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

Local figures

Dementia Care in Lexington, NC: the local picture

395

residents 85 or older (2.0% of all residents)

3,040

residents 65 or older (15% of Lexington)

41%

of residents 65+ report a disability (36% in Davidson County)

6+

Medicare-certified nursing homes within 25 miles

Lexington has about 395 residents aged 85 or older among 3,040 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.

41% of residents 65 and older report a disability (36% in Davidson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

32% 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 Davidson County and North Carolina

Census figure	Lexington	Davidson County	North Carolina
Residents 85 or older	2.0%	1.9%	1.7%
Residents 65 or older	15%	19%	17%
Residents 65+ with a disability	41%	36%	33%
Residents 65+ in households who live alone	32%	32%	28%
Residents 65+ below the poverty line (approx.)	14%	10%	11%
Residents 5+ who speak a language other than English at home	24%	9.1%	13%
Median income, households headed by someone 65+	$41,481	$44,736	—

Older residents in towns around Lexington

Town	Distance	Residents 65+	Residents 85+
Tyro, NC	5.7 mi	520	55
Welcome, NC	7.6 mi	603	71
Spencer, NC	11 mi	784	133
Thomasville, NC	12 mi	4,680	960
Midway, NC	13 mi	1,029	125
Salisbury, NC	15 mi	6,127	827

Nursing homes near Lexington

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pine Acres Center For Nursing And Rehabilitation	Lexington, NC	0.8 mi	1 of 5	106	(336) 249-7521
Lexington Health Care Center	Lexington, NC	2.3 mi	1 of 5	100	(336) 242-1349
Davidson Health & Rehab Center	Lexington, NC	2.9 mi	1 of 5	100	(336) 956-1132
Abbotts Creek Center	Lexington, NC	4.6 mi	4 of 5	64	(336) 248-6644
Piedmont Crossing	Thomasville, NC	9.9 mi	5 of 5	104	(336) 472-2017
Pine Ridge Health And Rehabilitation Center	Thomasville, NC	12 mi	3 of 5	140	(336) 475-9116

Hospices serving Lexington

Hospice	Office	Distance	Phone
Hospice Of Davidson County/ Hinkle Hospice House	Lexington, NC	1.9 mi	(336) 475-5444
Novant Health Hospice	Salisbury, NC	16 mi	(704) 210-7900
Well Care Hospice, Inc.	Advance, NC	17 mi	(910) 362-9405
Bayada Home Health Care, Inc	Salisbury, NC	18 mi	(704) 797-2993

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 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 38% of the $3,457 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. 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.

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 Pine Acres Center For Nursing And Rehabilitation in Lexington (0.8 mi, 1 of 5 overall); Lexington Health Care Center in Lexington (2.3 mi, 1 of 5 overall); Davidson Health & Rehab Center in Lexington (2.9 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Lexington?

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 38% of the $3,457 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. 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 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, NC