In-Home Dementia and Alzheimer's Care in Lakehills, 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 Lakehills for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Lakehills, TX: the local picture
Lakehills has about 27 residents aged 85 or older among 1,402 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.
39% of residents 65 and older report a disability (41% in Bandera County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
18% of older Lakehills 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.
Lakehills compared with Bandera County and Texas
| Census figure | Lakehills | Bandera County | Texas |
|---|---|---|---|
| Residents 85 or older | 0.4% | 1.6% | 1.4% |
| Residents 65 or older | 23% | 30% | 13% |
| Residents 65+ with a disability | 39% | 41% | 35% |
| Residents 65+ in households who live alone | 18% | 26% | 25% |
| Residents 65+ below the poverty line (approx.) | 6.8% | 11% | 12% |
| Residents 5+ who speak a language other than English at home | 15% | 14% | 35% |
| Median income, households headed by someone 65+ | $100,104 | $61,821 | — |
Older residents in towns around Lakehills
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Helotes, TX | 16 mi | 1,789 | 295 |
| Cross Mountain, TX | 17 mi | 452 | 91 |
| Boerne, TX | 17 mi | 3,516 | 738 |
| Scenic Oaks, TX | 17 mi | 1,736 | 23 |
| Castroville, TX | 19 mi | 698 | 119 |
| Fair Oaks Ranch, TX | 20 mi | 2,385 | 166 |
Nursing homes near Lakehills
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Avir At Bandera | Bandera, TX | 9.8 mi | 1 of 5 | 118 | (830) 796-4077 |
| Cedar Creek Nursing And Rehabilitation Center | Bandera, TX | 11 mi | 2 of 5 | 62 | (830) 460-3767 |
| Kendall House Wellness & Rehabilitation | Boerne, TX | 16 mi | 4 of 5 | 40 | (830) 816-4100 |
| Town And Country Nursing And Rehabilitation Center | Boerne, TX | 17 mi | 1 of 5 | 126 | (830) 249-3085 |
| Carechoice Of Boerne | Boerne, TX | 17 mi | 2 of 5 | 74 | (830) 249-2594 |
| Avir At Boerne | Boerne, TX | 18 mi | 1 of 5 | 96 | (830) 249-2799 |
Hospices serving Lakehills
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Elegant Hospice | San Antonio, TX | 20 mi | (210) 817-4746 |
| Crest Palliative Care | Shavano Park, TX | 20 mi | (210) 469-3200 |
| Good Shepherd Hospice Of San Antonio, L.L.C. | San Antonio, TX | 20 mi | (210) 733-3939 |
| Circle Of Life Hospice And Palliative Care | San Antonio, TX | 20 mi | (210) 890-2700 |
Straight-line miles from the center of Lakehills. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in Lakehills
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 $8,342 monthly median income of Lakehills 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.
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.
Dementia Care in Lakehills: common questions
What nursing homes are near Lakehills?
The closest Medicare-certified nursing homes are Avir At Bandera in Bandera (9.8 mi, 1 of 5 overall); Cedar Creek Nursing And Rehabilitation Center in Bandera (11 mi, 2 of 5 overall); Kendall House Wellness & Rehabilitation in Boerne (16 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Lakehills?
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 $8,342 monthly median income of Lakehills 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 senior care near Lakehills
Dementia Care in nearby cities
- Dementia Care in Helotes, TX
- Dementia Care in Cross Mountain, TX
- Dementia Care in Boerne, TX
- Dementia Care in Scenic Oaks, TX
- Dementia Care in Castroville, TX
- Dementia Care in Fair Oaks Ranch, TX
- Dementia Care in Leon Valley, TX
- Dementia Care in Hondo, TX
- Dementia Care in Shavano Park, TX
- Dementia Care in Balcones Heights, TX
- Dementia Care in Lackland AFB, TX
- Dementia Care in Castle Hills, TX
- Dementia Care in Hollywood Park, TX
- Dementia Care in San Antonio, TX
- Dementia Care in Timberwood Park, TX
- Dementia Care in Alamo Heights, TX
Other care in Lakehills
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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