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

Dementia Care in Perham, MN: the local picture
Perham has about 193 residents aged 85 or older among 872 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.
47% of residents 65 and older report a disability (28% in Otter Tail County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
32% of older Perham 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.
Perham compared with Otter Tail County and Minnesota
| Census figure | Perham | Otter Tail County | Minnesota |
|---|---|---|---|
| Residents 85 or older | 5.3% | 3.2% | 2.1% |
| Residents 65 or older | 24% | 25% | 17% |
| Residents 65+ with a disability | 47% | 28% | 28% |
| Residents 65+ in households who live alone | 32% | 26% | 30% |
| Residents 65+ below the poverty line (approx.) | 22% | 8.4% | 8.8% |
| Residents 5+ who speak a language other than English at home | 14% | 4.6% | 12% |
| Median income, households headed by someone 65+ | $45,833 | $53,778 | — |
Older residents in towns around Perham
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Detroit Lakes, MN | 19 mi | 2,539 | 376 |
| Wadena, MN | 24 mi | 803 | 185 |
| Pelican Rapids, MN | 24 mi | 444 | 108 |
| Fergus Falls, MN | 32 mi | 3,663 | 884 |
| Park Rapids, MN | 33 mi | 1,210 | 287 |
| Barnesville, MN | 40 mi | 359 | 57 |
Nursing homes near Perham
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Perham Living | Perham, MN | 0.3 mi | 5 of 5 | 96 | (218) 347-1800 |
| Frazee Care Center | Frazee, MN | 11 mi | 5 of 5 | 42 | (218) 334-4501 |
| Emmanuel Nursing Home | Detroit Lakes, MN | 19 mi | 3 of 5 | 57 | (218) 847-4486 |
| Essentia Health Oak Crossing | Detroit Lakes, MN | 19 mi | 5 of 5 | 84 | (218) 844-0700 |
| Good Samaritan Society - Battle Lake | Battle Lake, MN | 22 mi | 5 of 5 | 51 | (218) 864-5231 |
| Pelican Valley Health Center | Pelican Rapids, MN | 24 mi | 5 of 5 | 28 | (218) 863-2991 |
Hospices serving Perham
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| St. Joseph's Hospice | Park Rapids, MN | 35 mi | (218) 732-4552 |
| Vivie Hospice | Alexandria, MN | 51 mi | (320) 759-1275 |
| Moments Hospice Of Alexandria LLC | Alexandria, MN | 51 mi | (877) 666-3687 |
| Hia Hospice | Fargo, ND | 61 mi | (701) 356-1500 |
Straight-line miles from the center of Perham. 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 Perham
At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 42% of the $3,819 monthly median income of Perham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 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 Perham: common questions
What nursing homes are near Perham?
The closest Medicare-certified nursing homes are Perham Living in Perham (0.3 mi, 5 of 5 overall); Frazee Care Center in Frazee (11 mi, 5 of 5 overall); Emmanuel Nursing Home in Detroit Lakes (19 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Perham?
At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 42% of the $3,819 monthly median income of Perham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 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 Perham
Dementia Care in nearby cities
- Dementia Care in Detroit Lakes, MN
- Dementia Care in Wadena, MN
- Dementia Care in Pelican Rapids, MN
- Dementia Care in Fergus Falls, MN
- Dementia Care in Park Rapids, MN
- Dementia Care in Barnesville, MN
- Dementia Care in Alexandria, MN
- Dementia Care in Breckenridge, MN
- Dementia Care in Wahpeton, ND
- Dementia Care in Long Prairie, MN
- Dementia Care in Dilworth, MN
- Dementia Care in Moorhead, MN
- Dementia Care in Fargo, ND
- Dementia Care in Horace, ND
- Dementia Care in Baxter, MN
- Dementia Care in Breezy Point, MN
Other care in Perham
- Companion Care in Perham
- Respite Care in Perham
- Live-In Caregivers in Perham
- Post-Surgery Care in Perham
- Senior Transportation in Perham
- Home Health Aides in Perham
- Nursing Assistants in Perham
- Personal Care in Perham
- Overnight Caregivers in Perham
- 24-Hour Home Care in Perham
- Mobility Assistance in Perham
- Parkinson’s Care in Perham
- Stroke Recovery Support in Perham
- Disability Care for Adults in Perham
- Hospice Support in Perham
- Senior Meal Preparation in Perham
- Senior Housekeeping in Perham
- Medication Reminders in Perham
- Veterans’ Home Care in Perham
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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