Dementia Care in Wilmington, NC: In-Home Alzheimer's Care

Local figures

Dementia Care in Wilmington, NC: the local picture

2,807

residents 85 or older (2.3% of all residents)

22,030

residents 65 or older (18% of Wilmington)

31%

of residents 65+ report a disability (28% in New Hanover County)

6+

Medicare-certified nursing homes within 25 miles

Wilmington has about 2,807 residents aged 85 or older among 22,030 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.

31% of residents 65 and older report a disability (28% in New Hanover County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

37% 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 Hanover County and North Carolina

Census figure	Wilmington	New Hanover County	North Carolina
Residents 85 or older	2.3%	1.9%	1.7%
Residents 65 or older	18%	19%	17%
Residents 65+ with a disability	31%	28%	33%
Residents 65+ in households who live alone	37%	31%	28%
Residents 65+ below the poverty line (approx.)	11%	8.2%	11%
Residents 5+ who speak a language other than English at home	8.5%	8.1%	13%
Median income, households headed by someone 65+	$60,320	$62,585	—

Older residents in towns around Wilmington

Town	Distance	Residents 65+	Residents 85+
Kings Grant, NC	4.2 mi	1,515	43
Silver Lake, NC	4.8 mi	1,396	67
Wrightsville Beach, NC	5.0 mi	856	26
Myrtle Grove, NC	5.7 mi	2,200	166
Wrightsboro, NC	6.0 mi	1,054	121
Murraysville, NC	6.2 mi	2,325	98

Nursing homes near Wilmington

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Cypress Pointe Rehabilitation Center	Wilmington, NC	2.3 mi	5 of 5	90	(910) 763-6271
Bradley Creek Health Center	Wilmington, NC	2.6 mi	5 of 5	30	(910) 769-7550
Liberty Commons Rehabilitation Center	Wilmington, NC	2.7 mi	2 of 5	82	(910) 452-4070
August Healthcare At Wilmington	Wilmington, NC	2.8 mi	1 of 5	120	(910) 343-0425
Peak Resources-Wilmington, Inc	Wilmington, NC	2.8 mi	1 of 5	110	(910) 362-3621
Azalea Health & Rehab Center	Wilmington, NC	3.0 mi	2 of 5	80	(910) 392-3110

Hospices serving Wilmington

Hospice	Office	Distance	Phone
Liberty Home Care And Hospice	Wilmington, NC	1.0 mi	(910) 251-8111
Lower Cape Fear Lifecare	Wilmington, NC	3.6 mi	(910) 796-7900
Continuum Home Care & Hospice	Jacksonville, NC	49 mi	(910) 989-2682
Ecu Health Home Health And Hospice	Kenansville, NC	56 mi	(910) 293-3191

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 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 Wilmington

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 26% of the $5,027 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. North Carolina'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 Wilmington: common questions

What nursing homes are near Wilmington?

The closest Medicare-certified nursing homes are Cypress Pointe Rehabilitation Center in Wilmington (2.3 mi, 5 of 5 overall); Bradley Creek Health Center in Wilmington (2.6 mi, 5 of 5 overall); Liberty Commons Rehabilitation Center in Wilmington (2.7 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Wilmington?

At the North Carolina median aide wage of $15.02 an hour, 20 hours of help a week comes to about $1,302 a month in wages, which is 26% of the $5,027 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. North Carolina'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 Wilmington

More senior care near Wilmington

Dementia Care in nearby cities

Other care in Wilmington

More for Wilmington 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 Wilmington, NC