Dementia Care in Troy, MO: In-Home Alzheimer's Care

Local figures

Dementia Care in Troy, MO: the local picture

289

residents 85 or older (2.1% of all residents)

2,050

residents 65 or older (15% of Troy)

50%

of residents 65+ report a disability (37% in Lincoln County)

6+

Medicare-certified nursing homes within 25 miles

Troy has about 289 residents aged 85 or older among 2,050 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.

50% of residents 65 and older report a disability (37% in Lincoln County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

31% of older Troy 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.

Troy compared with Lincoln County and Missouri

Census figure	Troy	Lincoln County	Missouri
Residents 85 or older	2.1%	1.3%	2.0%
Residents 65 or older	15%	15%	18%
Residents 65+ with a disability	50%	37%	34%
Residents 65+ in households who live alone	31%	27%	30%
Residents 65+ below the poverty line (approx.)	15%	12%	10%
Residents 5+ who speak a language other than English at home	4.5%	2.7%	6.7%
Median income, households headed by someone 65+	$45,805	$55,188	—

Older residents in towns around Troy

Town	Distance	Residents 65+	Residents 85+
Moscow Mills, MO	2.9 mi	389	74
Wright City, MO	10 mi	799	22
Wentzville, MO	12 mi	6,519	480
Warrenton, MO	14 mi	1,425	229
St. Paul, MO	15 mi	418	25
Lake St. Louis, MO	16 mi	3,712	270

Nursing homes near Troy

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Troy Manor	Troy, MO	0.7 mi	2 of 5	130	(636) 528-8446
Lincoln County Nursing & Rehab	Troy, MO	1.1 mi	not rated	90	(636) 528-5712
Warrenton Manor	Wright City, MO	13 mi	1 of 5	120	(636) 456-8700
Elsberry Missouri Health Care Center	Elsberry, MO	14 mi	4 of 5	56	(573) 898-2880
Cottages Of Lake St Louis	Lake Saint Louis, MO	17 mi	4 of 5	60	(636) 614-3510
Abbey Senior Health	O Fallon, MO	18 mi	3 of 5	55	(636) 240-5754

Hospices serving Troy

Hospice	Office	Distance	Phone
Community Loving Care Hospice	Wentzville, MO	13 mi	(636) 639-6280
Ssm Health At Home Hospice	Wentzville, MO	13 mi	(636) 695-2050
Solace Hospice Care, LLC	O'fallon, MO	20 mi	(636) 220-4050
St Croix Hospice	Saint Peters, MO	23 mi	(636) 926-3722

Straight-line miles from the center of Troy. 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 Troy

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 36% of the $3,817 monthly median income of Troy households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.

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 Troy: common questions

What nursing homes are near Troy?

The closest Medicare-certified nursing homes are Troy Manor in Troy (0.7 mi, 2 of 5 overall); Lincoln County Nursing & Rehab in Troy (1.1 mi, not rated overall); Warrenton Manor in Wright City (13 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Troy?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 36% of the $3,817 monthly median income of Troy households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri'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 Troy

More senior care near Troy

Dementia Care in nearby cities

Other care in Troy

More for Troy 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 Troy, MO