Dementia Care in Hillsborough, CA: In-Home Alzheimer's Care

Local figures

Dementia Care in Hillsborough, CA: the local picture

220

residents 85 or older (2.0% of all residents)

2,262

residents 65 or older (20% of Hillsborough)

18%

of residents 65+ report a disability (28% in San Mateo County)

6+

Medicare-certified nursing homes within 25 miles

Hillsborough has about 220 residents aged 85 or older among 2,262 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.

18% of residents 65 and older report a disability (28% in San Mateo County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

17% of older Hillsborough 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.

Hillsborough compared with San Mateo County and California

Census figure	Hillsborough	San Mateo County	California
Residents 85 or older	2.0%	2.5%	1.9%
Residents 65 or older	20%	18%	16%
Residents 65+ with a disability	18%	28%	33%
Residents 65+ in households who live alone	17%	21%	23%
Residents 65+ below the poverty line (approx.)	4.2%	9.0%	12%
Residents 5+ who speak a language other than English at home	31%	46%	44%
Median income, households headed by someone 65+	$250,001	$103,766	—

Older residents in towns around Hillsborough

Town	Distance	Residents 65+	Residents 85+
Burlingame, CA	2.3 mi	4,983	884
San Mateo, CA	2.6 mi	17,563	2,991
Millbrae, CA	3.7 mi	4,599	913
Belmont, CA	4.6 mi	3,813	593
Foster City, CA	5.9 mi	5,759	1,004
San Bruno, CA	6.2 mi	7,596	864

Nursing homes near Hillsborough

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Brookside Skilled Nursing Hospital	San Mateo, CA	2.8 mi	5 of 5	96	(650) 349-2161
Peninsula Post-Acute	Burlingame, CA	2.8 mi	4 of 5	62	(650) 652-3969
Millbrae Care Center	Millbrae, CA	3.7 mi	2 of 5	140	(650) 689-5784
San Mateo Medical Center D/P SNF	San Mateo, CA	3.7 mi	1 of 5	345	(650) 573-3678
Belmont Healthcare Center	Belmont, CA	5.0 mi	5 of 5	74	(650) 591-9601
San Bruno Skilled Nursing	San Bruno, CA	6.1 mi	4 of 5	45	(650) 583-7768

Hospices serving Hillsborough

Hospice	Office	Distance	Phone
Helping Hands Home Health Care & Hospice, Inc.	Burlingame, CA	0.8 mi	(650) 286-9000
Medvista Healthcare, Inc	Burlingame, CA	0.8 mi	(510) 398-8688
American Carequest Hospice	Burlingame, CA	0.8 mi	(415) 885-9100
Anx Hospice Care	Burlingame, CA	0.8 mi	(650) 991-1106

Straight-line miles from the center of Hillsborough. 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 Hillsborough

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 7% of the $20,833 monthly median income of Hillsborough households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

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 Hillsborough: common questions

What nursing homes are near Hillsborough?

The closest Medicare-certified nursing homes are Brookside Skilled Nursing Hospital in San Mateo (2.8 mi, 5 of 5 overall); Peninsula Post-Acute in Burlingame (2.8 mi, 4 of 5 overall); Millbrae Care Center in Millbrae (3.7 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Hillsborough?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 7% of the $20,833 monthly median income of Hillsborough households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 Hillsborough

More senior care near Hillsborough

Dementia Care in nearby cities

Other care in Hillsborough

More for Hillsborough 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 Hillsborough, CA