Sacramento, California

In-Home Dementia and Alzheimer's Care in Sacramento, CA

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 Sacramento for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Sacramento, CA: the local picture

8,552
residents 85 or older (1.6% of all residents)
75,245
residents 65 or older (14% of Sacramento)
36%
of residents 65+ report a disability (36% in Sacramento County)
6+
Medicare-certified nursing homes within 25 miles

Sacramento has about 8,552 residents aged 85 or older among 75,245 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.

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

29% of older Sacramento 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.

Sacramento compared with Sacramento County and California

Census figureSacramentoSacramento CountyCalifornia
Residents 85 or older1.6%1.8%1.9%
Residents 65 or older14%15%16%
Residents 65+ with a disability36%36%33%
Residents 65+ in households who live alone29%26%23%
Residents 65+ below the poverty line (approx.)13%11%12%
Residents 5+ who speak a language other than English at home36%34%44%
Median income, households headed by someone 65+$64,777$68,898—

Older residents in towns around Sacramento

TownDistanceResidents 65+Residents 85+
Fruitridge Pocket, CA2.5 mi801100
Lemon Hill, CA3.5 mi1,426263
West Sacramento, CA4.4 mi6,426546
Parkway, CA4.8 mi1,927282
Arden-Arcade, CA5.1 mi16,4862,680
La Riviera, CA6.1 mi1,466236

Nursing homes near Sacramento

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Mid-Town Oaks Post-AcuteSacramento, CA0.3 mi3 of 5100(916) 321-9440
Saylor Lane Healthcare CenterSacramento, CA0.4 mi4 of 542(916) 457-3500
Mckinley Park Care CenterSacramento, CA0.6 mi4 of 586(916) 452-3592
University Post-Acute RehabSacramento, CA0.8 mi5 of 559(916) 452-6631
Sherwood Healthcare CenterSacramento, CA1.7 mi5 of 562(916) 454-5752
Pioneer HouseSacramento, CA1.8 mi3 of 550(916) 442-4906

Hospices serving Sacramento

HospiceOfficeDistancePhone
Blossom Ridge HospiceSacramento, CA1.6 mi(800) 991-6147
New Era Hospice, IncSacramento, CA3.2 mi(818) 450-4999
Kh Prime Hospice CareSacramento, CA3.2 mi(916) 809-7027
Prohealth Home Care, Inc.Sacramento, CA3.2 mi(877) 267-1960

Straight-line miles from the center of Sacramento. 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 Sacramento

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 27% of the $5,398 monthly median income of Sacramento households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 California: IHSS, VA, Paid Family Leave.

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 Sacramento: common questions

What nursing homes are near Sacramento?

The closest Medicare-certified nursing homes are Mid-Town Oaks Post-Acute in Sacramento (0.3 mi, 3 of 5 overall); Saylor Lane Healthcare Center in Sacramento (0.4 mi, 4 of 5 overall); Mckinley Park Care Center in Sacramento (0.6 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Sacramento?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 27% of the $5,398 monthly median income of Sacramento households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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.

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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