Lewes, Delaware

In-Home Dementia and Alzheimer's Care in Lewes, DE

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 Lewes for free and hire a caregiver directly, with no agency mark-up.

A younger woman and an older woman looking at a phone together on a park bench
Local figures

Dementia Care in Lewes, DE: the local picture

150
residents 85 or older (4.3% of all residents)
2,078
residents 65 or older (59% of Lewes)
15%
of residents 65+ report a disability (26% in Sussex County)
6+
Medicare-certified nursing homes within 25 miles

Lewes has about 150 residents aged 85 or older among 2,078 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.

15% of residents 65 and older report a disability (26% in Sussex County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

17% of older Lewes 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.

Lewes compared with Sussex County and Delaware

Census figureLewesSussex CountyDelaware
Residents 85 or older4.3%2.3%2.0%
Residents 65 or older59%30%21%
Residents 65+ with a disability15%26%30%
Residents 65+ in households who live alone17%22%25%
Residents 65+ below the poverty line (approx.)5.1%6.9%7.6%
Residents 5+ who speak a language other than English at home3.7%13%15%
Median income, households headed by someone 65+$89,617$73,326—

Older residents in towns around Lewes

TownDistanceResidents 65+Residents 85+
Milton, DE9.0 mi1,44669
Georgetown, DE15 mi1,429157
Millsboro, DE16 mi1,850162
Cape May, NJ17 mi92150
North Cape May, NJ17 mi1,192172
Ocean View, DE18 mi1,515172

Nursing homes near Lewes

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Excelcare At Lewes LLCLewes, DE0.7 mi2 of 5179(302) 645-4664
The Moorings At LewesLewes, DE1.7 mi5 of 540(302) 645-6400
Cadia Rehabilitation RenaissanceMillsboro, DE11 mi3 of 5130(302) 947-4200
Delaware Bay Rehabilitation And Healthcare CenterGeorgetown, DE15 mi2 of 5139(302) 856-4574
Ocean Grove Post AcuteMillsboro, DE16 mi1 of 5181(302) 934-7300
Pelican Pointe Post Acute Nursing & RehabilitationNorth Cape May, NJ18 mi2 of 5120(609) 898-0677

Hospices serving Lewes

HospiceOfficeDistancePhone
Compassionate Care Hospice Of The Delmar PeninsulaMilford, DE18 mi(302) 856-2659
Delaware Hospice, Inc Southern DivisionMilford, DE18 mi(302) 856-7717
Delaware Hospice Central DivDover, DE32 mi(302) 678-4444
Coastal Hospice IncSalisbury, MD36 mi(410) 742-8732

Straight-line miles from the center of Lewes. 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 Lewes

At the Delaware median aide wage of $16.50 an hour, 20 hours of help a week comes to about $1,430 a month in wages, which is 19% of the $7,468 monthly median income of Lewes households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Delaware's minimum wage is $15.00 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

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 Lewes: common questions

What nursing homes are near Lewes?

The closest Medicare-certified nursing homes are Excelcare At Lewes LLC in Lewes (0.7 mi, 2 of 5 overall); The Moorings At Lewes in Lewes (1.7 mi, 5 of 5 overall); Cadia Rehabilitation Renaissance in Millsboro (11 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Lewes?

At the Delaware median aide wage of $16.50 an hour, 20 hours of help a week comes to about $1,430 a month in wages, which is 19% of the $7,468 monthly median income of Lewes households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Delaware's minimum wage is $15.00 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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