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

Local figures

Dementia Care in Commerce, TX: the local picture

88

residents 85 or older (0.9% of all residents)

643

residents 65 or older (6.9% of Commerce)

51%

of residents 65+ report a disability (38% in Hunt County)

6+

Medicare-certified nursing homes within 25 miles

Commerce has about 88 residents aged 85 or older among 643 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.

51% of residents 65 and older report a disability (38% in Hunt County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

35% of older Commerce 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.

Commerce compared with Hunt County and Texas

Census figure	Commerce	Hunt County	Texas
Residents 85 or older	0.9%	1.7%	1.4%
Residents 65 or older	6.9%	16%	13%
Residents 65+ with a disability	51%	38%	35%
Residents 65+ in households who live alone	35%	23%	25%
Residents 65+ below the poverty line (approx.)	13%	10%	12%
Residents 5+ who speak a language other than English at home	23%	17%	35%
Median income, households headed by someone 65+	$38,611	$50,839	—

Older residents in towns around Commerce

Town	Distance	Residents 65+	Residents 85+
Greenville, TX	15 mi	5,513	736
Sulphur Springs, TX	18 mi	2,692	437
Caddo Mills, TX	22 mi	452	37
Leonard, TX	22 mi	372	50
Josephine, TX	27 mi	701	40
Farmersville, TX	27 mi	610	45

Nursing homes near Commerce

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Commerce	Commerce, TX	0.7 mi	2 of 5	116	(903) 886-2510
Legend Healthcare And Rehabilitation - Greenville	Greenville, TX	14 mi	4 of 5	126	(903) 455-7942
Greenville Gardens	Greenville, TX	15 mi	3 of 5	103	(903) 455-2220
Birchwood Nursing And Rehabilitation	Cooper, TX	15 mi	4 of 5	100	(903) 395-2125
Briarcliff Health Center Of Greenville	Greenville, TX	15 mi	3 of 5	120	(903) 455-8729
Greenville Health & Rehabilitation Center	Greenville, TX	16 mi	1 of 5	120	(903) 454-3772

Hospices serving Commerce

Hospice	Office	Distance	Phone
Healing Touch Hospice, LLC	Greenville, TX	14 mi	(903) 458-9003
Anew Hospice Care Inc	Greenville, TX	14 mi	(903) 886-2639
Family First Hospice	Greenville, TX	15 mi	(903) 454-3346
Elara Caring	Paris, TX	38 mi	(903) 794-2462

Straight-line miles from the center of Commerce. 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 Commerce

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 31% of the $3,218 monthly median income of Commerce 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 Commerce: common questions

What nursing homes are near Commerce?

The closest Medicare-certified nursing homes are Avir At Commerce in Commerce (0.7 mi, 2 of 5 overall); Legend Healthcare And Rehabilitation - Greenville in Greenville (14 mi, 4 of 5 overall); Greenville Gardens in Greenville (15 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Commerce?

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 31% of the $3,218 monthly median income of Commerce 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 Commerce

More senior care near Commerce

Dementia Care in nearby cities

Other care in Commerce

More for Commerce 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 Commerce, TX