Dementia Care in Horace, ND: In-Home Alzheimer's Care

Local figures

Dementia Care in Horace, ND: the local picture

0

residents 85 or older (0.0% of all residents)

294

residents 65 or older (6.4% of Horace)

22%

of residents 65+ report a disability (30% in Cass County)

6+

Medicare-certified nursing homes within 25 miles

Horace has about 0 residents aged 85 or older among 294 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.

22% of residents 65 and older report a disability (30% in Cass County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

25% of older Horace 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.

Horace compared with Cass County and North Dakota

Census figure	Horace	Cass County	North Dakota
Residents 85 or older	0.0%	1.5%	2.2%
Residents 65 or older	6.4%	13%	17%
Residents 65+ with a disability	22%	30%	31%
Residents 65+ in households who live alone	25%	33%	33%
Residents 65+ below the poverty line (approx.)	5.8%	7.6%	9.9%
Residents 5+ who speak a language other than English at home	4.3%	8.9%	6.7%
Median income, households headed by someone 65+	$64,861	$62,681	—

Older residents in towns around Horace

Town	Distance	Residents 65+	Residents 85+
West Fargo, ND	6.9 mi	4,963	637
Fargo, ND	8.4 mi	17,510	2,108
Moorhead, MN	11 mi	5,703	928
Dilworth, MN	13 mi	571	115
Casselton, ND	17 mi	293	30
Barnesville, MN	25 mi	359	57

Nursing homes near Horace

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Eventide Fargo	Fargo, ND	7.0 mi	3 of 5	98	(701) 478-1800
Fargo Elim Health Care Center	Fargo, ND	7.0 mi	3 of 5	88	(701) 271-1862
Sheyenne Crossings Care Center/Tcu	West Fargo, ND	7.3 mi	5 of 5	64	(701) 478-6100
Smp Health - St Catherine South	Fargo, ND	8.5 mi	4 of 5	98	(701) 293-7750
The Meadows On University	Fargo, ND	9.0 mi	1 of 5	95	(701) 237-3030
Bethany On University	Fargo, ND	9.6 mi	5 of 5	172	(701) 239-3000

Hospices serving Horace

Hospice	Office	Distance	Phone
Ethos Hospice	Fargo, ND	4.2 mi	(701) 356-3803
Hia Hospice	Fargo, ND	4.2 mi	(701) 356-1500
Sanford Fargo Hospice	Fargo, ND	12 mi	(701) 234-7550

Straight-line miles from the center of Horace. 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 Horace

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 30% of the $5,405 monthly median income of Horace households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

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 Horace: common questions

What nursing homes are near Horace?

The closest Medicare-certified nursing homes are Eventide Fargo in Fargo (7.0 mi, 3 of 5 overall); Fargo Elim Health Care Center in Fargo (7.0 mi, 3 of 5 overall); Sheyenne Crossings Care Center/Tcu in West Fargo (7.3 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Horace?

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 30% of the $5,405 monthly median income of Horace households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Horace

More senior care near Horace

Dementia Care in nearby cities

Other care in Horace

More for Horace 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 Horace, ND