Dementia Care in De Soto, MO: In-Home Alzheimer's Care

Local figures

Dementia Care in De Soto, MO: the local picture

65

residents 85 or older (1.0% of all residents)

1,115

residents 65 or older (17% of De Soto)

42%

of residents 65+ report a disability (34% in Jefferson County)

6+

Medicare-certified nursing homes within 25 miles

De Soto has about 65 residents aged 85 or older among 1,115 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.

42% of residents 65 and older report a disability (34% in Jefferson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

39% of older De Soto 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.

De Soto compared with Jefferson County and Missouri

Census figure	De Soto	Jefferson County	Missouri
Residents 85 or older	1.0%	1.5%	2.0%
Residents 65 or older	17%	17%	18%
Residents 65+ with a disability	42%	34%	34%
Residents 65+ in households who live alone	39%	24%	30%
Residents 65+ below the poverty line (approx.)	13%	9.3%	10%
Residents 5+ who speak a language other than English at home	0.5%	3.3%	6.7%
Median income, households headed by someone 65+	$36,619	$57,683	—

Older residents in towns around De Soto

Town	Distance	Residents 65+	Residents 85+
Hillsboro, MO	6.4 mi	393	13
Festus, MO	9.8 mi	2,090	208
Crystal City, MO	11 mi	961	190
Herculaneum, MO	12 mi	814	141
Pevely, MO	13 mi	811	91
Bonne Terre, MO	15 mi	848	93

Nursing homes near De Soto

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hillcrest Care Center Inc	De Soto, MO	0.7 mi	4 of 5	120	(636) 586-3022
Stonebridge Desoto	De Soto, MO	3.5 mi	4 of 5	56	(636) 586-6559
Baisch Nursing Center	De Soto, MO	5.9 mi	3 of 5	61	(636) 586-2291
Superior Manor Of Festus, LLC	Festus, MO	8.8 mi	1 of 5	55	(314) 624-5575
Crystal Oaks	Festus, MO	9.7 mi	4 of 5	131	(636) 933-1818
Fountainbleau Nursing Center	Festus, MO	9.8 mi	4 of 5	116	(636) 937-3500

Hospices serving De Soto

Hospice	Office	Distance	Phone
Serenity Hospicecare	Park Hills, MO	21 mi	(573) 431-0162
Alternative Hospice, LLC	Fenton, MO	25 mi	(636) 343-3839
Preferred Hospice Of Missouri	Farmington, MO	27 mi	(573) 614-4774
Accentcare Hospice & Palliative Care Of Missouri	Saint Louis, MO	29 mi	(314) 909-6200

Straight-line miles from the center of De Soto. 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 De Soto

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 45% of the $3,052 monthly median income of De Soto households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Consumer Directed Services in Missouri: how a relative becomes a paid 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 De Soto: common questions

What nursing homes are near De Soto?

The closest Medicare-certified nursing homes are Hillcrest Care Center Inc in De Soto (0.7 mi, 4 of 5 overall); Stonebridge Desoto in De Soto (3.5 mi, 4 of 5 overall); Baisch Nursing Center in De Soto (5.9 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in De Soto?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 45% of the $3,052 monthly median income of De Soto households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 De Soto

More senior care near De Soto

Dementia Care in nearby cities

Other care in De Soto

More for De Soto 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 De Soto, MO