Dementia Care in Topsfield, MA: In-Home Alzheimer's Care

Local figures

Dementia Care in Topsfield, MA: the local picture

94

residents 85 or older (3.6% of all residents)

564

residents 65 or older (21% of Topsfield)

32%

of residents 65+ report a disability (30% in Essex County)

6+

Medicare-certified nursing homes within 25 miles

Topsfield has about 94 residents aged 85 or older among 564 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 (30% in Essex County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

31% of older Topsfield 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.

Topsfield compared with Essex County and Massachusetts

Census figure	Topsfield	Essex County	Massachusetts
Residents 85 or older	3.6%	2.2%	2.2%
Residents 65 or older	21%	18%	18%
Residents 65+ with a disability	32%	30%	30%
Residents 65+ in households who live alone	31%	29%	29%
Residents 65+ below the poverty line (approx.)	6.4%	11%	11%
Residents 5+ who speak a language other than English at home	3.8%	29%	25%

Older residents in towns around Topsfield

Town	Distance	Residents 65+	Residents 85+
Danvers, MA	4.5 mi	6,337	828
Ipswich, MA	7.2 mi	640	71
Peabody, MA	7.3 mi	13,277	3,016
Beverly, MA	8.0 mi	8,270	1,276
Lynnfield, MA	8.4 mi	2,338	298
Andover, MA	9.6 mi	1,732	190

Nursing homes near Topsfield

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Masconomet Rehabilitation And Healthcare Center	Topsfield, MA	0.9 mi	3 of 5	123	(978) 887-7002
Hathorne Hill Rehabilitation And Healthcare Center	Danvers, MA	4.2 mi	4 of 5	120	(978) 716-3600
Hunt Nursing & Rehab Center	Danvers, MA	4.5 mi	4 of 5	120	(978) 621-9757
Twin Oaks Center	Danvers, MA	4.7 mi	1 of 5	101	(978) 777-0011
Brentwood Rehabilitation And Healthcare Ctr (The)	Danvers, MA	5.5 mi	4 of 5	159	(978) 777-2700
Andover Forest Post Acute Care Center	North Andover, MA	6.1 mi	3 of 5	142	(978) 688-1212

Hospices serving Topsfield

Hospice	Office	Distance	Phone
Beth Israel Lahey Health At Home	Danvers, MA	4.9 mi	(781) 756-2488
Care Dimensions, Inc	Danvers, MA	4.9 mi	(978) 822-3846
Compassus - Southern Massachusetts	North Andover, MA	8.4 mi	(978) 777-8222
All Care Hospice Inc	Lynn, MA	12 mi	(781) 586-1608

Straight-line miles from the center of Topsfield. 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 Topsfield

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts's minimum wage is $15.00 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 Topsfield: common questions

What nursing homes are near Topsfield?

The closest Medicare-certified nursing homes are Masconomet Rehabilitation And Healthcare Center in Topsfield (0.9 mi, 3 of 5 overall); Hathorne Hill Rehabilitation And Healthcare Center in Danvers (4.2 mi, 4 of 5 overall); Hunt Nursing & Rehab Center in Danvers (4.5 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Topsfield?

At the Massachusetts median aide wage of $19.67 an hour, 20 hours of help a week comes to about $1,705 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Massachusetts's minimum wage is $15.00 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 Topsfield

More senior care near Topsfield

Dementia Care in nearby cities

Other care in Topsfield

More for Topsfield 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 Topsfield, MA