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

Local figures

Dementia Care in Keene, TX: the local picture

191

residents 85 or older (2.9% of all residents)

1,069

residents 65 or older (16% of Keene)

53%

of residents 65+ report a disability (37% in Johnson County)

6+

Medicare-certified nursing homes within 25 miles

Keene has about 191 residents aged 85 or older among 1,069 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.

53% of residents 65 and older report a disability (37% in Johnson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

28% of older Keene 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.

Keene compared with Johnson County and Texas

Census figure	Keene	Johnson County	Texas
Residents 85 or older	2.9%	1.2%	1.4%
Residents 65 or older	16%	14%	13%
Residents 65+ with a disability	53%	37%	35%
Residents 65+ in households who live alone	28%	19%	25%
Residents 65+ below the poverty line (approx.)	12%	8.3%	12%
Residents 5+ who speak a language other than English at home	30%	18%	35%
Median income, households headed by someone 65+	$40,903	$60,043	—

Older residents in towns around Keene

Town	Distance	Residents 65+	Residents 85+
Joshua, TX	5.6 mi	1,390	44
Cleburne, TX	5.9 mi	5,011	582
Alvarado, TX	6.6 mi	778	44
Burleson, TX	8.3 mi	6,228	741
The Homesteads, TX	11 mi	490	0
Crowley, TX	13 mi	2,435	220

Nursing homes near Keene

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Town Hall Estates Keene Inc	Keene, TX	0.5 mi	3 of 5	126	(817) 645-8888
Colonial Manor Nursing Center	Cleburne, TX	5.3 mi	3 of 5	137	(817) 645-9134
Alvarado Meadows Nursing & Rehabilitation	Alvarado, TX	6.2 mi	3 of 5	115	(817) 790-3304
Heritage Trails Nursing And Rehabilitation Center	Cleburne, TX	6.2 mi	4 of 5	122	(817) 558-8999
Ridgeview Rehabilitation And Skilled Nursing	Cleburne, TX	8.1 mi	5 of 5	134	(817) 645-0668
Advanced Rehabilitation & Healthcare Of Burleson	Burleson, TX	8.5 mi	2 of 5	121	(817) 730-4603

Hospices serving Keene

Hospice	Office	Distance	Phone
Wings Over Texas Hospice	Cleburne, TX	6.0 mi	(817) 774-9154
Heart To Heart Hospice Of The Brazos, LLC	Cleburne, TX	6.0 mi	(682) 317-1810
Gateway Hospice Providers, LLC	Burleson, TX	9.4 mi	(682) 499-6669
Alevcare Hospice	Mansfield, TX	16 mi	(469) 630-2538

Straight-line miles from the center of Keene. 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 Keene

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 $3,409 monthly median income of Keene 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 Keene: common questions

What nursing homes are near Keene?

The closest Medicare-certified nursing homes are Town Hall Estates Keene Inc in Keene (0.5 mi, 3 of 5 overall); Colonial Manor Nursing Center in Cleburne (5.3 mi, 3 of 5 overall); Alvarado Meadows Nursing & Rehabilitation in Alvarado (6.2 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Keene?

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 $3,409 monthly median income of Keene 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 Keene

More senior care near Keene

Dementia Care in nearby cities

Other care in Keene

More for Keene 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 Keene, TX