Dementia Care in Hillsboro, MO: In-Home Alzheimer's Care

Local figures

Dementia Care in Hillsboro, MO: the local picture

13

residents 85 or older (0.4% of all residents)

393

residents 65 or older (11% of Hillsboro)

36%

of residents 65+ report a disability (34% in Jefferson County)

6+

Medicare-certified nursing homes within 25 miles

Hillsboro has about 13 residents aged 85 or older among 393 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.

36% of residents 65 and older report a disability (34% in Jefferson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

36% of older Hillsboro 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.

Hillsboro compared with Jefferson County and Missouri

Census figure	Hillsboro	Jefferson County	Missouri
Residents 85 or older	0.4%	1.5%	2.0%
Residents 65 or older	11%	17%	18%
Residents 65+ with a disability	36%	34%	34%
Residents 65+ in households who live alone	36%	24%	30%
Residents 65+ below the poverty line (approx.)	13%	9.3%	10%
Residents 5+ who speak a language other than English at home	1.4%	3.3%	6.7%
Median income, households headed by someone 65+	$27,112	$57,683	—

Older residents in towns around Hillsboro

Town	Distance	Residents 65+	Residents 85+
De Soto, MO	6.4 mi	1,115	65
Festus, MO	8.6 mi	2,090	208
Herculaneum, MO	9.6 mi	814	141
Pevely, MO	9.8 mi	811	91
Crystal City, MO	10 mi	961	190
Barnhart, MO	11 mi	659	54

Nursing homes near Hillsboro

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hillcrest Care Center Inc	De Soto, MO	5.6 mi	4 of 5	120	(636) 586-3022
Scenic Wellness And Rehabilitation Center	Herculaneum, MO	9.3 mi	4 of 5	189	(636) 931-2995
Superior Manor Of Festus, LLC	Festus, MO	9.5 mi	1 of 5	55	(314) 624-5575
Crystal Oaks	Festus, MO	9.7 mi	4 of 5	131	(636) 933-1818
Arbor View Nursing And Rehabilitation	Cedar Hill, MO	9.7 mi	1 of 5	150	(636) 274-1777
Fountainbleau Nursing Center	Festus, MO	9.7 mi	4 of 5	116	(636) 937-3500

Hospices serving Hillsboro

Hospice	Office	Distance	Phone
Alternative Hospice, LLC	Fenton, MO	19 mi	(636) 343-3839
Accentcare Hospice & Palliative Care Of Missouri	Saint Louis, MO	23 mi	(314) 909-6200
Breeze Hospice Of Missouri	Ballwin, MO	26 mi	(314) 833-3180
Serenity Hospicecare	Park Hills, MO	27 mi	(573) 431-0162

Straight-line miles from the center of Hillsboro. 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 Hillsboro

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 61% of the $2,259 monthly median income of Hillsboro 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.

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 Hillsboro: common questions

What nursing homes are near Hillsboro?

The closest Medicare-certified nursing homes are Hillcrest Care Center Inc in De Soto (5.6 mi, 4 of 5 overall); Scenic Wellness And Rehabilitation Center in Herculaneum (9.3 mi, 4 of 5 overall); Superior Manor Of Festus, LLC in Festus (9.5 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Hillsboro?

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 61% of the $2,259 monthly median income of Hillsboro 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 near Hillsboro

More senior care near Hillsboro

Dementia Care in nearby cities

Other care in Hillsboro

More for Hillsboro families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Hillsboro, MO