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

Local figures

Dementia Care in Van, TX: the local picture

22

residents 85 or older (0.8% of all residents)

361

residents 65 or older (13% of Van)

19%

of residents 65+ report a disability (33% in Van Zandt County)

6+

Medicare-certified nursing homes within 25 miles

Van has about 22 residents aged 85 or older among 361 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 (33% in Van Zandt County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

32% of older Van 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 compared with Van Zandt County and Texas

Census figure	Van	Van Zandt County	Texas
Residents 85 or older	0.8%	2.2%	1.4%
Residents 65 or older	13%	20%	13%
Residents 65+ with a disability	19%	33%	35%
Residents 65+ in households who live alone	32%	26%	25%
Residents 65+ below the poverty line (approx.)	18%	11%	12%
Residents 5+ who speak a language other than English at home	5.7%	10%	35%
Median income, households headed by someone 65+	$36,000	$44,462	—

Older residents in towns around Van

Town	Distance	Residents 65+	Residents 85+
Hideaway, TX	11 mi	1,059	149
Grand Saline, TX	11 mi	730	130
Mineola, TX	13 mi	1,412	273
Canton, TX	13 mi	819	119
Lindale, TX	14 mi	1,182	190
Chandler, TX	18 mi	1,368	295

Nursing homes near Van

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Van Healthcare	Van, TX	0.3 mi	4 of 5	60	(903) 963-8641
Avir At Bradburn	Grand Saline, TX	11 mi	1 of 5	76	(903) 962-4234
Azalea Trail Nursing And Rehabilitation Center	Grand Saline, TX	11 mi	4 of 5	72	(903) 962-4226
Avir At Grand Saline	Grand Saline, TX	12 mi	2 of 5	120	(903) 962-7595
Canton Oaks	Canton, TX	13 mi	4 of 5	120	(903) 567-0444
Mineola Gardens Wellness & Rehabilitation	Mineola, TX	13 mi	1 of 5	82	(903) 569-5366

Hospices serving Van

Hospice	Office	Distance	Phone
Harbor Hospice 27 LP	Tyler, TX	22 mi	(903) 534-3701
Enhabit Hospice	Tyler, TX	24 mi	(903) 405-3853
Hospice Of East Texas	Tyler, TX	24 mi	(903) 266-3400
Choice Hospice	Tyler, TX	26 mi	(903) 509-3015

Straight-line miles from the center of Van. 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

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 $3,000 monthly median income of Van 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: common questions

What nursing homes are near Van?

The closest Medicare-certified nursing homes are Van Healthcare in Van (0.3 mi, 4 of 5 overall); Avir At Bradburn in Grand Saline (11 mi, 1 of 5 overall); Azalea Trail Nursing And Rehabilitation Center in Grand Saline (11 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Van?

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 $3,000 monthly median income of Van 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

More senior care near Van

Dementia Care in nearby cities

Other care in Van

More for Van 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 Van, TX