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

Local figures

Dementia Care in Troy, TX: the local picture

28

residents 85 or older (1.0% of all residents)

394

residents 65 or older (14% of Troy)

59%

of residents 65+ report a disability (38% in Bell County)

6+

Medicare-certified nursing homes within 25 miles

Troy has about 28 residents aged 85 or older among 394 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.

59% of residents 65 and older report a disability (38% in Bell County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

25% 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 Bell County and Texas

Census figure	Troy	Bell County	Texas
Residents 85 or older	1.0%	1.3%	1.4%
Residents 65 or older	14%	12%	13%
Residents 65+ with a disability	59%	38%	35%
Residents 65+ in households who live alone	25%	26%	25%
Residents 65+ below the poverty line (approx.)	7.4%	11%	12%
Residents 5+ who speak a language other than English at home	4.6%	19%	35%
Median income, households headed by someone 65+	$36,134	$54,865	—

Older residents in towns around Troy

Town	Distance	Residents 65+	Residents 85+
Temple, TX	8.1 mi	13,547	1,930
Morgan's Point Resort, TX	9.8 mi	652	20
Belton, TX	14 mi	3,379	499
McGregor, TX	17 mi	858	121
Hewitt, TX	19 mi	3,097	169
Nolanville, TX	20 mi	682	27

Nursing homes near Troy

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Avir At Western Hills	Temple, TX	7.1 mi	2 of 5	120	(254) 742-7500
Avir At Adams	Temple, TX	7.4 mi	1 of 5	118	(254) 773-1626
Baylor Scott & White Continuing Care Hospital Skil	Temple, TX	8.1 mi	5 of 5	23	(254) 771-8200
William R Courtney Texas State Veterans Home	Temple, TX	8.2 mi	1 of 5	160	(254) 791-8280
Wellington Rehabilitation And Healthcare	Temple, TX	8.5 mi	2 of 5	124	(254) 778-4231
Avir At Weston	Temple, TX	9.1 mi	1 of 5	120	(254) 298-7300

Hospices serving Troy

Hospice	Office	Distance	Phone
Gentle Transitions Hospice	Moody, TX	7.7 mi	(254) 598-1389
Gentiva	Temple, TX	8.0 mi	(254) 742-2000
Enhabit Hospice	Temple, TX	10 mi	(254) 677-7377
Baylor Scott & White Hospice - Temple	Temple, TX	10 mi	(254) 724-4090

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 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 34% of the $3,011 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. 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.

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 Avir At Western Hills in Temple (7.1 mi, 2 of 5 overall); Avir At Adams in Temple (7.4 mi, 1 of 5 overall); Baylor Scott & White Continuing Care Hospital Skil in Temple (8.1 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Troy?

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 34% of the $3,011 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. 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 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 (small-place figures carry wide margins of error); 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, TX