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

Dementia Care in Fargo, ND: the local picture
Fargo has about 2,108 residents aged 85 or older among 17,510 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.
30% of residents 65 and older report a disability (30% in Cass County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
36% of older Fargo 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.
Fargo compared with Cass County and North Dakota
| Census figure | Fargo | Cass County | North Dakota |
|---|---|---|---|
| Residents 85 or older | 1.6% | 1.5% | 2.2% |
| Residents 65 or older | 13% | 13% | 17% |
| Residents 65+ with a disability | 30% | 30% | 31% |
| Residents 65+ in households who live alone | 36% | 33% | 33% |
| Residents 65+ below the poverty line (approx.) | 7.8% | 7.6% | 9.9% |
| Residents 5+ who speak a language other than English at home | 11% | 8.9% | 6.7% |
| Median income, households headed by someone 65+ | $60,225 | $62,681 | — |
Older residents in towns around Fargo
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| West Fargo, ND | 3.6 mi | 4,963 | 637 |
| Moorhead, MN | 4.0 mi | 5,703 | 928 |
| Dilworth, MN | 6.4 mi | 571 | 115 |
| Horace, ND | 8.4 mi | 294 | 0 |
| Casselton, ND | 18 mi | 293 | 30 |
| Barnesville, MN | 25 mi | 359 | 57 |
Nursing homes near Fargo
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| The Meadows On University | Fargo, ND | 1.5 mi | 1 of 5 | 95 | (701) 237-3030 |
| Smp Health - St Catherine South | Fargo, ND | 1.6 mi | 4 of 5 | 98 | (701) 293-7750 |
| Bethany On University | Fargo, ND | 1.6 mi | 5 of 5 | 172 | (701) 239-3000 |
| Eventide Fargo | Fargo, ND | 2.1 mi | 3 of 5 | 98 | (701) 478-1800 |
| Eventide Lutheran Home | Moorhead, MN | 2.9 mi | 4 of 5 | 145 | (218) 233-7508 |
| Smp Health - St Catherine North | Fargo, ND | 2.9 mi | 4 of 5 | 125 | (701) 277-7999 |
Hospices serving Fargo
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Sanford Fargo Hospice | Fargo, ND | 3.9 mi | (701) 234-7550 |
| Ethos Hospice | Fargo, ND | 5.0 mi | (701) 356-3803 |
| Hia Hospice | Fargo, ND | 5.0 mi | (701) 356-1500 |
| Chi Health At Home - Hospice | Valley City, ND | 56 mi | (855) 860-3464 |
Straight-line miles from the center of Fargo. 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 Fargo
At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 33% of the $5,019 monthly median income of Fargo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Fargo: common questions
What nursing homes are near Fargo?
The closest Medicare-certified nursing homes are The Meadows On University in Fargo (1.5 mi, 1 of 5 overall); Smp Health - St Catherine South in Fargo (1.6 mi, 4 of 5 overall); Bethany On University in Fargo (1.6 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Fargo?
At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 33% of the $5,019 monthly median income of Fargo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Fargo
Dementia Care in nearby cities
- Dementia Care in West Fargo, ND
- Dementia Care in Moorhead, MN
- Dementia Care in Dilworth, MN
- Dementia Care in Horace, ND
- Dementia Care in Casselton, ND
- Dementia Care in Barnesville, MN
- Dementia Care in Pelican Rapids, MN
- Dementia Care in Wahpeton, ND
- Dementia Care in Breckenridge, MN
- Dementia Care in Detroit Lakes, MN
- Dementia Care in Fergus Falls, MN
- Dementia Care in Valley City, ND
- Dementia Care in Perham, MN
- Dementia Care in Crookston, MN
Other care in Fargo
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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