Dementia Care in Rolla, MO: In-Home Alzheimer's Care

Local figures

Dementia Care in Rolla, MO: the local picture

447

residents 85 or older (2.2% of all residents)

2,865

residents 65 or older (14% of Rolla)

37%

of residents 65+ report a disability (38% in Phelps County)

6+

Medicare-certified nursing homes within 25 miles

Rolla has about 447 residents aged 85 or older among 2,865 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 (38% in Phelps County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

41% of older Rolla 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.

Rolla compared with Phelps County and Missouri

Census figure	Rolla	Phelps County	Missouri
Residents 85 or older	2.2%	2.1%	2.0%
Residents 65 or older	14%	17%	18%
Residents 65+ with a disability	37%	38%	34%
Residents 65+ in households who live alone	41%	30%	30%
Residents 65+ below the poverty line (approx.)	17%	12%	10%
Residents 5+ who speak a language other than English at home	8.5%	4.8%	6.7%
Median income, households headed by someone 65+	$40,317	$47,348	—

Older residents in towns around Rolla

Town	Distance	Residents 65+	Residents 85+
St. James, MO	8.9 mi	898	131
Cuba, MO	21 mi	540	61
St. Robert, MO	23 mi	700	56
Fort Leonard Wood, MO	24 mi	48	0
Salem, MO	25 mi	1,025	163
Waynesville, MO	26 mi	934	213

Nursing homes near Rolla

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Rolla Presbyterian Manor	Rolla, MO	0.8 mi	5 of 5	30	(573) 364-7336
Aurora Health And Rehabilitation	Rolla, MO	0.9 mi	2 of 5	116	(573) 364-2311
Phelps Health	Rolla, MO	1.4 mi	5 of 5	20	(573) 364-8899
Cedar Pointe	Rolla, MO	1.5 mi	1 of 5	102	(573) 364-7766
Silverstone Place	Rolla, MO	2.1 mi	3 of 5	110	(573) 426-6200
St James Living Center	Saint James, MO	9.2 mi	3 of 5	90	(573) 265-8921

Hospices serving Rolla

Hospice	Office	Distance	Phone
Phelps Health Home Health And Hospice	Rolla, MO	0.2 mi	(573) 364-2425
Three Rivers Hospice Central	Jefferson City, MO	51 mi	(573) 635-8084
Gentiva	Jefferson City, MO	51 mi	(573) 469-4895
Three Rivers Hospice South	Mountain Grove, MO	61 mi	(417) 926-3373

Straight-line miles from the center of Rolla. 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 Rolla

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 41% of the $3,360 monthly median income of Rolla households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Consumer Directed Services in Missouri: how a relative becomes a paid 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 Rolla: common questions

What nursing homes are near Rolla?

The closest Medicare-certified nursing homes are Rolla Presbyterian Manor in Rolla (0.8 mi, 5 of 5 overall); Aurora Health And Rehabilitation in Rolla (0.9 mi, 2 of 5 overall); Phelps Health in Rolla (1.4 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Rolla?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 41% of the $3,360 monthly median income of Rolla households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 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 Rolla

More senior care near Rolla

Dementia Care in nearby cities

Other care in Rolla

More for Rolla 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 Rolla, MO