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

Dementia Care in Terrell Hills, TX: the local picture
Terrell Hills has about 92 residents aged 85 or older among 878 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.
31% of residents 65 and older report a disability (40% in Bexar County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
20% of older Terrell Hills 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.
Terrell Hills compared with Bexar County and Texas
| Census figure | Terrell Hills | Bexar County | Texas |
|---|---|---|---|
| Residents 85 or older | 1.8% | 1.4% | 1.4% |
| Residents 65 or older | 17% | 13% | 13% |
| Residents 65+ with a disability | 31% | 40% | 35% |
| Residents 65+ in households who live alone | 20% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 1.1% | 13% | 12% |
| Residents 5+ who speak a language other than English at home | 25% | 37% | 35% |
| Median income, households headed by someone 65+ | $145,625 | $56,300 | — |
Older residents in towns around Terrell Hills
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Alamo Heights, TX | 1.3 mi | 1,315 | 203 |
| Kirby, TX | 3.9 mi | 1,643 | 52 |
| Windcrest, TX | 4.7 mi | 1,792 | 300 |
| San Antonio, TX | 4.8 mi | 198,597 | 22,615 |
| Castle Hills, TX | 5.4 mi | 745 | 93 |
| Balcones Heights, TX | 6.2 mi | 339 | 3 |
Nursing homes near Terrell Hills
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Parklane West Healthcare Center | San Antonio, TX | 1.0 mi | 1 of 5 | 124 | (210) 829-1400 |
| The Village At Incarnate Word | San Antonio, TX | 1.1 mi | 4 of 5 | 60 | (210) 829-7561 |
| Northeast Rehabilitation And Healthcare Center | San Antonio, TX | 1.7 mi | 1 of 5 | 120 | (210) 824-7331 |
| Sage Park San Antonio | San Antonio, TX | 2.1 mi | 3 of 5 | 46 | (210) 930-1040 |
| Broadway Nursing & Rehabilitation | San Antonio, TX | 2.7 mi | 1 of 5 | 237 | (210) 828-0606 |
| San Pedro Manor | San Antonio, TX | 3.6 mi | 4 of 5 | 150 | (210) 732-5181 |
Hospices serving Terrell Hills
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Inspiration Hospice | San Antonio, TX | 0.6 mi | (210) 874-4999 |
| Gentle Partners In Hospice LLC | San Antonio, TX | 0.6 mi | (210) 908-9616 |
| Touchstone Health | San Antonio, TX | 0.6 mi | (210) 541-8884 |
| Gentiva Hospice | San Antonio, TX | 3.8 mi | (210) 738-8141 |
Straight-line miles from the center of Terrell Hills. 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 Terrell Hills
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 8% of the $12,135 monthly median income of Terrell Hills households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.
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 Terrell Hills: common questions
What nursing homes are near Terrell Hills?
The closest Medicare-certified nursing homes are Parklane West Healthcare Center in San Antonio (1.0 mi, 1 of 5 overall); The Village At Incarnate Word in San Antonio (1.1 mi, 4 of 5 overall); Northeast Rehabilitation And Healthcare Center in San Antonio (1.7 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Terrell Hills?
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 8% of the $12,135 monthly median income of Terrell Hills households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 Terrell Hills
Dementia Care in nearby cities
- Dementia Care in Alamo Heights, TX
- Dementia Care in Kirby, TX
- Dementia Care in Windcrest, TX
- Dementia Care in San Antonio, TX
- Dementia Care in Castle Hills, TX
- Dementia Care in Balcones Heights, TX
- Dementia Care in Live Oak, TX
- Dementia Care in Hollywood Park, TX
- Dementia Care in Converse, TX
- Dementia Care in Universal City, TX
- Dementia Care in Shavano Park, TX
- Dementia Care in Leon Valley, TX
- Dementia Care in Selma, TX
- Dementia Care in Lackland AFB, TX
- Dementia Care in Schertz, TX
- Dementia Care in Garden Ridge, TX
Other care in Terrell Hills
- Companion Care in Terrell Hills
- Respite Care in Terrell Hills
- Live-In Caregivers in Terrell Hills
- Post-Surgery Care in Terrell Hills
- Senior Transportation in Terrell Hills
- Home Health Aides in Terrell Hills
- Nursing Assistants in Terrell Hills
- Personal Care in Terrell Hills
- Overnight Caregivers in Terrell Hills
- 24-Hour Home Care in Terrell Hills
- Mobility Assistance in Terrell Hills
- Parkinson’s Care in Terrell Hills
- Stroke Recovery Support in Terrell Hills
- Disability Care for Adults in Terrell Hills
- Hospice Support in Terrell Hills
- Senior Meal Preparation in Terrell Hills
- Senior Housekeeping in Terrell Hills
- Medication Reminders in Terrell Hills
- Veterans’ Home Care in Terrell Hills
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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