In-Home Dementia and Alzheimer's Care in Exton, PA
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 Exton for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Exton, PA: the local picture
Exton has about 10 residents aged 85 or older among 619 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.
5.1% of residents 65 and older report a disability (23% in Chester County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
42% of older Exton 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.
Exton compared with Chester County and Pennsylvania
| Census figure | Exton | Chester County | Pennsylvania |
|---|---|---|---|
| Residents 85 or older | 0.1% | 1.9% | 2.4% |
| Residents 65 or older | 9.1% | 18% | 19% |
| Residents 65+ with a disability | 5.1% | 23% | 32% |
| Residents 65+ in households who live alone | 42% | 23% | 30% |
| Residents 65+ below the poverty line (approx.) | 8.8% | 5.6% | 9.9% |
| Residents 5+ who speak a language other than English at home | 22% | 14% | 12% |
| Median income, households headed by someone 65+ | $72,722 | $84,884 | — |
Older residents in towns around Exton
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Lionville, PA | 1.8 mi | 1,311 | 117 |
| Downingtown, PA | 3.9 mi | 1,091 | 92 |
| Frazer, PA | 4.1 mi | 491 | 22 |
| West Chester, PA | 5.1 mi | 2,377 | 359 |
| Malvern, PA | 6.2 mi | 692 | 98 |
| Thorndale, PA | 6.6 mi | 587 | 63 |
Nursing homes near Exton
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Exton Post Acute | Exton, PA | 1.2 mi | 3 of 5 | 120 | (610) 423-8600 |
| Park Lane Post Acute LLC | West Chester, PA | 3.7 mi | 5 of 5 | 68 | (484) 653-4400 |
| Green Meadows Nursing & Rehabilitation Center | Malvern, PA | 4.4 mi | 4 of 5 | 184 | (610) 296-4170 |
| Barclay Friends | West Chester, PA | 4.4 mi | 5 of 5 | 64 | (610) 696-5211 |
| St Martha Center For Rehabilitation & Healthcare | Downingtown, PA | 4.7 mi | 5 of 5 | 120 | (610) 873-8490 |
| West Chester Rehabilitation And Healthcare Center | West Chester, PA | 5.7 mi | 2 of 5 | 180 | (610) 696-3120 |
Hospices serving Exton
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Aseracare Hospice | Exton, PA | 1.3 mi | (610) 321-2701 |
| Heartland Hospice (Chadds Ford) | Chadds Ford, PA | 12 mi | (484) 840-0811 |
| Hospice Compassus - Philadelphia | Newtown Square, PA | 12 mi | (610) 436-1853 |
| Bayada Home Health Care, Inc. | Newtown Square, PA | 12 mi | (610) 627-2050 |
Straight-line miles from the center of Exton. 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 Exton
At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 20% of the $6,060 monthly median income of Exton households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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 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 Exton: common questions
What nursing homes are near Exton?
The closest Medicare-certified nursing homes are Exton Post Acute in Exton (1.2 mi, 3 of 5 overall); Park Lane Post Acute LLC in West Chester (3.7 mi, 5 of 5 overall); Green Meadows Nursing & Rehabilitation Center in Malvern (4.4 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Exton?
At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 20% of the $6,060 monthly median income of Exton households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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 senior care near Exton
Dementia Care in nearby cities
- Dementia Care in Lionville, PA
- Dementia Care in Downingtown, PA
- Dementia Care in Frazer, PA
- Dementia Care in West Chester, PA
- Dementia Care in Malvern, PA
- Dementia Care in Thorndale, PA
- Dementia Care in Paoli, PA
- Dementia Care in Phoenixville, PA
- Dementia Care in Chesterbrook, PA
- Dementia Care in Berwyn, PA
- Dementia Care in Coatesville, PA
- Dementia Care in Spring City, PA
- Dementia Care in Royersford, PA
- Dementia Care in Lima, PA
- Dementia Care in Wayne, PA
- Dementia Care in Chester Heights, PA
Other care in Exton
- Companion Care in Exton
- Respite Care in Exton
- Live-In Caregivers in Exton
- Post-Surgery Care in Exton
- Senior Transportation in Exton
- Home Health Aides in Exton
- Nursing Assistants in Exton
- Personal Care in Exton
- Overnight Caregivers in Exton
- 24-Hour Home Care in Exton
- Mobility Assistance in Exton
- Parkinson’s Care in Exton
- Stroke Recovery Support in Exton
- Disability Care for Adults in Exton
- Hospice Support in Exton
- Senior Meal Preparation in Exton
- Senior Housekeeping in Exton
- Medication Reminders in Exton
- Veterans’ Home Care in Exton
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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