In-Home Dementia and Alzheimer's Care in Big Flats, NY
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 Big Flats for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Big Flats, NY: the local picture
Big Flats has about 253 residents aged 85 or older among 1,435 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.
25% of residents 65 and older report a disability (33% in Chemung County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
42% of older Big Flats 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.
Big Flats compared with Chemung County and New York
| Census figure | Big Flats | Chemung County | New York |
|---|---|---|---|
| Residents 85 or older | 4.5% | 2.5% | 2.2% |
| Residents 65 or older | 25% | 20% | 18% |
| Residents 65+ with a disability | 25% | 33% | 32% |
| Residents 65+ in households who live alone | 42% | 35% | 29% |
| Residents 65+ below the poverty line (approx.) | 4.7% | 9.5% | 13% |
| Residents 5+ who speak a language other than English at home | 10% | 4.7% | 31% |
| Median income, households headed by someone 65+ | $58,472 | $47,458 | — |
Older residents in towns around Big Flats
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Horseheads, NY | 4.1 mi | 1,639 | 453 |
| Elmira Heights, NY | 5.0 mi | 705 | 80 |
| Horseheads North, NY | 5.8 mi | 414 | 45 |
| West Elmira, NY | 6.2 mi | 1,071 | 47 |
| Elmira, NY | 7.0 mi | 4,114 | 431 |
| Corning, NY | 7.6 mi | 1,858 | 159 |
Nursing homes near Big Flats
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Elcor Nursing And Rehabilitation Center | Horseheads, NY | 2.9 mi | 2 of 5 | 305 | (607) 739-3654 |
| Bethany Nursing Home & Health Related Facility Inc | Horseheads, NY | 4.2 mi | 4 of 5 | 122 | (607) 378-6547 |
| Corning Center For Rehabilitation And Healthcare | Corning, NY | 7.2 mi | 4 of 5 | 120 | (607) 654-2400 |
| St. Joseph's Hospital - Skilled Nursing Facility | Elmira, NY | 7.6 mi | 2 of 5 | 85 | (607) 733-6541 |
| Chemung County Health Center - Nursing Facility | Elmira, NY | 7.7 mi | 5 of 5 | 200 | (607) 737-2001 |
| Absolut Center For Nursing And Rehabilitation At T | Painted Post, NY | 11 mi | 4 of 5 | 120 | (607) 936-4108 |
Hospices serving Big Flats
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Carefirst / Southern Tier Hospice And Palliative | Painted Post, NY | 11 mi | (607) 962-3100 |
| Homecare & Hospice | Allegany, NY | — | (716) 372-5735 |
Straight-line miles from the center of Big Flats. 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 Big Flats
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 34% of the $4,873 monthly median income of Big Flats 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.
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 Big Flats: common questions
What nursing homes are near Big Flats?
The closest Medicare-certified nursing homes are Elcor Nursing And Rehabilitation Center in Horseheads (2.9 mi, 2 of 5 overall); Bethany Nursing Home & Health Related Facility Inc in Horseheads (4.2 mi, 4 of 5 overall); Corning Center For Rehabilitation And Healthcare in Corning (7.2 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Big Flats?
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 34% of the $4,873 monthly median income of Big Flats 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 senior care near Big Flats
Dementia Care in nearby cities
- Dementia Care in Horseheads, NY
- Dementia Care in Elmira Heights, NY
- Dementia Care in Horseheads North, NY
- Dementia Care in West Elmira, NY
- Dementia Care in Elmira, NY
- Dementia Care in Corning, NY
- Dementia Care in Southport, NY
- Dementia Care in Gang Mills, NY
- Dementia Care in Waverly, NY
- Dementia Care in Sayre, PA
- Dementia Care in Bath, NY
- Dementia Care in Athens, PA
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- Dementia Care in South Hill, NY
- Dementia Care in Ithaca, NY
- Dementia Care in Cayuga Heights, NY
Other care in Big Flats
- Companion Care in Big Flats
- Respite Care in Big Flats
- Live-In Caregivers in Big Flats
- Post-Surgery Care in Big Flats
- Senior Transportation in Big Flats
- Home Health Aides in Big Flats
- Nursing Assistants in Big Flats
- Personal Care in Big Flats
- Overnight Caregivers in Big Flats
- 24-Hour Home Care in Big Flats
- Mobility Assistance in Big Flats
- Parkinson’s Care in Big Flats
- Stroke Recovery Support in Big Flats
- Disability Care for Adults in Big Flats
- Hospice Support in Big Flats
- Senior Meal Preparation in Big Flats
- Senior Housekeeping in Big Flats
- Medication Reminders in Big Flats
- Veterans’ Home Care in Big Flats
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 Big Flats
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