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

Local figures

Dementia Care in Devine, TX: the local picture

307

residents 85 or older (6.9% of all residents)

1,156

residents 65 or older (26% of Devine)

60%

of residents 65+ report a disability (40% in Medina County)

6+

Medicare-certified nursing homes within 25 miles

Devine has about 307 residents aged 85 or older among 1,156 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.

60% of residents 65 and older report a disability (40% in Medina County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

49% of older Devine 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.

Devine compared with Medina County and Texas

Census figure	Devine	Medina County	Texas
Residents 85 or older	6.9%	2.3%	1.4%
Residents 65 or older	26%	18%	13%
Residents 65+ with a disability	60%	40%	35%
Residents 65+ in households who live alone	49%	28%	25%
Residents 65+ below the poverty line (approx.)	33%	11%	12%
Residents 5+ who speak a language other than English at home	32%	26%	35%
Median income, households headed by someone 65+	$22,432	$47,474	—

Older residents in towns around Devine

Town	Distance	Residents 65+	Residents 85+
Castroville, TX	15 mi	698	119
Pearsall, TX	21 mi	1,070	96
Hondo, TX	21 mi	1,231	132
Poteet, TX	21 mi	601	15
Lackland AFB, TX	24 mi	0	0
Jourdanton, TX	27 mi	466	63

Nursing homes near Devine

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Devine Health & Rehabilitation	Devine, TX	1.0 mi	5 of 5	96	(830) 663-4451
Lytle Nursing Home	Lytle, TX	8.6 mi	1 of 5	70	(830) 772-3557
Medina Valley Health & Rehabilitation Center	Castroville, TX	17 mi	3 of 5	116	(830) 931-2900
Community Care Center Of Hondo	Hondo, TX	19 mi	1 of 5	75	(830) 426-3087
Pearsall Nursing And Rehabilitation Center	Pearsall, TX	21 mi	4 of 5	150	(830) 334-3371
Harbor Valley Health And Rehabilitation	San Antonio, TX	22 mi	2 of 5	120	(210) 501-0825

Hospices serving Devine

Hospice	Office	Distance	Phone
Heart To Heart Hospice Of South Texas	Pearsall, TX	21 mi	(830) 505-5600
Blue Skies Hospice	San Antonio, TX	23 mi	(210) 838-6340
La Diferencia Hospice	San Antonio, TX	29 mi	(210) 395-3395
Klarus Hospice	San Antonio, TX	30 mi	(210) 732-7600

Straight-line miles from the center of Devine. 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 Devine

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 54% of the $1,869 monthly median income of Devine 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 Devine: common questions

What nursing homes are near Devine?

The closest Medicare-certified nursing homes are Devine Health & Rehabilitation in Devine (1.0 mi, 5 of 5 overall); Lytle Nursing Home in Lytle (8.6 mi, 1 of 5 overall); Medina Valley Health & Rehabilitation Center in Castroville (17 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Devine?

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 54% of the $1,869 monthly median income of Devine 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 Devine

More senior care near Devine

Dementia Care in nearby cities

Other care in Devine

More for Devine 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 Devine, TX