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

Local figures

Dementia Care in Richmond, KY: the local picture

483

residents 85 or older (1.3% of all residents)

3,984

residents 65 or older (11% of Richmond)

48%

of residents 65+ report a disability (36% in Madison County)

6+

Medicare-certified nursing homes within 25 miles

Richmond has about 483 residents aged 85 or older among 3,984 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.

48% of residents 65 and older report a disability (36% in Madison County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

50% of older Richmond 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.

Richmond compared with Madison County and Kentucky

Census figure	Richmond	Madison County	Kentucky
Residents 85 or older	1.3%	1.2%	1.7%
Residents 65 or older	11%	15%	17%
Residents 65+ with a disability	48%	36%	39%
Residents 65+ in households who live alone	50%	29%	30%
Residents 65+ below the poverty line (approx.)	12%	10%	13%
Residents 5+ who speak a language other than English at home	5.3%	3.8%	6.8%
Median income, households headed by someone 65+	$45,410	$51,585	—

Older residents in towns around Richmond

Town	Distance	Residents 65+	Residents 85+
Berea, KY	9.7 mi	2,070	195
Lancaster, KY	17 mi	697	119
Irvine, KY	18 mi	498	83
Nicholasville, KY	18 mi	4,549	332
Winchester, KY	20 mi	3,498	304
Wilmore, KY	22 mi	841	168

Nursing homes near Richmond

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Kenwood Health And Rehabilitation Center	Richmond, KY	1.0 mi	5 of 5	93	(859) 623-9472
Madison Health And Rehabilitation Center	Richmond, KY	1.0 mi	1 of 5	92	(859) 623-3564
Telford Terrace	Richmond, KY	2.4 mi	5 of 5	26	(859) 626-5200
Berea Health And Rehabilitation	Berea, KY	9.1 mi	3 of 5	84	(859) 986-4710
The Terrace Nursing And Rehabilitation Center	Berea, KY	9.4 mi	3 of 5	102	(859) 228-0551
Landmark Of Lancaster Rehabilitation And Nursing C	Lancaster, KY	17 mi	2 of 5	96	(859) 792-6844

Hospices serving Richmond

Hospice	Office	Distance	Phone
Compassionate Care Plus	Richmond, KY	1.8 mi	(859) 986-1500
Hospice Of The Bluegrass, Inc Dba Bluegrass Care N	Lexington, KY	25 mi	(859) 276-5344
Heritage Hospice, Inc	Danville, KY	27 mi	(859) 236-2425
Hosparus, Inc	Louisville, KY	83 mi	(502) 456-6200

Straight-line miles from the center of Richmond. 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 Richmond

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 $3,784 monthly median income of Richmond 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 Richmond: common questions

What nursing homes are near Richmond?

The closest Medicare-certified nursing homes are Kenwood Health And Rehabilitation Center in Richmond (1.0 mi, 5 of 5 overall); Madison Health And Rehabilitation Center in Richmond (1.0 mi, 1 of 5 overall); Telford Terrace in Richmond (2.4 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Richmond?

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 $3,784 monthly median income of Richmond 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 Richmond

More senior care near Richmond

Dementia Care in nearby cities

Other care in Richmond

More for Richmond 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 Richmond, KY