?

Tickets can be purchased in person at gas stations, convenience stores and grocery stores. Some airport terminals may also sell lottery tickets.

You can also order tickets online through Jackpocket, the official digital lottery courier of the USA TODAY Network, in these U.S. states and territories: Arizona, Arkansas, Colorado, Idaho, Maine, Massachusetts, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, New York, Ohio, Oregon, Puerto Rico, Washington D.C., and West Virginia. The Jackpocket app allows you to pick your lottery game and numbers, place your order, see your ticket and collect your winnings all using your phone or home computer.

Jackpocket is the official digital lottery courier of the USA TODAY Network. Gannett may earn revenue for audience referrals to Jackpocket services. GAMBLING PROBLEM? CALL 1-800-GAMBLER, Call 877-8-HOPENY/text HOPENY (467369) (NY). 18+ (19+ in NE, 21+ in AZ). Physically present where Jackpocket operates. Jackpocket is not affiliated with any State Lottery. Eligibility Restrictions apply. Void where prohibited. Terms: jackpocket.com/tos.

This results page was generated automatically using information from TinBu and a template written and reviewed by an Iowa editor. You can send feedback using this form.

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