Decatur, Alabama

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.

A woman and an older man talking across a wooden table at home
Local figures

Dementia Care in Decatur, AL: the local picture

1,028
residents 85 or older (1.8% of all residents)
10,356
residents 65 or older (18% of Decatur)
39%
of residents 65+ report a disability (40% in Morgan County)
6+
Medicare-certified nursing homes within 25 miles

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 figureDecaturMorgan CountyAlabama
Residents 85 or older1.8%1.9%1.7%
Residents 65 or older18%18%18%
Residents 65+ with a disability39%40%38%
Residents 65+ in households who live alone39%32%29%
Residents 65+ below the poverty line (approx.)12%13%12%
Residents 5+ who speak a language other than English at home15%9.0%6.0%
Median income, households headed by someone 65+$46,447$48,229—

Older residents in towns around Decatur

TownDistanceResidents 65+Residents 85+
Trinity, AL5.5 mi4595
Priceville, AL6.8 mi46159
Hartselle, AL9.6 mi2,752395
Triana, AL14 mi3250
Athens, AL14 mi5,066528
Madison, AL16 mi7,628573

Nursing homes near Decatur

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Decatur Health & Rehab CenterDecatur, AL1.1 mi1 of 5119(256) 340-5765
River City CenterDecatur, AL1.5 mi1 of 5183(256) 355-6911
Summerford Health And Rehab, LLCFalkville, AL14 mi2 of 5216(256) 784-5275
Falkville Rehabilitation And Healthcare CenterFalkville, AL15 mi1 of 5116(256) 784-5291
Madison Manor Nursing HomeMadison, AL16 mi3 of 580(256) 772-9243
Athens Health And Rehabilitation LLCAthens, AL16 mi5 of 5149(256) 232-1620

Hospices serving Decatur

HospiceOfficeDistancePhone
Hospice Of The Valley, IncDecatur, AL1.1 mi(205) 350-5585
Amedisys Hospice Of DecaturDecatur, AL1.1 mi(256) 350-8688
Aveanna Hospice Of DecaturDecatur, AL1.8 mi(256) 905-0280
Enhabit Hospice - HuntsvilleMadison, AL17 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 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 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.

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 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.

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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