Dementia Care in Palestine, TX: In-Home Alzheimer's Care

Local figures

Dementia Care in Palestine, TX: the local picture

262

residents 85 or older (1.4% of all residents)

2,907

residents 65 or older (15% of Palestine)

38%

of residents 65+ report a disability (39% in Anderson County)

5

Medicare-certified nursing homes within 25 miles

Palestine has about 262 residents aged 85 or older among 2,907 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.

38% of residents 65 and older report a disability (39% in Anderson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

43% of older Palestine 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.

Palestine compared with Anderson County and Texas

Census figure	Palestine	Anderson County	Texas
Residents 85 or older	1.4%	0.9%	1.4%
Residents 65 or older	15%	15%	13%
Residents 65+ with a disability	38%	39%	35%
Residents 65+ in households who live alone	43%	25%	25%
Residents 65+ below the poverty line (approx.)	12%	10%	12%
Residents 5+ who speak a language other than English at home	18%	14%	35%
Median income, households headed by someone 65+	$44,281	$54,710	—

Older residents in towns around Palestine

Town	Distance	Residents 65+	Residents 85+
Jacksonville, TX	26 mi	1,988	327
Shadybrook, TX	28 mi	540	0
Rusk, TX	29 mi	676	50
Fairfield, TX	31 mi	631	88
Crockett, TX	32 mi	1,281	260
Athens, TX	33 mi	2,563	518

Nursing homes near Palestine

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Legacy At Town Creek	Palestine, TX	0.8 mi	1 of 5	199	(903) 727-8500
Trucare Living Centers	Palestine, TX	2.1 mi	5 of 5	120	(903) 723-2592
Avir At Town Creek	Palestine, TX	2.4 mi	3 of 5	102	(903) 729-2261
Greenbrier Nursing & Rehabilitation Center Of Pale	Palestine, TX	2.8 mi	4 of 5	120	(903) 729-6024
Avir At Elkhart	Elkhart, TX	10 mi	3 of 5	98	(903) 764-2291

Hospices serving Palestine

Hospice	Office	Distance	Phone
Vitalcaring Group	Crockett, TX	34 mi	(936) 545-0320
Cedar Lake Home Health And Hospice	Malakoff, TX	37 mi	(903) 489-2043
Choice Hospice	Tyler, TX	41 mi	(903) 509-3015
Traditions Health	Tyler, TX	41 mi	(903) 787-5897

Straight-line miles from the center of Palestine. 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 Palestine

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 27% of the $3,690 monthly median income of Palestine 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.

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 Palestine: common questions

What nursing homes are near Palestine?

The closest Medicare-certified nursing homes are Legacy At Town Creek in Palestine (0.8 mi, 1 of 5 overall); Trucare Living Centers in Palestine (2.1 mi, 5 of 5 overall); Avir At Town Creek in Palestine (2.4 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Palestine?

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 27% of the $3,690 monthly median income of Palestine 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 near Palestine

More senior care near Palestine

Dementia Care in nearby cities

Other care in Palestine

More for Palestine families

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.

In-Home Dementia and Alzheimer's Care in Palestine, TX