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.

Dementia Care in Russellville, AL: the local picture
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 figure | Russellville | Franklin County | Alabama |
|---|---|---|---|
| Residents 85 or older | 1.6% | 1.9% | 1.7% |
| Residents 65 or older | 15% | 17% | 18% |
| Residents 65+ with a disability | 47% | 41% | 38% |
| Residents 65+ in households who live alone | 38% | 32% | 29% |
| Residents 65+ below the poverty line (approx.) | 16% | 11% | 12% |
| Residents 5+ who speak a language other than English at home | 40% | 18% | 6.0% |
| Median income, households headed by someone 65+ | $30,428 | $40,526 | — |
Older residents in towns around Russellville
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Tuscumbia, AL | 15 mi | 1,963 | 171 |
| Muscle Shoals, AL | 17 mi | 3,033 | 294 |
| Sheffield, AL | 17 mi | 2,392 | 225 |
| Haleyville, AL | 20 mi | 700 | 104 |
| Florence, AL | 23 mi | 7,294 | 992 |
| Red Bay, AL | 24 mi | 637 | 126 |
Nursing homes near Russellville
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Everstead Health And Rehabilitation Center | Russellville, AL | 0.6 mi | 2 of 5 | 50 | (256) 332-3773 |
| Terrace Manor Nursing & Rehabilitation Center, Inc | Russellville, AL | 0.7 mi | 5 of 5 | 63 | (256) 332-3826 |
| Burns Nursing Home, Inc. | Russellville, AL | 0.8 mi | 2 of 5 | 57 | (256) 332-4110 |
| Cottage Of The Shoals | Tuscumbia, AL | 16 mi | 4 of 5 | 103 | (256) 383-4541 |
| Keller Landing | Tuscumbia, AL | 16 mi | 5 of 5 | 109 | (256) 383-1535 |
| Cypress Cove Care Center | Muscle Shoals, AL | 17 mi | 5 of 5 | 90 | (256) 381-4330 |
Hospices serving Russellville
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Alabama Hospice Of The Shoals | Tuscumbia, AL | 13 mi | (256) 314-1204 |
| Amedisys Hospice Of Florence | Florence, AL | 23 mi | (256) 760-7877 |
| Preferred Hospice | Florence, AL | 23 mi | (256) 767-1322 |
| Compassus-Florence | Florence, AL | 29 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 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
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.
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.
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.
More senior care near Russellville
Dementia Care in nearby cities
- Dementia Care in Tuscumbia, AL
- Dementia Care in Muscle Shoals, AL
- Dementia Care in Sheffield, AL
- Dementia Care in Haleyville, AL
- Dementia Care in Florence, AL
- Dementia Care in Red Bay, AL
- Dementia Care in Moulton, AL
- Dementia Care in Underwood-Petersville, AL
- Dementia Care in Hamilton, AL
- Dementia Care in Iuka, MS
- Dementia Care in Trinity, AL
- Dementia Care in Winfield, AL
- Dementia Care in Fulton, MS
- Dementia Care in Decatur, AL
- Dementia Care in Hartselle, AL
- Dementia Care in Athens, AL
Other care in Russellville
- Companion Care in Russellville
- Respite Care in Russellville
- Live-In Caregivers in Russellville
- Post-Surgery Care in Russellville
- Senior Transportation in Russellville
- Home Health Aides in Russellville
- Nursing Assistants in Russellville
- Personal Care in Russellville
- Overnight Caregivers in Russellville
- 24-Hour Home Care in Russellville
- Mobility Assistance in Russellville
- Parkinson’s Care in Russellville
- Stroke Recovery Support in Russellville
- Disability Care for Adults in Russellville
- Hospice Support in Russellville
- Senior Meal Preparation in Russellville
- Senior Housekeeping in Russellville
- Medication Reminders in Russellville
- Veterans’ Home Care in Russellville
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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