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

Dementia Care in Silver Lake, NC: the local picture
Silver Lake has about 67 residents aged 85 or older among 1,396 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 (28% in New Hanover County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
22% of older Silver Lake 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.
Silver Lake compared with New Hanover County and North Carolina
| Census figure | Silver Lake | New Hanover County | North Carolina |
|---|---|---|---|
| Residents 85 or older | 1.0% | 1.9% | 1.7% |
| Residents 65 or older | 21% | 19% | 17% |
| Residents 65+ with a disability | 23% | 28% | 33% |
| Residents 65+ in households who live alone | 22% | 31% | 28% |
| Residents 65+ below the poverty line (approx.) | 6.7% | 8.2% | 11% |
| Residents 5+ who speak a language other than English at home | 17% | 8.1% | 13% |
| Median income, households headed by someone 65+ | $83,943 | $62,585 | — |
Older residents in towns around Silver Lake
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Myrtle Grove, NC | 1.6 mi | 2,200 | 166 |
| Wilmington, NC | 4.8 mi | 22,030 | 2,807 |
| Carolina Beach, NC | 7.0 mi | 1,351 | 50 |
| Belville, NC | 7.3 mi | 476 | 17 |
| Wrightsville Beach, NC | 8.0 mi | 856 | 26 |
| Kings Grant, NC | 9.0 mi | 1,515 | 43 |
Nursing homes near Silver Lake
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Trinity Grove | Wilmington, NC | 1.0 mi | 3 of 5 | 100 | (910) 442-3000 |
| Autumn Care Of Myrtle Grove | Wilmington, NC | 1.1 mi | 1 of 5 | 90 | (910) 792-1455 |
| Azalea Health & Rehab Center | Wilmington, NC | 2.6 mi | 2 of 5 | 80 | (910) 392-3110 |
| August Healthcare At Wilmington | Wilmington, NC | 3.9 mi | 1 of 5 | 120 | (910) 343-0425 |
| Peak Resources-Wilmington, Inc | Wilmington, NC | 4.0 mi | 1 of 5 | 110 | (910) 362-3621 |
| Cypress Pointe Rehabilitation Center | Wilmington, NC | 4.8 mi | 5 of 5 | 90 | (910) 763-6271 |
Hospices serving Silver Lake
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Liberty Home Care And Hospice | Wilmington, NC | 5.8 mi | (910) 251-8111 |
| Lower Cape Fear Lifecare | Wilmington, NC | 6.1 mi | (910) 796-7900 |
| Ecu Health Home Health And Hospice | Kenansville, NC | 60 mi | (910) 293-3191 |
| Community Hospice LLC | New Bern, NC | 81 mi | (252) 672-8301 |
Straight-line miles from the center of Silver Lake. 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 Silver Lake
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 19% of the $6,995 monthly median income of Silver Lake 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 Silver Lake: common questions
What nursing homes are near Silver Lake?
The closest Medicare-certified nursing homes are Trinity Grove in Wilmington (1.0 mi, 3 of 5 overall); Autumn Care Of Myrtle Grove in Wilmington (1.1 mi, 1 of 5 overall); Azalea Health & Rehab Center in Wilmington (2.6 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Silver Lake?
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 19% of the $6,995 monthly median income of Silver Lake 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 Silver Lake
Dementia Care in nearby cities
- Dementia Care in Myrtle Grove, NC
- Dementia Care in Wilmington, NC
- Dementia Care in Carolina Beach, NC
- Dementia Care in Belville, NC
- Dementia Care in Wrightsville Beach, NC
- Dementia Care in Kings Grant, NC
- Dementia Care in Leland, NC
- Dementia Care in Wrightsboro, NC
- Dementia Care in Ogden, NC
- Dementia Care in Murraysville, NC
- Dementia Care in Northchase, NC
- Dementia Care in Boiling Spring Lakes, NC
- Dementia Care in Bayshore, NC
- Dementia Care in Skippers Corner, NC
- Dementia Care in Porters Neck, NC
- Dementia Care in Southport, NC
Other care in Silver Lake
- Companion Care in Silver Lake
- Respite Care in Silver Lake
- Live-In Caregivers in Silver Lake
- Post-Surgery Care in Silver Lake
- Senior Transportation in Silver Lake
- Home Health Aides in Silver Lake
- Nursing Assistants in Silver Lake
- Personal Care in Silver Lake
- Overnight Caregivers in Silver Lake
- 24-Hour Home Care in Silver Lake
- Mobility Assistance in Silver Lake
- Parkinson’s Care in Silver Lake
- Stroke Recovery Support in Silver Lake
- Disability Care for Adults in Silver Lake
- Hospice Support in Silver Lake
- Senior Meal Preparation in Silver Lake
- Senior Housekeeping in Silver Lake
- Medication Reminders in Silver Lake
- Veterans’ Home Care in Silver Lake
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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