Medina, Texas

In-Home Dementia and Alzheimer's Care in Medina, TX

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 Medina for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Medina, TX: the local picture

55
residents 85 or older (1.3% of all residents)
294
residents 65 or older (7.0% of Medina)
47%
of residents 65+ report a disability (45% in Zapata County)
1
Medicare-certified nursing homes within 25 miles

Medina has about 55 residents aged 85 or older among 294 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 (45% in Zapata County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

1.7% of older Medina 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.

Medina compared with Zapata County and Texas

Census figureMedinaZapata CountyTexas
Residents 85 or older1.3%2.4%1.4%
Residents 65 or older7.0%14%13%
Residents 65+ with a disability47%45%35%
Residents 65+ in households who live alone1.7%32%25%
Residents 65+ below the poverty line (approx.)23%34%12%
Residents 5+ who speak a language other than English at home87%83%35%
Median income, households headed by someone 65+$36,742$26,967—

Older residents in towns around Medina

TownDistanceResidents 65+Residents 85+
Zapata, TX2.3 mi987175
Rio Bravo, TX33 mi46723
Roma, TX39 mi1,712272
Escobares, TX41 mi39627
Hebbronville, TX45 mi38153
Laredo, TX45 mi25,8203,034

Nursing homes near Medina

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Falcon Lake Nursing Home, LLCZapata, TX2.4 mi3 of 559(956) 765-3040

Hospices serving Medina

HospiceOfficeDistancePhone
River City Hospice & Palliative CareSan Antonio, TX183 mi(210) 858-9138
Transcend HospiceSan Antonio, TX183 mi(210) 994-5388
Passion Hospice, IncSan Antonio, TX186 mi(210) 475-3731
Careview Hospice IncSan Antonio, TX190 mi(210) 497-1440

Straight-line miles from the center of Medina. 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 Medina

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 33% of the $3,062 monthly median income of Medina 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 Medina: common questions

What nursing homes are near Medina?

The closest Medicare-certified nursing homes are Falcon Lake Nursing Home, LLC in Zapata (2.4 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Medina?

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 33% of the $3,062 monthly median income of Medina 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.

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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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