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

Dementia Care in Fredericktown, MO: the local picture
Fredericktown has about 97 residents aged 85 or older among 891 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.
54% of residents 65 and older report a disability (42% in Madison County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
39% of older Fredericktown 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.
Fredericktown compared with Madison County and Missouri
| Census figure | Fredericktown | Madison County | Missouri |
|---|---|---|---|
| Residents 85 or older | 2.2% | 1.6% | 2.0% |
| Residents 65 or older | 20% | 20% | 18% |
| Residents 65+ with a disability | 54% | 42% | 34% |
| Residents 65+ in households who live alone | 39% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 4.3% | 9.9% | 10% |
| Residents 5+ who speak a language other than English at home | 3.6% | 2.6% | 6.7% |
| Median income, households headed by someone 65+ | $38,245 | $39,583 | — |
Older residents in towns around Fredericktown
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Farmington, MO | 17 mi | 3,359 | 561 |
| Park Hills, MO | 21 mi | 1,028 | 80 |
| Desloge, MO | 25 mi | 968 | 87 |
| Perryville, MO | 26 mi | 1,370 | 161 |
| Bonne Terre, MO | 28 mi | 848 | 93 |
| Terre du Lac, MO | 29 mi | 500 | 32 |
Nursing homes near Fredericktown
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Madison Medical Center | Fredericktown, MO | 0.2 mi | 5 of 5 | 99 | (573) 783-3341 |
| Claru Deville Nursing Center | Fredericktown, MO | 1.0 mi | 3 of 5 | 90 | (573) 783-3993 |
| St Francois Manor | Farmington, MO | 15 mi | 4 of 5 | 118 | (573) 760-1700 |
| Farmington Presbyterian Manor | Farmington, MO | 17 mi | 5 of 5 | 90 | (573) 756-6768 |
| Baptist Homes Of Arcadia Valley | Ironton, MO | 17 mi | 3 of 5 | 36 | (573) 546-7429 |
| Southbrook Nursing Center | Farmington, MO | 17 mi | 5 of 5 | 104 | (573) 756-6658 |
Hospices serving Fredericktown
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Legacy Hospice | Fredericktown, MO | 5.3 mi | (573) 783-7625 |
| Heart & Soul Hospice | Farmington, MO | 16 mi | (573) 756-7066 |
| Preferred Hospice Of Missouri | Farmington, MO | 16 mi | (573) 614-4774 |
| Serenity Hospicecare | Park Hills, MO | 22 mi | (573) 431-0162 |
Straight-line miles from the center of Fredericktown. 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 Fredericktown
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 43% of the $3,187 monthly median income of Fredericktown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.
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 Fredericktown: common questions
What nursing homes are near Fredericktown?
The closest Medicare-certified nursing homes are Madison Medical Center in Fredericktown (0.2 mi, 5 of 5 overall); Claru Deville Nursing Center in Fredericktown (1.0 mi, 3 of 5 overall); St Francois Manor in Farmington (15 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Fredericktown?
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 43% of the $3,187 monthly median income of Fredericktown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Fredericktown
Dementia Care in nearby cities
- Dementia Care in Farmington, MO
- Dementia Care in Park Hills, MO
- Dementia Care in Desloge, MO
- Dementia Care in Perryville, MO
- Dementia Care in Bonne Terre, MO
- Dementia Care in Terre du Lac, MO
- Dementia Care in Ste. Genevieve, MO
- Dementia Care in Piedmont, MO
- Dementia Care in Chester, IL
- Dementia Care in Potosi, MO
- Dementia Care in Jackson, MO
- Dementia Care in De Soto, MO
- Dementia Care in Chaffee, MO
- Dementia Care in Cape Girardeau, MO
- Dementia Care in Festus, MO
- Dementia Care in Crystal City, MO
Other care in Fredericktown
- Companion Care in Fredericktown
- Respite Care in Fredericktown
- Live-In Caregivers in Fredericktown
- Post-Surgery Care in Fredericktown
- Senior Transportation in Fredericktown
- Home Health Aides in Fredericktown
- Nursing Assistants in Fredericktown
- Personal Care in Fredericktown
- Overnight Caregivers in Fredericktown
- 24-Hour Home Care in Fredericktown
- Mobility Assistance in Fredericktown
- Parkinson’s Care in Fredericktown
- Stroke Recovery Support in Fredericktown
- Disability Care for Adults in Fredericktown
- Hospice Support in Fredericktown
- Senior Meal Preparation in Fredericktown
- Senior Housekeeping in Fredericktown
- Medication Reminders in Fredericktown
- Veterans’ Home Care in Fredericktown
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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