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

Local figures

Dementia Care in Decatur, TX: the local picture

244

residents 85 or older (3.3% of all residents)

1,623

residents 65 or older (22% of Decatur)

27%

of residents 65+ report a disability (36% in Wise County)

6+

Medicare-certified nursing homes within 25 miles

Decatur has about 244 residents aged 85 or older among 1,623 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.

27% of residents 65 and older report a disability (36% in Wise County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

49% 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 Wise County and Texas

Census figure	Decatur	Wise County	Texas
Residents 85 or older	3.3%	1.5%	1.4%
Residents 65 or older	22%	16%	13%
Residents 65+ with a disability	27%	36%	35%
Residents 65+ in households who live alone	49%	21%	25%
Residents 65+ below the poverty line (approx.)	6.8%	8.7%	12%
Residents 5+ who speak a language other than English at home	23%	17%	35%
Median income, households headed by someone 65+	$55,208	$64,324	—

Older residents in towns around Decatur

Town	Distance	Residents 65+	Residents 85+
Bridgeport, TX	11 mi	551	144
Briar, TX	14 mi	1,003	86
Ponder, TX	17 mi	280	19
Springtown, TX	19 mi	485	8
Justin, TX	19 mi	504	86
Pecan Acres, TX	19 mi	518	0

Nursing homes near Decatur

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Hills Nursing & Rehabilitation	Decatur, TX	0.3 mi	1 of 5	110	(940) 627-2165
Decatur Medical Lodge	Decatur, TX	0.9 mi	2 of 5	124	(940) 626-2800
Heritage Place Of Decatur	Decatur, TX	1.0 mi	3 of 5	60	(940) 627-5444
Bridgeport Medical Lodge	Bridgeport, TX	9.5 mi	1 of 5	152	(940) 683-5023
Springtown Park Rehabilitation And Care Center	Springtown, TX	19 mi	5 of 5	120	(817) 755-5116
Longmeadow Healthcare Center	Justin, TX	20 mi	1 of 5	120	(940) 648-2731

Hospices serving Decatur

Hospice	Office	Distance	Phone
Solaris Hospice Inc	Decatur, TX	1.0 mi	(940) 627-1011
Trio Hospice	Denton, TX	26 mi	(940) 381-2288
Arcy Hospice	Flower Mound, TX	32 mi	(469) 293-1515
Three Oaks Hospice	Hurst, TX	35 mi	(817) 328-1628

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 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 22% of the $4,601 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. 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 Decatur: common questions

What nursing homes are near Decatur?

The closest Medicare-certified nursing homes are The Hills Nursing & Rehabilitation in Decatur (0.3 mi, 1 of 5 overall); Decatur Medical Lodge in Decatur (0.9 mi, 2 of 5 overall); Heritage Place Of Decatur in Decatur (1.0 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Decatur?

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 22% of the $4,601 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. 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 Decatur

More senior care near Decatur

Dementia Care in nearby cities

Other care in Decatur

More for Decatur 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 Decatur, TX