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.

Dementia Care in Alexandria, MN: the local picture
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 figure | Alexandria | Douglas County | Minnesota |
|---|---|---|---|
| Residents 85 or older | 4.8% | 3.2% | 2.1% |
| Residents 65 or older | 24% | 24% | 17% |
| Residents 65+ with a disability | 31% | 25% | 28% |
| Residents 65+ in households who live alone | 38% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 10% | 8.7% | 8.8% |
| Residents 5+ who speak a language other than English at home | 4.4% | 2.5% | 12% |
| Median income, households headed by someone 65+ | $49,867 | $57,355 | — |
Older residents in towns around Alexandria
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Glenwood, MN | 15 mi | 706 | 148 |
| Sauk Centre, MN | 23 mi | 1,171 | 355 |
| Long Prairie, MN | 26 mi | 887 | 179 |
| Melrose, MN | 30 mi | 850 | 87 |
| Morris, MN | 32 mi | 804 | 184 |
| Benson, MN | 40 mi | 774 | 188 |
Nursing homes near Alexandria
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Knute Nelson Care Center | Alexandria, MN | 0.3 mi | 5 of 5 | 83 | (320) 763-6653 |
| Bethany On The Lake LLC | Alexandria, MN | 0.6 mi | 3 of 5 | 83 | (320) 762-1567 |
| Galeon | Osakis, MN | 11 mi | 5 of 5 | 40 | (320) 859-2142 |
| Glenwood Village Care Center | Glenwood, MN | 16 mi | 2 of 5 | 64 | (320) 634-5131 |
| Evansville Care Center | Evansville, MN | 18 mi | 5 of 5 | 27 | (218) 948-2219 |
| St Williams Living Center | Parkers Prairie, MN | 19 mi | 5 of 5 | 53 | (218) 338-4671 |
Hospices serving Alexandria
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Vivie Hospice | Alexandria, MN | 0.4 mi | (320) 759-1275 |
| Moments Hospice Of Alexandria LLC | Alexandria, MN | 0.4 mi | (877) 666-3687 |
| Horizon Public Health | Alexandria, MN | 0.4 mi | (320) 763-6018 |
| Glacial Ridge Hospice | Glenwood, MN | 16 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 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 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.
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 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.
More senior care near Alexandria
Dementia Care in nearby cities
- Dementia Care in Glenwood, MN
- Dementia Care in Sauk Centre, MN
- Dementia Care in Long Prairie, MN
- Dementia Care in Melrose, MN
- Dementia Care in Morris, MN
- Dementia Care in Benson, MN
- Dementia Care in Wadena, MN
- Dementia Care in Albany, MN
- Dementia Care in Fergus Falls, MN
- Dementia Care in Paynesville, MN
- Dementia Care in Little Falls, MN
- Dementia Care in Perham, MN
- Dementia Care in Cold Spring, MN
- Dementia Care in Willmar, MN
- Dementia Care in St. Joseph, MN
- Dementia Care in Pelican Rapids, MN
Other care in Alexandria
- Companion Care in Alexandria
- Respite Care in Alexandria
- Live-In Caregivers in Alexandria
- Post-Surgery Care in Alexandria
- Senior Transportation in Alexandria
- Home Health Aides in Alexandria
- Nursing Assistants in Alexandria
- Personal Care in Alexandria
- Overnight Caregivers in Alexandria
- 24-Hour Home Care in Alexandria
- Mobility Assistance in Alexandria
- Parkinson’s Care in Alexandria
- Stroke Recovery Support in Alexandria
- Disability Care for Adults in Alexandria
- Hospice Support in Alexandria
- Senior Meal Preparation in Alexandria
- Senior Housekeeping in Alexandria
- Medication Reminders in Alexandria
- Veterans’ Home Care in Alexandria
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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