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

Local figures

Dementia Care in Hondo, TX: the local picture

132

residents 85 or older (1.5% of all residents)

1,231

residents 65 or older (14% of Hondo)

29%

of residents 65+ report a disability (40% in Medina County)

4

Medicare-certified nursing homes within 25 miles

Hondo has about 132 residents aged 85 or older among 1,231 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 (40% in Medina County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

30% of older Hondo 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.

Hondo compared with Medina County and Texas

Census figure	Hondo	Medina County	Texas
Residents 85 or older	1.5%	2.3%	1.4%
Residents 65 or older	14%	18%	13%
Residents 65+ with a disability	29%	40%	35%
Residents 65+ in households who live alone	30%	28%	25%
Residents 65+ below the poverty line (approx.)	13%	11%	12%
Residents 5+ who speak a language other than English at home	32%	26%	35%
Median income, households headed by someone 65+	$39,907	$47,474	—

Older residents in towns around Hondo

Town	Distance	Residents 65+	Residents 85+
Castroville, TX	18 mi	698	119
Devine, TX	21 mi	1,156	307
Lakehills, TX	23 mi	1,402	27
Pearsall, TX	32 mi	1,070	96
Helotes, TX	33 mi	1,789	295
Lackland AFB, TX	33 mi	0	0

Nursing homes near Hondo

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Community Care Center Of Hondo	Hondo, TX	3.6 mi	1 of 5	75	(830) 426-3087
Devine Health & Rehabilitation	Devine, TX	21 mi	5 of 5	96	(830) 663-4451
Medina Valley Health & Rehabilitation Center	Castroville, TX	22 mi	3 of 5	116	(830) 931-2900
Lytle Nursing Home	Lytle, TX	23 mi	1 of 5	70	(830) 772-3557

Hospices serving Hondo

Hospice	Office	Distance	Phone
Blue Skies Hospice	San Antonio, TX	29 mi	(210) 838-6340
Heart To Heart Hospice Of South Texas	Pearsall, TX	32 mi	(830) 505-5600
Christus Vna Hospice San Antonio	San Antonio, TX	36 mi	(210) 785-5255
Changing Seasons Hospice	San Antonio, TX	36 mi	(210) 260-0000

Straight-line miles from the center of Hondo. 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 Hondo

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 30% of the $3,326 monthly median income of Hondo 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 Hondo: common questions

What nursing homes are near Hondo?

The closest Medicare-certified nursing homes are Community Care Center Of Hondo in Hondo (3.6 mi, 1 of 5 overall); Devine Health & Rehabilitation in Devine (21 mi, 5 of 5 overall); Medina Valley Health & Rehabilitation Center in Castroville (22 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Hondo?

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 30% of the $3,326 monthly median income of Hondo 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 Hondo

More senior care near Hondo

Dementia Care in nearby cities

Other care in Hondo

More for Hondo 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 Hondo, TX