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

Local figures

Dementia Care in Horseshoe Bay, TX: the local picture

247

residents 85 or older (5.1% of all residents)

2,338

residents 65 or older (48% of Horseshoe Bay)

24%

of residents 65+ report a disability (33% in Llano County)

6+

Medicare-certified nursing homes within 25 miles

Horseshoe Bay has about 247 residents aged 85 or older among 2,338 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.

24% of residents 65 and older report a disability (33% in Llano County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

18% of older Horseshoe Bay 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.

Horseshoe Bay compared with Llano County and Texas

Census figure	Horseshoe Bay	Llano County	Texas
Residents 85 or older	5.1%	4.4%	1.4%
Residents 65 or older	48%	37%	13%
Residents 65+ with a disability	24%	33%	35%
Residents 65+ in households who live alone	18%	26%	25%
Residents 65+ below the poverty line (approx.)	2.8%	7.2%	12%
Residents 5+ who speak a language other than English at home	4.5%	9.3%	35%
Median income, households headed by someone 65+	$101,635	$59,781	—

Older residents in towns around Horseshoe Bay

Town	Distance	Residents 65+	Residents 85+
Granite Shoals, TX	3.4 mi	1,031	76
Marble Falls, TX	6.3 mi	1,315	253
Kingsland, TX	9.7 mi	2,058	326
Burnet, TX	17 mi	1,324	138
Briarcliff, TX	22 mi	544	39
Llano, TX	23 mi	927	94

Nursing homes near Horseshoe Bay

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Brixton At Horseshoe Bay	Horseshoe Bay, TX	1.9 mi	4 of 5	120	(713) 553-1321
Granite Mesa Health Center	Marble Falls, TX	7.2 mi	2 of 5	124	(830) 693-0022
Avir At Kingsland	Kingsland, TX	10 mi	2 of 5	122	(325) 388-4538
Avir At Burnet	Burnet, TX	17 mi	3 of 5	112	(512) 756-6044
Avir At Johnson City	Johnson City, TX	19 mi	1 of 5	60	(830) 868-4093
Llano Nursing And Rehabilitation Center	Llano, TX	23 mi	1 of 5	96	(325) 247-4194

Hospices serving Horseshoe Bay

Hospice	Office	Distance	Phone
Enhabit Hospice	Marble Falls, TX	6.8 mi	(830) 262-0808
Comforts Of Home Healthcare LLC	Cedar Park, TX	33 mi	(512) 547-7490
Methodist Healthcare Hill Country Hospice & Family Care	Fredericksburg, TX	35 mi	(830) 997-1335
Accentcare Hospice & Palliative Care - Austin	Austin, TX	39 mi	(512) 372-4194

Straight-line miles from the center of Horseshoe Bay. 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 Horseshoe Bay

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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay: common questions

What nursing homes are near Horseshoe Bay?

The closest Medicare-certified nursing homes are The Brixton At Horseshoe Bay in Horseshoe Bay (1.9 mi, 4 of 5 overall); Granite Mesa Health Center in Marble Falls (7.2 mi, 2 of 5 overall); Avir At Kingsland in Kingsland (10 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Horseshoe Bay?

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 12% of the $8,470 monthly median income of Horseshoe Bay 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 Horseshoe Bay

More senior care near Horseshoe Bay

Dementia Care in nearby cities

Other care in Horseshoe Bay

More for Horseshoe Bay 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 Horseshoe Bay, TX