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

Dementia Care in Gatesville, TX: the local picture
Gatesville has about 147 residents aged 85 or older among 1,795 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.
57% of residents 65 and older report a disability (45% in Coryell County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
35% of older Gatesville 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.
Gatesville compared with Coryell County and Texas
| Census figure | Gatesville | Coryell County | Texas |
|---|---|---|---|
| Residents 85 or older | 0.9% | 0.8% | 1.4% |
| Residents 65 or older | 11% | 11% | 13% |
| Residents 65+ with a disability | 57% | 45% | 35% |
| Residents 65+ in households who live alone | 35% | 28% | 25% |
| Residents 65+ below the poverty line (approx.) | 8.0% | 11% | 12% |
| Residents 5+ who speak a language other than English at home | 20% | 16% | 35% |
| Median income, households headed by someone 65+ | $35,586 | $54,502 | — |
Older residents in towns around Gatesville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| McGregor, TX | 19 mi | 858 | 121 |
| Fort Hood, TX | 21 mi | 224 | 15 |
| Copperas Cove, TX | 24 mi | 4,564 | 344 |
| Killeen, TX | 25 mi | 13,315 | 1,455 |
| Clifton, TX | 26 mi | 1,004 | 234 |
| Morgan's Point Resort, TX | 26 mi | 652 | 20 |
Nursing homes near Gatesville
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Coryell Health Rehabliving At The Meadows | Gatesville, TX | 2.0 mi | 4 of 5 | 106 | (254) 404-2500 |
| Hillside Medical Lodge | Gatesville, TX | 2.2 mi | 3 of 5 | 128 | (254) 865-7575 |
| Mcgregor Wellness & Rehabilitation | Mc Gregor, TX | 19 mi | 2 of 5 | 186 | (254) 840-3281 |
| St. Joseph's Care Center | Mcgregor, TX | 19 mi | not rated | 100 | (254) 236-9710 |
| Avir At Killeen | Killeen, TX | 22 mi | 1 of 5 | 120 | (254) 221-6380 |
| Rosewood Heights | Killeen, TX | 22 mi | 3 of 5 | 64 | (254) 690-6169 |
Hospices serving Gatesville
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Heart Of Texas Hospice | Killeen, TX | 23 mi | (254) 313-9840 |
| Gentle Transitions Hospice | Moody, TX | 24 mi | (254) 598-1389 |
| Hospice Sunset | Clifton, TX | 28 mi | (254) 675-3391 |
| Accentcare Hospice & Palliative Care Of Texas | Waco, TX | 31 mi | (254) 756-0404 |
Straight-line miles from the center of Gatesville. 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 Gatesville
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 34% of the $2,966 monthly median income of Gatesville 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.
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 Gatesville: common questions
What nursing homes are near Gatesville?
The closest Medicare-certified nursing homes are Coryell Health Rehabliving At The Meadows in Gatesville (2.0 mi, 4 of 5 overall); Hillside Medical Lodge in Gatesville (2.2 mi, 3 of 5 overall); Mcgregor Wellness & Rehabilitation in Mc Gregor (19 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Gatesville?
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 34% of the $2,966 monthly median income of Gatesville 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 senior care near Gatesville
Dementia Care in nearby cities
- Dementia Care in McGregor, TX
- Dementia Care in Fort Hood, TX
- Dementia Care in Copperas Cove, TX
- Dementia Care in Killeen, TX
- Dementia Care in Clifton, TX
- Dementia Care in Morgan's Point Resort, TX
- Dementia Care in Nolanville, TX
- Dementia Care in Harker Heights, TX
- Dementia Care in Hamilton, TX
- Dementia Care in Woodway, TX
- Dementia Care in Belton, TX
- Dementia Care in Temple, TX
- Dementia Care in Troy, TX
- Dementia Care in Hewitt, TX
- Dementia Care in Waco, TX
- Dementia Care in Lampasas, TX
Other care in Gatesville
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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