Dementia Care in Box Elder, SD: In-Home Alzheimer's Care

Local figures

Dementia Care in Box Elder, SD: the local picture

19

residents 85 or older (0.1% of all residents)

963

residents 65 or older (7.5% of Box Elder)

45%

of residents 65+ report a disability (33% in Pennington County)

6+

Medicare-certified nursing homes within 25 miles

Box Elder has about 19 residents aged 85 or older among 963 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.

45% of residents 65 and older report a disability (33% in Pennington County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

22% of older Box Elder 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.

Box Elder compared with Pennington County and South Dakota

Census figure	Box Elder	Pennington County	South Dakota
Residents 85 or older	0.1%	2.2%	2.1%
Residents 65 or older	7.5%	20%	18%
Residents 65+ with a disability	45%	33%	31%
Residents 65+ in households who live alone	22%	29%	30%
Residents 65+ below the poverty line (approx.)	16%	8.9%	10%
Residents 5+ who speak a language other than English at home	4.2%	4.4%	7.1%
Median income, households headed by someone 65+	$47,727	$56,451	—

Older residents in towns around Box Elder

Town	Distance	Residents 65+	Residents 85+
Rapid Valley, SD	3.6 mi	1,292	118
Rapid City, SD	7.3 mi	16,108	2,099
Blackhawk, SD	13 mi	550	26
Colonial Pine Hills, SD	13 mi	793	13
Summerset, SD	14 mi	248	29
Sturgis, SD	29 mi	1,375	187

Nursing homes near Box Elder

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avantara North	Rapid City, SD	7.4 mi	3 of 5	68	(605) 343-4958
Avantara Saint Cloud	Rapid City, SD	7.9 mi	2 of 5	78	(605) 343-4738
Westhills Village Health Care Facility	Rapid City, SD	8.1 mi	5 of 5	44	(605) 342-0255
Fountain Springs Healthcare	Rapid City, SD	8.4 mi	3 of 5	90	(605) 343-3555
Avantara Mountain View	Rapid City, SD	8.7 mi	2 of 5	101	(605) 343-8577
Avantara Arrowhead	Rapid City, SD	10 mi	1 of 5	68	(605) 348-0285

Hospices serving Box Elder

Hospice	Office	Distance	Phone
Monument Health Home Plus Hospice	Rapid City, SD	12 mi	(605) 755-7710
Stillwater Hospice Of South Dakota	Rapid City, SD	16 mi	(605) 745-4967

Straight-line miles from the center of Box Elder. 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 Box Elder

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 40% of the $3,977 monthly median income of Box Elder households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Box Elder: common questions

What nursing homes are near Box Elder?

The closest Medicare-certified nursing homes are Avantara North in Rapid City (7.4 mi, 3 of 5 overall); Avantara Saint Cloud in Rapid City (7.9 mi, 2 of 5 overall); Westhills Village Health Care Facility in Rapid City (8.1 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Box Elder?

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 40% of the $3,977 monthly median income of Box Elder households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Box Elder

More senior care near Box Elder

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 Box Elder, SD