In-Home Dementia and Alzheimer's Care in Astoria, OR
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 Astoria for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Astoria, OR: the local picture
Astoria has about 262 residents aged 85 or older among 2,154 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.
38% of residents 65 and older report a disability (37% in Clatsop County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
33% of older Astoria 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.
Astoria compared with Clatsop County and Oregon
| Census figure | Astoria | Clatsop County | Oregon |
|---|---|---|---|
| Residents 85 or older | 2.6% | 2.0% | 2.1% |
| Residents 65 or older | 21% | 25% | 19% |
| Residents 65+ with a disability | 38% | 37% | 34% |
| Residents 65+ in households who live alone | 33% | 30% | 27% |
| Residents 65+ below the poverty line (approx.) | 10% | 9.9% | 9.9% |
| Residents 5+ who speak a language other than English at home | 7.6% | 6.9% | 15% |
| Median income, households headed by someone 65+ | $47,225 | $56,696 | — |
Older residents in towns around Astoria
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Warrenton, OR | 5.6 mi | 1,330 | 80 |
| Seaside, OR | 15 mi | 1,873 | 206 |
| Raymond, WA | 34 mi | 829 | 139 |
| Vernonia, OR | 38 mi | 418 | 41 |
| Longview, WA | 41 mi | 7,663 | 978 |
| Longview Heights, WA | 41 mi | 634 | 8 |
Nursing homes near Astoria
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Clatsop Care Center | Astoria, OR | 0.7 mi | 4 of 5 | 71 | (503) 325-0313 |
Hospices serving Astoria
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Lower Columbia Hospice | Astoria, OR | 2.3 mi | (503) 338-6230 |
Straight-line miles from the center of Astoria. 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 Astoria
At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Astoria: common questions
What nursing homes are near Astoria?
The closest Medicare-certified nursing homes are Clatsop Care Center in Astoria (0.7 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Astoria?
At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Astoria
Dementia Care in nearby cities
- Dementia Care in Warrenton, OR
- Dementia Care in Seaside, OR
- Dementia Care in Raymond, WA
- Dementia Care in Vernonia, OR
- Dementia Care in Longview, WA
- Dementia Care in Longview Heights, WA
- Dementia Care in Lexington, WA
- Dementia Care in Kelso, WA
- Dementia Care in Kalama, WA
- Dementia Care in Tillamook, OR
- Dementia Care in Chehalis, WA
- Dementia Care in St. Helens, OR
- Dementia Care in Scappoose, OR
- Dementia Care in Woodland, WA
- Dementia Care in Aberdeen, WA
- Dementia Care in Central Park, WA
Other care in Astoria
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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