In-Home Dementia and Alzheimer's Care in Needville, 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 Needville for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Needville, TX: the local picture
Needville has about 138 residents aged 85 or older among 456 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.
57% of residents 65 and older report a disability (28% in Fort Bend County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
39% of older Needville 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.
Needville compared with Fort Bend County and Texas
| Census figure | Needville | Fort Bend County | Texas |
|---|---|---|---|
| Residents 85 or older | 4.5% | 1.0% | 1.4% |
| Residents 65 or older | 15% | 13% | 13% |
| Residents 65+ with a disability | 57% | 28% | 35% |
| Residents 65+ in households who live alone | 39% | 15% | 25% |
| Residents 65+ below the poverty line (approx.) | 5.5% | 9.0% | 12% |
| Residents 5+ who speak a language other than English at home | 23% | 41% | 35% |
| Median income, households headed by someone 65+ | $36,422 | $78,465 | — |
Older residents in towns around Needville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Rosenberg, TX | 11 mi | 5,173 | 661 |
| Cumings, TX | 13 mi | 93 | 30 |
| Richmond, TX | 14 mi | 2,102 | 431 |
| East Bernard, TX | 16 mi | 445 | 56 |
| Wharton, TX | 17 mi | 1,363 | 259 |
| Pecan Grove, TX | 17 mi | 3,810 | 63 |
Nursing homes near Needville
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| S.P.J.S.T. Rest Home No 2 | Needville, TX | 0.5 mi | 5 of 5 | 58 | (979) 793-4256 |
| Fort Bend Healthcare Center | Rosenberg, TX | 9.9 mi | 3 of 5 | 56 | (281) 342-2142 |
| Rosenberg Health & Rehabilitation Center | Rosenberg, TX | 11 mi | 1 of 5 | 124 | (281) 342-0065 |
| Cambridge Health And Rehabilitation Center | Richmond, TX | 13 mi | 2 of 5 | 158 | (281) 344-9191 |
| Oakbend Medical Center | Rosenberg, TX | 13 mi | 4 of 5 | 36 | (281) 238-7858 |
| Paradigm At The Brazos | Richmond, TX | 14 mi | 5 of 5 | 56 | (281) 342-2801 |
Hospices serving Needville
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Windsor Hospice And Palliative Care Services LLC | Needville, TX | 1.3 mi | (832) 282-7363 |
| Fairmont Hospice | Richmond, TX | 13 mi | (832) 774-2000 |
| Allstar Hospice | Sugar Land, TX | 19 mi | (713) 280-7972 |
| Heart To Heart Hospice Of The Riverbend, LLC | West Columbia, TX | 20 mi | (979) 267-2137 |
Straight-line miles from the center of Needville. 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 Needville
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 $3,035 monthly median income of Needville 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.
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 Needville: common questions
What nursing homes are near Needville?
The closest Medicare-certified nursing homes are S.P.J.S.T. Rest Home No 2 in Needville (0.5 mi, 5 of 5 overall); Fort Bend Healthcare Center in Rosenberg (9.9 mi, 3 of 5 overall); Rosenberg Health & Rehabilitation Center in Rosenberg (11 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Needville?
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 $3,035 monthly median income of Needville 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 senior care near Needville
Dementia Care in nearby cities
- Dementia Care in Rosenberg, TX
- Dementia Care in Cumings, TX
- Dementia Care in Richmond, TX
- Dementia Care in East Bernard, TX
- Dementia Care in Wharton, TX
- Dementia Care in Pecan Grove, TX
- Dementia Care in Sugar Land, TX
- Dementia Care in Weston Lakes, TX
- Dementia Care in Fulshear, TX
- Dementia Care in West Columbia, TX
- Dementia Care in Sienna, TX
- Dementia Care in Missouri City, TX
- Dementia Care in Four Corners, TX
- Dementia Care in Stafford, TX
- Dementia Care in Mission Bend, TX
- Dementia Care in Meadows Place, TX
Other care in Needville
- Companion Care in Needville
- Respite Care in Needville
- Live-In Caregivers in Needville
- Post-Surgery Care in Needville
- Senior Transportation in Needville
- Home Health Aides in Needville
- Nursing Assistants in Needville
- Personal Care in Needville
- Overnight Caregivers in Needville
- 24-Hour Home Care in Needville
- Mobility Assistance in Needville
- Parkinson’s Care in Needville
- Stroke Recovery Support in Needville
- Disability Care for Adults in Needville
- Hospice Support in Needville
- Senior Meal Preparation in Needville
- Senior Housekeeping in Needville
- Medication Reminders in Needville
- Veterans’ Home Care in Needville
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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