Dementia Care in San Marcos, TX: In-Home Alzheimer's Care

Local figures

Dementia Care in San Marcos, TX: the local picture

790

residents 85 or older (1.1% of all residents)

7,637

residents 65 or older (11% of San Marcos)

43%

of residents 65+ report a disability (33% in Hays County)

6+

Medicare-certified nursing homes within 25 miles

San Marcos has about 790 residents aged 85 or older among 7,637 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.

43% of residents 65 and older report a disability (33% in Hays County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

31% of older San Marcos 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 Marcos compared with Hays County and Texas

Census figure	San Marcos	Hays County	Texas
Residents 85 or older	1.1%	1.0%	1.4%
Residents 65 or older	11%	12%	13%
Residents 65+ with a disability	43%	33%	35%
Residents 65+ in households who live alone	31%	23%	25%
Residents 65+ below the poverty line (approx.)	19%	9.0%	12%
Residents 5+ who speak a language other than English at home	27%	25%	35%
Median income, households headed by someone 65+	$53,772	$73,773	—

Older residents in towns around San Marcos

Town	Distance	Residents 65+	Residents 85+
Redwood, TX	4.7 mi	342	0
Kyle, TX	8.9 mi	4,526	171
Uhland, TX	11 mi	150	4
Wimberley, TX	12 mi	820	68
Buda, TX	15 mi	1,080	20
Lockhart, TX	15 mi	2,580	244

Nursing homes near San Marcos

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
San Marcos Rehabilitation And Healthcare Center	San Marcos, TX	0.8 mi	2 of 5	129	(512) 353-5026
Hays Nursing And Rehabilitation Center	San Marcos, TX	1.4 mi	3 of 5	116	(512) 396-1888
Cypress Healthcare And Rehabilitation Center	San Marcos, TX	2.0 mi	1 of 5	174	(512) 805-5000
Legend Oaks Healthcare And Rehabilitation-Kyle	Kyle, TX	11 mi	3 of 5	126	(512) 268-1003
Deer Creek Nursing And Rehabilitation	Wimberley, TX	13 mi	1 of 5	122	(512) 847-5540
Legend Oaks Healthcare And Rehabilitation - New Br	New Braunfels, TX	13 mi	3 of 5	126	(830) 420-6500

Hospices serving San Marcos

Hospice	Office	Distance	Phone
Halcyon Home	San Marcos, TX	0.3 mi	(512) 815-9009
Christus Hospice - Central Texas	San Marcos, TX	0.3 mi	(512) 754-6159
Gentiva	San Marcos, TX	0.3 mi	(512) 392-9138
Heart To Heart Hospice Of San Marcos LLC	San Marcos, TX	0.3 mi	(512) 667-6816

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

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,481 monthly median income of San Marcos households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 STAR+PLUS in Texas: using consumer directed services to pay a family 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 San Marcos: common questions

What nursing homes are near San Marcos?

The closest Medicare-certified nursing homes are San Marcos Rehabilitation And Healthcare Center in San Marcos (0.8 mi, 2 of 5 overall); Hays Nursing And Rehabilitation Center in San Marcos (1.4 mi, 3 of 5 overall); Cypress Healthcare And Rehabilitation Center in San Marcos (2.0 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in San Marcos?

At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,481 monthly median income of San Marcos households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 San Marcos

More senior care near San Marcos

Dementia Care in nearby cities

Other care in San Marcos

More for San Marcos 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 San Marcos, TX