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

Local figures

Dementia Care in Melissa, TX: the local picture

277

residents 85 or older (1.4% of all residents)

1,344

residents 65 or older (6.7% of Melissa)

34%

of residents 65+ report a disability (26% in Collin County)

6+

Medicare-certified nursing homes within 25 miles

Melissa has about 277 residents aged 85 or older among 1,344 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.

34% of residents 65 and older report a disability (26% in Collin County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

30% of older Melissa 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.

Melissa compared with Collin County and Texas

Census figure	Melissa	Collin County	Texas
Residents 85 or older	1.4%	1.1%	1.4%
Residents 65 or older	6.7%	12%	13%
Residents 65+ with a disability	34%	26%	35%
Residents 65+ in households who live alone	30%	21%	25%
Residents 65+ below the poverty line (approx.)	8.1%	7.1%	12%
Residents 5+ who speak a language other than English at home	24%	31%	35%
Median income, households headed by someone 65+	$45,000	$79,147	—

Older residents in towns around Melissa

Town	Distance	Residents 65+	Residents 85+
Anna, TX	4.1 mi	1,358	116
Princeton, TX	7.7 mi	1,759	102
McKinney, TX	8.6 mi	21,644	2,816
Van Alstyne, TX	9.3 mi	1,091	174
Fairview, TX	11 mi	3,243	390
Lucas, TX	13 mi	857	14

Nursing homes near Melissa

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
North Park Health And Rehabilitation Center	Mckinney, TX	6.0 mi	3 of 5	140	(972) 562-7969
Park Manor Of Mckinney	Mckinney, TX	6.7 mi	2 of 5	138	(972) 562-8880
Princeton Medical Lodge	Princeton, TX	7.8 mi	3 of 5	138	(972) 734-2100
Belterra Health & Rehab	Mckinney, TX	9.0 mi	4 of 5	103	(972) 542-5500
Meadowbrook Care Center	Van Alstyne, TX	9.4 mi	3 of 5	60	(903) 482-6455
Mckinney Healthcare And Rehabilitation Center	Mckinney, TX	9.7 mi	4 of 5	125	(972) 542-2695

Hospices serving Melissa

Hospice	Office	Distance	Phone
Sparrow Hospice	Allen, TX	14 mi	(972) 316-7441
Kindful Health	Plano, TX	19 mi	(866) 733-4550
Anchor Of Hope Hospice	Plano, TX	20 mi	(469) 351-4466
Three Oaks Hospice	Richardson, TX	22 mi	(214) 628-9090

Straight-line miles from the center of Melissa. 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 Melissa

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 27% of the $3,750 monthly median income of Melissa 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 Melissa: common questions

What nursing homes are near Melissa?

The closest Medicare-certified nursing homes are North Park Health And Rehabilitation Center in Mckinney (6.0 mi, 3 of 5 overall); Park Manor Of Mckinney in Mckinney (6.7 mi, 2 of 5 overall); Princeton Medical Lodge in Princeton (7.8 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Melissa?

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 27% of the $3,750 monthly median income of Melissa 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 Melissa

More senior care near Melissa

Dementia Care in nearby cities

Other care in Melissa

More for Melissa 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 Melissa, TX