Dementia Care in St. Johnsbury, VT: In-Home Alzheimer's Care

Local figures

Dementia Care in St. Johnsbury, VT: the local picture

132

residents 85 or older (2.3% of all residents)

1,208

residents 65 or older (21% of St. Johnsbury)

29%

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

6+

Medicare-certified nursing homes within 25 miles

St. Johnsbury has about 132 residents aged 85 or older among 1,208 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.

29% of residents 65 and older report a disability (35% in Caledonia County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

47% of older St. Johnsbury 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. Johnsbury compared with Caledonia County and Vermont

Census figure	St. Johnsbury	Caledonia County	Vermont
Residents 85 or older	2.3%	2.1%	2.2%
Residents 65 or older	21%	23%	21%
Residents 65+ with a disability	29%	35%	29%
Residents 65+ in households who live alone	47%	27%	30%
Residents 65+ below the poverty line (approx.)	11%	8.5%	8.7%
Residents 5+ who speak a language other than English at home	9.8%	4.5%	5.5%
Median income, households headed by someone 65+	$47,860	$49,036	—

Older residents in towns around St. Johnsbury

Town	Distance	Residents 65+	Residents 85+
Littleton, NH	14 mi	710	116
Barre, VT	29 mi	1,635	223
Morrisville, VT	30 mi	557	99
Montpelier, VT	30 mi	1,949	167
Berlin, NH	36 mi	1,886	266
Newport, VT	36 mi	1,132	210

Nursing homes near St. Johnsbury

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
St. Johnsbury Health & Rehab	Saint Johnsbury, VT	1.0 mi	1 of 5	99	(802) 748-8757
Pines Rehab & Health Center	Lyndonville, VT	5.8 mi	4 of 5	60	(802) 626-3367
Greensboro Nursing Home	Greensboro, VT	17 mi	4 of 5	30	(802) 533-7051
Lafayette Center	Franconia, NH	19 mi	1 of 5	72	(603) 823-5502
Union House Nursing Home	Glover, VT	19 mi	4 of 5	44	(802) 525-6600
Morrison Nursing Home	Whitefield, NH	20 mi	4 of 5	57	(603) 837-2541

Hospices serving St. Johnsbury

Hospice	Office	Distance	Phone
Caledonia Home Health Care	Saint Johnsbury, VT	0.3 mi	(802) 748-8116
Central Vermont Home Health & Hospice	Barre, VT	29 mi	(802) 224-2265
Bayada Hospice	Rutland, VT	74 mi	(802) 857-5030

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

At the Vermont median aide wage of $20.00 an hour, 20 hours of help a week comes to about $1,733 a month in wages, which is 43% of the $3,988 monthly median income of St. Johnsbury households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Vermont's minimum wage is $14.42 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 St. Johnsbury: common questions

What nursing homes are near St. Johnsbury?

The closest Medicare-certified nursing homes are St. Johnsbury Health & Rehab in Saint Johnsbury (1.0 mi, 1 of 5 overall); Pines Rehab & Health Center in Lyndonville (5.8 mi, 4 of 5 overall); Greensboro Nursing Home in Greensboro (17 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in St. Johnsbury?

At the Vermont median aide wage of $20.00 an hour, 20 hours of help a week comes to about $1,733 a month in wages, which is 43% of the $3,988 monthly median income of St. Johnsbury households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Vermont's minimum wage is $14.42 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. Johnsbury

More senior care near St. Johnsbury

Dementia Care in nearby cities

Other care in St. Johnsbury

More for St. Johnsbury 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. Johnsbury, VT