Alpine, Texas

In-Home Dementia and Alzheimer's Care in Alpine, TX

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

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Local figures

Dementia Care in Alpine, TX: the local picture

98
residents 85 or older (1.6% of all residents)
1,484
residents 65 or older (25% of Alpine)
36%
of residents 65+ report a disability (29% in Brewster County)
0
Medicare-certified nursing homes within 25 miles

Alpine has about 98 residents aged 85 or older among 1,484 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.

36% of residents 65 and older report a disability (29% in Brewster County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

39% of older Alpine 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.

Alpine compared with Brewster County and Texas

Census figureAlpineBrewster CountyTexas
Residents 85 or older1.6%2.3%1.4%
Residents 65 or older25%26%13%
Residents 65+ with a disability36%29%35%
Residents 65+ in households who live alone39%31%25%
Residents 65+ below the poverty line (approx.)8.8%10.0%12%
Residents 5+ who speak a language other than English at home31%30%35%
Median income, households headed by someone 65+$44,783$55,042—

Hospices serving Alpine

HospiceOfficeDistancePhone
Pecos County Memorial Hospital Home Health And HosFort Stockton, TX59 mi(432) 336-7044
Heart To Heart Hospice Of Permian BasinMidland, TX143 mi(432) 999-3009
Angels Care HospiceMidland, TX148 mi(432) 208-5530
Hospice Of El Paso IncEl Paso, TX187 mi(915) 532-5699

Straight-line miles from the center of Alpine. 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 Alpine

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 27% of the $3,732 monthly median income of Alpine households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

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 Alpine: common questions

How much does dementia care cost in Alpine?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 27% of the $3,732 monthly median income of Alpine households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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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