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

Dementia Care in Lewisville, NC: the local picture
Lewisville has about 193 residents aged 85 or older among 2,226 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.
22% of residents 65 and older report a disability (30% in Forsyth County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
24% of older Lewisville 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.
Lewisville compared with Forsyth County and North Carolina
| Census figure | Lewisville | Forsyth County | North Carolina |
|---|---|---|---|
| Residents 85 or older | 1.4% | 1.9% | 1.7% |
| Residents 65 or older | 16% | 17% | 17% |
| Residents 65+ with a disability | 22% | 30% | 33% |
| Residents 65+ in households who live alone | 24% | 31% | 28% |
| Residents 65+ below the poverty line (approx.) | 5.2% | 10% | 11% |
| Residents 5+ who speak a language other than English at home | 4.0% | 16% | 13% |
| Median income, households headed by someone 65+ | $83,221 | $50,508 | — |
Older residents in towns around Lewisville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Clemmons, NC | 5.4 mi | 4,153 | 353 |
| Bermuda Run, NC | 7.0 mi | 1,535 | 439 |
| Tobaccoville, NC | 9.1 mi | 514 | 49 |
| Winston-Salem, NC | 9.1 mi | 38,688 | 4,894 |
| Rural Hall, NC | 11 mi | 689 | 79 |
| King, NC | 12 mi | 1,710 | 356 |
Nursing homes near Lewisville
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Trinity Elms | Clemmons, NC | 5.7 mi | 2 of 5 | 100 | (336) 747-1153 |
| Cedar Hills Center For Nursing And Rehabilitation | Clemmons, NC | 6.2 mi | 1 of 5 | 94 | (336) 766-9158 |
| Salemtowne | Winston-Salem, NC | 6.4 mi | 4 of 5 | 100 | (336) 767-8130 |
| Bermuda Commons Nursing And Rehabilitation Center | Advance, NC | 6.7 mi | 3 of 5 | 117 | (336) 998-0240 |
| Silas Creek Rehabilitation Center | Winston Salem, NC | 7.3 mi | 4 of 5 | 90 | (336) 765-0550 |
| The Oaks | Winston-Salem, NC | 7.5 mi | 2 of 5 | 131 | (336) 768-2211 |
Hospices serving Lewisville
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Well Care Hospice, Inc. | Advance, NC | 6.9 mi | (910) 362-9405 |
| Trellis Supportive Care | Winston Salem, NC | 7.3 mi | (336) 768-3972 |
| Hospice Of Davidson County/ Hinkle Hospice House | Lexington, NC | 22 mi | (336) 475-5444 |
| Mountain Valley Hospice & Palliative Care | Dobson, NC | 24 mi | (336) 789-2922 |
Straight-line miles from the center of Lewisville. 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 Lewisville
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 19% of the $6,935 monthly median income of Lewisville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina'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.
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 Lewisville: common questions
What nursing homes are near Lewisville?
The closest Medicare-certified nursing homes are Trinity Elms in Clemmons (5.7 mi, 2 of 5 overall); Cedar Hills Center For Nursing And Rehabilitation in Clemmons (6.2 mi, 1 of 5 overall); Salemtowne in Winston-Salem (6.4 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Lewisville?
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 19% of the $6,935 monthly median income of Lewisville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina'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 Lewisville
Dementia Care in nearby cities
- Dementia Care in Clemmons, NC
- Dementia Care in Bermuda Run, NC
- Dementia Care in Tobaccoville, NC
- Dementia Care in Winston-Salem, NC
- Dementia Care in Rural Hall, NC
- Dementia Care in King, NC
- Dementia Care in Yadkinville, NC
- Dementia Care in Midway, NC
- Dementia Care in Walkertown, NC
- Dementia Care in Wallburg, NC
- Dementia Care in Mocksville, NC
- Dementia Care in Welcome, NC
- Dementia Care in Kernersville, NC
- Dementia Care in Tyro, NC
- Dementia Care in Lexington, NC
- Dementia Care in Jonesville, NC
Other care in Lewisville
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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