In-Home Dementia and Alzheimer's Care in Silver Spring, MD
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 Spring for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Silver Spring, MD: the local picture
Silver Spring has about 899 residents aged 85 or older among 9,828 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.
25% of residents 65 and older report a disability (26% in Montgomery County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
31% of older Silver Spring 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 Spring compared with Montgomery County and Maryland
| Census figure | Silver Spring | Montgomery County | Maryland |
|---|---|---|---|
| Residents 85 or older | 1.1% | 2.2% | 1.9% |
| Residents 65 or older | 12% | 17% | 17% |
| Residents 65+ with a disability | 25% | 26% | 30% |
| Residents 65+ in households who live alone | 31% | 23% | 27% |
| Residents 65+ below the poverty line (approx.) | 6.7% | 7.4% | 9.5% |
| Residents 5+ who speak a language other than English at home | 44% | 43% | 21% |
| Median income, households headed by someone 65+ | $94,154 | $109,242 | — |
Older residents in towns around Silver Spring
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Four Corners, MD | 1.6 mi | 1,116 | 142 |
| Forest Glen, MD | 1.7 mi | 1,287 | 178 |
| Takoma Park, MD | 1.8 mi | 2,635 | 177 |
| Langley Park, MD | 2.3 mi | 1,231 | 93 |
| Burnt Mills, MD | 2.5 mi | 500 | 105 |
| South Kensington, MD | 2.6 mi | 1,612 | 315 |
Nursing homes near Silver Spring
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Woodside Rehab & Nursing | Silver Spring, MD | 1.2 mi | 3 of 5 | 92 | (301) 588-5544 |
| Fox Chase Healthcare | Silver Spring, MD | 1.3 mi | 1 of 5 | 87 | (301) 587-2400 |
| Althea Woodland Nursing Home | Silver Spring, MD | 1.6 mi | 4 of 5 | 50 | (301) 434-2646 |
| Sligo Creek Healthcare | Takoma Park, MD | 1.7 mi | 3 of 5 | 102 | (301) 270-4200 |
| Autumn Lake Healthcare At Arcola | Silver Spring, MD | 2.3 mi | 4 of 5 | 151 | (301) 649-2400 |
| Autumn Lake Healthcare At Chevy Chase | Chevy Chase, MD | 2.4 mi | 3 of 5 | 172 | (301) 657-8686 |
Hospices serving Silver Spring
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Holy Cross Home Care And Hospice | Silver Spring, MD | 1.4 mi | (301) 557-4663 |
| Capital Hospice | Washington, DC | 3.6 mi | (202) 244-8300 |
| Heartland Hospice (Beltsville) | Beltsville, MD | 6.0 mi | (240) 264-1692 |
| Vitas Innovative Hospice Care Of Greater Wash, DC | Washington, DC | 7.1 mi | (202) 414-5411 |
Straight-line miles from the center of Silver Spring. 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 Spring
At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 20% of the $7,846 monthly median income of Silver Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland's minimum wage is $15.00 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 Spring: common questions
What nursing homes are near Silver Spring?
The closest Medicare-certified nursing homes are Woodside Rehab & Nursing in Silver Spring (1.2 mi, 3 of 5 overall); Fox Chase Healthcare in Silver Spring (1.3 mi, 1 of 5 overall); Althea Woodland Nursing Home in Silver Spring (1.6 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Silver Spring?
At the Maryland median aide wage of $18.29 an hour, 20 hours of help a week comes to about $1,585 a month in wages, which is 20% of the $7,846 monthly median income of Silver Spring households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Maryland's minimum wage is $15.00 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 Spring
Dementia Care in nearby cities
- Dementia Care in Four Corners, MD
- Dementia Care in Forest Glen, MD
- Dementia Care in Takoma Park, MD
- Dementia Care in Langley Park, MD
- Dementia Care in Burnt Mills, MD
- Dementia Care in South Kensington, MD
- Dementia Care in Kemp Mill, MD
- Dementia Care in Adelphi, MD
- Dementia Care in Hillandale, MD
- Dementia Care in Chevy Chase, MD
- Dementia Care in Chillum, MD
- Dementia Care in White Oak, MD
- Dementia Care in North Kensington, MD
- Dementia Care in Wheaton, MD
- Dementia Care in Hyattsville, MD
- Dementia Care in Friendship Heights Village, MD
Other care in Silver Spring
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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