Dementia Care in Madison, SD: In-Home Alzheimer's Care

Local figures

Dementia Care in Madison, SD: the local picture

308

residents 85 or older (5.1% of all residents)

1,384

residents 65 or older (23% of Madison)

48%

of residents 65+ report a disability (39% in Lake County)

3

Medicare-certified nursing homes within 25 miles

Madison has about 308 residents aged 85 or older among 1,384 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.

48% of residents 65 and older report a disability (39% in Lake County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

22% of older Madison 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.

Madison compared with Lake County and South Dakota

Census figure	Madison	Lake County	South Dakota
Residents 85 or older	5.1%	3.4%	2.1%
Residents 65 or older	23%	24%	18%
Residents 65+ with a disability	48%	39%	31%
Residents 65+ in households who live alone	22%	21%	30%
Residents 65+ below the poverty line (approx.)	5.4%	5.0%	10%
Residents 5+ who speak a language other than English at home	4.0%	5.0%	7.1%
Median income, households headed by someone 65+	$50,938	$61,289	—

Older residents in towns around Madison

Town	Distance	Residents 65+	Residents 85+
Dell Rapids, SD	23 mi	703	65
Brookings, SD	26 mi	2,888	282
Hartford, SD	28 mi	614	20
Sioux Falls, SD	37 mi	28,329	2,970
Brandon, SD	39 mi	1,627	228
Pipestone, MN	40 mi	812	154

Nursing homes near Madison

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Bethel Lutheran Home	Madison, SD	0.9 mi	2 of 5	59	(605) 256-4539
Good Samaritan Society Howard	Howard, SD	21 mi	5 of 5	45	(605) 772-4481
Dells Nursing And Rehab Center Inc	Dell Rapids, SD	23 mi	4 of 5	50	(605) 428-5478

Hospices serving Madison

Hospice	Office	Distance	Phone
Sanford Hospice	Sioux Falls, SD	37 mi	(605) 312-5500
Aseracare Hospice	Sioux Falls, SD	37 mi	(605) 338-2066
Avera @ Home	Sioux Falls, SD	39 mi	(605) 322-7705
St Croix Hospice	Sioux Falls, SD	42 mi	(605) 800-4050

Straight-line miles from the center of Madison. 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 Madison

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 37% of the $4,245 monthly median income of Madison households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Madison: common questions

What nursing homes are near Madison?

The closest Medicare-certified nursing homes are Bethel Lutheran Home in Madison (0.9 mi, 2 of 5 overall); Good Samaritan Society Howard in Howard (21 mi, 5 of 5 overall); Dells Nursing And Rehab Center Inc in Dell Rapids (23 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Madison?

At the South Dakota median aide wage of $18.15 an hour, 20 hours of help a week comes to about $1,573 a month in wages, which is 37% of the $4,245 monthly median income of Madison households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. South Dakota's minimum wage is $11.85 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 Madison

More senior care near Madison

Dementia Care in nearby cities

Other care in Madison

More for Madison 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 Madison, SD