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

Dementia Care in Madison, WV: the local picture
Madison has about 59 residents aged 85 or older among 746 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.
47% of residents 65 and older report a disability (52% in Boone County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
23% 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 Boone County and West Virginia
| Census figure | Madison | Boone County | West Virginia |
|---|---|---|---|
| Residents 85 or older | 2.1% | 2.5% | 2.1% |
| Residents 65 or older | 27% | 22% | 21% |
| Residents 65+ with a disability | 47% | 52% | 39% |
| Residents 65+ in households who live alone | 23% | 29% | 30% |
| Residents 65+ below the poverty line (approx.) | 4.1% | 11% | 12% |
| Residents 5+ who speak a language other than English at home | 1.5% | 1.0% | 2.5% |
| Median income, households headed by someone 65+ | $47,484 | $44,131 | — |
Older residents in towns around Madison
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| South Charleston, WV | 20 mi | 2,876 | 366 |
| Dunbar, WV | 21 mi | 1,618 | 383 |
| St. Albans, WV | 22 mi | 2,646 | 412 |
| Charleston, WV | 22 mi | 10,007 | 1,207 |
| Nitro, WV | 24 mi | 1,330 | 84 |
| Cross Lanes, WV | 26 mi | 2,226 | 88 |
Nursing homes near Madison
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Hillcrest Healthcare Center | Danville, WV | 2.5 mi | 4 of 5 | 90 | (304) 369-0986 |
| Trinity Health Care Of Logan | Logan, WV | 16 mi | 1 of 5 | 120 | (304) 752-8723 |
| Logan Center | Logan, WV | 17 mi | 3 of 5 | 66 | (304) 752-2273 |
| Marmet Center | Marmet, WV | 18 mi | 1 of 5 | 90 | (304) 949-1580 |
| Valley Center | South Charleston, WV | 20 mi | 2 of 5 | 130 | (304) 768-4400 |
| Riverside Valley Of Journey | Saint Albans, WV | 21 mi | 3 of 5 | 90 | (304) 768-0002 |
Hospices serving Madison
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Dignity Hospice Of Southern West Virginia, Inc | Chapmanville, WV | 13 mi | (304) 855-4764 |
| Hospicecare, Inc | Charleston, WV | 22 mi | (304) 768-8523 |
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 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 Madison
At the West Virginia median aide wage of $13.47 an hour, 20 hours of help a week comes to about $1,167 a month in wages, which is 30% of the $3,957 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. West Virginia's minimum wage is $8.75 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 West Virginia: ADW and Personal Options.
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 Madison: common questions
What nursing homes are near Madison?
The closest Medicare-certified nursing homes are Hillcrest Healthcare Center in Danville (2.5 mi, 4 of 5 overall); Trinity Health Care Of Logan in Logan (16 mi, 1 of 5 overall); Logan Center in Logan (17 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Madison?
At the West Virginia median aide wage of $13.47 an hour, 20 hours of help a week comes to about $1,167 a month in wages, which is 30% of the $3,957 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. West Virginia's minimum wage is $8.75 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 Madison
Dementia Care in nearby cities
- Dementia Care in South Charleston, WV
- Dementia Care in Dunbar, WV
- Dementia Care in St. Albans, WV
- Dementia Care in Charleston, WV
- Dementia Care in Nitro, WV
- Dementia Care in Cross Lanes, WV
- Dementia Care in Teays Valley, WV
- Dementia Care in Hurricane, WV
- Dementia Care in Culloden, WV
- Dementia Care in Pinch, WV
- Dementia Care in Milton, WV
- Dementia Care in Sissonville, WV
- Dementia Care in Winfield, WV
- Dementia Care in Oak Hill, WV
- Dementia Care in Barboursville, WV
- Dementia Care in Williamson, WV
Other care in Madison
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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