Dementia Care in Selma, CA: In-Home Alzheimer's Care

Local figures

Dementia Care in Selma, CA: the local picture

201

residents 85 or older (0.8% of all residents)

3,178

residents 65 or older (13% of Selma)

36%

of residents 65+ report a disability (39% in Fresno County)

6+

Medicare-certified nursing homes within 25 miles

Selma has about 201 residents aged 85 or older among 3,178 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 (39% in Fresno County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

25% 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 Fresno County and California

Census figure	Selma	Fresno County	California
Residents 85 or older	0.8%	1.4%	1.9%
Residents 65 or older	13%	13%	16%
Residents 65+ with a disability	36%	39%	33%
Residents 65+ in households who live alone	25%	24%	23%
Residents 65+ below the poverty line (approx.)	26%	14%	12%
Residents 5+ who speak a language other than English at home	53%	44%	44%
Median income, households headed by someone 65+	$40,386	$55,987	—

Older residents in towns around Selma

Town	Distance	Residents 65+	Residents 85+
Kingsburg, CA	4.2 mi	2,601	201
Parlier, CA	4.7 mi	1,280	121
Fowler, CA	4.9 mi	783	37
Reedley, CA	9.4 mi	2,629	414
Sanger, CA	9.5 mi	2,834	396
Easton, CA	11 mi	299	35

Nursing homes near Selma

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Rolling Hills Care Center	Selma, CA	0.2 mi	2 of 5	34	(559) 896-4990
Bethel Lutheran Home	Selma, CA	0.8 mi	3 of 5	59	(559) 896-4900
Kingsburg Center	Kingsburg, CA	4.4 mi	3 of 5	86	(559) 897-5881
Fowler Care Center	Fowler, CA	4.6 mi	5 of 5	46	(559) 834-2519
Vineyards At Fowler	Fowler, CA	4.9 mi	2 of 5	49	(559) 834-2542
Manning Gardens Care Center, Inc	Fresno, CA	7.9 mi	5 of 5	59	(559) 834-2586

Hospices serving Selma

Hospice	Office	Distance	Phone
Ardent Hospice Of Fresno	Fresno, CA	16 mi	(559) 408-5945
Adventist Health Home Care Services	Hanford, CA	17 mi	(559) 585-3425
St Mary's Hospice Services, Inc	Fresno, CA	17 mi	(559) 222-1291
Bright Horizon Hospice Services	Fresno, CA	19 mi	(559) 443-0303

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 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 Selma

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 44% of the $3,366 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. 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 Selma: common questions

What nursing homes are near Selma?

The closest Medicare-certified nursing homes are Rolling Hills Care Center in Selma (0.2 mi, 2 of 5 overall); Bethel Lutheran Home in Selma (0.8 mi, 3 of 5 overall); Kingsburg Center in Kingsburg (4.4 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Selma?

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 44% of the $3,366 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. 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.

More near Selma

More senior care near Selma

Dementia Care in nearby cities

Other care in Selma

More for Selma 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 Selma, CA