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

Local figures

Dementia Care in Fresno, TX: the local picture

46

residents 85 or older (0.2% of all residents)

1,724

residents 65 or older (7.0% of Fresno)

40%

of residents 65+ report a disability (28% in Fort Bend County)

6+

Medicare-certified nursing homes within 25 miles

Fresno has about 46 residents aged 85 or older among 1,724 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.

40% of residents 65 and older report a disability (28% in Fort Bend County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

12% of older Fresno 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.

Fresno compared with Fort Bend County and Texas

Census figure	Fresno	Fort Bend County	Texas
Residents 85 or older	0.2%	1.0%	1.4%
Residents 65 or older	7.0%	13%	13%
Residents 65+ with a disability	40%	28%	35%
Residents 65+ in households who live alone	12%	15%	25%
Residents 65+ below the poverty line (approx.)	7.0%	9.0%	12%
Residents 5+ who speak a language other than English at home	33%	41%	35%
Median income, households headed by someone 65+	$64,119	$78,465	—

Older residents in towns around Fresno

Town	Distance	Residents 65+	Residents 85+
Sienna, TX	4.3 mi	2,146	31
Missouri City, TX	4.4 mi	13,050	954
Iowa Colony, TX	7.2 mi	1,005	0
Manvel, TX	7.3 mi	1,416	194
Stafford, TX	8.4 mi	1,870	136
Pearland, TX	8.8 mi	15,739	1,934

Nursing homes near Fresno

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Colonnades At Reflection Bay	Pearland, TX	5.0 mi	1 of 5	180	(713) 434-3800
Tuscany Village	Pearland, TX	5.9 mi	4 of 5	132	(713) 770-5300
Windsor Quail Valley Post-Acute Healthcare	Missouri City, TX	6.0 mi	3 of 5	120	(281) 778-5144
Chelsea Gardens	Missouri City, TX	6.5 mi	1 of 5	60	(281) 499-5040
Park Manor Of Quail Valley	Missouri City, TX	6.6 mi	2 of 5	125	(281) 499-9333
Avir At Orem	Houston, TX	6.6 mi	4 of 5	120	(832) 799-6484

Hospices serving Fresno

Hospice	Office	Distance	Phone
Beyond Hospice & Palliative Care, LLC	Fresno, TX	0.7 mi	(713) 550-3626
Relax Hospice And Palliative Care LLC	Fresno, TX	0.7 mi	(346) 253-9965
Better Days Palliative & Hospice Care, LLC	Missouri City, TX	5.0 mi	(713) 550-3628
5 Star Hospice, LLC	Missouri City, TX	5.0 mi	(832) 262-1299

Straight-line miles from the center of Fresno. 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 Fresno

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 19% of the $5,343 monthly median income of Fresno 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 Fresno: common questions

What nursing homes are near Fresno?

The closest Medicare-certified nursing homes are The Colonnades At Reflection Bay in Pearland (5.0 mi, 1 of 5 overall); Tuscany Village in Pearland (5.9 mi, 4 of 5 overall); Windsor Quail Valley Post-Acute Healthcare in Missouri City (6.0 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Fresno?

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 19% of the $5,343 monthly median income of Fresno 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 Fresno

More senior care near Fresno

Dementia Care in nearby cities

Other care in Fresno

More for Fresno 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 Fresno, TX