In-Home Dementia and Alzheimer's Care in National City, CA
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 National City for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in National City, CA: the local picture
National City has about 1,503 residents aged 85 or older among 8,905 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.
37% of residents 65 and older report a disability (31% in San Diego County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
23% of older National 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.
National City compared with San Diego County and California
| Census figure | National City | San Diego County | California |
|---|---|---|---|
| Residents 85 or older | 2.6% | 1.8% | 1.9% |
| Residents 65 or older | 15% | 15% | 16% |
| Residents 65+ with a disability | 37% | 31% | 33% |
| Residents 65+ in households who live alone | 23% | 22% | 23% |
| Residents 65+ below the poverty line (approx.) | 18% | 9.5% | 12% |
| Residents 5+ who speak a language other than English at home | 66% | 37% | 44% |
| Median income, households headed by someone 65+ | $43,701 | $78,324 | — |
Older residents in towns around National City
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Coronado, CA | 3.5 mi | 4,201 | 804 |
| Bonita, CA | 5.3 mi | 3,158 | 758 |
| Chula Vista, CA | 5.5 mi | 36,991 | 4,646 |
| Lemon Grove, CA | 5.9 mi | 4,042 | 376 |
| La Presa, CA | 6.3 mi | 5,288 | 765 |
| Imperial Beach, CA | 6.8 mi | 3,157 | 333 |
Nursing homes near National City
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Hillcrest Manor Sanitarium | National City, CA | 0.2 mi | 4 of 5 | 98 | (619) 477-1176 |
| National City Post Acute | National City, CA | 0.3 mi | 3 of 5 | 98 | (619) 474-6741 |
| Castle Manor Nursing & Rehabilitation Center | National City, CA | 1.4 mi | 4 of 5 | 99 | (619) 791-7900 |
| Friendship Manor Nursing & Rehab Center | National City, CA | 1.5 mi | 5 of 5 | 104 | (619) 791-7700 |
| Paradise Valley Health Care | National City, CA | 1.6 mi | 5 of 5 | 86 | (619) 470-6700 |
| South Bay Post Acute Care | Chula Vista, CA | 1.9 mi | 5 of 5 | 99 | (619) 426-8611 |
Hospices serving National City
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Mission Hospice Services Of San Diego LLC | San Diego, CA | 8.0 mi | (855) 848-5433 |
| Divine Light Hospice | San Diego, CA | 8.0 mi | (858) 276-7770 |
| Vista Community Hospice Inc | San Diego, CA | 8.0 mi | (760) 536-5442 |
| Kaiser Foundation Hospital San Diego Hospice | San Diego, CA | 8.0 mi | (619) 641-4100 |
Straight-line miles from the center of National City. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in National City
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 40% of the $3,642 monthly median income of National City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.
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.
Dementia Care in National City: common questions
What nursing homes are near National City?
The closest Medicare-certified nursing homes are Hillcrest Manor Sanitarium in National City (0.2 mi, 4 of 5 overall); National City Post Acute in National City (0.3 mi, 3 of 5 overall); Castle Manor Nursing & Rehabilitation Center in National City (1.4 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in National City?
At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 40% of the $3,642 monthly median income of National City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 senior care near National City
Dementia Care in nearby cities
- Dementia Care in Coronado, CA
- Dementia Care in Bonita, CA
- Dementia Care in Chula Vista, CA
- Dementia Care in Lemon Grove, CA
- Dementia Care in La Presa, CA
- Dementia Care in Imperial Beach, CA
- Dementia Care in Spring Valley, CA
- Dementia Care in La Mesa, CA
- Dementia Care in Casa de Oro-Mount Helix, CA
- Dementia Care in San Diego, CA
- Dementia Care in Rancho San Diego, CA
- Dementia Care in El Cajon, CA
- Dementia Care in Jamul, CA
- Dementia Care in Bostonia, CA
- Dementia Care in Santee, CA
- Dementia Care in Granite Hills, CA
Other care in National City
- Companion Care in National City
- Respite Care in National City
- Live-In Caregivers in National City
- Post-Surgery Care in National City
- Senior Transportation in National City
- Home Health Aides in National City
- Nursing Assistants in National City
- Personal Care in National City
- Overnight Caregivers in National City
- 24-Hour Home Care in National City
- Mobility Assistance in National City
- Parkinson’s Care in National City
- Stroke Recovery Support in National City
- Disability Care for Adults in National City
- Hospice Support in National City
- Senior Meal Preparation in National City
- Senior Housekeeping in National City
- Medication Reminders in National City
- Veterans’ Home Care in National City
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.
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