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

Dementia Care in North Middletown, NJ: the local picture
North Middletown has about 23 residents aged 85 or older among 247 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.
9.3% of residents 65 and older report a disability (27% in Monmouth County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
34% of older North Middletown 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.
North Middletown compared with Monmouth County and New Jersey
| Census figure | North Middletown | Monmouth County | New Jersey |
|---|---|---|---|
| Residents 85 or older | 0.8% | 2.3% | 2.1% |
| Residents 65 or older | 8.1% | 19% | 17% |
| Residents 65+ with a disability | 9.3% | 27% | 30% |
| Residents 65+ in households who live alone | 34% | 28% | 27% |
| Residents 65+ below the poverty line (approx.) | 0.0% | 6.9% | 9.7% |
| Residents 5+ who speak a language other than English at home | 7.1% | 18% | 33% |
| Median income, households headed by someone 65+ | $57,569 | $82,095 | — |
Older residents in towns around North Middletown
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Port Monmouth, NJ | 1.0 mi | 624 | 29 |
| Keansburg, NJ | 2.1 mi | 1,216 | 127 |
| Union Beach, NJ | 2.8 mi | 628 | 1 |
| Keyport, NJ | 4.3 mi | 1,347 | 146 |
| Cliffwood Beach, NJ | 5.2 mi | 531 | 0 |
| Atlantic Highlands, NJ | 5.5 mi | 1,162 | 167 |
Nursing homes near North Middletown
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Laurel Bay Health & Rehabilitation Center | Keansburg, NJ | 1.5 mi | 2 of 5 | 123 | (732) 787-8100 |
| Arnold Walter Nursing & Rehabilitation Center | Hazlet, NJ | 1.7 mi | 3 of 5 | 202 | (732) 787-6300 |
| Anchor Care And Rehabilitation Center | Hazlet, NJ | 4.0 mi | 4 of 5 | 170 | (732) 264-5800 |
| Careone At Middletown | Atlantic Highlands, NJ | 4.1 mi | 2 of 5 | 127 | (732) 291-3400 |
| Complete Care At Bayshore LLC | Holmdel, NJ | 4.5 mi | 2 of 5 | 232 | (732) 739-9000 |
| Careone At Holmdel | Holmdel, NJ | 6.4 mi | 5 of 5 | 130 | (732) 946-4200 |
Hospices serving North Middletown
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Spero Hospice & Palliative Care | East Brunswick, NJ | 15 mi | (732) 955-6648 |
| Dove Hospice Services Of New Jersey, LLC | Manalapan, NJ | 16 mi | (732) 547-9436 |
| Hackensack Meridian Hospice | Neptune, NJ | 16 mi | (732) 751-3750 |
| Homeside Hospice LLC | Cranford, NJ | 18 mi | (732) 381-3444 |
Straight-line miles from the center of North Middletown. 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 North Middletown
At the New Jersey median aide wage of $17.83 an hour, 20 hours of help a week comes to about $1,545 a month in wages, which is 32% of the $4,797 monthly median income of North Middletown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New Jersey's minimum wage is $15.92 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
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 North Middletown: common questions
What nursing homes are near North Middletown?
The closest Medicare-certified nursing homes are Laurel Bay Health & Rehabilitation Center in Keansburg (1.5 mi, 2 of 5 overall); Arnold Walter Nursing & Rehabilitation Center in Hazlet (1.7 mi, 3 of 5 overall); Anchor Care And Rehabilitation Center in Hazlet (4.0 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in North Middletown?
At the New Jersey median aide wage of $17.83 an hour, 20 hours of help a week comes to about $1,545 a month in wages, which is 32% of the $4,797 monthly median income of North Middletown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. New Jersey's minimum wage is $15.92 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 North Middletown
Dementia Care in nearby cities
- Dementia Care in Port Monmouth, NJ
- Dementia Care in Keansburg, NJ
- Dementia Care in Union Beach, NJ
- Dementia Care in Keyport, NJ
- Dementia Care in Cliffwood Beach, NJ
- Dementia Care in Atlantic Highlands, NJ
- Dementia Care in Strathmore, NJ
- Dementia Care in Matawan, NJ
- Dementia Care in Fair Haven, NJ
- Dementia Care in Red Bank, NJ
- Dementia Care in Lincroft, NJ
- Dementia Care in Highlands, NJ
- Dementia Care in Morganville, NJ
- Dementia Care in Laurence Harbor, NJ
- Dementia Care in Rumson, NJ
- Dementia Care in Little Silver, NJ
Other care in North Middletown
- Companion Care in North Middletown
- Respite Care in North Middletown
- Live-In Caregivers in North Middletown
- Post-Surgery Care in North Middletown
- Senior Transportation in North Middletown
- Home Health Aides in North Middletown
- Nursing Assistants in North Middletown
- Personal Care in North Middletown
- Overnight Caregivers in North Middletown
- 24-Hour Home Care in North Middletown
- Mobility Assistance in North Middletown
- Parkinson’s Care in North Middletown
- Stroke Recovery Support in North Middletown
- Disability Care for Adults in North Middletown
- Hospice Support in North Middletown
- Senior Meal Preparation in North Middletown
- Senior Housekeeping in North Middletown
- Medication Reminders in North Middletown
- Veterans’ Home Care in North Middletown
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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