Dementia Care in Roanoke, TX: In-Home Alzheimer's Care

Local figures

Dementia Care in Roanoke, TX: the local picture

129

residents 85 or older (1.3% of all residents)

1,022

residents 65 or older (9.9% of Roanoke)

38%

of residents 65+ report a disability (28% in Denton County)

6+

Medicare-certified nursing homes within 25 miles

Roanoke has about 129 residents aged 85 or older among 1,022 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.

38% of residents 65 and older report a disability (28% in Denton County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

27% of older Roanoke 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.

Roanoke compared with Denton County and Texas

Census figure	Roanoke	Denton County	Texas
Residents 85 or older	1.3%	1.0%	1.4%
Residents 65 or older	9.9%	12%	13%
Residents 65+ with a disability	38%	28%	35%
Residents 65+ in households who live alone	27%	21%	25%
Residents 65+ below the poverty line (approx.)	4.9%	6.7%	12%
Residents 5+ who speak a language other than English at home	24%	25%	35%
Median income, households headed by someone 65+	$53,456	$78,360	—

Older residents in towns around Roanoke

Town	Distance	Residents 65+	Residents 85+
Trophy Club, TX	3.6 mi	1,573	184
Northlake, TX	4.4 mi	520	46
Keller, TX	5.7 mi	7,707	699
Southlake, TX	6.2 mi	4,439	540
Justin, TX	6.8 mi	504	86
Flower Mound, TX	6.9 mi	9,945	850

Nursing homes near Roanoke

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
The Carlyle At Stonebridge Park	Southlake, TX	5.8 mi	1 of 5	112	(817) 431-5778
Longmeadow Healthcare Center	Justin, TX	5.9 mi	1 of 5	120	(940) 648-2731
Discovery Village At Southlake	Southlake, TX	5.9 mi	5 of 5	41	(817) 482-1340
Legend Oaks Healthcare And Rehabilitation - Fort W	Keller, TX	6.8 mi	1 of 5	132	(817) 806-6400
Avir At Keller	Keller, TX	7.3 mi	5 of 5	120	(817) 431-2518
Keller Oaks Healthcare Center	Keller, TX	7.5 mi	4 of 5	146	(817) 577-9999

Hospices serving Roanoke

Hospice	Office	Distance	Phone
Knights Of Comfort	Fort Worth, TX	6.6 mi	(817) 458-3245
Arcy Hospice	Flower Mound, TX	9.1 mi	(469) 293-1515
Three Oaks Hospice	Colleyville, TX	10 mi	(469) 399-2155
Hopestone Hospice And Palliative Care, LLC	Grapevine, TX	10 mi	(817) 409-4833

Straight-line miles from the center of Roanoke. 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 Roanoke

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,455 monthly median income of Roanoke households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas'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 STAR+PLUS in Texas: using consumer directed services to pay a family 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 Roanoke: common questions

What nursing homes are near Roanoke?

The closest Medicare-certified nursing homes are The Carlyle At Stonebridge Park in Southlake (5.8 mi, 1 of 5 overall); Longmeadow Healthcare Center in Justin (5.9 mi, 1 of 5 overall); Discovery Village At Southlake in Southlake (5.9 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Roanoke?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,455 monthly median income of Roanoke households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas'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 Roanoke

More senior care near Roanoke

Dementia Care in nearby cities

Other care in Roanoke

More for Roanoke 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 Roanoke, TX