In-Home Dementia Care in Montgomery City, MO

Local figures

Dementia Care in Montgomery City, MO: the local picture

69

residents 85 or older (2.5% of all residents)

392

residents 65 or older (14% of Montgomery City)

31%

of residents 65+ report a disability (35% in Montgomery County)

6+

Medicare-certified nursing homes within 25 miles

Montgomery City has about 69 residents aged 85 or older among 392 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.

31% of residents 65 and older report a disability (35% in Montgomery County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

48% of older Montgomery City 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.

Montgomery City compared with Montgomery County and Missouri

Census figure	Montgomery City	Montgomery County	Missouri
Residents 85 or older	2.5%	1.8%	2.0%
Residents 65 or older	14%	20%	18%
Residents 65+ with a disability	31%	35%	34%
Residents 65+ in households who live alone	48%	25%	30%
Residents 65+ below the poverty line (approx.)	11%	10%	10%
Residents 5+ who speak a language other than English at home	1.8%	2.1%	6.7%
Median income, households headed by someone 65+	$38,438	$52,898	—

Older residents in towns around Montgomery City

Town	Distance	Residents 65+	Residents 85+
Warrenton, MO	22 mi	1,425	229
Vandalia, MO	23 mi	467	29
Mexico, MO	24 mi	2,173	393
Fulton, MO	25 mi	1,891	288
Wright City, MO	27 mi	799	22
Troy, MO	29 mi	2,050	289

Nursing homes near Montgomery City

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Aspire Senior Living New Florence	New Florence, MO	4.8 mi	1 of 5	87	(573) 415-9333
Wellsville Health Care Center	Wellsville, MO	7.5 mi	1 of 5	112	(573) 684-2002
Aspire Senior Living Jonesburg	Jonesburg, MO	14 mi	1 of 5	81	(636) 488-5400
Stonebridge Hermann	Hermann, MO	20 mi	5 of 5	118	(573) 486-3155
Warrenton Manor	Wright City, MO	23 mi	1 of 5	120	(636) 456-8700
Baptist Homes, Tri-County	Vandalia, MO	23 mi	1 of 5	90	(573) 594-6467

Hospices serving Montgomery City

Hospice	Office	Distance	Phone
Community Loving Care Hospice	Wentzville, MO	37 mi	(636) 639-6280
Hospice Compassus-North Central Missouri	Columbia, MO	43 mi	(573) 443-8360
Preferred Hospice Of Missouri (Central)	Columbia, MO	44 mi	(573) 499-4540
Gentiva	Jefferson City, MO	48 mi	(573) 469-4895

Straight-line miles from the center of Montgomery City. 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 Montgomery City

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 43% of the $3,203 monthly median income of Montgomery City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Consumer Directed Services in Missouri: how a relative becomes a paid 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 Montgomery City: common questions

What nursing homes are near Montgomery City?

The closest Medicare-certified nursing homes are Aspire Senior Living New Florence in New Florence (4.8 mi, 1 of 5 overall); Wellsville Health Care Center in Wellsville (7.5 mi, 1 of 5 overall); Aspire Senior Living Jonesburg in Jonesburg (14 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Montgomery City?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 43% of the $3,203 monthly median income of Montgomery City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Montgomery City

More senior care near Montgomery City

Dementia Care in nearby cities

Other care in Montgomery City

More for Montgomery City families

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.

In-Home Dementia and Alzheimer's Care in Montgomery City, MO