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

Dementia Care in Perryville, MO: the local picture
Perryville has about 161 residents aged 85 or older among 1,370 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.
32% of residents 65 and older report a disability (30% in Perry County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
34% of older Perryville 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.
Perryville compared with Perry County and Missouri
| Census figure | Perryville | Perry County | Missouri |
|---|---|---|---|
| Residents 85 or older | 1.9% | 2.1% | 2.0% |
| Residents 65 or older | 16% | 20% | 18% |
| Residents 65+ with a disability | 32% | 30% | 34% |
| Residents 65+ in households who live alone | 34% | 30% | 30% |
| Residents 65+ below the poverty line (approx.) | 8.5% | 11% | 10% |
| Residents 5+ who speak a language other than English at home | 5.6% | 3.7% | 6.7% |
| Median income, households headed by someone 65+ | $41,422 | $46,810 | — |
Older residents in towns around Perryville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Chester, IL | 14 mi | 1,019 | 150 |
| Ste. Genevieve, MO | 20 mi | 1,326 | 291 |
| Fredericktown, MO | 26 mi | 891 | 97 |
| Jackson, MO | 27 mi | 2,688 | 318 |
| Sparta, IL | 30 mi | 1,035 | 83 |
| Murphysboro, IL | 30 mi | 1,462 | 203 |
Nursing homes near Perryville
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Estates Of Perryville, LLC, The | Perryville, MO | 0.7 mi | 1 of 5 | 156 | (573) 547-1011 |
| Independence Care Center Of Perry County | Perryville, MO | 0.9 mi | 3 of 5 | 133 | (573) 547-6546 |
| Three Springs Sr Living & Rhab | Chester, IL | 14 mi | 2 of 5 | 83 | (618) 826-3210 |
| Riverview At The Park Care And Rehabilitation Cent | Sainte Genevieve, MO | 19 mi | 4 of 5 | 120 | (573) 883-3454 |
| St Genevieve Nursing | Sainte Genevieve, MO | 20 mi | 5 of 5 | 90 | (573) 883-5725 |
Hospices serving Perryville
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Journey Hospice, LLC | Perryville, MO | 0.6 mi | (573) 605-1202 |
| Legacy Hospice | Fredericktown, MO | 30 mi | (573) 783-7625 |
| Mercy Hospice | Cape Girardeau, MO | 34 mi | (573) 335-6208 |
| Serenity Hospicecare | Park Hills, MO | 35 mi | (573) 431-0162 |
Straight-line miles from the center of Perryville. 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 Perryville
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 40% of the $3,452 monthly median income of Perryville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.
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 Perryville: common questions
What nursing homes are near Perryville?
The closest Medicare-certified nursing homes are Estates Of Perryville, LLC, The in Perryville (0.7 mi, 1 of 5 overall); Independence Care Center Of Perry County in Perryville (0.9 mi, 3 of 5 overall); Three Springs Sr Living & Rhab in Chester (14 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Perryville?
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 40% of the $3,452 monthly median income of Perryville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Perryville
Dementia Care in nearby cities
- Dementia Care in Chester, IL
- Dementia Care in Ste. Genevieve, MO
- Dementia Care in Fredericktown, MO
- Dementia Care in Jackson, MO
- Dementia Care in Sparta, IL
- Dementia Care in Murphysboro, IL
- Dementia Care in Farmington, MO
- Dementia Care in Cape Girardeau, MO
- Dementia Care in Red Bud, IL
- Dementia Care in Park Hills, MO
- Dementia Care in Carbondale, IL
- Dementia Care in Desloge, MO
- Dementia Care in Bonne Terre, MO
- Dementia Care in Pinckneyville, IL
- Dementia Care in Scott City, MO
- Dementia Care in Chaffee, MO
Other care in Perryville
- Companion Care in Perryville
- Respite Care in Perryville
- Live-In Caregivers in Perryville
- Post-Surgery Care in Perryville
- Senior Transportation in Perryville
- Home Health Aides in Perryville
- Nursing Assistants in Perryville
- Personal Care in Perryville
- Overnight Caregivers in Perryville
- 24-Hour Home Care in Perryville
- Mobility Assistance in Perryville
- Parkinson’s Care in Perryville
- Stroke Recovery Support in Perryville
- Disability Care for Adults in Perryville
- Hospice Support in Perryville
- Senior Meal Preparation in Perryville
- Senior Housekeeping in Perryville
- Medication Reminders in Perryville
- Veterans’ Home Care in Perryville
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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