In-Home Dementia and Alzheimer's Care in Decatur, AL
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Decatur for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Decatur, AL: the local picture
Decatur has about 1,028 residents aged 85 or older among 10,356 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.
39% of residents 65 and older report a disability (40% in Morgan County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
39% of older Decatur 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.
Decatur compared with Morgan County and Alabama
| Census figure | Decatur | Morgan County | Alabama |
|---|---|---|---|
| Residents 85 or older | 1.8% | 1.9% | 1.7% |
| Residents 65 or older | 18% | 18% | 18% |
| Residents 65+ with a disability | 39% | 40% | 38% |
| Residents 65+ in households who live alone | 39% | 32% | 29% |
| Residents 65+ below the poverty line (approx.) | 12% | 13% | 12% |
| Residents 5+ who speak a language other than English at home | 15% | 9.0% | 6.0% |
| Median income, households headed by someone 65+ | $46,447 | $48,229 | — |
Older residents in towns around Decatur
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Trinity, AL | 5.5 mi | 459 | 5 |
| Priceville, AL | 6.8 mi | 461 | 59 |
| Hartselle, AL | 9.6 mi | 2,752 | 395 |
| Triana, AL | 14 mi | 325 | 0 |
| Athens, AL | 14 mi | 5,066 | 528 |
| Madison, AL | 16 mi | 7,628 | 573 |
Nursing homes near Decatur
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Decatur Health & Rehab Center | Decatur, AL | 1.1 mi | 1 of 5 | 119 | (256) 340-5765 |
| River City Center | Decatur, AL | 1.5 mi | 1 of 5 | 183 | (256) 355-6911 |
| Summerford Health And Rehab, LLC | Falkville, AL | 14 mi | 2 of 5 | 216 | (256) 784-5275 |
| Falkville Rehabilitation And Healthcare Center | Falkville, AL | 15 mi | 1 of 5 | 116 | (256) 784-5291 |
| Madison Manor Nursing Home | Madison, AL | 16 mi | 3 of 5 | 80 | (256) 772-9243 |
| Athens Health And Rehabilitation LLC | Athens, AL | 16 mi | 5 of 5 | 149 | (256) 232-1620 |
Hospices serving Decatur
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Hospice Of The Valley, Inc | Decatur, AL | 1.1 mi | (205) 350-5585 |
| Amedisys Hospice Of Decatur | Decatur, AL | 1.1 mi | (256) 350-8688 |
| Aveanna Hospice Of Decatur | Decatur, AL | 1.8 mi | (256) 905-0280 |
| Enhabit Hospice - Huntsville | Madison, AL | 17 mi | (256) 203-8508 |
Straight-line miles from the center of Decatur. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in Decatur
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 30% of the $3,871 monthly median income of Decatur households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
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.
Dementia Care in Decatur: common questions
What nursing homes are near Decatur?
The closest Medicare-certified nursing homes are Decatur Health & Rehab Center in Decatur (1.1 mi, 1 of 5 overall); River City Center in Decatur (1.5 mi, 1 of 5 overall); Summerford Health And Rehab, LLC in Falkville (14 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Decatur?
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 30% of the $3,871 monthly median income of Decatur households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 senior care near Decatur
Dementia Care in nearby cities
- Dementia Care in Trinity, AL
- Dementia Care in Priceville, AL
- Dementia Care in Hartselle, AL
- Dementia Care in Triana, AL
- Dementia Care in Athens, AL
- Dementia Care in Madison, AL
- Dementia Care in Moulton, AL
- Dementia Care in Huntsville, AL
- Dementia Care in Harvest, AL
- Dementia Care in Cullman, AL
- Dementia Care in Owens Cross Roads, AL
- Dementia Care in Meridianville, AL
- Dementia Care in Arab, AL
- Dementia Care in Good Hope, AL
- Dementia Care in Moores Mill, AL
- Dementia Care in New Hope, AL
Other care in Decatur
- Companion Care in Decatur
- Respite Care in Decatur
- Live-In Caregivers in Decatur
- Post-Surgery Care in Decatur
- Senior Transportation in Decatur
- Home Health Aides in Decatur
- Nursing Assistants in Decatur
- Personal Care in Decatur
- Overnight Caregivers in Decatur
- 24-Hour Home Care in Decatur
- Mobility Assistance in Decatur
- Parkinson’s Care in Decatur
- Stroke Recovery Support in Decatur
- Disability Care for Adults in Decatur
- Hospice Support in Decatur
- Senior Meal Preparation in Decatur
- Senior Housekeeping in Decatur
- Medication Reminders in Decatur
- Veterans’ Home Care in Decatur
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.
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