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

Local figures

Dementia Care in Lewiston, NY: the local picture

110

residents 85 or older (4.3% of all residents)

668

residents 65 or older (26% of Lewiston)

27%

of residents 65+ report a disability (32% in Niagara County)

6+

Medicare-certified nursing homes within 25 miles

Lewiston has about 110 residents aged 85 or older among 668 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.

27% of residents 65 and older report a disability (32% in Niagara County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

40% 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 Niagara County and New York

Census figure	Lewiston	Niagara County	New York
Residents 85 or older	4.3%	2.5%	2.2%
Residents 65 or older	26%	21%	18%
Residents 65+ with a disability	27%	32%	32%
Residents 65+ in households who live alone	40%	32%	29%
Residents 65+ below the poverty line (approx.)	5.4%	11%	13%
Residents 5+ who speak a language other than English at home	9.8%	5.9%	31%
Median income, households headed by someone 65+	$54,063	$52,607	—

Older residents in towns around Lewiston

Town	Distance	Residents 65+	Residents 85+
Niagara Falls, NY	5.6 mi	8,884	1,173
North Tonawanda, NY	12 mi	6,614	691
Grandyle Village, NY	13 mi	889	51
Tonawanda, NY	14 mi	3,101	198
Tonawanda Town, NY	15 mi	12,029	1,824
Kenmore, NY	17 mi	2,381	189

Nursing homes near Lewiston

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Our Lady Of Peace Nursing Care Residence	Lewiston, NY	1.2 mi	5 of 5	250	(716) 298-2900
Niagara Rehabilitation And Nursing Center	Niagara Falls, NY	5.2 mi	2 of 5	160	(716) 282-1207
Schoellkopf Health Center	Niagara Falls, NY	5.4 mi	3 of 5	120	(716) 278-4578
Elderwood At Wheatfield	Niagara Falls, NY	8.7 mi	2 of 5	123	(716) 215-8000
Elderwood At Grand Island	Grand Island, NY	9.6 mi	3 of 5	90	(716) 773-5900
North Gate Health Care Facility	North Tonawanda, NY	11 mi	4 of 5	200	(716) 694-7700

Hospices serving Lewiston

Hospice	Office	Distance	Phone
Niagara Hospice Inc	Lockport, NY	18 mi	(716) 439-4417
Hospice Buffalo Inc	Cheektowaga, NY	25 mi	(716) 686-1900

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 New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 37% of the $4,505 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. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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 CDPAP in New York: how to get paid to care for a family member.

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 Our Lady Of Peace Nursing Care Residence in Lewiston (1.2 mi, 5 of 5 overall); Niagara Rehabilitation And Nursing Center in Niagara Falls (5.2 mi, 2 of 5 overall); Schoellkopf Health Center in Niagara Falls (5.4 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Lewiston?

At the New York median aide wage of $19.05 an hour, 20 hours of help a week comes to about $1,651 a month in wages, which is 37% of the $4,505 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. New York's minimum wage is $17.00 in New York City, Nassau, Suffolk and Westchester counties, $16.00 in the rest of the state (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, NY