Dementia Care in Spokane, WA: In-Home Alzheimer's Care

Local figures

Dementia Care in Spokane, WA: the local picture

4,923

residents 85 or older (2.1% of all residents)

38,258

residents 65 or older (17% of Spokane)

37%

of residents 65+ report a disability (35% in Spokane County)

6+

Medicare-certified nursing homes within 25 miles

Spokane has about 4,923 residents aged 85 or older among 38,258 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.

37% of residents 65 and older report a disability (35% in Spokane County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

38% of older Spokane 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.

Spokane compared with Spokane County and Washington

Census figure	Spokane	Spokane County	Washington
Residents 85 or older	2.1%	2.0%	1.8%
Residents 65 or older	17%	17%	17%
Residents 65+ with a disability	37%	35%	33%
Residents 65+ in households who live alone	38%	29%	26%
Residents 65+ below the poverty line (approx.)	13%	9.9%	8.9%
Residents 5+ who speak a language other than English at home	8.4%	7.8%	21%
Median income, households headed by someone 65+	$51,742	$57,920	—

Older residents in towns around Spokane

Town	Distance	Residents 65+	Residents 85+
Town and Country, WA	4.2 mi	1,034	214
Country Homes, WA	5.6 mi	866	99
Airway Heights, WA	6.9 mi	1,041	84
Mead, WA	8.7 mi	1,227	63
Spokane Valley, WA	9.3 mi	18,679	2,341
Fairchild AFB, WA	11 mi	0	0

Nursing homes near Spokane

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Spokane Veterans Home	Spokane, WA	1.5 mi	5 of 5	100	(509) 344-5770
Rockwood South Hill	Spokane, WA	1.6 mi	2 of 5	45	(509) 536-6650
South Hill Rehabilitation And Care Center	Spokane, WA	1.7 mi	5 of 5	113	(509) 474-5678
Emerson Health & Rehabilitation	Spokane, WA	2.0 mi	4 of 5	99	(509) 328-6030
Spokane Health & Rehabilitation	Spokane, WA	3.0 mi	1 of 5	125	(509) 326-8282
Spokane Falls Care	Spokane, WA	3.3 mi	1 of 5	100	(509) 489-3323

Hospices serving Spokane

Hospice	Office	Distance	Phone
Hospice Of Spokane	Spokane, WA	2.6 mi	(509) 456-0438
Horizon Hospice	Spokane, WA	6.2 mi	(509) 489-4581
Gentiva	Liberty Lake, WA	16 mi	(509) 789-4377
Eden Hospice At The Inland Northwest LLC	Ponderay, ID	61 mi	(208) 946-6873

Straight-line miles from the center of Spokane. 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 Spokane

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 46% of the $4,312 monthly median income of Spokane households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 Spokane: common questions

What nursing homes are near Spokane?

The closest Medicare-certified nursing homes are Spokane Veterans Home in Spokane (1.5 mi, 5 of 5 overall); Rockwood South Hill in Spokane (1.6 mi, 2 of 5 overall); South Hill Rehabilitation And Care Center in Spokane (1.7 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Spokane?

At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 46% of the $4,312 monthly median income of Spokane households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 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 near Spokane

More senior care near Spokane

Dementia Care in nearby cities

Other care in Spokane

More for Spokane families

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.

In-Home Dementia and Alzheimer's Care in Spokane, WA