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

Local figures

Dementia Care in Selma, TX: the local picture

16

residents 85 or older (0.1% of all residents)

1,060

residents 65 or older (9.2% of Selma)

23%

of residents 65+ report a disability (35% in Guadalupe County)

6+

Medicare-certified nursing homes within 25 miles

Selma has about 16 residents aged 85 or older among 1,060 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.

23% of residents 65 and older report a disability (35% in Guadalupe County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

19% 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 Guadalupe County and Texas

Census figure	Selma	Guadalupe County	Texas
Residents 85 or older	0.1%	1.2%	1.4%
Residents 65 or older	9.2%	15%	13%
Residents 65+ with a disability	23%	35%	35%
Residents 65+ in households who live alone	19%	22%	25%
Residents 65+ below the poverty line (approx.)	1.7%	9.3%	12%
Residents 5+ who speak a language other than English at home	24%	22%	35%
Median income, households headed by someone 65+	$86,500	$62,106	—

Older residents in towns around Selma

Town	Distance	Residents 65+	Residents 85+
Universal City, TX	2.4 mi	2,914	123
Live Oak, TX	2.6 mi	2,233	377
Garden Ridge, TX	3.7 mi	980	82
Schertz, TX	4.2 mi	5,992	493
Converse, TX	5.2 mi	3,295	346
Cibolo, TX	6.0 mi	3,694	275

Nursing homes near Selma

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Trucare Living Centers - Selma	Selma, TX	0.7 mi	2 of 5	128	(210) 886-8393
Advanced Rehabilitation & Healthcare Of Live Oak	Live Oak, TX	2.4 mi	3 of 5	123	(210) 600-3700
Avir At Schertz	Schertz, TX	2.5 mi	2 of 5	96	(210) 658-6338
Silver Tree Nursing And Rehabilitation Center	Schertz, TX	3.7 mi	2 of 5	120	(210) 566-9100
San Antonio Wellness & Rehabilitation	San Antonio, TX	3.8 mi	2 of 5	154	(210) 653-1219
Avir At Converse	Converse, TX	3.9 mi	1 of 5	100	(210) 650-0551

Hospices serving Selma

Hospice	Office	Distance	Phone
Careview Hospice Inc	San Antonio, TX	3.0 mi	(210) 497-1440
All Seasons Hospice Of Texas	San Antonio, TX	5.5 mi	(210) 767-3870
Harbour Hospice	San Antonio, TX	5.5 mi	(210) 403-9911
Journeys Hospice Of Texas LLC	San Antonio, TX	7.0 mi	(833) 467-5468

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 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 14% of the $7,208 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. 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 Selma: common questions

What nursing homes are near Selma?

The closest Medicare-certified nursing homes are Trucare Living Centers - Selma in Selma (0.7 mi, 2 of 5 overall); Advanced Rehabilitation & Healthcare Of Live Oak in Live Oak (2.4 mi, 3 of 5 overall); Avir At Schertz in Schertz (2.5 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Selma?

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 14% of the $7,208 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. 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 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, TX