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

Local figures

Dementia Care in Castroville, TX: the local picture

119

residents 85 or older (3.8% of all residents)

698

residents 65 or older (23% of Castroville)

46%

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

6+

Medicare-certified nursing homes within 25 miles

Castroville has about 119 residents aged 85 or older among 698 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.

46% of residents 65 and older report a disability (40% in Medina County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

21% of older Castroville 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.

Castroville compared with Medina County and Texas

Census figure	Castroville	Medina County	Texas
Residents 85 or older	3.8%	2.3%	1.4%
Residents 65 or older	23%	18%	13%
Residents 65+ with a disability	46%	40%	35%
Residents 65+ in households who live alone	21%	28%	25%
Residents 65+ below the poverty line (approx.)	6.1%	11%	12%
Residents 5+ who speak a language other than English at home	25%	26%	35%
Median income, households headed by someone 65+	$65,625	$47,474	—

Older residents in towns around Castroville

Town	Distance	Residents 65+	Residents 85+
Lackland AFB, TX	14 mi	0	0
Devine, TX	15 mi	1,156	307
Leon Valley, TX	17 mi	1,993	224
Helotes, TX	18 mi	1,789	295
Hondo, TX	18 mi	1,231	132
Lakehills, TX	19 mi	1,402	27

Nursing homes near Castroville

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Medina Valley Health & Rehabilitation Center	Castroville, TX	3.9 mi	3 of 5	116	(830) 931-2900
Lytle Nursing Home	Lytle, TX	9.5 mi	1 of 5	70	(830) 772-3557
Westover Hills Rehabilitation And Healthcare	San Antonio, TX	12 mi	4 of 5	124	(210) 546-2273
Legend Oaks Healthcare And Rehabilitation - West S	San Antonio, TX	13 mi	3 of 5	124	(210) 673-1700
The Mission At Blue Skies Of Texas East	San Antonio, TX	13 mi	5 of 5	80	(210) 568-5100
Las Colinas Of Westover	San Antonio, TX	13 mi	2 of 5	140	(210) 305-5730

Hospices serving Castroville

Hospice	Office	Distance	Phone
Bexar Hospice	San Antonio, TX	11 mi	(210) 446-6566
Blue Skies Hospice	San Antonio, TX	11 mi	(210) 838-6340
Klarus Hospice	San Antonio, TX	19 mi	(210) 732-7600
American Medical Hospice & Palliative Care	San Antonio, TX	19 mi	(210) 812-5709

Straight-line miles from the center of Castroville. 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 Castroville

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 18% of the $5,469 monthly median income of Castroville 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 Castroville: common questions

What nursing homes are near Castroville?

The closest Medicare-certified nursing homes are Medina Valley Health & Rehabilitation Center in Castroville (3.9 mi, 3 of 5 overall); Lytle Nursing Home in Lytle (9.5 mi, 1 of 5 overall); Westover Hills Rehabilitation And Healthcare in San Antonio (12 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Castroville?

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 18% of the $5,469 monthly median income of Castroville 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 Castroville

More senior care near Castroville

Dementia Care in nearby cities

Other care in Castroville

More for Castroville 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 Castroville, TX