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

Dementia Care in Selma, AL: the local picture
Selma has about 236 residents aged 85 or older among 3,193 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.
38% of residents 65 and older report a disability (46% in Dallas County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
44% of older Selma 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.
Selma compared with Dallas County and Alabama
| Census figure | Selma | Dallas County | Alabama |
|---|---|---|---|
| Residents 85 or older | 1.4% | 1.5% | 1.7% |
| Residents 65 or older | 19% | 20% | 18% |
| Residents 65+ with a disability | 38% | 46% | 38% |
| Residents 65+ in households who live alone | 44% | 41% | 29% |
| Residents 65+ below the poverty line (approx.) | 17% | 20% | 12% |
| Residents 5+ who speak a language other than English at home | 3.6% | 2.0% | 6.0% |
| Median income, households headed by someone 65+ | $28,527 | $30,948 | — |
Older residents in towns around Selma
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Valley Grande, AL | 4.8 mi | 841 | 42 |
| Marion, AL | 22 mi | 590 | 69 |
| Prattville, AL | 34 mi | 5,983 | 573 |
| Pine Level, AL | 36 mi | 712 | 65 |
| Brent, AL | 37 mi | 497 | 39 |
| Centreville, AL | 38 mi | 664 | 58 |
Nursing homes near Selma
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Bellway Health And Rehabilitation Center | Selma, AL | 0.9 mi | 2 of 5 | 172 | (334) 874-7425 |
| Lighthouse Rehabilitation & Healthcare Center | Selma, AL | 2.2 mi | 2 of 5 | 68 | (334) 875-1868 |
| Park Place | Selma, AL | 2.5 mi | 3 of 5 | 103 | (334) 872-3471 |
| Southland Nursing Home | Marion, AL | 21 mi | 5 of 5 | 91 | (334) 683-6141 |
| Diversicare Of Marion | Marion, AL | 22 mi | 5 of 5 | 71 | (334) 683-9696 |
Hospices serving Selma
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Traditions Health Of Selma | Selma, AL | 0.7 mi | (334) 418-0566 |
| Enhabit Hospice Prattville | Montgomery, AL | 45 mi | (334) 289-1007 |
| Baptist Hospice | Montgomery, AL | 47 mi | (334) 395-5000 |
| Aveanna Hospice Of Demopolis | Demopolis, AL | 47 mi | (334) 289-2106 |
Straight-line miles from the center of Selma. 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 Selma
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 49% of the $2,377 monthly median income of Selma 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 Selma: common questions
What nursing homes are near Selma?
The closest Medicare-certified nursing homes are Bellway Health And Rehabilitation Center in Selma (0.9 mi, 2 of 5 overall); Lighthouse Rehabilitation & Healthcare Center in Selma (2.2 mi, 2 of 5 overall); Park Place in Selma (2.5 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Selma?
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 49% of the $2,377 monthly median income of Selma 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 Selma
Dementia Care in nearby cities
- Dementia Care in Valley Grande, AL
- Dementia Care in Marion, AL
- Dementia Care in Prattville, AL
- Dementia Care in Pine Level, AL
- Dementia Care in Brent, AL
- Dementia Care in Centreville, AL
- Dementia Care in Clanton, AL
- Dementia Care in Millbrook, AL
- Dementia Care in Jemison, AL
- Dementia Care in Holtville, AL
- Dementia Care in Montgomery, AL
- Dementia Care in Greenville, AL
- Dementia Care in Demopolis, AL
- Dementia Care in Wetumpka, AL
- Dementia Care in Montevallo, AL
- Dementia Care in Calera, AL
Other care in Selma
- Companion Care in Selma
- Respite Care in Selma
- Live-In Caregivers in Selma
- Post-Surgery Care in Selma
- Senior Transportation in Selma
- Home Health Aides in Selma
- Nursing Assistants in Selma
- Personal Care in Selma
- Overnight Caregivers in Selma
- 24-Hour Home Care in Selma
- Mobility Assistance in Selma
- Parkinson’s Care in Selma
- Stroke Recovery Support in Selma
- Disability Care for Adults in Selma
- Hospice Support in Selma
- Senior Meal Preparation in Selma
- Senior Housekeeping in Selma
- Medication Reminders in Selma
- Veterans’ Home Care in Selma
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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