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

Dementia Care in O'Fallon, IL: the local picture
O'Fallon has about 671 residents aged 85 or older among 5,382 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.
28% of residents 65 and older report a disability (33% in St. Clair County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
29% of older O'Fallon 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.
O'Fallon compared with St. Clair County and Illinois
| Census figure | O'Fallon | St. Clair County | Illinois |
|---|---|---|---|
| Residents 85 or older | 2.1% | 2.1% | 2.0% |
| Residents 65 or older | 17% | 17% | 17% |
| Residents 65+ with a disability | 28% | 33% | 32% |
| Residents 65+ in households who live alone | 29% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 5.8% | 10% | 10% |
| Residents 5+ who speak a language other than English at home | 5.2% | 5.0% | 24% |
| Median income, households headed by someone 65+ | $70,929 | $54,949 | — |
Older residents in towns around O'Fallon
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Shiloh, IL | 3.5 mi | 2,294 | 357 |
| Fairview Heights, IL | 4.8 mi | 3,239 | 228 |
| Swansea, IL | 5.1 mi | 2,699 | 330 |
| Scott AFB, IL | 5.2 mi | 33 | 5 |
| Lebanon, IL | 5.7 mi | 794 | 70 |
| Caseyville, IL | 6.7 mi | 828 | 81 |
Nursing homes near O'Fallon
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Evervella Of Swansea | Swansea, IL | 5.4 mi | 2 of 5 | 120 | (618) 236-1391 |
| Cedar Ridge Health & Rehab Ctr | Lebanon, IL | 5.5 mi | 3 of 5 | 116 | (618) 537-6165 |
| Evercare Of Lebanon | Lebanon, IL | 5.5 mi | 1 of 5 | 90 | (618) 537-4401 |
| Evercare Of Swansea | Swansea, IL | 6.3 mi | 1 of 5 | 94 | (618) 233-6625 |
| Memorial Care Center | Belleville, IL | 6.7 mi | 5 of 5 | 82 | (618) 619-5000 |
| Evercare Of Collinsville | Collinsville, IL | 6.7 mi | 1 of 5 | 94 | (618) 344-8476 |
Hospices serving O'Fallon
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Ardent Hospice & Palliative Care Southern Illinois, Inc. | O'fallon, IL | 2.2 mi | (618) 607-8110 |
| Breeze Hospice | Shiloh, IL | 4.8 mi | (618) 416-6410 |
| Vitas Healthcare Corporation Midwest | Fairview Heights, IL | 5.0 mi | (618) 622-9073 |
| Heartland Hospice (Fairview Heights) | Fairview Heights, IL | 5.0 mi | (618) 632-0304 |
Straight-line miles from the center of O'Fallon. 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 O'Fallon
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 27% of the $5,911 monthly median income of O'Fallon households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 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 O'Fallon: common questions
What nursing homes are near O'Fallon?
The closest Medicare-certified nursing homes are Evervella Of Swansea in Swansea (5.4 mi, 2 of 5 overall); Cedar Ridge Health & Rehab Ctr in Lebanon (5.5 mi, 3 of 5 overall); Evercare Of Lebanon in Lebanon (5.5 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in O'Fallon?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 27% of the $5,911 monthly median income of O'Fallon households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 senior care near O'Fallon
Dementia Care in nearby cities
- Dementia Care in Shiloh, IL
- Dementia Care in Fairview Heights, IL
- Dementia Care in Swansea, IL
- Dementia Care in Scott AFB, IL
- Dementia Care in Lebanon, IL
- Dementia Care in Caseyville, IL
- Dementia Care in Belleville, IL
- Dementia Care in Collinsville, IL
- Dementia Care in Mascoutah, IL
- Dementia Care in Troy, IL
- Dementia Care in Maryville, IL
- Dementia Care in Freeburg, IL
- Dementia Care in Glen Carbon, IL
- Dementia Care in Pontoon Beach, IL
- Dementia Care in East St. Louis, IL
- Dementia Care in Madison, IL
Other care in O'Fallon
- Companion Care in O'Fallon
- Respite Care in O'Fallon
- Live-In Caregivers in O'Fallon
- Post-Surgery Care in O'Fallon
- Senior Transportation in O'Fallon
- Home Health Aides in O'Fallon
- Nursing Assistants in O'Fallon
- Personal Care in O'Fallon
- Overnight Caregivers in O'Fallon
- 24-Hour Home Care in O'Fallon
- Mobility Assistance in O'Fallon
- Parkinson’s Care in O'Fallon
- Stroke Recovery Support in O'Fallon
- Disability Care for Adults in O'Fallon
- Hospice Support in O'Fallon
- Senior Meal Preparation in O'Fallon
- Senior Housekeeping in O'Fallon
- Medication Reminders in O'Fallon
- Veterans’ Home Care in O'Fallon
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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