Birmingham, Alabama

In-Home Dementia and Alzheimer's Care in Birmingham, AL

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

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Local figures

Dementia Care in Birmingham, AL: the local picture

3,365
residents 85 or older (1.7% of all residents)
32,486
residents 65 or older (16% of Birmingham)
38%
of residents 65+ report a disability (38% in Jefferson County)
6+
Medicare-certified nursing homes within 25 miles

Birmingham has about 3,365 residents aged 85 or older among 32,486 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 (38% in Jefferson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

38% of older Birmingham 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.

Birmingham compared with Jefferson County and Alabama

Census figureBirminghamJefferson CountyAlabama
Residents 85 or older1.7%1.9%1.7%
Residents 65 or older16%17%18%
Residents 65+ with a disability38%38%38%
Residents 65+ in households who live alone38%31%29%
Residents 65+ below the poverty line (approx.)19%13%12%
Residents 5+ who speak a language other than English at home6.9%7.6%6.0%
Median income, households headed by someone 65+$37,181$51,066—

Older residents in towns around Birmingham

TownDistanceResidents 65+Residents 85+
Mountain Brook, AL4.4 mi3,822658
Homewood, AL4.8 mi3,070638
Tarrant, AL4.9 mi1,025114
Vestavia Hills, AL5.6 mi7,3941,285
Fultondale, AL6.2 mi1,30595
Forestdale, AL6.7 mi2,601339

Nursing homes near Birmingham

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Northway Health And Rehabilitation, LLCBirmingham, AL0.8 mi3 of 5113(205) 328-5870
Civic Center Health And Rehabilitation, LLCBirmingham, AL0.8 mi2 of 595(205) 251-5271
Greenbriar At The Altamont Skilled Nursing FacilitBirmingham, AL1.7 mi3 of 595(205) 323-2724
South Health And Rehabilitation, LLCBirmingham, AL2.1 mi2 of 583(205) 933-2180
Oak Knoll Health And Rehabilitation, LLCBirmingham, AL3.3 mi3 of 5100(205) 787-2619
Arlington Rehabilitation & Healthcare CenterBirmingham, AL3.7 mi4 of 5117(205) 788-6330

Hospices serving Birmingham

HospiceOfficeDistancePhone
Adoration HospiceOxford, AL0.7 mi(205) 682-9996
Amedisys Hospice Of BirminghamHomewood, AL4.3 mi(205) 868-9221
Affinity HospiceBirmingham, AL4.3 mi(205) 949-0400
Compassus Hospice And Palliative Care-BirminghamBirmingham, AL6.2 mi(205) 437-8655

Straight-line miles from the center of Birmingham. 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 Birmingham

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 37% of the $3,098 monthly median income of Birmingham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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.

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 Birmingham: common questions

What nursing homes are near Birmingham?

The closest Medicare-certified nursing homes are Northway Health And Rehabilitation, LLC in Birmingham (0.8 mi, 3 of 5 overall); Civic Center Health And Rehabilitation, LLC in Birmingham (0.8 mi, 2 of 5 overall); Greenbriar At The Altamont Skilled Nursing Facilit in Birmingham (1.7 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Birmingham?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 37% of the $3,098 monthly median income of Birmingham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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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