Alexandria, Minnesota

In-Home Dementia and Alzheimer's Care in Alexandria, MN

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 Alexandria for free and hire a caregiver directly, with no agency mark-up.

A caregiver helping an older man with a meal at a kitchen table
Local figures

Dementia Care in Alexandria, MN: the local picture

713
residents 85 or older (4.8% of all residents)
3,590
residents 65 or older (24% of Alexandria)
31%
of residents 65+ report a disability (25% in Douglas County)
6+
Medicare-certified nursing homes within 25 miles

Alexandria has about 713 residents aged 85 or older among 3,590 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.

31% of residents 65 and older report a disability (25% in Douglas County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

38% of older Alexandria 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.

Alexandria compared with Douglas County and Minnesota

Census figureAlexandriaDouglas CountyMinnesota
Residents 85 or older4.8%3.2%2.1%
Residents 65 or older24%24%17%
Residents 65+ with a disability31%25%28%
Residents 65+ in households who live alone38%27%30%
Residents 65+ below the poverty line (approx.)10%8.7%8.8%
Residents 5+ who speak a language other than English at home4.4%2.5%12%
Median income, households headed by someone 65+$49,867$57,355—

Older residents in towns around Alexandria

TownDistanceResidents 65+Residents 85+
Glenwood, MN15 mi706148
Sauk Centre, MN23 mi1,171355
Long Prairie, MN26 mi887179
Melrose, MN30 mi85087
Morris, MN32 mi804184
Benson, MN40 mi774188

Nursing homes near Alexandria

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Knute Nelson Care CenterAlexandria, MN0.3 mi5 of 583(320) 763-6653
Bethany On The Lake LLCAlexandria, MN0.6 mi3 of 583(320) 762-1567
GaleonOsakis, MN11 mi5 of 540(320) 859-2142
Glenwood Village Care CenterGlenwood, MN16 mi2 of 564(320) 634-5131
Evansville Care CenterEvansville, MN18 mi5 of 527(218) 948-2219
St Williams Living CenterParkers Prairie, MN19 mi5 of 553(218) 338-4671

Hospices serving Alexandria

HospiceOfficeDistancePhone
Vivie HospiceAlexandria, MN0.4 mi(320) 759-1275
Moments Hospice Of Alexandria LLCAlexandria, MN0.4 mi(877) 666-3687
Horizon Public HealthAlexandria, MN0.4 mi(320) 763-6018
Glacial Ridge HospiceGlenwood, MN16 mi(320) 634-2221

Straight-line miles from the center of Alexandria. 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 Alexandria

At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 38% of the $4,156 monthly median income of Alexandria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

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 Alexandria: common questions

What nursing homes are near Alexandria?

The closest Medicare-certified nursing homes are Knute Nelson Care Center in Alexandria (0.3 mi, 5 of 5 overall); Bethany On The Lake LLC in Alexandria (0.6 mi, 3 of 5 overall); Galeon in Osakis (11 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Alexandria?

At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 38% of the $4,156 monthly median income of Alexandria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 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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