Alamo, California

In-Home Dementia and Alzheimer's Care in Alamo, CA

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Alamo for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Dementia Care in Alamo, CA: the local picture

437
residents 85 or older (3.0% of all residents)
3,620
residents 65 or older (25% of Alamo)
24%
of residents 65+ report a disability (30% in Contra Costa County)
6+
Medicare-certified nursing homes within 25 miles

Alamo has about 437 residents aged 85 or older among 3,620 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

24% of residents 65 and older report a disability (30% in Contra Costa County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

11% of older Alamo residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Alamo compared with Contra Costa County and California

Census figureAlamoContra Costa CountyCalifornia
Residents 85 or older3.0%2.0%1.9%
Residents 65 or older25%17%16%
Residents 65+ with a disability24%30%33%
Residents 65+ in households who live alone11%23%23%
Residents 65+ below the poverty line (approx.)2.2%7.4%12%
Residents 5+ who speak a language other than English at home16%38%44%
Median income, households headed by someone 65+$186,167$90,014—

Older residents in towns around Alamo

TownDistanceResidents 65+Residents 85+
San Miguel, CA2.5 mi1,126115
Walnut Creek, CA3.6 mi20,6714,063
Danville, CA3.8 mi8,655819
Saranap, CA4.1 mi1,047124
Contra Costa Centre, CA5.4 mi54443
Moraga, CA6.0 mi3,327462

Nursing homes near Alamo

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Danville Post-Acute RehabDanville, CA2.3 mi4 of 554(925) 837-4566
Tice Valley Post AcuteWalnut Creek, CA3.4 mi5 of 5120(925) 906-0200
Walnut Creek Skilled Nursing & Rehabilitation CentWalnut Creek, CA3.5 mi2 of 5180(925) 719-8883
Rossmoor Post AcuteWalnut Creek, CA3.5 mi4 of 5155(925) 975-5000
Tampico Healthcare CenterWalnut Creek, CA4.4 mi4 of 5128(925) 933-7970
La Casa Via Transitional Care CenterWalnut Creek, CA4.4 mi5 of 599(925) 939-5820

Hospices serving Alamo

HospiceOfficeDistancePhone
Alameda Care HospiceWalnut Creek, CA4.2 mi(415) 710-8433
Vitas Healthcare Corporation Of CaliforniaWalnut Creek, CA4.5 mi(925) 930-9373
Prohealth Home Care, IncWalnut Creek, CA4.5 mi(925) 891-9932
Compassionate Care HospiceSan Ramon, CA7.6 mi(415) 651-3632

Straight-line miles from the center of Alamo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a dementia caregiver can help with

  • Keeping a predictable daily routine
  • Gentle help with bathing, dressing and toileting
  • Meals, hydration and medication reminders
  • Calming approaches for sundowning, agitation and repeated questions
Cost

What dementia care costs in Alamo

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 9% of the $15,514 monthly median income of Alamo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

Before you hire

What to know before hiring a dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Dementia Care in Alamo: common questions

What nursing homes are near Alamo?

The closest Medicare-certified nursing homes are Danville Post-Acute Rehab in Danville (2.3 mi, 4 of 5 overall); Tice Valley Post Acute in Walnut Creek (3.4 mi, 5 of 5 overall); Walnut Creek Skilled Nursing & Rehabilitation Cent in Walnut Creek (3.5 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Alamo?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 9% of the $15,514 monthly median income of Alamo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 an hour (U.S. Department of Labor table, updated July 1, 2026).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

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