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.

Dementia Care in Alamo, CA: the local picture
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 figure | Alamo | Contra Costa County | California |
|---|---|---|---|
| Residents 85 or older | 3.0% | 2.0% | 1.9% |
| Residents 65 or older | 25% | 17% | 16% |
| Residents 65+ with a disability | 24% | 30% | 33% |
| Residents 65+ in households who live alone | 11% | 23% | 23% |
| Residents 65+ below the poverty line (approx.) | 2.2% | 7.4% | 12% |
| Residents 5+ who speak a language other than English at home | 16% | 38% | 44% |
| Median income, households headed by someone 65+ | $186,167 | $90,014 | — |
Older residents in towns around Alamo
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| San Miguel, CA | 2.5 mi | 1,126 | 115 |
| Walnut Creek, CA | 3.6 mi | 20,671 | 4,063 |
| Danville, CA | 3.8 mi | 8,655 | 819 |
| Saranap, CA | 4.1 mi | 1,047 | 124 |
| Contra Costa Centre, CA | 5.4 mi | 544 | 43 |
| Moraga, CA | 6.0 mi | 3,327 | 462 |
Nursing homes near Alamo
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Danville Post-Acute Rehab | Danville, CA | 2.3 mi | 4 of 5 | 54 | (925) 837-4566 |
| Tice Valley Post Acute | Walnut Creek, CA | 3.4 mi | 5 of 5 | 120 | (925) 906-0200 |
| Walnut Creek Skilled Nursing & Rehabilitation Cent | Walnut Creek, CA | 3.5 mi | 2 of 5 | 180 | (925) 719-8883 |
| Rossmoor Post Acute | Walnut Creek, CA | 3.5 mi | 4 of 5 | 155 | (925) 975-5000 |
| Tampico Healthcare Center | Walnut Creek, CA | 4.4 mi | 4 of 5 | 128 | (925) 933-7970 |
| La Casa Via Transitional Care Center | Walnut Creek, CA | 4.4 mi | 5 of 5 | 99 | (925) 939-5820 |
Hospices serving Alamo
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Alameda Care Hospice | Walnut Creek, CA | 4.2 mi | (415) 710-8433 |
| Vitas Healthcare Corporation Of California | Walnut Creek, CA | 4.5 mi | (925) 930-9373 |
| Prohealth Home Care, Inc | Walnut Creek, CA | 4.5 mi | (925) 891-9932 |
| Compassionate Care Hospice | San Ramon, CA | 7.6 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 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
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.
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.
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.
More senior care near Alamo
Dementia Care in nearby cities
- Dementia Care in San Miguel, CA
- Dementia Care in Walnut Creek, CA
- Dementia Care in Danville, CA
- Dementia Care in Saranap, CA
- Dementia Care in Contra Costa Centre, CA
- Dementia Care in Moraga, CA
- Dementia Care in Lafayette, CA
- Dementia Care in Blackhawk, CA
- Dementia Care in Clayton, CA
- Dementia Care in San Ramon, CA
- Dementia Care in Reliez Valley, CA
- Dementia Care in Pleasant Hill, CA
- Dementia Care in Concord, CA
- Dementia Care in Camino Tassajara, CA
- Dementia Care in Orinda, CA
- Dementia Care in Pacheco, CA
Other care in Alamo
- Companion Care in Alamo
- Respite Care in Alamo
- Live-In Caregivers in Alamo
- Post-Surgery Care in Alamo
- Senior Transportation in Alamo
- Home Health Aides in Alamo
- Nursing Assistants in Alamo
- Personal Care in Alamo
- Overnight Caregivers in Alamo
- 24-Hour Home Care in Alamo
- Mobility Assistance in Alamo
- Parkinson’s Care in Alamo
- Stroke Recovery Support in Alamo
- Disability Care for Adults in Alamo
- Hospice Support in Alamo
- Senior Meal Preparation in Alamo
- Senior Housekeeping in Alamo
- Medication Reminders in Alamo
- Veterans’ Home Care in Alamo
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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