In-Home Dementia and Alzheimer's Care in Alexander City, AL
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 Alexander City for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Alexander City, AL: the local picture
Alexander City has about 315 residents aged 85 or older among 3,278 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.
41% of residents 65 and older report a disability (45% in Tallapoosa County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
37% of older Alexander City 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.
Alexander City compared with Tallapoosa County and Alabama
| Census figure | Alexander City | Tallapoosa County | Alabama |
|---|---|---|---|
| Residents 85 or older | 2.2% | 1.9% | 1.7% |
| Residents 65 or older | 22% | 23% | 18% |
| Residents 65+ with a disability | 41% | 45% | 38% |
| Residents 65+ in households who live alone | 37% | 30% | 29% |
| Residents 65+ below the poverty line (approx.) | 18% | 14% | 12% |
| Residents 5+ who speak a language other than English at home | 7.2% | 3.8% | 6.0% |
| Median income, households headed by someone 65+ | $29,666 | $43,613 | — |
Older residents in towns around Alexander City
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Dadeville, AL | 11 mi | 549 | 110 |
| Tallassee, AL | 27 mi | 1,084 | 82 |
| Sylacauga, AL | 27 mi | 2,438 | 276 |
| Lineville, AL | 29 mi | 686 | 50 |
| Holtville, AL | 30 mi | 697 | 81 |
| Wetumpka, AL | 30 mi | 1,134 | 93 |
Nursing homes near Alexander City
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Chapman Healthcare Center, Inc | Alexander City, AL | 1.2 mi | 5 of 5 | 188 | (256) 234-6366 |
| Adams Rehabilitation And Healthcare Center | Alexander City, AL | 1.8 mi | 5 of 5 | 88 | (256) 329-0847 |
| Brown Nursing Home | Alexander City, AL | 3.3 mi | 4 of 5 | 68 | (256) 329-9061 |
| Dadeville Healthcare Center | Dadeville, AL | 12 mi | 3 of 5 | 144 | (256) 825-9244 |
| Goodwater Healthcare Center | Goodwater, AL | 12 mi | 5 of 5 | 72 | (256) 839-6711 |
| Tallassee Health And Rehabilitation, LLC | Tallassee, AL | 24 mi | 2 of 5 | 111 | (334) 283-3975 |
Hospices serving Alexander City
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Ivy Creek Hospice | Dadeville, AL | 12 mi | (256) 825-7821 |
| Community Hospice Care | Tallassee, AL | 25 mi | (334) 283-6541 |
| Coosa Valley Hospice | Sylacauga, AL | 26 mi | (256) 401-4545 |
| Compassus-Auburn | Auburn, AL | 38 mi | (334) 826-1899 |
Straight-line miles from the center of Alexander City. 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 Alexander City
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 47% of the $2,472 monthly median income of Alexander City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
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 Alexander City: common questions
What nursing homes are near Alexander City?
The closest Medicare-certified nursing homes are Chapman Healthcare Center, Inc in Alexander City (1.2 mi, 5 of 5 overall); Adams Rehabilitation And Healthcare Center in Alexander City (1.8 mi, 5 of 5 overall); Brown Nursing Home in Alexander City (3.3 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Alexander City?
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 47% of the $2,472 monthly median income of Alexander City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Alexander City
Dementia Care in nearby cities
- Dementia Care in Dadeville, AL
- Dementia Care in Tallassee, AL
- Dementia Care in Sylacauga, AL
- Dementia Care in Lineville, AL
- Dementia Care in Holtville, AL
- Dementia Care in Wetumpka, AL
- Dementia Care in La Fayette, AL
- Dementia Care in Redland, AL
- Dementia Care in Auburn, AL
- Dementia Care in Emerald Mountain, AL
- Dementia Care in Childersburg, AL
- Dementia Care in Roanoke, AL
- Dementia Care in Talladega, AL
- Dementia Care in Opelika, AL
- Dementia Care in Tuskegee, AL
- Dementia Care in Pine Level, AL
Other care in Alexander City
- Companion Care in Alexander City
- Respite Care in Alexander City
- Live-In Caregivers in Alexander City
- Post-Surgery Care in Alexander City
- Senior Transportation in Alexander City
- Home Health Aides in Alexander City
- Nursing Assistants in Alexander City
- Personal Care in Alexander City
- Overnight Caregivers in Alexander City
- 24-Hour Home Care in Alexander City
- Mobility Assistance in Alexander City
- Parkinson’s Care in Alexander City
- Stroke Recovery Support in Alexander City
- Disability Care for Adults in Alexander City
- Hospice Support in Alexander City
- Senior Meal Preparation in Alexander City
- Senior Housekeeping in Alexander City
- Medication Reminders in Alexander City
- Veterans’ Home Care in Alexander City
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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