In-Home Dementia and Alzheimer's Care in Wilmington, DE
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Wilmington for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Wilmington, DE: the local picture
Wilmington has about 1,201 residents aged 85 or older among 11,083 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.
36% of residents 65 and older report a disability (31% in New Castle County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
40% of older Wilmington 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.
Wilmington compared with New Castle County and Delaware
| Census figure | Wilmington | New Castle County | Delaware |
|---|---|---|---|
| Residents 85 or older | 1.7% | 1.9% | 2.0% |
| Residents 65 or older | 15% | 17% | 21% |
| Residents 65+ with a disability | 36% | 31% | 30% |
| Residents 65+ in households who live alone | 40% | 28% | 25% |
| Residents 65+ below the poverty line (approx.) | 18% | 7.8% | 7.6% |
| Residents 5+ who speak a language other than English at home | 15% | 17% | 15% |
| Median income, households headed by someone 65+ | $43,866 | $68,907 | — |
Older residents in towns around Wilmington
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Edgemoor, DE | 1.9 mi | 983 | 104 |
| Elsmere, DE | 3.3 mi | 774 | 124 |
| Penns Grove, NJ | 3.4 mi | 437 | 59 |
| Carneys Point, NJ | 4.0 mi | 1,719 | 236 |
| Wilmington Manor, DE | 4.4 mi | 1,602 | 141 |
| Greenville, DE | 4.7 mi | 988 | 87 |
Nursing homes near Wilmington
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Gilpin Hall | Wilmington, DE | 1.8 mi | 3 of 5 | 96 | (302) 654-4486 |
| Regency Healthcare & Rehab Center | Wilmington, DE | 1.9 mi | 2 of 5 | 100 | (302) 654-8400 |
| Complete Care At Hillside LLC | Wilmington, DE | 2.1 mi | 4 of 5 | 106 | (302) 652-1181 |
| Kentmere Rehabilitation And Healthcare Center | Wilmington, DE | 2.4 mi | 3 of 5 | 104 | (302) 652-3311 |
| Kutz Rehabilitation And Nursing | Wilmington, DE | 2.7 mi | 2 of 5 | 90 | (302) 764-7000 |
| Excelcare At Wilmington LLC | Wilmington, DE | 2.8 mi | 3 of 5 | 150 | (302) 655-6135 |
Hospices serving Wilmington
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Patriot Home Care | Wilmington, DE | 0.9 mi | (302) 295-6312 |
| Bayada Hospice | Wilmington, DE | 2.7 mi | (302) 351-3633 |
| Compassionate Care Hospice | Newport, DE | 4.8 mi | (302) 993-9090 |
| Acts Signature Hospice Delaware | Hockessin, DE | 8.8 mi | (302) 235-6888 |
Straight-line miles from the center of Wilmington. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in Wilmington
At the Delaware median aide wage of $16.50 an hour, 20 hours of help a week comes to about $1,430 a month in wages, which is 39% of the $3,656 monthly median income of Wilmington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Delaware's minimum wage is $15.00 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.
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.
Dementia Care in Wilmington: common questions
What nursing homes are near Wilmington?
The closest Medicare-certified nursing homes are Gilpin Hall in Wilmington (1.8 mi, 3 of 5 overall); Regency Healthcare & Rehab Center in Wilmington (1.9 mi, 2 of 5 overall); Complete Care At Hillside LLC in Wilmington (2.1 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Wilmington?
At the Delaware median aide wage of $16.50 an hour, 20 hours of help a week comes to about $1,430 a month in wages, which is 39% of the $3,656 monthly median income of Wilmington households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Delaware's minimum wage is $15.00 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 senior care near Wilmington
Dementia Care in nearby cities
- Dementia Care in Edgemoor, DE
- Dementia Care in Elsmere, DE
- Dementia Care in Penns Grove, NJ
- Dementia Care in Carneys Point, NJ
- Dementia Care in Wilmington Manor, DE
- Dementia Care in Greenville, DE
- Dementia Care in New Castle, DE
- Dementia Care in Claymont, DE
- Dementia Care in Pennsville, NJ
- Dementia Care in Boothwyn, PA
- Dementia Care in Linwood, PA
- Dementia Care in Hockessin, DE
- Dementia Care in Pike Creek, DE
- Dementia Care in Pike Creek Valley, DE
- Dementia Care in Beckett, NJ
- Dementia Care in Brookside, DE
Other care in Wilmington
- Companion Care in Wilmington
- Respite Care in Wilmington
- Live-In Caregivers in Wilmington
- Post-Surgery Care in Wilmington
- Senior Transportation in Wilmington
- Home Health Aides in Wilmington
- Nursing Assistants in Wilmington
- Personal Care in Wilmington
- Overnight Caregivers in Wilmington
- 24-Hour Home Care in Wilmington
- Mobility Assistance in Wilmington
- Parkinson’s Care in Wilmington
- Stroke Recovery Support in Wilmington
- Disability Care for Adults in Wilmington
- Hospice Support in Wilmington
- Senior Meal Preparation in Wilmington
- Senior Housekeeping in Wilmington
- Medication Reminders in Wilmington
- Veterans’ Home Care in Wilmington
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.
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