Perryville, Missouri

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.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

Dementia Care in Perryville, MO: the local picture

161
residents 85 or older (1.9% of all residents)
1,370
residents 65 or older (16% of Perryville)
32%
of residents 65+ report a disability (30% in Perry County)
5
Medicare-certified nursing homes within 25 miles

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 figurePerryvillePerry CountyMissouri
Residents 85 or older1.9%2.1%2.0%
Residents 65 or older16%20%18%
Residents 65+ with a disability32%30%34%
Residents 65+ in households who live alone34%30%30%
Residents 65+ below the poverty line (approx.)8.5%11%10%
Residents 5+ who speak a language other than English at home5.6%3.7%6.7%
Median income, households headed by someone 65+$41,422$46,810—

Older residents in towns around Perryville

TownDistanceResidents 65+Residents 85+
Chester, IL14 mi1,019150
Ste. Genevieve, MO20 mi1,326291
Fredericktown, MO26 mi89197
Jackson, MO27 mi2,688318
Sparta, IL30 mi1,03583
Murphysboro, IL30 mi1,462203

Nursing homes near Perryville

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Estates Of Perryville, LLC, ThePerryville, MO0.7 mi1 of 5156(573) 547-1011
Independence Care Center Of Perry CountyPerryville, MO0.9 mi3 of 5133(573) 547-6546
Three Springs Sr Living & RhabChester, IL14 mi2 of 583(618) 826-3210
Riverview At The Park Care And Rehabilitation CentSainte Genevieve, MO19 mi4 of 5120(573) 883-3454
St Genevieve NursingSainte Genevieve, MO20 mi5 of 590(573) 883-5725

Hospices serving Perryville

HospiceOfficeDistancePhone
Journey Hospice, LLCPerryville, MO0.6 mi(573) 605-1202
Legacy HospiceFredericktown, MO30 mi(573) 783-7625
Mercy HospiceCape Girardeau, MO34 mi(573) 335-6208
Serenity HospicecarePark Hills, MO35 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 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 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.

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 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.

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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