In-Home Dementia and Alzheimer's Care in Alliance, NE
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 Alliance for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Alliance, NE: the local picture
Alliance has about 87 residents aged 85 or older among 1,675 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.
33% of residents 65 and older report a disability (31% in Box Butte County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
31% of older Alliance 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.
Alliance compared with Box Butte County and Nebraska
| Census figure | Alliance | Box Butte County | Nebraska |
|---|---|---|---|
| Residents 85 or older | 1.1% | 1.4% | 2.0% |
| Residents 65 or older | 21% | 21% | 17% |
| Residents 65+ with a disability | 33% | 31% | 32% |
| Residents 65+ in households who live alone | 31% | 28% | 31% |
| Residents 65+ below the poverty line (approx.) | 19% | 17% | 9.2% |
| Residents 5+ who speak a language other than English at home | 4.5% | 5.9% | 13% |
| Median income, households headed by someone 65+ | $36,198 | $42,813 | — |
Older residents in towns around Alliance
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Scottsbluff, NE | 43 mi | 3,013 | 632 |
| Gering, NE | 45 mi | 1,685 | 199 |
| Chadron, NE | 50 mi | 805 | 211 |
| Torrington, WY | 67 mi | 1,395 | 215 |
| Sidney, NE | 67 mi | 1,346 | 178 |
Nursing homes near Alliance
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Highland Park Care Center | Alliance, NE | 0.7 mi | 5 of 5 | 60 | (308) 762-2525 |
| Hemingford Care Center | Hemingford, NE | 18 mi | 1 of 5 | 39 | (308) 487-3301 |
Hospices serving Alliance
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Brookestone Home Health & Hospice | Gering, NE | 45 mi | (308) 424-0900 |
| Central Plains Hospice | Cozad, NE | 172 mi | (308) 784-4630 |
Straight-line miles from the center of Alliance. 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 Alliance
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 50% of the $3,017 monthly median income of Alliance households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 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 Alliance: common questions
What nursing homes are near Alliance?
The closest Medicare-certified nursing homes are Highland Park Care Center in Alliance (0.7 mi, 5 of 5 overall); Hemingford Care Center in Hemingford (18 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Alliance?
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 50% of the $3,017 monthly median income of Alliance households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Nebraska's minimum wage is $15.00 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 Alliance
Dementia Care in nearby cities
Other care in Alliance
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.
Find dementia care in Alliance
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