Dementia Care in Valley City, ND: In-Home Alzheimer's Care

Local figures

Dementia Care in Valley City, ND: the local picture

336

residents 85 or older (5.1% of all residents)

1,510

residents 65 or older (23% of Valley City)

34%

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

1

Medicare-certified nursing homes within 25 miles

Valley City has about 336 residents aged 85 or older among 1,510 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.

34% of residents 65 and older report a disability (30% in Barnes County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

44% of older Valley City 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.

Valley City compared with Barnes County and North Dakota

Census figure	Valley City	Barnes County	North Dakota
Residents 85 or older	5.1%	3.9%	2.2%
Residents 65 or older	23%	23%	17%
Residents 65+ with a disability	34%	30%	31%
Residents 65+ in households who live alone	44%	36%	33%
Residents 65+ below the poverty line (approx.)	20%	14%	9.9%
Residents 5+ who speak a language other than English at home	4.8%	3.6%	6.7%
Median income, households headed by someone 65+	$41,733	$51,500	—

Older residents in towns around Valley City

Town	Distance	Residents 65+	Residents 85+
Jamestown, ND	33 mi	3,200	637
Casselton, ND	37 mi	293	30
West Fargo, ND	52 mi	4,963	637
Horace, ND	53 mi	294	0
Fargo, ND	56 mi	17,510	2,108
Moorhead, MN	60 mi	5,703	928

Nursing homes near Valley City

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Smp Health - St Raphael	Valley City, ND	0.7 mi	3 of 5	170	(701) 845-8222

Hospices serving Valley City

Hospice	Office	Distance	Phone
Chi Health At Home - Hospice	Valley City, ND	0.3 mi	(855) 860-3464
Hia Hospice	Fargo, ND	56 mi	(701) 356-1500

Straight-line miles from the center of Valley City. 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 Valley City

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 47% of the $3,478 monthly median income of Valley City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 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 Valley City: common questions

What nursing homes are near Valley City?

The closest Medicare-certified nursing homes are Smp Health - St Raphael in Valley City (0.7 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Valley City?

At the North Dakota median aide wage of $18.96 an hour, 20 hours of help a week comes to about $1,643 a month in wages, which is 47% of the $3,478 monthly median income of Valley City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. North Dakota'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 Valley City

More senior care near Valley City

Dementia Care in nearby cities

Other care in Valley City

More for Valley City 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 Valley City, ND