Skilled Nursing Care at Home

ChildServe Homecare enables children and young adults (birth – 21 years) with complex medical needs to live at home with their families. Our highly skilled pediatric care team provides customized in-home care at the level each child and family needs. Our rigorously screened and credentialed care providers enter each home with respect, dignity, and compassion.

Why choose ChildServe?

Exceptionally Trained

ChildServe’s Homecare nursing staff consists of exceptionally trained RNs and LPNS. Nurses are given specific training for each child they serve.

Additional Services

For qualifying children, our Occupational, Physical, and Speech Therapy can be performed directly in the home, saving the family additional time and stress.

Customized Care

ChildServe Homecare is customized! We create care schedules around the needs of the child and their family.

Homecare nurse with smiling child

Who We Serve

ChildServe’s Homecare service offers specialized in-home pediatric care to children and young adults (infant through 21 years old) who have a variety of complex medical needs. This may includes but is not limited to the following conditions and needs:

Feeding tubes

Complex respiratory

Seizure disorders

Neuromuscular disorders

Complex cardiac

Palliative care

Our Approach

Children Icon showing a boy and a girl

We Know Kids

Our entire organization is built around kids! ChildServe’s pediatric specialists provide healthcare designed for the developmental needs of infants, children, and young adults. We work closely with each child’s family, physicians, other healthcare professionals, and service providers to develop a child-centered, family-focused plan of care

Expert medical Care icon with first aid kit.

Expert Medical Care

To promote independence and help children live a great life, the skilled nursing service areas may include medical needs such as a tracheostomy, oxygen, or ventilator management; tube feedings; or other needs as ordered by a physician. ChildServe Homecare also provides families with RN care coordination and in-home education on caring for their child. We partner with physicians and a local clinical laboratory to obtain certain lab specimens in the home to send for testing.

Purple Family icon

We Care about Families

To help families spend stress free time together, we bring therapy and nursing care directly to the child’s home. To help ease our families’ full schedules, ChildServe’s nursing staff can attend physician appointments with the child and family and can attend other outings into the community. Our nursing staff can even visit children while they are at school.

Olivia’s Story

Olivia was born at 28 weeks and has 13 diagnoses. Thanks to ChildServe’s inpatient rehabilitation and homecare programs, she’s thriving.

Alex’s Story

When their son Alex was born with medical complications, Katie and Ryan felt overwhelmed. With support from Homecare nursing, their whole family found ways to move forward together.

Frequently Asked Questions

How do I get started?

To make a referral or request more information, call our Access Specialist at 515-331-8106.

Where do services take place?

ChildServe Homecare takes place in the child’s home, school, or community. Children must live within a 35-mile radius of ChildServe‘s Johnston location and within one of the following counties:


  • Boone, Dallas, Jasper, Madison, Marion, Marshall, Polk, Story, or Warren
When do services take place?

ChildServe Homecare is available between the hours of 6am-midnight. The number of homecare hours a child receives is based on medical complexity and physician order. Services schedules are based on the family’s requests.

How are services funded?

ChildServe Homecare can be funded through the following methods:


  • Private Insurance
  • Private Pay
  • Iowa Medicaid (Title XIX)
  • Iowa Medicaid Special Exceptions
  • Iowa Medicaid Waivers (Brain Injury, Health and Disability, Intellectual Disability)
  • EPSDT (Early and Periodic Screening, Diagnostic and Treatment)
What types of healthcare professionals work with the kids and young adults receiving homecare services?
  • Registered Nurses, Licensed Practical Nurses, and Certified Pediatric Nurses, many with NICU, PICU, and pediatric backgrounds from hospitals in Des Moines and nationwide. The families we serve have nominated many of our nurses for the Daisy Award for Nursing Excellence, and several of our Homecare nurses have won.
  • Our physical therapists, occupational therapists, and speech-language pathologists are shared with ChildServe’s inpatient units.
  • ChildServe’s Homecare program includes the following administrative team members:

– Homecare Manager

– RN Clinical Supervisors

– Operations Coordinator

– Scheduling Specialist

Can the Homecare staff from ChildServe drive a child to school or the doctor?

No. Our nursing staff members do not provide transportation. However, they can ride along with a child to various appointments or events if transportation is arranged for them.

Contact Us!

ChildServe – Johnston

5406 Merle Hay Road, Johnston, IA 50131

(515) 727-8750

ChildServe Center - Johnston


ChildServe improves the health and well-being of nearly 5,800 children each year through specialized clinical, home, and community-based programs and services. We serve children with developmental delays, disabilities, injuries, and other special healthcare needs.

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