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

Local figures

Dementia Care in Hillsboro, TX: the local picture

107

residents 85 or older (1.3% of all residents)

1,306

residents 65 or older (15% of Hillsboro)

50%

of residents 65+ report a disability (41% in Hill County)

6+

Medicare-certified nursing homes within 25 miles

Hillsboro has about 107 residents aged 85 or older among 1,306 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.

50% of residents 65 and older report a disability (41% in Hill County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

41% 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 Hill County and Texas

Census figure	Hillsboro	Hill County	Texas
Residents 85 or older	1.3%	1.8%	1.4%
Residents 65 or older	15%	20%	13%
Residents 65+ with a disability	50%	41%	35%
Residents 65+ in households who live alone	41%	30%	25%
Residents 65+ below the poverty line (approx.)	12%	12%	12%
Residents 5+ who speak a language other than English at home	30%	16%	35%
Median income, households headed by someone 65+	$33,571	$44,946	—

Older residents in towns around Hillsboro

Town	Distance	Residents 65+	Residents 85+
West, TX	14 mi	522	83
Lacy-Lakeview, TX	26 mi	800	94
Bellmead, TX	28 mi	1,485	144
Alvarado, TX	28 mi	778	44
Venus, TX	29 mi	236	4
Keene, TX	29 mi	1,069	191

Nursing homes near Hillsboro

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Hillsboro	Hillsboro, TX	0.8 mi	1 of 5	105	(254) 582-8416
Town Hall Estates	Hillsboro, TX	1.1 mi	1 of 5	138	(254) 582-8482
Avir At Itasca	Itasca, TX	11 mi	4 of 5	51	(254) 687-2383
Whitney Nursing And Rehabilitation Center	Whitney, TX	13 mi	2 of 5	88	(254) 694-2233
West Rest Haven	West, TX	13 mi	1 of 5	120	(254) 826-5354
Renaissance Rehabilitation And Healthcare Center	Italy, TX	18 mi	5 of 5	74	(410) 552-4800

Hospices serving Hillsboro

Hospice	Office	Distance	Phone
Hospice Sunset	Clifton, TX	28 mi	(254) 675-3391
Wings Over Texas Hospice	Cleburne, TX	29 mi	(817) 774-9154
Baylor Scott & White Hospice-Waco	Waco, TX	30 mi	(254) 202-5100
Traditions Health	Waxahachie, TX	31 mi	(972) 878-2273

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 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 36% of the $2,798 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. 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 Hillsboro: common questions

What nursing homes are near Hillsboro?

The closest Medicare-certified nursing homes are Avir At Hillsboro in Hillsboro (0.8 mi, 1 of 5 overall); Town Hall Estates in Hillsboro (1.1 mi, 1 of 5 overall); Avir At Itasca in Itasca (11 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Hillsboro?

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 36% of the $2,798 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. 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 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; 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, TX