Houston, Texas

In-Home Dementia and Alzheimer's Care in Houston, TX

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Houston for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Houston, TX: the local picture

31,808
residents 85 or older (1.4% of all residents)
286,751
residents 65 or older (12% of Houston)
36%
of residents 65+ report a disability (34% in Harris County)
6+
Medicare-certified nursing homes within 25 miles

Houston has about 31,808 residents aged 85 or older among 286,751 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.

36% of residents 65 and older report a disability (34% in Harris County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

31% of older Houston 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.

Houston compared with Harris County and Texas

Census figureHoustonHarris CountyTexas
Residents 85 or older1.4%1.1%1.4%
Residents 65 or older12%12%13%
Residents 65+ with a disability36%34%35%
Residents 65+ in households who live alone31%25%25%
Residents 65+ below the poverty line (approx.)17%14%12%
Residents 5+ who speak a language other than English at home47%45%35%
Median income, households headed by someone 65+$50,324$58,641—

Older residents in towns around Houston

TownDistanceResidents 65+Residents 85+
West University Place, TX5.5 mi2,533228
Hunters Creek Village, TX6.6 mi76037
Spring Valley Village, TX6.9 mi67864
Bellaire, TX7.1 mi3,186307
Piney Point Village, TX7.9 mi66048
Bunker Hill Village, TX8.7 mi63530

Nursing homes near Houston

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
West Janisch Health Care CenterHouston, TX3.8 mi1 of 5116(713) 696-9093
Highland Park Rehabilitation & Nursing CenterHouston, TX3.9 mi2 of 5120(713) 862-1616
The HallmarkHouston, TX4.8 mi5 of 532(713) 622-6633
The Methodist Hospital SNFHouston, TX5.2 mi5 of 525(713) 441-7828
Caraday Of HoustonHouston, TX5.3 mi1 of 5150(713) 692-5137
Brookdale GalleriaHouston, TX5.5 mi3 of 556(713) 993-9999

Hospices serving Houston

HospiceOfficeDistancePhone
Destiny Hospice And Palliative Care LLCHouston, TX1.7 mi(346) 564-6682
Height's Hospice Care, L.L.C.Houston, TX1.7 mi(346) 571-7928
Twin Oaks Hospice LLCHouston, TX3.1 mi(281) 509-3924
Stone Creek Hospice Care Inc.Houston, TX3.1 mi(713) 962-5330

Straight-line miles from the center of Houston. 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 Houston

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 24% of the $4,194 monthly median income of Houston 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 Houston: common questions

What nursing homes are near Houston?

The closest Medicare-certified nursing homes are West Janisch Health Care Center in Houston (3.8 mi, 1 of 5 overall); Highland Park Rehabilitation & Nursing Center in Houston (3.9 mi, 2 of 5 overall); The Hallmark in Houston (4.8 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Houston?

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 24% of the $4,194 monthly median income of Houston 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.

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.

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