Dementia Care in Lexington, KY: In-Home Alzheimer's Care

Local figures

Dementia Care in Lexington, KY: the local picture

4,848

residents 85 or older (1.5% of all residents)

47,626

residents 65 or older (15% of Lexington)

32%

of residents 65+ report a disability

6+

Medicare-certified nursing homes within 25 miles

Lexington has about 4,848 residents aged 85 or older among 47,626 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.

32% 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.

34% of older Lexington 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.

Lexington compared with Kentucky

Census figure	Lexington	Kentucky
Residents 85 or older	1.5%	1.7%
Residents 65 or older	15%	17%
Residents 65+ with a disability	32%	39%
Residents 65+ in households who live alone	34%	30%
Residents 65+ below the poverty line (approx.)	8.0%	13%
Residents 5+ who speak a language other than English at home	16%	6.8%
Median income, households headed by someone 65+	$59,717	—

Older residents in towns around Lexington

Town	Distance	Residents 65+	Residents 85+
Nicholasville, KY	12 mi	4,549	332
Versailles, KY	15 mi	1,899	235
Winchester, KY	15 mi	3,498	304
Paris, KY	15 mi	1,741	191
Georgetown, KY	16 mi	4,268	452
Wilmore, KY	16 mi	841	168

Nursing homes near Lexington

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Willows At Hamburg	Lexington, KY	1.7 mi	2 of 5	64	(859) 543-0337
Lexington Premier Nursing & Rehab	Lexington, KY	2.6 mi	1 of 5	120	(859) 263-2410
The Willows At Citation	Lexington, KY	3.2 mi	5 of 5	54	(859) 277-0320
Mayfair Manor	Lexington, KY	3.6 mi	1 of 5	98	(859) 266-2126
Lexington Country Place	Lexington, KY	3.9 mi	1 of 5	111	(859) 259-3486
Homestead Post Acute	Lexington, KY	4.1 mi	3 of 5	136	(859) 252-0871

Hospices serving Lexington

Hospice	Office	Distance	Phone
Hospice Of The Bluegrass, Inc Dba Bluegrass Care N	Lexington, KY	4.6 mi	(859) 276-5344
Hospice East	Winchester, KY	16 mi	(859) 744-9866
Compassionate Care Plus	Richmond, KY	22 mi	(859) 986-1500
Heritage Hospice, Inc	Danville, KY	32 mi	(859) 236-2425

Straight-line miles from the center of Lexington. 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 Lexington

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 31% of the $4,976 monthly median income of Lexington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Lexington: common questions

What nursing homes are near Lexington?

The closest Medicare-certified nursing homes are The Willows At Hamburg in Lexington (1.7 mi, 2 of 5 overall); Lexington Premier Nursing & Rehab in Lexington (2.6 mi, 1 of 5 overall); The Willows At Citation in Lexington (3.2 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Lexington?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 31% of the $4,976 monthly median income of Lexington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 Lexington

More senior care near Lexington

Dementia Care in nearby cities

Other care in Lexington

More for Lexington 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 Lexington, KY