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

Local figures

Dementia Care in Castle Hills, TX: the local picture

93

residents 85 or older (2.4% of all residents)

745

residents 65 or older (19% of Castle Hills)

34%

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

6+

Medicare-certified nursing homes within 25 miles

Castle Hills has about 93 residents aged 85 or older among 745 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.

34% 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 Castle Hills 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.

Castle Hills compared with Bexar County and Texas

Census figure	Castle Hills	Bexar County	Texas
Residents 85 or older	2.4%	1.4%	1.4%
Residents 65 or older	19%	13%	13%
Residents 65+ with a disability	34%	40%	35%
Residents 65+ in households who live alone	27%	27%	25%
Residents 65+ below the poverty line (approx.)	4.6%	13%	12%
Residents 5+ who speak a language other than English at home	34%	37%	35%
Median income, households headed by someone 65+	$64,750	$56,300	—

Older residents in towns around Castle Hills

Town	Distance	Residents 65+	Residents 85+
Balcones Heights, TX	3.0 mi	339	3
Alamo Heights, TX	4.2 mi	1,315	203
San Antonio, TX	4.3 mi	198,597	22,615
Shavano Park, TX	4.7 mi	965	229
Terrell Hills, TX	5.4 mi	878	92
Hollywood Park, TX	5.5 mi	596	63

Nursing homes near Castle Hills

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Castle Hills Rehabilitation And Care Center	San Antonio, TX	1.1 mi	1 of 5	143	(210) 344-4553
The Lev At San Antonio	San Antonio, TX	2.2 mi	1 of 5	106	(210) 341-6121
The Heights At Medical Center	San Antonio, TX	2.5 mi	1 of 5	134	(210) 614-4888
Golden Estates Rehabilitation Center	San Antonio, TX	3.0 mi	2 of 5	93	(210) 736-4544
Broadway Nursing & Rehabilitation	San Antonio, TX	3.3 mi	1 of 5	237	(210) 828-0606
The Atrium Rehabilitation Center	San Antonio, TX	3.3 mi	4 of 5	87	(210) 614-9974

Hospices serving Castle Hills

Hospice	Office	Distance	Phone
Excelacare Hospice	San Antonio, TX	0.5 mi	(432) 550-7593
Aaa Hospice And Palliative Care LLC	San Antonio, TX	0.5 mi	(210) 388-9300
Greater Help Hospice LLC	San Antonio, TX	0.5 mi	(210) 816-1480
San Antonio Hospice Care	San Antonio, TX	0.5 mi	(210) 281-5888

Straight-line miles from the center of Castle Hills. 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 Castle Hills

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 19% of the $5,396 monthly median income of Castle Hills 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 Castle Hills: common questions

What nursing homes are near Castle Hills?

The closest Medicare-certified nursing homes are Castle Hills Rehabilitation And Care Center in San Antonio (1.1 mi, 1 of 5 overall); The Lev At San Antonio in San Antonio (2.2 mi, 1 of 5 overall); The Heights At Medical Center in San Antonio (2.5 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Castle Hills?

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 19% of the $5,396 monthly median income of Castle Hills 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 Castle Hills

More senior care near Castle Hills

Dementia Care in nearby cities

Other care in Castle Hills

More for Castle Hills 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 Castle Hills, TX