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

Dementia Care in Shallotte, NC: the local picture
Shallotte has about 137 residents aged 85 or older among 1,100 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.
28% of residents 65 and older report a disability (24% in Brunswick County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
37% of older Shallotte 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.
Shallotte compared with Brunswick County and North Carolina
| Census figure | Shallotte | Brunswick County | North Carolina |
|---|---|---|---|
| Residents 85 or older | 3.0% | 2.0% | 1.7% |
| Residents 65 or older | 24% | 34% | 17% |
| Residents 65+ with a disability | 28% | 24% | 33% |
| Residents 65+ in households who live alone | 37% | 20% | 28% |
| Residents 65+ below the poverty line (approx.) | 3.7% | 5.7% | 11% |
| Residents 5+ who speak a language other than English at home | 2.9% | 5.0% | 13% |
| Median income, households headed by someone 65+ | $58,445 | $69,925 | — |
Older residents in towns around Shallotte
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Sunset Beach, NC | 9.4 mi | 2,599 | 77 |
| Carolina Shores, NC | 12 mi | 2,554 | 222 |
| Oak Island, NC | 16 mi | 3,796 | 147 |
| St. James, NC | 16 mi | 4,439 | 108 |
| Little River, SC | 16 mi | 4,972 | 220 |
| Boiling Spring Lakes, NC | 18 mi | 1,290 | 58 |
Nursing homes near Shallotte
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Autumn Care Of Shallotte | Shallotte, NC | 0.5 mi | 2 of 5 | 100 | (910) 754-8858 |
| Bolivia Rehabilitation And Healthcare Center | Bolivia, NC | 9.1 mi | 1 of 5 | 90 | (910) 755-5955 |
| Brunswick Health & Rehab Center | Ash, NC | 9.5 mi | 1 of 5 | 100 | (910) 287-6007 |
| Liberty Commons Nursing & Rehab Center Of Southpor | Southport, NC | 21 mi | 3 of 5 | 99 | (910) 457-9581 |
| Premier Living And Rehab Center | Lake Waccamaw, NC | 25 mi | 1 of 5 | 127 | (910) 646-3132 |
Hospices serving Shallotte
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Lower Cape Fear Lifecare | Wilmington, NC | 30 mi | (910) 796-7900 |
| Liberty Home Care And Hospice | Wilmington, NC | 33 mi | (910) 251-8111 |
| Amedisys Hospice Care | Pembroke, NC | 67 mi | (855) 809-0997 |
| Mcleod Hcs - Hospice Of The Pee Dee | Florence, SC | 81 mi | (843) 777-2564 |
Straight-line miles from the center of Shallotte. 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 Shallotte
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 27% of the $4,870 monthly median income of Shallotte households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina'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 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 Shallotte: common questions
What nursing homes are near Shallotte?
The closest Medicare-certified nursing homes are Autumn Care Of Shallotte in Shallotte (0.5 mi, 2 of 5 overall); Bolivia Rehabilitation And Healthcare Center in Bolivia (9.1 mi, 1 of 5 overall); Brunswick Health & Rehab Center in Ash (9.5 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Shallotte?
At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 27% of the $4,870 monthly median income of Shallotte households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Carolina'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 senior care near Shallotte
Dementia Care in nearby cities
- Dementia Care in Sunset Beach, NC
- Dementia Care in Carolina Shores, NC
- Dementia Care in Oak Island, NC
- Dementia Care in St. James, NC
- Dementia Care in Little River, SC
- Dementia Care in Boiling Spring Lakes, NC
- Dementia Care in North Myrtle Beach, SC
- Dementia Care in Southport, NC
- Dementia Care in Leland, NC
- Dementia Care in Belville, NC
- Dementia Care in Carolina Beach, NC
- Dementia Care in Silver Lake, NC
- Dementia Care in Loris, SC
- Dementia Care in Myrtle Grove, NC
- Dementia Care in Whiteville, NC
- Dementia Care in Tabor City, NC
Other care in Shallotte
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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