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

Local figures

Dementia Care in Van Alstyne, TX: the local picture

174

residents 85 or older (2.9% of all residents)

1,091

residents 65 or older (18% of Van Alstyne)

19%

of residents 65+ report a disability (34% in Grayson County)

6+

Medicare-certified nursing homes within 25 miles

Van Alstyne has about 174 residents aged 85 or older among 1,091 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.

19% of residents 65 and older report a disability (34% in Grayson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

28% of older Van Alstyne 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.

Van Alstyne compared with Grayson County and Texas

Census figure	Van Alstyne	Grayson County	Texas
Residents 85 or older	2.9%	2.2%	1.4%
Residents 65 or older	18%	18%	13%
Residents 65+ with a disability	19%	34%	35%
Residents 65+ in households who live alone	28%	27%	25%
Residents 65+ below the poverty line (approx.)	5.6%	10%	12%
Residents 5+ who speak a language other than English at home	15%	12%	35%
Median income, households headed by someone 65+	$96,127	$54,577	—

Older residents in towns around Van Alstyne

Town	Distance	Residents 65+	Residents 85+
Anna, TX	5.4 mi	1,358	116
Howe, TX	6.2 mi	275	35
Melissa, TX	9.3 mi	1,344	277
Celina, TX	14 mi	3,231	157
Sherman, TX	15 mi	7,338	1,093
McKinney, TX	16 mi	21,644	2,816

Nursing homes near Van Alstyne

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Meadowbrook Care Center	Van Alstyne, TX	0.1 mi	3 of 5	60	(903) 482-6455
Cedar Hollow Rehabilitation Center	Sherman, TX	11 mi	3 of 5	142	(903) 771-2000
Settlers Ridge Care Center	Celina, TX	12 mi	4 of 5	128	(972) 382-8600
North Park Health And Rehabilitation Center	Mckinney, TX	14 mi	3 of 5	140	(972) 562-7969
Focused Care At Sherman	Sherman, TX	14 mi	1 of 5	116	(903) 893-6348
Park Manor Of Mckinney	Mckinney, TX	15 mi	2 of 5	138	(972) 562-8880

Hospices serving Van Alstyne

Hospice	Office	Distance	Phone
Birdie Hospice	Sherman, TX	15 mi	(903) 771-4648
Guardian Hospice	Sherman, TX	15 mi	(903) 868-0267
Heart To Heart Hospice Of North Texas LLC	Sherman, TX	15 mi	(903) 892-6406
Centric Hospice	Sherman, TX	15 mi	(855) 942-3687

Straight-line miles from the center of Van Alstyne. 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 Van Alstyne

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 13% of the $8,011 monthly median income of Van Alstyne 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 Van Alstyne: common questions

What nursing homes are near Van Alstyne?

The closest Medicare-certified nursing homes are Meadowbrook Care Center in Van Alstyne (0.1 mi, 3 of 5 overall); Cedar Hollow Rehabilitation Center in Sherman (11 mi, 3 of 5 overall); Settlers Ridge Care Center in Celina (12 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Van Alstyne?

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 13% of the $8,011 monthly median income of Van Alstyne 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 Van Alstyne

More senior care near Van Alstyne

Dementia Care in nearby cities

Other care in Van Alstyne

More for Van Alstyne 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 Van Alstyne, TX