Dementia Care in St. Helena, CA: In-Home Alzheimer's Care

Local figures

Dementia Care in St. Helena, CA: the local picture

195

residents 85 or older (3.7% of all residents)

1,739

residents 65 or older (33% of St. Helena)

20%

of residents 65+ report a disability (32% in Napa County)

6+

Medicare-certified nursing homes within 25 miles

St. Helena has about 195 residents aged 85 or older among 1,739 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.

20% of residents 65 and older report a disability (32% in Napa County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

23% of older St. Helena 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.

St. Helena compared with Napa County and California

Census figure	St. Helena	Napa County	California
Residents 85 or older	3.7%	2.7%	1.9%
Residents 65 or older	33%	21%	16%
Residents 65+ with a disability	20%	32%	33%
Residents 65+ in households who live alone	23%	25%	23%
Residents 65+ below the poverty line (approx.)	11%	8.5%	12%
Residents 5+ who speak a language other than English at home	32%	34%	44%
Median income, households headed by someone 65+	$111,897	$84,991	—

Older residents in towns around St. Helena

Town	Distance	Residents 65+	Residents 85+
Angwin, CA	4.6 mi	354	14
Calistoga, CA	7.8 mi	1,287	114
Yountville, CA	9.9 mi	1,701	445
Fetters Hot Springs-Agua Caliente, CA	13 mi	441	17
Santa Rosa, CA	14 mi	33,650	4,431
Boyes Hot Springs, CA	14 mi	1,198	60

Nursing homes near St. Helena

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Veterans Home Of California - Yountville - SNF	Yountville, CA	10 mi	5 of 5	274	(707) 944-4600
Spring Lake Village	Santa Rosa, CA	10 mi	5 of 5	70	(707) 538-8400
Summerfield Health Care Center	Santa Rosa, CA	11 mi	5 of 5	70	(707) 539-1515
Park View Post Acute	Santa Rosa, CA	12 mi	2 of 5	116	(707) 525-1250
Santa Rosa Post Acute	Santa Rosa, CA	12 mi	3 of 5	99	(707) 546-0471
Blue Oak Post-Acute	Santa Rosa, CA	14 mi	2 of 5	181	(707) 544-7750

Hospices serving St. Helena

Hospice	Office	Distance	Phone
Providence At Home With Compassus Hospice And Palliative Care Napa Valley	Napa, CA	18 mi	(707) 258-9080
Anchor Health	Petaluma, CA	20 mi	(415) 598-0944
By The Bay Health	Larkspur, CA	40 mi	(415) 927-2273
Continuum Care Hospice LLC	Concord, CA	44 mi	(510) 560-2012

Straight-line miles from the center of St. Helena. 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 St. Helena

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 16% of the $9,325 monthly median income of St. Helena households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 How to get paid to care for a family member in California: IHSS, VA, Paid Family Leave.

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 St. Helena: common questions

What nursing homes are near St. Helena?

The closest Medicare-certified nursing homes are Veterans Home Of California - Yountville - SNF in Yountville (10 mi, 5 of 5 overall); Spring Lake Village in Santa Rosa (10 mi, 5 of 5 overall); Summerfield Health Care Center in Santa Rosa (11 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in St. Helena?

At the California minimum wage of $16.90 an hour (the May 2025 median aide wage, $16.50, is now below it), 20 hours of help a week comes to about $1,465 a month in wages, which is 16% of the $9,325 monthly median income of St. Helena households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. California's minimum wage is $16.90 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 St. Helena

More senior care near St. Helena

Dementia Care in nearby cities

Other care in St. Helena

More for St. Helena 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 St. Helena, CA