Shiloh, Pennsylvania

In-Home Dementia and Alzheimer's Care in Shiloh, PA

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 Shiloh for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Shiloh, PA: the local picture

462
residents 85 or older (4.1% of all residents)
2,813
residents 65 or older (25% of Shiloh)
41%
of residents 65+ report a disability (32% in York County)
6+
Medicare-certified nursing homes within 25 miles

Shiloh has about 462 residents aged 85 or older among 2,813 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.

41% of residents 65 and older report a disability (32% in York County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

31% of older Shiloh 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.

Shiloh compared with York County and Pennsylvania

Census figureShilohYork CountyPennsylvania
Residents 85 or older4.1%2.3%2.4%
Residents 65 or older25%19%19%
Residents 65+ with a disability41%32%32%
Residents 65+ in households who live alone31%28%30%
Residents 65+ below the poverty line (approx.)3.6%8.7%9.9%
Residents 5+ who speak a language other than English at home15%8.3%12%
Median income, households headed by someone 65+$44,180$55,711—

Older residents in towns around Shiloh

TownDistanceResidents 65+Residents 85+
West York, PA2.1 mi6019
Weigelstown, PA2.2 mi3,867455
York, PA3.2 mi5,888585
North York, PA3.3 mi21811
Grantley, PA4.0 mi664140
Emigsville, PA4.1 mi64333

Nursing homes near Shiloh

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
York North Skilled Nursing And Rehabilitation CtrYork, PA0.8 mi2 of 5161(717) 767-6530
Normandie RidgeYork, PA0.9 mi5 of 564(717) 764-6262
Margaret E. Moul HomeYork, PA0.9 mi5 of 582(717) 767-6463
Concordia At Spiritrust Sprenkle DriveYork, PA2.5 mi4 of 5104(717) 767-5404
Yorkview Nursing And RehabilitationYork, PA3.5 mi1 of 5270(717) 845-2661
Rest Haven-YorkYork, PA4.3 mi2 of 5159(717) 843-9866

Hospices serving Shiloh

HospiceOfficeDistancePhone
Amedisys Hospice Of YorkYork, PA2.3 mi(717) 845-8599
Heartland Hospice (York)York, PA7.1 mi(717) 840-1002
Memorial White Rose HospiceYork, PA7.1 mi(717) 900-6871
Hospice Program/Vna Of Hanover And Spring GroveHanover, PA16 mi(717) 637-1227

Straight-line miles from the center of Shiloh. 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 Shiloh

At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 33% of the $3,682 monthly median income of Shiloh households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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.

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 Shiloh: common questions

What nursing homes are near Shiloh?

The closest Medicare-certified nursing homes are York North Skilled Nursing And Rehabilitation Ctr in York (0.8 mi, 2 of 5 overall); Normandie Ridge in York (0.9 mi, 5 of 5 overall); Margaret E. Moul Home in York (0.9 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Shiloh?

At the Pennsylvania median aide wage of $14.14 an hour, 20 hours of help a week comes to about $1,225 a month in wages, which is 33% of the $3,682 monthly median income of Shiloh households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Pennsylvania'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.

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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