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

Dementia Care in Smithfield, VA: the local picture
Smithfield has about 188 residents aged 85 or older among 1,645 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.
30% of residents 65 and older report a disability (30% in Isle of Wight County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
27% of older Smithfield 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.
Smithfield compared with Isle of Wight County and Virginia
| Census figure | Smithfield | Isle of Wight County | Virginia |
|---|---|---|---|
| Residents 85 or older | 2.1% | 1.7% | 1.7% |
| Residents 65 or older | 19% | 20% | 17% |
| Residents 65+ with a disability | 30% | 30% | 31% |
| Residents 65+ in households who live alone | 27% | 23% | 27% |
| Residents 65+ below the poverty line (approx.) | 6.9% | 8.0% | 8.8% |
| Residents 5+ who speak a language other than English at home | 3.0% | 4.2% | 17% |
| Median income, households headed by someone 65+ | $65,688 | $66,678 | — |
Older residents in towns around Smithfield
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Carrollton, VA | 5.6 mi | 983 | 22 |
| Newport News, VA | 8.8 mi | 25,916 | 2,672 |
| Windsor, VA | 13 mi | 555 | 52 |
| Bethel Manor, VA | 14 mi | 5 | 0 |
| Portsmouth, VA | 16 mi | 15,037 | 1,540 |
| Hampton, VA | 18 mi | 22,962 | 2,048 |
Nursing homes near Smithfield
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Riverside Lifelong Health & Rehab Smithfield | Smithfield, VA | 0.8 mi | 4 of 5 | 34 | (757) 357-3282 |
| Newport Post Acute | Newport News, VA | 9.3 mi | 4 of 5 | 60 | (757) 595-3733 |
| Atlantic View Post Acute | Newport News, VA | 9.7 mi | 2 of 5 | 154 | (757) 595-2273 |
| Newport News Nursing & Rehab | Newport News, VA | 11 mi | 1 of 5 | 102 | (757) 249-8880 |
| Langley Post Acute | Hampton, VA | 11 mi | 3 of 5 | 70 | (757) 826-4922 |
| Riverside Lifelong H & R Warwick Forest | Newport News, VA | 12 mi | 2 of 5 | 209 | (757) 875-2000 |
Hospices serving Smithfield
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Personal Touch Home Care & Hospice-Newport News | Newport News, VA | 9.7 mi | (757) 855-1355 |
| Gentiva Ii | Newport News, VA | 9.7 mi | (757) 874-1237 |
| Affinity Care Of Virginia LLC | Newport News, VA | 9.7 mi | (757) 330-8050 |
| Sentara Home Care Services - Newport News | Newport News, VA | 9.7 mi | (757) 736-0723 |
Straight-line miles from the center of Smithfield. 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 Smithfield
At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 23% of the $5,474 monthly median income of Smithfield households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Virginia's minimum wage is $12.77 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 Consumer directed care in Virginia: how relatives are paid to give care through CCC Plus.
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 Smithfield: common questions
What nursing homes are near Smithfield?
The closest Medicare-certified nursing homes are Riverside Lifelong Health & Rehab Smithfield in Smithfield (0.8 mi, 4 of 5 overall); Newport Post Acute in Newport News (9.3 mi, 4 of 5 overall); Atlantic View Post Acute in Newport News (9.7 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Smithfield?
At the Virginia median aide wage of $14.57 an hour, 20 hours of help a week comes to about $1,263 a month in wages, which is 23% of the $5,474 monthly median income of Smithfield households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Virginia's minimum wage is $12.77 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 Smithfield
Dementia Care in nearby cities
- Dementia Care in Carrollton, VA
- Dementia Care in Newport News, VA
- Dementia Care in Windsor, VA
- Dementia Care in Bethel Manor, VA
- Dementia Care in Portsmouth, VA
- Dementia Care in Hampton, VA
- Dementia Care in Suffolk, VA
- Dementia Care in Poquoson, VA
- Dementia Care in Norfolk, VA
- Dementia Care in Williamsburg, VA
- Dementia Care in Gloucester Point, VA
- Dementia Care in Chesapeake, VA
- Dementia Care in Franklin, VA
- Dementia Care in Gloucester Courthouse, VA
- Dementia Care in Virginia Beach, VA
- Dementia Care in Moyock, NC
Other care in Smithfield
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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