Dementia Care in Pikeville, KY: In-Home Alzheimer's Care

Local figures

Dementia Care in Pikeville, KY: the local picture

207

residents 85 or older (2.8% of all residents)

1,283

residents 65 or older (17% of Pikeville)

56%

of residents 65+ report a disability (53% in Pike County)

6+

Medicare-certified nursing homes within 25 miles

Pikeville has about 207 residents aged 85 or older among 1,283 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.

56% of residents 65 and older report a disability (53% in Pike County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

28% of older Pikeville 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.

Pikeville compared with Pike County and Kentucky

Census figure	Pikeville	Pike County	Kentucky
Residents 85 or older	2.8%	1.8%	1.7%
Residents 65 or older	17%	20%	17%
Residents 65+ with a disability	56%	53%	39%
Residents 65+ in households who live alone	28%	30%	30%
Residents 65+ below the poverty line (approx.)	15%	21%	13%
Residents 5+ who speak a language other than English at home	4.6%	1.5%	6.8%
Median income, households headed by someone 65+	$45,521	$32,207	—

Older residents in towns around Pikeville

Town	Distance	Residents 65+	Residents 85+
Prestonsburg, KY	19 mi	824	156
Williamson, WV	20 mi	616	56
Paintsville, KY	28 mi	630	24
Wise, VA	35 mi	514	0
Norton, VA	38 mi	761	135
Hazard, KY	40 mi	934	180

Nursing homes near Pikeville

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pikeville Nursing And Rehab Center, LLC	Pikeville, KY	0.5 mi	3 of 5	106	(606) 437-7327
Elkhorn Health & Rehabilitation	Elkhorn City, KY	16 mi	5 of 5	106	(606) 754-4134
Riverview Health Care Center	Prestonsburg, KY	18 mi	3 of 5	121	(606) 886-9178
Tug Valley Arh Skilled Nursing Facility	South Williamson, KY	19 mi	4 of 5	34	(606) 237-1725
Prestonsburg Health Care Center	Prestonsburg, KY	19 mi	5 of 5	56	(606) 886-2378
Trinity Health Care Of Mingo	Williamson, WV	20 mi	3 of 5	90	(304) 235-7005

Hospices serving Pikeville

Hospice	Office	Distance	Phone
Appalachian Hospice Care	Pikeville, KY	2.8 mi	(606) 432-2112
Hospice Of The Bluegrass, Inc.	Hazard, KY	38 mi	(606) 439-2111
Dignity Hospice Of Southern West Virginia, Inc	Chapmanville, WV	44 mi	(304) 855-4764
Hospice Of The Bluegrass, Inc Dba Bluegrass Care N	Lexington, KY	117 mi	(859) 276-5344

Straight-line miles from the center of Pikeville. 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 Pikeville

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 40% of the $3,793 monthly median income of Pikeville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 How to get paid to care for a family member in Kentucky: Participant Directed Services.

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 Pikeville: common questions

What nursing homes are near Pikeville?

The closest Medicare-certified nursing homes are Pikeville Nursing And Rehab Center, LLC in Pikeville (0.5 mi, 3 of 5 overall); Elkhorn Health & Rehabilitation in Elkhorn City (16 mi, 5 of 5 overall); Riverview Health Care Center in Prestonsburg (18 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Pikeville?

At the Kentucky median aide wage of $17.52 an hour, 20 hours of help a week comes to about $1,518 a month in wages, which is 40% of the $3,793 monthly median income of Pikeville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Kentucky'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 Pikeville

More senior care near Pikeville

Dementia Care in nearby cities

Other care in Pikeville

More for Pikeville 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 Pikeville, KY