Dementia Care in Boerne, TX: In-Home Alzheimer's Care

Local figures

Dementia Care in Boerne, TX: the local picture

738

residents 85 or older (3.6% of all residents)

3,516

residents 65 or older (17% of Boerne)

40%

of residents 65+ report a disability (40% in Bexar County)

6+

Medicare-certified nursing homes within 25 miles

Boerne has about 738 residents aged 85 or older among 3,516 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.

40% of residents 65 and older report a disability (40% in Bexar County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

27% of older Boerne 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.

Boerne compared with Bexar County and Texas

Census figure	Boerne	Bexar County	Texas
Residents 85 or older	3.6%	1.4%	1.4%
Residents 65 or older	17%	13%	13%
Residents 65+ with a disability	40%	40%	35%
Residents 65+ in households who live alone	27%	27%	25%
Residents 65+ below the poverty line (approx.)	5.2%	13%	12%
Residents 5+ who speak a language other than English at home	17%	37%	35%
Median income, households headed by someone 65+	$60,268	$56,300	—

Older residents in towns around Boerne

Town	Distance	Residents 65+	Residents 85+
Fair Oaks Ranch, TX	6.0 mi	2,385	166
Scenic Oaks, TX	6.7 mi	1,736	23
Cross Mountain, TX	10 mi	452	91
Helotes, TX	15 mi	1,789	295
Timberwood Park, TX	16 mi	5,009	545
Lakehills, TX	17 mi	1,402	27

Nursing homes near Boerne

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Boerne	Boerne, TX	0.7 mi	1 of 5	96	(830) 249-2799
Cibolo Creek	Boerne, TX	0.7 mi	2 of 5	120	(830) 816-5095
Carechoice Of Boerne	Boerne, TX	0.8 mi	2 of 5	74	(830) 249-2594
Kendall House Wellness & Rehabilitation	Boerne, TX	0.8 mi	4 of 5	40	(830) 816-4100
Town And Country Nursing And Rehabilitation Center	Boerne, TX	1.0 mi	1 of 5	126	(830) 249-3085
Avir At Comfort	Comfort, TX	17 mi	5 of 5	76	(830) 995-3757

Hospices serving Boerne

Hospice	Office	Distance	Phone
Alamo Hospice	Boerne, TX	7.9 mi	(830) 816-5024
All Saints Hospice Care Inc	San Antonio, TX	12 mi	(210) 954-5729
Crest Palliative Care	Shavano Park, TX	17 mi	(210) 469-3200
Circle Of Life Hospice And Palliative Care	San Antonio, TX	17 mi	(210) 890-2700

Straight-line miles from the center of Boerne. 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 Boerne

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 20% of the $5,022 monthly median income of Boerne 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 Boerne: common questions

What nursing homes are near Boerne?

The closest Medicare-certified nursing homes are Avir At Boerne in Boerne (0.7 mi, 1 of 5 overall); Cibolo Creek in Boerne (0.7 mi, 2 of 5 overall); Carechoice Of Boerne in Boerne (0.8 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Boerne?

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 20% of the $5,022 monthly median income of Boerne 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.

More near Boerne

More senior care near Boerne

Dementia Care in nearby cities

Other care in Boerne

More for Boerne families

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.

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