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

Local figures

Dementia Care in Portland, TN: the local picture

149

residents 85 or older (1.1% of all residents)

1,640

residents 65 or older (12% of Portland)

37%

of residents 65+ report a disability (32% in Sumner County)

6+

Medicare-certified nursing homes within 25 miles

Portland has about 149 residents aged 85 or older among 1,640 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.

37% of residents 65 and older report a disability (32% in Sumner County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

35% 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 Sumner County and Tennessee

Census figure	Portland	Sumner County	Tennessee
Residents 85 or older	1.1%	1.6%	1.6%
Residents 65 or older	12%	17%	17%
Residents 65+ with a disability	37%	32%	36%
Residents 65+ in households who live alone	35%	23%	29%
Residents 65+ below the poverty line (approx.)	7.5%	8.5%	11%
Residents 5+ who speak a language other than English at home	3.6%	7.1%	8.6%
Median income, households headed by someone 65+	$41,705	$62,179	—

Older residents in towns around Portland

Town	Distance	Residents 65+	Residents 85+
Franklin, KY	8.5 mi	1,687	174
White House, TN	12 mi	1,876	190
Gallatin, TN	15 mi	8,031	807
Westmoreland, TN	16 mi	463	82
Shackle Island, TN	16 mi	573	31
Millersville, TN	17 mi	1,089	29

Nursing homes near Portland

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Signature Health Of Portland Rehab & Wellness Cent	Portland, TN	5.6 mi	1 of 5	112	(615) 325-9263
Franklin-Simpson Nursing And Rehabilitation Center	Franklin, KY	9.0 mi	3 of 5	98	(270) 586-7141
White House Health Care Inc	White House, TN	12 mi	5 of 5	84	(615) 672-3636
Gallatin Center For Rehabilitation And Healing	Gallatin, TN	15 mi	4 of 5	207	(615) 452-2322
Westmoreland Care & Rehab Ctr	Westmoreland, TN	15 mi	3 of 5	100	(615) 644-5111
The Waters Of Gallatin	Gallatin, TN	15 mi	2 of 5	124	(615) 452-7132

Hospices serving Portland

Hospice	Office	Distance	Phone
Highpoint Hospice	Gallatin, TN	15 mi	(615) 328-5515
Caris Healthcare	Springfield, TN	21 mi	(615) 384-3833
Aveanna Hospice	Springfield, TN	21 mi	(615) 384-9425
Adoration Hospice	Madison, TN	25 mi	(615) 242-5936

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 Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 39% of the $3,475 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. Tennessee has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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 TennCare CHOICES: how to get paid to care for a family member in Tennessee.

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 Signature Health Of Portland Rehab & Wellness Cent in Portland (5.6 mi, 1 of 5 overall); Franklin-Simpson Nursing And Rehabilitation Center in Franklin (9.0 mi, 3 of 5 overall); White House Health Care Inc in White House (12 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Portland?

At the Tennessee median aide wage of $15.45 an hour, 20 hours of help a week comes to about $1,339 a month in wages, which is 39% of the $3,475 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. Tennessee has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

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, TN