Dementia Care in Alamo Heights, TX: In-Home Alzheimer's Care

Local figures

Dementia Care in Alamo Heights, TX: the local picture

203

residents 85 or older (2.7% of all residents)

1,315

residents 65 or older (18% of Alamo Heights)

32%

of residents 65+ report a disability (40% in Bexar County)

6+

Medicare-certified nursing homes within 25 miles

Alamo Heights has about 203 residents aged 85 or older among 1,315 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.

32% of residents 65 and older report a disability (40% in Bexar County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

40% of older Alamo Heights 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 Heights compared with Bexar County and Texas

Census figure	Alamo Heights	Bexar County	Texas
Residents 85 or older	2.7%	1.4%	1.4%
Residents 65 or older	18%	13%	13%
Residents 65+ with a disability	32%	40%	35%
Residents 65+ in households who live alone	40%	27%	25%
Residents 65+ below the poverty line (approx.)	4.3%	13%	12%
Residents 5+ who speak a language other than English at home	14%	37%	35%
Median income, households headed by someone 65+	$99,464	$56,300	—

Older residents in towns around Alamo Heights

Town	Distance	Residents 65+	Residents 85+
Terrell Hills, TX	1.3 mi	878	92
San Antonio, TX	3.7 mi	198,597	22,615
Castle Hills, TX	4.2 mi	745	93
Balcones Heights, TX	4.9 mi	339	3
Kirby, TX	5.2 mi	1,643	52
Windcrest, TX	5.7 mi	1,792	300

Nursing homes near Alamo Heights

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Village At Incarnate Word	San Antonio, TX	0.9 mi	4 of 5	60	(210) 829-7561
Sage Park San Antonio	San Antonio, TX	1.1 mi	3 of 5	46	(210) 930-1040
Parklane West Healthcare Center	San Antonio, TX	1.9 mi	1 of 5	124	(210) 829-1400
Broadway Nursing & Rehabilitation	San Antonio, TX	2.0 mi	1 of 5	237	(210) 828-0606
Northeast Rehabilitation And Healthcare Center	San Antonio, TX	2.6 mi	1 of 5	120	(210) 824-7331
Meridian Care Monte Vista	San Antonio, TX	2.9 mi	1 of 5	106	(210) 735-9233

Hospices serving Alamo Heights

Hospice	Office	Distance	Phone
Inspiration Hospice	San Antonio, TX	0.8 mi	(210) 874-4999
Gentle Partners In Hospice LLC	San Antonio, TX	0.8 mi	(210) 908-9616
Touchstone Health	San Antonio, TX	0.8 mi	(210) 541-8884
Gentiva Hospice	San Antonio, TX	3.4 mi	(210) 738-8141

Straight-line miles from the center of Alamo Heights. 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 Heights

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 12% of the $8,289 monthly median income of Alamo Heights households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

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 Heights: common questions

What nursing homes are near Alamo Heights?

The closest Medicare-certified nursing homes are The Village At Incarnate Word in San Antonio (0.9 mi, 4 of 5 overall); Sage Park San Antonio in San Antonio (1.1 mi, 3 of 5 overall); Parklane West Healthcare Center in San Antonio (1.9 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Alamo Heights?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 12% of the $8,289 monthly median income of Alamo Heights households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 near Alamo Heights

More senior care near Alamo Heights

Dementia Care in nearby cities

Other care in Alamo Heights

More for Alamo Heights families

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.

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