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

Local figures

Dementia Care in Pearsall, TX: the local picture

96

residents 85 or older (1.1% of all residents)

1,070

residents 65 or older (12% of Pearsall)

71%

of residents 65+ report a disability (59% in Frio County)

2

Medicare-certified nursing homes within 25 miles

Pearsall has about 96 residents aged 85 or older among 1,070 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.

71% of residents 65 and older report a disability (59% in Frio County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

37% of older Pearsall 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.

Pearsall compared with Frio County and Texas

Census figure	Pearsall	Frio County	Texas
Residents 85 or older	1.1%	1.6%	1.4%
Residents 65 or older	12%	12%	13%
Residents 65+ with a disability	71%	59%	35%
Residents 65+ in households who live alone	37%	32%	25%
Residents 65+ below the poverty line (approx.)	40%	27%	12%
Residents 5+ who speak a language other than English at home	51%	46%	35%

Older residents in towns around Pearsall

Town	Distance	Residents 65+	Residents 85+
Dilley, TX	16 mi	419	124
Devine, TX	21 mi	1,156	307
Hondo, TX	32 mi	1,231	132
Cotulla, TX	33 mi	583	80
Poteet, TX	33 mi	601	15
Jourdanton, TX	34 mi	466	63

Nursing homes near Pearsall

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pearsall Nursing And Rehabilitation Center	Pearsall, TX	1.2 mi	4 of 5	150	(830) 334-3371
Devine Health & Rehabilitation	Devine, TX	22 mi	5 of 5	96	(830) 663-4451

Hospices serving Pearsall

Hospice	Office	Distance	Phone
Heart To Heart Hospice Of South Texas	Pearsall, TX	0.2 mi	(830) 505-5600
Uvalde Hospice	Uvalde, TX	48 mi	(830) 278-6691
Nightingale Hospice Care, Inc.	San Antonio, TX	50 mi	(210) 797-7321
Gentiva Hospice	San Antonio, TX	52 mi	(210) 738-8141

Straight-line miles from the center of Pearsall. 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 Pearsall

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. 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 Pearsall: common questions

What nursing homes are near Pearsall?

The closest Medicare-certified nursing homes are Pearsall Nursing And Rehabilitation Center in Pearsall (1.2 mi, 4 of 5 overall); Devine Health & Rehabilitation in Devine (22 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Pearsall?

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. 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 Pearsall

More senior care near Pearsall

Dementia Care in nearby cities

Other care in Pearsall

More for Pearsall 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 Pearsall, TX