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

Local figures

Dementia Care in Dilley, TX: the local picture

124

residents 85 or older (3.3% of all residents)

419

residents 65 or older (11% of Dilley)

44%

of residents 65+ report a disability (59% in Frio County)

2

Medicare-certified nursing homes within 25 miles

Dilley has about 124 residents aged 85 or older among 419 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.

44% of residents 65 and older report a disability (59% in Frio County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

43% of older Dilley 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.

Dilley compared with Frio County and Texas

Census figure	Dilley	Frio County	Texas
Residents 85 or older	3.3%	1.6%	1.4%
Residents 65 or older	11%	12%	13%
Residents 65+ with a disability	44%	59%	35%
Residents 65+ in households who live alone	43%	32%	25%
Residents 65+ below the poverty line (approx.)	36%	27%	12%
Residents 5+ who speak a language other than English at home	47%	46%	35%
Median income, households headed by someone 65+	$19,487	—	—

Older residents in towns around Dilley

Town	Distance	Residents 65+	Residents 85+
Pearsall, TX	16 mi	1,070	96
Cotulla, TX	16 mi	583	80
Devine, TX	37 mi	1,156	307
Crystal City, TX	39 mi	1,024	232
Jourdanton, TX	42 mi	466	63
Carrizo Springs, TX	43 mi	699	49

Nursing homes near Dilley

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Cotulla	Cotulla, TX	16 mi	4 of 5	60	(830) 879-4483
Pearsall Nursing And Rehabilitation Center	Pearsall, TX	16 mi	4 of 5	150	(830) 334-3371

Hospices serving Dilley

Hospice	Office	Distance	Phone
Heart To Heart Hospice Of South Texas	Pearsall, TX	16 mi	(830) 505-5600
Uvalde Hospice	Uvalde, TX	53 mi	(830) 278-6691
Nightingale Hospice Care, Inc.	San Antonio, TX	66 mi	(210) 797-7321
Trinity Hospice	San Antonio, TX	68 mi	(210) 960-2223

Straight-line miles from the center of Dilley. 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 Dilley

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 62% of the $1,624 monthly median income of Dilley 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 Dilley: common questions

What nursing homes are near Dilley?

The closest Medicare-certified nursing homes are Avir At Cotulla in Cotulla (16 mi, 4 of 5 overall); Pearsall Nursing And Rehabilitation Center in Pearsall (16 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Dilley?

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 62% of the $1,624 monthly median income of Dilley 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 Dilley

More senior care near Dilley

Dementia Care in nearby cities

Other care in Dilley

More for Dilley 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 Dilley, TX