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

Dementia Care in Pelham, AL: the local picture
Pelham has about 516 residents aged 85 or older among 4,533 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.
34% of residents 65 and older report a disability (30% in Shelby County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
18% of older Pelham 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.
Pelham compared with Shelby County and Alabama
| Census figure | Pelham | Shelby County | Alabama |
|---|---|---|---|
| Residents 85 or older | 2.1% | 1.5% | 1.7% |
| Residents 65 or older | 18% | 17% | 18% |
| Residents 65+ with a disability | 34% | 30% | 38% |
| Residents 65+ in households who live alone | 18% | 23% | 29% |
| Residents 65+ below the poverty line (approx.) | 5.9% | 8.2% | 12% |
| Residents 5+ who speak a language other than English at home | 13% | 8.4% | 6.0% |
| Median income, households headed by someone 65+ | $74,111 | $69,559 | — |
Older residents in towns around Pelham
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Indian Springs Village, AL | 2.7 mi | 723 | 176 |
| Hoover, AL | 5.3 mi | 15,408 | 2,011 |
| Meadowbrook, AL | 5.5 mi | 1,162 | 10 |
| Chelsea, AL | 6.2 mi | 2,538 | 153 |
| Eagle Point, AL | 6.6 mi | 568 | 117 |
| Highland Lakes, AL | 7.6 mi | 1,162 | 88 |
Nursing homes near Pelham
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Diversicare Of Riverchase | Birmingham, AL | 4.6 mi | 3 of 5 | 132 | (205) 987-0901 |
| Galleria Woods Skilled Nursing Facility | Birmingham, AL | 5.4 mi | 2 of 5 | 30 | (205) 985-7537 |
| Shelby Ridge Nursing Home | Alabaster, AL | 6.1 mi | 3 of 5 | 131 | (205) 620-8500 |
| The Healthcare Center At Buck Creek | Alabaster, AL | 6.8 mi | 3 of 5 | 198 | (205) 663-3859 |
| South Haven Health And Rehabilitation, LLC | Birmingham, AL | 6.9 mi | 3 of 5 | 101 | (205) 822-1580 |
| Aspire Physical Recovery Center At Hoover, LLC | Hoover, AL | 7.2 mi | 1 of 5 | 118 | (205) 721-6200 |
Hospices serving Pelham
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Aveanna Hospice Of Pelham | Pelham, AL | 2.5 mi | (205) 663-6887 |
| Enhabit Hospice Birmingham | Hoover, AL | 5.3 mi | (205) 824-8681 |
| Acg Hospice-Birmingham | Birmingham, AL | 8.6 mi | (205) 349-3065 |
| Compassus Hospice And Palliative Care-Birmingham | Birmingham, AL | 8.6 mi | (205) 437-8655 |
Straight-line miles from the center of Pelham. 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 Pelham
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 19% of the $6,176 monthly median income of Pelham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Pelham: common questions
What nursing homes are near Pelham?
The closest Medicare-certified nursing homes are Diversicare Of Riverchase in Birmingham (4.6 mi, 3 of 5 overall); Galleria Woods Skilled Nursing Facility in Birmingham (5.4 mi, 2 of 5 overall); Shelby Ridge Nursing Home in Alabaster (6.1 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Pelham?
At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 19% of the $6,176 monthly median income of Pelham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).
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 Pelham
Dementia Care in nearby cities
- Dementia Care in Indian Springs Village, AL
- Dementia Care in Hoover, AL
- Dementia Care in Meadowbrook, AL
- Dementia Care in Chelsea, AL
- Dementia Care in Eagle Point, AL
- Dementia Care in Highland Lakes, AL
- Dementia Care in Helena, AL
- Dementia Care in Brook Highland, AL
- Dementia Care in Alabaster, AL
- Dementia Care in Vestavia Hills, AL
- Dementia Care in Homewood, AL
- Dementia Care in Columbiana, AL
- Dementia Care in Mountain Brook, AL
- Dementia Care in Bessemer, AL
- Dementia Care in Calera, AL
- Dementia Care in Midfield, AL
Other care in Pelham
- Companion Care in Pelham
- Respite Care in Pelham
- Live-In Caregivers in Pelham
- Post-Surgery Care in Pelham
- Senior Transportation in Pelham
- Home Health Aides in Pelham
- Nursing Assistants in Pelham
- Personal Care in Pelham
- Overnight Caregivers in Pelham
- 24-Hour Home Care in Pelham
- Mobility Assistance in Pelham
- Parkinson’s Care in Pelham
- Stroke Recovery Support in Pelham
- Disability Care for Adults in Pelham
- Hospice Support in Pelham
- Senior Meal Preparation in Pelham
- Senior Housekeeping in Pelham
- Medication Reminders in Pelham
- Veterans’ Home Care in Pelham
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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