Dementia Care in Madisonville, TX: In-Home Alzheimer's Care

Local figures

Dementia Care in Madisonville, TX: the local picture

65

residents 85 or older (1.4% of all residents)

892

residents 65 or older (20% of Madisonville)

30%

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

3

Medicare-certified nursing homes within 25 miles

Madisonville has about 65 residents aged 85 or older among 892 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.

30% of residents 65 and older report a disability (36% in Madison County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

37% of older Madisonville 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.

Madisonville compared with Madison County and Texas

Census figure	Madisonville	Madison County	Texas
Residents 85 or older	1.4%	1.4%	1.4%
Residents 65 or older	20%	15%	13%
Residents 65+ with a disability	30%	36%	35%
Residents 65+ in households who live alone	37%	31%	25%
Residents 65+ below the poverty line (approx.)	19%	17%	12%
Residents 5+ who speak a language other than English at home	21%	19%	35%
Median income, households headed by someone 65+	$65,063	$53,693	—

Older residents in towns around Madisonville

Town	Distance	Residents 65+	Residents 85+
Huntsville, TX	27 mi	5,567	780
College Station, TX	34 mi	9,017	967
Bryan, TX	34 mi	10,833	1,621
Crockett, TX	37 mi	1,281	260
Navasota, TX	41 mi	1,359	204
Hearne, TX	41 mi	802	129

Nursing homes near Madisonville

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Madisonville Care Center	Madisonville, TX	0.2 mi	2 of 5	106	(936) 348-2735
Avir At Madisonville	Madisonville, TX	0.5 mi	2 of 5	90	(936) 348-9097
Cass Valley Healthcare Center	Centerville, TX	21 mi	3 of 5	74	(903) 536-2596

Hospices serving Madisonville

Hospice	Office	Distance	Phone
1ST Choice Hospice LLC	Huntsville, TX	29 mi	(936) 295-7100
Hospice Brazos Valley Inc	Bryan, TX	33 mi	(979) 821-2266
Luminos Hospice	College Station, TX	34 mi	(979) 291-0319
Enhabit Hospice	College Station, TX	34 mi	(979) 268-4710

Straight-line miles from the center of Madisonville. 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 Madisonville

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 19% of the $5,422 monthly median income of Madisonville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas'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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.

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 Madisonville: common questions

What nursing homes are near Madisonville?

The closest Medicare-certified nursing homes are Madisonville Care Center in Madisonville (0.2 mi, 2 of 5 overall); Avir At Madisonville in Madisonville (0.5 mi, 2 of 5 overall); Cass Valley Healthcare Center in Centerville (21 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Madisonville?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 19% of the $5,422 monthly median income of Madisonville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas'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 Madisonville

More senior care near Madisonville

Dementia Care in nearby cities

Other care in Madisonville

More for Madisonville 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 Madisonville, TX