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

Local figures

Dementia Care in Troy, OH: the local picture

350

residents 85 or older (1.3% of all residents)

4,446

residents 65 or older (17% of Troy)

37%

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

6+

Medicare-certified nursing homes within 25 miles

Troy has about 350 residents aged 85 or older among 4,446 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.

37% of residents 65 and older report a disability (30% in Miami County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

38% 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 Miami County and Ohio

Census figure	Troy	Miami County	Ohio
Residents 85 or older	1.3%	2.0%	2.1%
Residents 65 or older	17%	19%	18%
Residents 65+ with a disability	37%	30%	33%
Residents 65+ in households who live alone	38%	30%	32%
Residents 65+ below the poverty line (approx.)	11%	7.9%	10%
Residents 5+ who speak a language other than English at home	5.3%	3.3%	8.0%
Median income, households headed by someone 65+	$47,609	$55,659	—

Older residents in towns around Troy

Town	Distance	Residents 65+	Residents 85+
Tipp City, OH	5.6 mi	2,152	212
Piqua, OH	7.4 mi	3,436	292
West Milton, OH	7.9 mi	981	68
Covington, OH	8.6 mi	586	96
Union, OH	10 mi	1,469	186
Vandalia, OH	11 mi	2,740	231

Nursing homes near Troy

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Troy Rehabilitation And Healthcare Center	Troy, OH	0.3 mi	2 of 5	155	(937) 335-7161
Vancrest-Upper Valley	Troy, OH	3.5 mi	3 of 5	127	(937) 440-7663
Springmeade Healthcenter	Tipp City, OH	4.6 mi	2 of 5	99	(937) 667-7500
Ayden Healthcare Of Piqua	Piqua, OH	7.4 mi	1 of 5	99	(937) 773-9346
Piqua Manor	Piqua, OH	7.9 mi	3 of 5	99	(937) 773-0040
Stillwater Skilled Nursing And Rehabilitation	Covington, OH	8.3 mi	2 of 5	75	(937) 473-2075

Hospices serving Troy

Hospice	Office	Distance	Phone
Hospice Of Miami County Inc	Troy, OH	1.0 mi	(937) 335-5191
Interim Healthcare Hospice Of Dayton	Huber Heights, OH	15 mi	(614) 436-9404
Ohio Valley Hospice	Beavercreek, OH	22 mi	(937) 458-6028
Everheart Hospice	Greenville, OH	22 mi	(937) 548-2999

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 Ohio median aide wage of $16.57 an hour, 20 hours of help a week comes to about $1,436 a month in wages, which is 36% of the $3,967 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. Ohio's minimum wage is $11.00 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 Troy: common questions

What nursing homes are near Troy?

The closest Medicare-certified nursing homes are Troy Rehabilitation And Healthcare Center in Troy (0.3 mi, 2 of 5 overall); Vancrest-Upper Valley in Troy (3.5 mi, 3 of 5 overall); Springmeade Healthcenter in Tipp City (4.6 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Troy?

At the Ohio median aide wage of $16.57 an hour, 20 hours of help a week comes to about $1,436 a month in wages, which is 36% of the $3,967 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. Ohio's minimum wage is $11.00 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, OH