Dementia Care in Lafayette, CA: In-Home Alzheimer's Care

Local figures

Dementia Care in Lafayette, CA: the local picture

668

residents 85 or older (2.6% of all residents)

5,381

residents 65 or older (21% of Lafayette)

22%

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

6+

Medicare-certified nursing homes within 25 miles

Lafayette has about 668 residents aged 85 or older among 5,381 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 Contra Costa County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

16% of older Lafayette 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.

Lafayette compared with Contra Costa County and California

Census figure	Lafayette	Contra Costa County	California
Residents 85 or older	2.6%	2.0%	1.9%
Residents 65 or older	21%	17%	16%
Residents 65+ with a disability	22%	30%	33%
Residents 65+ in households who live alone	16%	23%	23%
Residents 65+ below the poverty line (approx.)	3.7%	7.4%	12%
Residents 5+ who speak a language other than English at home	17%	38%	44%
Median income, households headed by someone 65+	$149,493	$90,014	—

Older residents in towns around Lafayette

Town	Distance	Residents 65+	Residents 85+
Saranap, CA	2.4 mi	1,047	124
Orinda, CA	2.8 mi	4,542	643
Moraga, CA	3.1 mi	3,327	462
Reliez Valley, CA	3.5 mi	967	235
Contra Costa Centre, CA	4.3 mi	544	43
Walnut Creek, CA	4.4 mi	20,671	4,063

Nursing homes near Lafayette

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Moraga Post Acute	Moraga, CA	2.1 mi	5 of 5	49	(925) 376-5995
Orinda Care Center, LLC	Orinda, CA	2.8 mi	2 of 5	47	(925) 254-6500
Walnut Creek Skilled Nursing & Rehabilitation Cent	Walnut Creek, CA	2.8 mi	2 of 5	180	(925) 719-8883
Rossmoor Post Acute	Walnut Creek, CA	2.8 mi	4 of 5	155	(925) 975-5000
Tice Valley Post Acute	Walnut Creek, CA	2.9 mi	5 of 5	120	(925) 906-0200
Tampico Healthcare Center	Walnut Creek, CA	4.0 mi	4 of 5	128	(925) 933-7970

Hospices serving Lafayette

Hospice	Office	Distance	Phone
Ace Home Health Care & Hospice, Inc	Orinda, CA	3.0 mi	(925) 933-9012
Hospice Of The East Bay	Pleasant Hill, CA	5.0 mi	(925) 887-5678
Vitas Healthcare Corporation Of California	Walnut Creek, CA	5.5 mi	(925) 930-9373
Prohealth Home Care, Inc	Walnut Creek, CA	5.5 mi	(925) 891-9932

Straight-line miles from the center of Lafayette. 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 Lafayette

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 12% of the $12,458 monthly median income of Lafayette households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

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 Lafayette: common questions

What nursing homes are near Lafayette?

The closest Medicare-certified nursing homes are Moraga Post Acute in Moraga (2.1 mi, 5 of 5 overall); Orinda Care Center, LLC in Orinda (2.8 mi, 2 of 5 overall); Walnut Creek Skilled Nursing & Rehabilitation Cent in Walnut Creek (2.8 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Lafayette?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 12% of the $12,458 monthly median income of Lafayette households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 Lafayette

More senior care near Lafayette

Dementia Care in nearby cities

Other care in Lafayette

More for Lafayette 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 Lafayette, CA