Bismarck, North Dakota

In-Home Dementia and Alzheimer's Care in Bismarck, ND

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

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Local figures

Dementia Care in Bismarck, ND: the local picture

2,188
residents 85 or older (2.9% of all residents)
14,738
residents 65 or older (20% of Bismarck)
33%
of residents 65+ report a disability (31% in Burleigh County)
6+
Medicare-certified nursing homes within 25 miles

Bismarck has about 2,188 residents aged 85 or older among 14,738 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 Burleigh County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

36% of older Bismarck 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.

Bismarck compared with Burleigh County and North Dakota

Census figureBismarckBurleigh CountyNorth Dakota
Residents 85 or older2.9%2.4%2.2%
Residents 65 or older20%18%17%
Residents 65+ with a disability33%31%31%
Residents 65+ in households who live alone36%32%33%
Residents 65+ below the poverty line (approx.)9.1%8.1%9.9%
Residents 5+ who speak a language other than English at home5.1%4.6%6.7%
Median income, households headed by someone 65+$58,780$61,483—

Older residents in towns around Bismarck

TownDistanceResidents 65+Residents 85+
Lincoln, ND4.7 mi3150
Mandan, ND5.6 mi4,015363
Beulah, ND57 mi609148

Nursing homes near Bismarck

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
St Vincent's - A Prospera CommunityBismarck, ND1.0 mi2 of 597(701) 323-1999
Baptist Health & RehabBismarck, ND2.2 mi4 of 5140(701) 223-3040
Good Samaritan Society Augusta Place A Prospera CoBismarck, ND2.6 mi5 of 548(701) 255-1084
St Gabriel's CommunityBismarck, ND3.1 mi5 of 572(701) 751-4224
Missouri SlopeBismarck, ND3.2 mi4 of 5192(701) 223-9407
Good Samaritan Society Miller Pointe A Prospera CoMandan, ND3.8 mi3 of 5120(701) 323-1300

Hospices serving Bismarck

HospiceOfficeDistancePhone
Chi Health At HomeBismarck, ND0.8 mi(701) 530-4500
Sanford Home Care - HospiceMandan, ND6.7 mi(701) 323-8400
Sakakawea Medical Center HospiceHazen, ND53 mi(701) 748-7380
Chi Health At Home - HospiceDickinson, ND94 mi(701) 456-4378

Straight-line miles from the center of Bismarck. 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 Bismarck

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 34% of the $4,898 monthly median income of Bismarck households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 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 Bismarck: common questions

What nursing homes are near Bismarck?

The closest Medicare-certified nursing homes are St Vincent's - A Prospera Community in Bismarck (1.0 mi, 2 of 5 overall); Baptist Health & Rehab in Bismarck (2.2 mi, 4 of 5 overall); Good Samaritan Society Augusta Place A Prospera Co in Bismarck (2.6 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Bismarck?

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 34% of the $4,898 monthly median income of Bismarck households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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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