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.

Dementia Care in Shiloh, PA: the local picture
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 figure | Shiloh | York County | Pennsylvania |
|---|---|---|---|
| Residents 85 or older | 4.1% | 2.3% | 2.4% |
| Residents 65 or older | 25% | 19% | 19% |
| Residents 65+ with a disability | 41% | 32% | 32% |
| Residents 65+ in households who live alone | 31% | 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 home | 15% | 8.3% | 12% |
| Median income, households headed by someone 65+ | $44,180 | $55,711 | — |
Older residents in towns around Shiloh
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| West York, PA | 2.1 mi | 601 | 9 |
| Weigelstown, PA | 2.2 mi | 3,867 | 455 |
| York, PA | 3.2 mi | 5,888 | 585 |
| North York, PA | 3.3 mi | 218 | 11 |
| Grantley, PA | 4.0 mi | 664 | 140 |
| Emigsville, PA | 4.1 mi | 643 | 33 |
Nursing homes near Shiloh
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| York North Skilled Nursing And Rehabilitation Ctr | York, PA | 0.8 mi | 2 of 5 | 161 | (717) 767-6530 |
| Normandie Ridge | York, PA | 0.9 mi | 5 of 5 | 64 | (717) 764-6262 |
| Margaret E. Moul Home | York, PA | 0.9 mi | 5 of 5 | 82 | (717) 767-6463 |
| Concordia At Spiritrust Sprenkle Drive | York, PA | 2.5 mi | 4 of 5 | 104 | (717) 767-5404 |
| Yorkview Nursing And Rehabilitation | York, PA | 3.5 mi | 1 of 5 | 270 | (717) 845-2661 |
| Rest Haven-York | York, PA | 4.3 mi | 2 of 5 | 159 | (717) 843-9866 |
Hospices serving Shiloh
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Amedisys Hospice Of York | York, PA | 2.3 mi | (717) 845-8599 |
| Heartland Hospice (York) | York, PA | 7.1 mi | (717) 840-1002 |
| Memorial White Rose Hospice | York, PA | 7.1 mi | (717) 900-6871 |
| Hospice Program/Vna Of Hanover And Spring Grove | Hanover, PA | 16 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 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 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.
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 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.
More senior care near Shiloh
Dementia Care in nearby cities
- Dementia Care in West York, PA
- Dementia Care in Weigelstown, PA
- Dementia Care in York, PA
- Dementia Care in North York, PA
- Dementia Care in Grantley, PA
- Dementia Care in Emigsville, PA
- Dementia Care in Pleasureville, PA
- Dementia Care in Valley View, PA
- Dementia Care in East York, PA
- Dementia Care in Spry, PA
- Dementia Care in Manchester, PA
- Dementia Care in Stonybrook, PA
- Dementia Care in Dallastown, PA
- Dementia Care in Hallam, PA
- Dementia Care in Red Lion, PA
- Dementia Care in Valley Green, PA
Other care in Shiloh
- Companion Care in Shiloh
- Respite Care in Shiloh
- Live-In Caregivers in Shiloh
- Post-Surgery Care in Shiloh
- Senior Transportation in Shiloh
- Home Health Aides in Shiloh
- Nursing Assistants in Shiloh
- Personal Care in Shiloh
- Overnight Caregivers in Shiloh
- 24-Hour Home Care in Shiloh
- Mobility Assistance in Shiloh
- Parkinson’s Care in Shiloh
- Stroke Recovery Support in Shiloh
- Disability Care for Adults in Shiloh
- Hospice Support in Shiloh
- Senior Meal Preparation in Shiloh
- Senior Housekeeping in Shiloh
- Medication Reminders in Shiloh
- Veterans’ Home Care in Shiloh
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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