Dementia Care in Lewiston, ID: In-Home Alzheimer's Care

Local figures

Dementia Care in Lewiston, ID: the local picture

1,079

residents 85 or older (3.1% of all residents)

7,146

residents 65 or older (21% of Lewiston)

36%

of residents 65+ report a disability

6+

Medicare-certified nursing homes within 25 miles

Lewiston has about 1,079 residents aged 85 or older among 7,146 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.

36% of residents 65 and older report a disability. The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

33% of older Lewiston 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.

Lewiston compared with Idaho

Census figure	Lewiston	Idaho
Residents 85 or older	3.1%	1.6%
Residents 65 or older	21%	17%
Residents 65+ with a disability	36%	34%
Residents 65+ in households who live alone	33%	24%
Residents 65+ below the poverty line (approx.)	7.9%	8.9%
Residents 5+ who speak a language other than English at home	2.3%	11%
Median income, households headed by someone 65+	$50,770	—

Older residents in towns around Lewiston

Town	Distance	Residents 65+	Residents 85+
Clarkston, WA	3.1 mi	1,100	117
West Clarkston-Highland, WA	3.4 mi	1,523	247
Clarkston Heights-Vineland, WA	4.9 mi	2,374	309
Moscow, ID	23 mi	2,737	452
Pullman, WA	25 mi	2,175	223
Orofino, ID	36 mi	674	120

Nursing homes near Lewiston

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Royal Plaza Health And Rehabilitation Of Cascadia	Lewiston, ID	0.3 mi	2 of 5	78	(208) 746-2855
Cascadia Of Lewiston	Lewiston, ID	0.3 mi	4 of 5	34	(208) 748-7700
Lewiston Transitional Care Of Cascadia	Lewiston, ID	0.7 mi	4 of 5	96	(208) 743-9543
Life Care Center Of Lewiston	Lewiston, ID	1.0 mi	5 of 5	121	(208) 798-8500
Orchard View Post Acute	Lewiston, ID	1.3 mi	2 of 5	127	(208) 743-4558
Idaho State Veterans Home - Lewiston	Lewiston, ID	1.3 mi	5 of 5	66	(208) 750-3600

Hospices serving Lewiston

Hospice	Office	Distance	Phone
Elite Hospice	Clarkston, WA	3.4 mi	(509) 758-2568
Heart 'N Home Hospice	Lewiston, ID	6.6 mi	(208) 799-5275
Elite Hospice	Lewiston, ID	6.6 mi	(208) 576-6500
Advanced Home Care And Hospice Of Coeur D'alene	Coeur D'alene, ID	90 mi	(208) 769-0500

Straight-line miles from the center of Lewiston. 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 Lewiston

At the Idaho median aide wage of $16.72 an hour, 20 hours of help a week comes to about $1,449 a month in wages, which is 34% of the $4,231 monthly median income of Lewiston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Idaho'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 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 Lewiston: common questions

What nursing homes are near Lewiston?

The closest Medicare-certified nursing homes are Royal Plaza Health And Rehabilitation Of Cascadia in Lewiston (0.3 mi, 2 of 5 overall); Cascadia Of Lewiston in Lewiston (0.3 mi, 4 of 5 overall); Lewiston Transitional Care Of Cascadia in Lewiston (0.7 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Lewiston?

At the Idaho median aide wage of $16.72 an hour, 20 hours of help a week comes to about $1,449 a month in wages, which is 34% of the $4,231 monthly median income of Lewiston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Idaho'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 Lewiston

More senior care near Lewiston

Dementia Care in nearby cities

Other care in Lewiston

More for Lewiston 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 Lewiston, ID