Dementia Care in Alfred, NY: In-Home Alzheimer's Care

Local figures

Dementia Care in Alfred, NY: the local picture

21

residents 85 or older (0.4% of all residents)

189

residents 65 or older (3.9% of Alfred)

18%

of residents 65+ report a disability (35% in Allegany County)

6+

Medicare-certified nursing homes within 25 miles

Alfred has about 21 residents aged 85 or older among 189 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.

18% of residents 65 and older report a disability (35% in Allegany County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

39% of older Alfred 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.

Alfred compared with Allegany County and New York

Census figure	Alfred	Allegany County	New York
Residents 85 or older	0.4%	2.6%	2.2%
Residents 65 or older	3.9%	20%	18%
Residents 65+ with a disability	18%	35%	32%
Residents 65+ in households who live alone	39%	30%	29%
Residents 65+ below the poverty line (approx.)	4.8%	10%	13%
Residents 5+ who speak a language other than English at home	18%	5.0%	31%
Median income, households headed by someone 65+	$77,685	$50,207	—

Older residents in towns around Alfred

Town	Distance	Residents 65+	Residents 85+
Hornell, NY	8.4 mi	1,820	213
Wellsville, NY	12 mi	1,125	265
Dansville, NY	22 mi	1,035	140
Bath, NY	25 mi	1,385	156
Mount Morris, NY	33 mi	404	50
Perry, NY	34 mi	593	121

Nursing homes near Alfred

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Maple City Rehabilitation And Nursing Center	Hornell, NY	7.8 mi	1 of 5	114	(607) 324-7740
Elderwood At Hornell	Hornell, NY	9.0 mi	2 of 5	122	(607) 324-6916
Highland Park Rehabilitation And Nursing Center	Wellsville, NY	13 mi	5 of 5	80	(585) 593-3750
Wellsville Manor Care Center	Wellsville, NY	13 mi	5 of 5	120	(585) 593-4400
Houghton Rehabilitation & Nursing Center	Houghton, NY	23 mi	2 of 5	100	(585) 567-2207
Steuben Center For Rehabilitation And Healthcare	Bath, NY	25 mi	3 of 5	105	(607) 776-7651

Straight-line miles from the center of Alfred. 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 Alfred

At the New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 26% of the $6,474 monthly median income of Alfred households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 Alfred: common questions

What nursing homes are near Alfred?

The closest Medicare-certified nursing homes are Maple City Rehabilitation And Nursing Center in Hornell (7.8 mi, 1 of 5 overall); Elderwood At Hornell in Hornell (9.0 mi, 2 of 5 overall); Highland Park Rehabilitation And Nursing Center in Wellsville (13 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Alfred?

At the New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 26% of the $6,474 monthly median income of Alfred households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 Alfred

More senior care near Alfred

Dementia Care in nearby cities

Other care in Alfred

More for Alfred families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Alfred, NY