Dementia Care in Crest, CA: In-Home Alzheimer's Care

Local figures

Dementia Care in Crest, CA: the local picture

43

residents 85 or older (1.5% of all residents)

555

residents 65 or older (20% of Crest)

28%

of residents 65+ report a disability (31% in San Diego County)

6+

Medicare-certified nursing homes within 25 miles

Crest has about 43 residents aged 85 or older among 555 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.

28% of residents 65 and older report a disability (31% in San Diego County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

15% of older Crest 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.

Crest compared with San Diego County and California

Census figure	Crest	San Diego County	California
Residents 85 or older	1.5%	1.8%	1.9%
Residents 65 or older	20%	15%	16%
Residents 65+ with a disability	28%	31%	33%
Residents 65+ in households who live alone	15%	22%	23%
Residents 65+ below the poverty line (approx.)	3.4%	9.5%	12%
Residents 5+ who speak a language other than English at home	14%	37%	44%
Median income, households headed by someone 65+	$73,056	$78,324	—

Older residents in towns around Crest

Town	Distance	Residents 65+	Residents 85+
Granite Hills, CA	2.2 mi	649	79
Harbison Canyon, CA	2.5 mi	784	62
Rancho San Diego, CA	4.0 mi	4,814	585
Winter Gardens, CA	4.3 mi	3,014	325
Lakeside, CA	4.5 mi	4,428	443
Bostonia, CA	4.6 mi	2,400	304

Nursing homes near Crest

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Country Hills Post Acute	El Cajon, CA	3.1 mi	1 of 5	305	(619) 441-8745
The Royal Home	El Cajon, CA	3.5 mi	4 of 5	19	(619) 443-3886
Cottonwood Canyon Healthcare Center	El Cajon, CA	3.7 mi	3 of 5	96	(619) 444-1107
Granite Hills Healthcare & Wellness Centre, LLC	El Cajon, CA	3.7 mi	2 of 5	99	(619) 447-1020
Villa Las Palmas Healthcare Center	El Cajon, CA	4.9 mi	3 of 5	151	(619) 442-0544
Victoria Post Acute Care	El Cajon, CA	4.9 mi	5 of 5	120	(619) 440-5005

Hospices serving Crest

Hospice	Office	Distance	Phone
Orange Coast Hospice, Inc	El Cajon, CA	3.4 mi	(619) 499-7850
Anc Corporation	La Mesa, CA	8.9 mi	(619) 741-5814
Together Hospice Care LLC	La Mesa, CA	8.9 mi	(760) 743-3055
Accentcare Hospice & Palliative Care Of California	San Diego, CA	15 mi	(760) 643-0400

Straight-line miles from the center of Crest. 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 Crest

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 24% of the $6,088 monthly median income of Crest households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

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 Crest: common questions

What nursing homes are near Crest?

The closest Medicare-certified nursing homes are Country Hills Post Acute in El Cajon (3.1 mi, 1 of 5 overall); The Royal Home in El Cajon (3.5 mi, 4 of 5 overall); Cottonwood Canyon Healthcare Center in El Cajon (3.7 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Crest?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 24% of the $6,088 monthly median income of Crest households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 Crest

More senior care near Crest

Dementia Care in nearby cities

Other care in Crest

More for Crest 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 Crest, CA