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

Dementia Care in Steilacoom, WA: the local picture
Steilacoom has about 107 residents aged 85 or older among 1,270 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.
32% of residents 65 and older report a disability (36% in Pierce County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
24% of older Steilacoom 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.
Steilacoom compared with Pierce County and Washington
| Census figure | Steilacoom | Pierce County | Washington |
|---|---|---|---|
| Residents 85 or older | 1.6% | 1.5% | 1.8% |
| Residents 65 or older | 19% | 15% | 17% |
| Residents 65+ with a disability | 32% | 36% | 33% |
| Residents 65+ in households who live alone | 24% | 25% | 26% |
| Residents 65+ below the poverty line (approx.) | 5.1% | 8.8% | 8.9% |
| Residents 5+ who speak a language other than English at home | 10% | 16% | 21% |
| Median income, households headed by someone 65+ | $101,827 | $70,061 | — |
Older residents in towns around Steilacoom
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Lakewood, WA | 3.0 mi | 10,825 | 1,405 |
| North Fort Lewis, WA | 3.3 mi | 0 | 0 |
| University Place, WA | 3.8 mi | 6,796 | 720 |
| DuPont, WA | 5.0 mi | 1,027 | 57 |
| Fort Lewis, WA | 5.2 mi | 26 | 0 |
| McChord AFB, WA | 5.4 mi | 0 | 0 |
Nursing homes near Steilacoom
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Agility Health And Rehabilitation | University Place, WA | 3.9 mi | 3 of 5 | 120 | (253) 566-7166 |
| The Oaks At Lakewood | Tacoma, WA | 4.5 mi | 5 of 5 | 80 | (253) 581-9002 |
| Birch Creek Post Acute & Rehabilitation | Tacoma, WA | 5.0 mi | 1 of 5 | 124 | (253) 474-8421 |
| Orchard Park Health Care & Rehab Center | Tacoma, WA | 5.3 mi | 1 of 5 | 147 | (253) 475-4611 |
| Alaska Gardens Health And Rehabilitation | Tacoma, WA | 6.6 mi | 1 of 5 | 123 | (253) 476-5300 |
| Avamere Transitional Care Of Puget Sound | Tacoma, WA | 6.8 mi | 4 of 5 | 60 | (253) 671-7300 |
Hospices serving Steilacoom
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Franciscan Hospice | University Place, WA | 4.8 mi | (253) 534-7000 |
| Puget Sound Hospice | Tacoma, WA | 5.7 mi | (253) 581-9410 |
| Envision Hospice | Tacoma, WA | 8.1 mi | (360) 350-4875 |
| Multicare Hospice | Tacoma, WA | 9.2 mi | (253) 301-6400 |
Straight-line miles from the center of Steilacoom. 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 Steilacoom
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 23% of the $8,486 monthly median income of Steilacoom 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.
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 Steilacoom: common questions
What nursing homes are near Steilacoom?
The closest Medicare-certified nursing homes are Agility Health And Rehabilitation in University Place (3.9 mi, 3 of 5 overall); The Oaks At Lakewood in Tacoma (4.5 mi, 5 of 5 overall); Birch Creek Post Acute & Rehabilitation in Tacoma (5.0 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Steilacoom?
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 23% of the $8,486 monthly median income of Steilacoom 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 senior care near Steilacoom
Dementia Care in nearby cities
- Dementia Care in Lakewood, WA
- Dementia Care in North Fort Lewis, WA
- Dementia Care in University Place, WA
- Dementia Care in DuPont, WA
- Dementia Care in Fort Lewis, WA
- Dementia Care in McChord AFB, WA
- Dementia Care in Fircrest, WA
- Dementia Care in Fox Island, WA
- Dementia Care in Parkland, WA
- Dementia Care in Wollochet, WA
- Dementia Care in Tacoma, WA
- Dementia Care in Midland, WA
- Dementia Care in Longbranch, WA
- Dementia Care in Spanaway, WA
- Dementia Care in Artondale, WA
- Dementia Care in Clover Creek, WA
Other care in Steilacoom
- Companion Care in Steilacoom
- Respite Care in Steilacoom
- Live-In Caregivers in Steilacoom
- Post-Surgery Care in Steilacoom
- Senior Transportation in Steilacoom
- Home Health Aides in Steilacoom
- Nursing Assistants in Steilacoom
- Personal Care in Steilacoom
- Overnight Caregivers in Steilacoom
- 24-Hour Home Care in Steilacoom
- Mobility Assistance in Steilacoom
- Parkinson’s Care in Steilacoom
- Stroke Recovery Support in Steilacoom
- Disability Care for Adults in Steilacoom
- Hospice Support in Steilacoom
- Senior Meal Preparation in Steilacoom
- Senior Housekeeping in Steilacoom
- Medication Reminders in Steilacoom
- Veterans’ Home Care in Steilacoom
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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