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

Dementia Care in Highlands, NJ: the local picture
Highlands has about 59 residents aged 85 or older among 1,092 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.
29% of residents 65 and older report a disability (27% in Monmouth County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
55% of older Highlands 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.
Highlands compared with Monmouth County and New Jersey
| Census figure | Highlands | Monmouth County | New Jersey |
|---|---|---|---|
| Residents 85 or older | 1.3% | 2.3% | 2.1% |
| Residents 65 or older | 24% | 19% | 17% |
| Residents 65+ with a disability | 29% | 27% | 30% |
| Residents 65+ in households who live alone | 55% | 28% | 27% |
| Residents 65+ below the poverty line (approx.) | 3.6% | 6.9% | 9.7% |
| Residents 5+ who speak a language other than English at home | 12% | 18% | 33% |
| Median income, households headed by someone 65+ | $92,500 | $82,095 | — |
Older residents in towns around Highlands
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Atlantic Highlands, NJ | 1.7 mi | 1,162 | 167 |
| Rumson, NJ | 3.0 mi | 1,280 | 116 |
| Fair Haven, NJ | 4.0 mi | 631 | 78 |
| Monmouth Beach, NJ | 4.7 mi | 1,000 | 92 |
| Little Silver, NJ | 5.3 mi | 1,130 | 131 |
| Red Bank, NJ | 5.6 mi | 2,682 | 520 |
Nursing homes near Highlands
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Careone At Middletown | Atlantic Highlands, NJ | 3.2 mi | 2 of 5 | 127 | (732) 291-3400 |
| Complete Care At Shrewsbury LLC | Shrewsbury, NJ | 5.7 mi | 3 of 5 | 140 | (732) 676-5800 |
| Atrium At Navesink Harbor, The | Red Bank, NJ | 5.7 mi | 2 of 5 | 43 | (732) 842-3400 |
| Redbank Center For Rehabilitation And Healing | Red Bank, NJ | 6.9 mi | 2 of 5 | 180 | (732) 741-8811 |
| Complete Care At Monmouth, LLC | Long Branch, NJ | 7.7 mi | 3 of 5 | 120 | (732) 229-4300 |
| Arnold Walter Nursing & Rehabilitation Center | Hazlet, NJ | 8.3 mi | 3 of 5 | 202 | (732) 787-6300 |
Hospices serving Highlands
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Hackensack Meridian Hospice | Neptune, NJ | 14 mi | (732) 751-3750 |
| Embracing Hospice Care Of New Jersey | Wall, NJ | 17 mi | (732) 974-2545 |
| Grace Healthcare Services LLC | Edison, NJ | 20 mi | (732) 225-4100 |
| Dove Hospice Services Of New Jersey, LLC | Manalapan, NJ | 21 mi | (732) 547-9436 |
Straight-line miles from the center of Highlands. 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 Highlands
At the New Jersey median aide wage of $17.83 an hour, 20 hours of help a week comes to about $1,545 a month in wages, which is 20% of the $7,708 monthly median income of Highlands households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New Jersey's minimum wage is $15.92 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 Highlands: common questions
What nursing homes are near Highlands?
The closest Medicare-certified nursing homes are Careone At Middletown in Atlantic Highlands (3.2 mi, 2 of 5 overall); Complete Care At Shrewsbury LLC in Shrewsbury (5.7 mi, 3 of 5 overall); Atrium At Navesink Harbor, The in Red Bank (5.7 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Highlands?
At the New Jersey median aide wage of $17.83 an hour, 20 hours of help a week comes to about $1,545 a month in wages, which is 20% of the $7,708 monthly median income of Highlands households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New Jersey's minimum wage is $15.92 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 Highlands
Dementia Care in nearby cities
- Dementia Care in Atlantic Highlands, NJ
- Dementia Care in Rumson, NJ
- Dementia Care in Fair Haven, NJ
- Dementia Care in Monmouth Beach, NJ
- Dementia Care in Little Silver, NJ
- Dementia Care in Red Bank, NJ
- Dementia Care in Port Monmouth, NJ
- Dementia Care in Oceanport, NJ
- Dementia Care in Shrewsbury, NJ
- Dementia Care in North Middletown, NJ
- Dementia Care in Long Branch, NJ
- Dementia Care in West Long Branch, NJ
- Dementia Care in Eatontown, NJ
- Dementia Care in Lincroft, NJ
- Dementia Care in Keansburg, NJ
- Dementia Care in Union Beach, NJ
Other care in Highlands
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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