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.

Dementia Care in Lewes, DE: the local picture
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 figure | Lewes | Sussex County | Delaware |
|---|---|---|---|
| Residents 85 or older | 4.3% | 2.3% | 2.0% |
| Residents 65 or older | 59% | 30% | 21% |
| Residents 65+ with a disability | 15% | 26% | 30% |
| Residents 65+ in households who live alone | 17% | 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 home | 3.7% | 13% | 15% |
| Median income, households headed by someone 65+ | $89,617 | $73,326 | — |
Older residents in towns around Lewes
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Milton, DE | 9.0 mi | 1,446 | 69 |
| Georgetown, DE | 15 mi | 1,429 | 157 |
| Millsboro, DE | 16 mi | 1,850 | 162 |
| Cape May, NJ | 17 mi | 921 | 50 |
| North Cape May, NJ | 17 mi | 1,192 | 172 |
| Ocean View, DE | 18 mi | 1,515 | 172 |
Nursing homes near Lewes
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Excelcare At Lewes LLC | Lewes, DE | 0.7 mi | 2 of 5 | 179 | (302) 645-4664 |
| The Moorings At Lewes | Lewes, DE | 1.7 mi | 5 of 5 | 40 | (302) 645-6400 |
| Cadia Rehabilitation Renaissance | Millsboro, DE | 11 mi | 3 of 5 | 130 | (302) 947-4200 |
| Delaware Bay Rehabilitation And Healthcare Center | Georgetown, DE | 15 mi | 2 of 5 | 139 | (302) 856-4574 |
| Ocean Grove Post Acute | Millsboro, DE | 16 mi | 1 of 5 | 181 | (302) 934-7300 |
| Pelican Pointe Post Acute Nursing & Rehabilitation | North Cape May, NJ | 18 mi | 2 of 5 | 120 | (609) 898-0677 |
Hospices serving Lewes
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Compassionate Care Hospice Of The Delmar Peninsula | Milford, DE | 18 mi | (302) 856-2659 |
| Delaware Hospice, Inc Southern Division | Milford, DE | 18 mi | (302) 856-7717 |
| Delaware Hospice Central Div | Dover, DE | 32 mi | (302) 678-4444 |
| Coastal Hospice Inc | Salisbury, MD | 36 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 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 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.
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 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.
More senior care near Lewes
Dementia Care in nearby cities
- Dementia Care in Milton, DE
- Dementia Care in Georgetown, DE
- Dementia Care in Millsboro, DE
- Dementia Care in Cape May, NJ
- Dementia Care in North Cape May, NJ
- Dementia Care in Ocean View, DE
- Dementia Care in Milford, DE
- Dementia Care in Villas, NJ
- Dementia Care in Wildwood Crest, NJ
- Dementia Care in Rio Grande, NJ
- Dementia Care in Selbyville, DE
- Dementia Care in Wildwood, NJ
- Dementia Care in Whitesboro, NJ
- Dementia Care in North Wildwood, NJ
- Dementia Care in Bridgeville, DE
- Dementia Care in Harrington, DE
Other care in Lewes
- Companion Care in Lewes
- Respite Care in Lewes
- Live-In Caregivers in Lewes
- Post-Surgery Care in Lewes
- Senior Transportation in Lewes
- Home Health Aides in Lewes
- Nursing Assistants in Lewes
- Personal Care in Lewes
- Overnight Caregivers in Lewes
- 24-Hour Home Care in Lewes
- Mobility Assistance in Lewes
- Parkinson’s Care in Lewes
- Stroke Recovery Support in Lewes
- Disability Care for Adults in Lewes
- Hospice Support in Lewes
- Senior Meal Preparation in Lewes
- Senior Housekeeping in Lewes
- Medication Reminders in Lewes
- Veterans’ Home Care in Lewes
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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