San Jose, California

In-Home Dementia and Alzheimer's Care in San Jose, 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 San Jose for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in San Jose, CA: the local picture

18,094
residents 85 or older (1.8% of all residents)
143,836
residents 65 or older (15% of San Jose)
34%
of residents 65+ report a disability (31% in Santa Clara County)
6+
Medicare-certified nursing homes within 25 miles

San Jose has about 18,094 residents aged 85 or older among 143,836 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.

34% of residents 65 and older report a disability (31% in Santa Clara County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

18% of older San Jose 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.

San Jose compared with Santa Clara County and California

Census figureSan JoseSanta Clara CountyCalifornia
Residents 85 or older1.8%2.0%1.9%
Residents 65 or older15%15%16%
Residents 65+ with a disability34%31%33%
Residents 65+ in households who live alone18%19%23%
Residents 65+ below the poverty line (approx.)11%9.4%12%
Residents 5+ who speak a language other than English at home59%55%44%
Median income, households headed by someone 65+$82,270$92,440—

Older residents in towns around San Jose

TownDistanceResidents 65+Residents 85+
Alum Rock, CA5.1 mi1,935103
East Foothills, CA6.0 mi1,233107
Cambrian Park, CA6.9 mi630108
Campbell, CA7.7 mi7,1171,168
Los Gatos, CA9.1 mi6,8001,165
Santa Clara, CA9.7 mi14,8632,218

Nursing homes near San Jose

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Mission De La CasaSan Jose, CA1.8 mi2 of 5163(408) 238-9751
The Ridge Post AcuteSan Jose, CA4.2 mi5 of 554(408) 251-3070
Vista Manor Nursing CenterSan Jose, CA4.8 mi5 of 599(408) 272-1400
Herman Health Care CenterSan Jose, CA4.8 mi1 of 599(408) 269-0701
San Jose Healthcare & Wellness CenterSan Jose, CA4.9 mi4 of 558(408) 295-2665
Lincoln Glen Skilled NursingSan Jose, CA4.9 mi5 of 559(408) 265-3222

Hospices serving San Jose

HospiceOfficeDistancePhone
Care Must Hospice IncSan Jose, CA3.2 mi(408) 755-1216
With Grace Hospice And Palliative CareSan Jose, CA3.2 mi(408) 649-6712
Accentcare Hospice & Palliative Care Of Northern CSan Jose, CA5.9 mi(408) 377-3018
Sunrise Hospice Care Inc.San Jose, CA6.6 mi(408) 766-7720

Straight-line miles from the center of San Jose. 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 San Jose

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 21% of the $6,856 monthly median income of San Jose 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 San Jose: common questions

What nursing homes are near San Jose?

The closest Medicare-certified nursing homes are Mission De La Casa in San Jose (1.8 mi, 2 of 5 overall); The Ridge Post Acute in San Jose (4.2 mi, 5 of 5 overall); Vista Manor Nursing Center in San Jose (4.8 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in San Jose?

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 21% of the $6,856 monthly median income of San Jose 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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