Russellville, Alabama

In-Home Dementia and Alzheimer's Care in Russellville, AL

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Russellville for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Russellville, AL: the local picture

177
residents 85 or older (1.6% of all residents)
1,593
residents 65 or older (15% of Russellville)
47%
of residents 65+ report a disability (41% in Franklin County)
6+
Medicare-certified nursing homes within 25 miles

Russellville has about 177 residents aged 85 or older among 1,593 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.

47% of residents 65 and older report a disability (41% in Franklin County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

38% of older Russellville 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.

Russellville compared with Franklin County and Alabama

Census figureRussellvilleFranklin CountyAlabama
Residents 85 or older1.6%1.9%1.7%
Residents 65 or older15%17%18%
Residents 65+ with a disability47%41%38%
Residents 65+ in households who live alone38%32%29%
Residents 65+ below the poverty line (approx.)16%11%12%
Residents 5+ who speak a language other than English at home40%18%6.0%
Median income, households headed by someone 65+$30,428$40,526—

Older residents in towns around Russellville

TownDistanceResidents 65+Residents 85+
Tuscumbia, AL15 mi1,963171
Muscle Shoals, AL17 mi3,033294
Sheffield, AL17 mi2,392225
Haleyville, AL20 mi700104
Florence, AL23 mi7,294992
Red Bay, AL24 mi637126

Nursing homes near Russellville

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Everstead Health And Rehabilitation CenterRussellville, AL0.6 mi2 of 550(256) 332-3773
Terrace Manor Nursing & Rehabilitation Center, IncRussellville, AL0.7 mi5 of 563(256) 332-3826
Burns Nursing Home, Inc.Russellville, AL0.8 mi2 of 557(256) 332-4110
Cottage Of The ShoalsTuscumbia, AL16 mi4 of 5103(256) 383-4541
Keller LandingTuscumbia, AL16 mi5 of 5109(256) 383-1535
Cypress Cove Care CenterMuscle Shoals, AL17 mi5 of 590(256) 381-4330

Hospices serving Russellville

HospiceOfficeDistancePhone
Alabama Hospice Of The ShoalsTuscumbia, AL13 mi(256) 314-1204
Amedisys Hospice Of FlorenceFlorence, AL23 mi(256) 760-7877
Preferred HospiceFlorence, AL23 mi(256) 767-1322
Compassus-FlorenceFlorence, AL29 mi(256) 757-2414

Straight-line miles from the center of Russellville. 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 Russellville

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 46% of the $2,536 monthly median income of Russellville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama 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 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 Russellville: common questions

What nursing homes are near Russellville?

The closest Medicare-certified nursing homes are Everstead Health And Rehabilitation Center in Russellville (0.6 mi, 2 of 5 overall); Terrace Manor Nursing & Rehabilitation Center, Inc in Russellville (0.7 mi, 5 of 5 overall); Burns Nursing Home, Inc. in Russellville (0.8 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Russellville?

At the Alabama median aide wage of $13.39 an hour, 20 hours of help a week comes to about $1,160 a month in wages, which is 46% of the $2,536 monthly median income of Russellville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Alabama 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.

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.

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