In-Home Dementia and Alzheimer's Care in East St. Louis, IL
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 East St. Louis for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in East St. Louis, IL: the local picture
East St. Louis has about 545 residents aged 85 or older among 4,154 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.
38% of residents 65 and older report a disability (33% in St. Clair County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
45% of older East St. Louis 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.
East St. Louis compared with St. Clair County and Illinois
| Census figure | East St. Louis | St. Clair County | Illinois |
|---|---|---|---|
| Residents 85 or older | 3.0% | 2.1% | 2.0% |
| Residents 65 or older | 23% | 17% | 17% |
| Residents 65+ with a disability | 38% | 33% | 32% |
| Residents 65+ in households who live alone | 45% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 17% | 10% | 10% |
| Residents 5+ who speak a language other than English at home | 1.5% | 5.0% | 24% |
| Median income, households headed by someone 65+ | $33,219 | $54,949 | — |
Older residents in towns around East St. Louis
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Cahokia Heights, IL | 3.3 mi | 1,915 | 235 |
| Madison, IL | 5.1 mi | 406 | 12 |
| Caseyville, IL | 5.3 mi | 828 | 81 |
| St. Louis, MO | 6.3 mi | 44,707 | 4,739 |
| Fairview Heights, IL | 6.9 mi | 3,239 | 228 |
| Granite City, IL | 7.8 mi | 5,153 | 648 |
Nursing homes near East St. Louis
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| La Bella Of Cahokia | Cahokia, IL | 4.4 mi | 1 of 5 | 150 | (618) 332-0114 |
| Bria Of Cahokia | Cahokia, IL | 4.6 mi | 1 of 5 | 133 | (618) 337-9400 |
| La Bella Of Caseyville | Caseyville, IL | 5.2 mi | 1 of 5 | 150 | (618) 345-3072 |
| Blue Circle Rehab And Nursing | Saint Louis, MO | 5.2 mi | 2 of 5 | 90 | (314) 531-0500 |
| Life Care Center Of St Louis | Saint Louis, MO | 5.6 mi | 4 of 5 | 100 | (314) 771-2100 |
| Grand Manor Health Care Center | Saint Louis, MO | 5.8 mi | 1 of 5 | 120 | (314) 531-2352 |
Hospices serving East St. Louis
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Medi-Plex Hospice, LLC | Saint Louis, MO | 6.8 mi | (314) 993-5580 |
| Vitas Healthcare Corporation Midwest | Fairview Heights, IL | 6.8 mi | (618) 622-9073 |
| Heartland Hospice (Fairview Heights) | Fairview Heights, IL | 6.8 mi | (618) 632-0304 |
| Family Hospice Of Belleville Area | Belleville, IL | 9.0 mi | (618) 277-1800 |
Straight-line miles from the center of East St. Louis. 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 East St. Louis
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 57% of the $2,768 monthly median income of East St. Louis households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 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 East St. Louis: common questions
What nursing homes are near East St. Louis?
The closest Medicare-certified nursing homes are La Bella Of Cahokia in Cahokia (4.4 mi, 1 of 5 overall); Bria Of Cahokia in Cahokia (4.6 mi, 1 of 5 overall); La Bella Of Caseyville in Caseyville (5.2 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in East St. Louis?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 57% of the $2,768 monthly median income of East St. Louis households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 senior care near East St. Louis
Dementia Care in nearby cities
- Dementia Care in Cahokia Heights, IL
- Dementia Care in Madison, IL
- Dementia Care in Caseyville, IL
- Dementia Care in St. Louis, MO
- Dementia Care in Fairview Heights, IL
- Dementia Care in Granite City, IL
- Dementia Care in Collinsville, IL
- Dementia Care in Pontoon Beach, IL
- Dementia Care in Dupo, IL
- Dementia Care in Swansea, IL
- Dementia Care in Pine Lawn, MO
- Dementia Care in Riverview, MO
- Dementia Care in Lemay, MO
- Dementia Care in Northwoods, MO
- Dementia Care in Belleville, IL
- Dementia Care in Jennings, MO
Other care in East St. Louis
- Companion Care in East St. Louis
- Respite Care in East St. Louis
- Live-In Caregivers in East St. Louis
- Post-Surgery Care in East St. Louis
- Senior Transportation in East St. Louis
- Home Health Aides in East St. Louis
- Nursing Assistants in East St. Louis
- Personal Care in East St. Louis
- Overnight Caregivers in East St. Louis
- 24-Hour Home Care in East St. Louis
- Mobility Assistance in East St. Louis
- Parkinson’s Care in East St. Louis
- Stroke Recovery Support in East St. Louis
- Disability Care for Adults in East St. Louis
- Hospice Support in East St. Louis
- Senior Meal Preparation in East St. Louis
- Senior Housekeeping in East St. Louis
- Medication Reminders in East St. Louis
- Veterans’ Home Care in East St. Louis
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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