Dementia Care in Portland, OR: In-Home Alzheimer's Care

Local figures

Dementia Care in Portland, OR: the local picture

9,732

residents 85 or older (1.5% of all residents)

92,970

residents 65 or older (15% of Portland)

33%

of residents 65+ report a disability (34% in Multnomah County)

6+

Medicare-certified nursing homes within 25 miles

Portland has about 9,732 residents aged 85 or older among 92,970 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.

33% of residents 65 and older report a disability (34% in Multnomah County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

36% of older Portland 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.

Portland compared with Multnomah County and Oregon

Census figure	Portland	Multnomah County	Oregon
Residents 85 or older	1.5%	1.5%	2.1%
Residents 65 or older	15%	15%	19%
Residents 65+ with a disability	33%	34%	34%
Residents 65+ in households who live alone	36%	33%	27%
Residents 65+ below the poverty line (approx.)	12%	12%	9.9%
Residents 5+ who speak a language other than English at home	17%	19%	15%
Median income, households headed by someone 65+	$63,808	$64,218	—

Older residents in towns around Portland

Town	Distance	Residents 65+	Residents 85+
West Haven-Sylvan, OR	5.8 mi	1,692	239
Raleigh Hills, OR	6.3 mi	1,598	221
Milwaukie, OR	6.5 mi	3,893	544
West Slope, OR	6.6 mi	1,315	109
Cedar Mill, OR	7.3 mi	2,518	319
Vancouver, WA	7.4 mi	32,641	4,130

Nursing homes near Portland

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Holladay Park Plaza	Portland, OR	0.3 mi	5 of 5	51	(503) 288-6671
Laurelhurst Post Acute & Rehabilitation	Portland, OR	1.6 mi	1 of 5	159	(503) 535-4700
Providence Child Center	Portland, OR	2.0 mi	5 of 5	58	(503) 930-4518
Fernhill Rehabilitation And Care	Portland, OR	2.1 mi	2 of 5	63	(541) 908-1010
Porthaven Post Acute	Portland, OR	2.3 mi	3 of 5	99	(503) 288-6585
Belmont Care And Rehabilitation	Portland, OR	2.4 mi	2 of 5	41	(503) 236-2624

Hospices serving Portland

Hospice	Office	Distance	Phone
Kaiser Permanente Continuing Care Services Hospice	Portland, OR	0.9 mi	(503) 499-5200
Traditions Health	Portland, OR	0.9 mi	(877) 263-7776
Providence Hospice	Portland, OR	2.5 mi	(503) 215-2273
Accentcare Hospice & Palliative Care Of Oregon	Portland, OR	3.3 mi	(503) 265-6600

Straight-line miles from the center of Portland. 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 Portland

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 35% of the $5,317 monthly median income of Portland households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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.

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 Portland: common questions

What nursing homes are near Portland?

The closest Medicare-certified nursing homes are Holladay Park Plaza in Portland (0.3 mi, 5 of 5 overall); Laurelhurst Post Acute & Rehabilitation in Portland (1.6 mi, 1 of 5 overall); Providence Child Center in Portland (2.0 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Portland?

At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 35% of the $5,317 monthly median income of Portland households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (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 Portland

More senior care near Portland

Dementia Care in nearby cities

Other care in Portland

More for Portland 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 Portland, OR