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

Local figures

Dementia Care in Marshall, TX: the local picture

521

residents 85 or older (2.2% of all residents)

3,567

residents 65 or older (15% of Marshall)

42%

of residents 65+ report a disability (41% in Harrison County)

6+

Medicare-certified nursing homes within 25 miles

Marshall has about 521 residents aged 85 or older among 3,567 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.

42% of residents 65 and older report a disability (41% in Harrison County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

28% of older Marshall 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.

Marshall compared with Harrison County and Texas

Census figure	Marshall	Harrison County	Texas
Residents 85 or older	2.2%	1.7%	1.4%
Residents 65 or older	15%	18%	13%
Residents 65+ with a disability	42%	41%	35%
Residents 65+ in households who live alone	28%	26%	25%
Residents 65+ below the poverty line (approx.)	14%	12%	12%
Residents 5+ who speak a language other than English at home	18%	11%	35%
Median income, households headed by someone 65+	$40,875	$39,880	—

Older residents in towns around Marshall

Town	Distance	Residents 65+	Residents 85+
Hallsville, TX	13 mi	234	16
Lake Cherokee, TX	21 mi	1,114	45
Longview, TX	24 mi	13,805	1,889
Greenwood, LA	24 mi	898	43
Carthage, TX	27 mi	1,189	115
Blanchard, LA	28 mi	396	15

Nursing homes near Marshall

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Marshall Manor Nursing & Rehabilitation Center	Marshall, TX	0.9 mi	4 of 5	179	(903) 935-7971
Marshall Manor West	Marshall, TX	1.0 mi	3 of 5	118	(903) 938-3793
Heritage House Of Marshall Health & Rehabilitation	Marshall, TX	3.6 mi	2 of 5	125	(903) 935-6700
Avir At Jefferson	Jefferson, TX	16 mi	2 of 5	116	(903) 665-3951
Whispering Pines Lodge	Longview, TX	21 mi	1 of 5	116	(903) 757-8786
Treviso Transitional Care	Longview, TX	21 mi	1 of 5	140	(903) 663-2750

Hospices serving Marshall

Hospice	Office	Distance	Phone
Marshall Homecare And Hospice	Marshall, TX	0.6 mi	(903) 923-8154
Harbor Hospice Of Longview LP	Longview, TX	22 mi	(903) 238-8290
Prime Care Hospice LLC	Longview, TX	22 mi	(903) 291-6164
Traditions Hospice	Longview, TX	25 mi	(903) 663-2331

Straight-line miles from the center of Marshall. 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 Marshall

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 30% of the $3,406 monthly median income of Marshall 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 Marshall: common questions

What nursing homes are near Marshall?

The closest Medicare-certified nursing homes are Marshall Manor Nursing & Rehabilitation Center in Marshall (0.9 mi, 4 of 5 overall); Marshall Manor West in Marshall (1.0 mi, 3 of 5 overall); Heritage House Of Marshall Health & Rehabilitation in Marshall (3.6 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Marshall?

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 30% of the $3,406 monthly median income of Marshall 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 Marshall

More senior care near Marshall

Dementia Care in nearby cities

Other care in Marshall

More for Marshall 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 Marshall, TX