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Why choose us for home care in Spencer, IA?


We believe aging should feel empowering, not limiting. That’s why we provide personalized care with a human touch, helping older adults live safely and with purpose at home.

Our Team

Behind every phone call, visit, and update is your local team who genuinely cares.

We're here to help with whatever you need, whenever you need it.

Theresa Gramkow

Theresa Gramkow

Owner

Theresa is the franchise owner of Home Instead. She purchased the franchise in December 2020 and relocated the office to Spencer, Iowa. Over the past five years, she has expanded the franchise territory to include two additional counties. Theresa and her husband, Matt, moved their family from Avoca, IA to Milford, IA. They have three children: Bree, Cora, and Kingston. In her free time, Theresa enjoys spending time with her family and friends. She also loves boating, gardening, and a variety of outdoor activities. Additionally, she likes to engage in various crafts during her downtime. Theresa has a passion and vision for keeping people in their homes, where they are happiest.

Rachel Mathias

Rachel Mathias

General Manager

Rachel is the General Manager of Home Instead, a position she has held since July 2021. When Rachel was hired, she was the Client Care Consultant and enjoyed working with clients and their families. Rachel and her husband Lee live in Milford, and have three children: Hunter, Hilary, and Tanner. In her free time, Rachel enjoys spending time with her family and friends. She enjoys gardening, fishing, and taking her grand dogs for walks, along with a variety of outdoor activities. Rachel is dedicated to caring for others and always strives to make a positive impact on their lives.

Cora Gramkow

Cora Gramkow

Recruitment and Engagement Coordinator

Cora joined Home Instead in May 2021 as a Care Professional. In December 2025 she joined our office team as our Recruitment and Engagement Coordinator. Cora lives in Estherville and has one fur baby named Aspen. Cora spends her free time enjoying the outdoors such as skiing, boating and softball. Cora is dedicated to building a supportive group of care professionals that focuses entirely on the patient and families alike.

Our Social Purpose.


Our social purpose starts in Spencer, IA but it carries on across the world. The Home Instead network works to create a world where people own their aging journeys. This vision drives us to expand the world’s capacity to care.

    Giving Back

    Home Instead helps older adults age with greater hope and success whether they're our clients or not.

    Be a Santa to a Senior

    Need help during the day? Overnight care? Weekend coverage? We offer flexible options, on-time visits, and reliable care from Care Pros you know and trust.

    Walk to End Alzheimers

    Home Instead walks to help end Alzheimer’s and support families affected by the disease with hope, awareness, and community care.

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    Free Care Resources

    We strive to help family caregivers navigate the aging journey by providing helpful, free resources.