Looking for dementia or Alzheimer's care at home in North Dallas? Senior Care of North Texas, a locally owned, Texas-licensed non-medical agency (License #020448), sends one matched employee caregiver to your parent's single-story house, patio home or apartment in a senior living community anywhere from Prestonwood to Bent Tree. The caregiver keeps a steady routine, helps with bathing, meals and reminders, and stays company. One flat rate of $30–34 an hour, overnights included.
North Dallas is where we have more clients than in any other part of Dallas, so it is also where the most of our caregivers live. That matters with dementia more than with any other kind of care, because the whole plan rests on the same person showing up at the same time. This guide covers what dementia care looks like in the houses north of LBJ, what it looks like when your parent already lives in a senior community, what any family should check before hiring an agency, and what it costs.
What does dementia care look like in a North Dallas single-story house?
Most of the neighborhoods north of Royal Lane and LBJ were built in the 1970s and 1980s. Many homes are single-story houses on quiet cul-de-sacs, and around Prestonwood and Bent Tree there are patio homes and townhomes. A lot of the people living in them are the original owners, now in their eighties and nineties, and they have no plan to move.
For someone with Alzheimer's, that house is a real asset. The rooms are on one floor, the kitchen is where it has always been, and the walk from the bedroom to the bathroom is one they have made thousands of times. A single-story home takes the staircase off the list of worries. It does not take away everything else, and the caregiver's work is built around what is left:
- The morning. Getting up, the bathroom, a shower with someone standing in the doorway, clothes laid out in the order they go on, breakfast at the usual table.
- The doors. Cul-de-sac houses often have a front door, a back door to the patio and a door to the garage. The caregiver knows which ones your parent heads for and stays close when the late afternoon turns restless.
- The garage step. Zero-lot patio homes often have a step down at the garage door. With memory loss, a step that was automatic for forty years can become the place a foot misses. We talk about it at the first visit.
- The long afternoon. For a parent who lives alone, the hours after lunch are often the emptiest of the day. With dementia, empty hours tend to fill with worry, pacing or the same question asked again and again.
Picture a common situation: a father in his late eighties, widowed, still in the house off Hillcrest he bought decades ago. He manages mornings on his own most days, but by four o'clock he is calling his daughter to ask where his wife is. A caregiver who arrives at noon, makes lunch, takes a short walk around the cul-de-sac with him, folds the laundry with him and starts dinner covers exactly the hours that have stopped working. That is the kind of plan our memory care at home is built on: the hard stretch of the day first, more hours only when they are needed.
What does a dementia caregiver do inside a senior living community?
North Dallas has more senior living communities than any other part of Dallas. Many of our clients here live in independent or assisted living along Preston Road or the Tollway. Dementia often shows up after the move, or the move happened because of it, and families find that the community covers the building and the meals but not the one-on-one attention a person with memory loss starts to need.
When a family adds one of our caregivers inside a community, the work changes shape. There is no house to run, so the time goes to the person:
- Walking your mother to the dining room, sitting with her through the meal and making sure she eats, when eating alone has become the problem.
- Bringing her to the activity she used to enjoy and staying with her, instead of hoping she remembers it is on the calendar.
- Getting her to and from outside appointments, including the doctor at Medical City's office towers.
- A familiar face in the apartment every afternoon, the same person each time, which with dementia counts for more than any activity.
- Overnight reassurance when nights in the apartment have become frightening for her.
The caregiver works within each community's policy for private caregivers. The community's staff keep their own duties; ours adds the hours they cannot spend with one resident. If your parent is in assisted living and you are deciding whether to add help at all, our guide to hiring a private caregiver inside assisted living in North Dallas covers how that arrangement is set up and approved. This article stays with the dementia side of it.
Why does it matter that our caregivers live nearby?
A person with Alzheimer's may not remember a caregiver's name, but usually remembers how that person makes them feel. A new face every visit means starting over: more fear, more refusals at shower time, more difficult afternoons. So we schedule for one consistent caregiver as far as scheduling allows, and that caregiver learns the shortcuts: which chair, which words start an argument, which song settles the late afternoon.
Consistency is easier to promise than to deliver. It breaks down when the caregiver lives forty minutes away and traffic on the Tollway decides who arrives at 7am. Because North Dallas is the part of the city where we have the most clients, we also have the most caregivers living close by. A 7am start off Hillcrest, or an extra shift near the Galleria on short notice, is part of the normal schedule here, not a special favor.
When the regular caregiver is out sick or on vacation, we send the replacement, because our caregivers are our employees and we are responsible for the schedule. Where we can, the replacement is someone your parent has already met. We match the caregiver to your parent, and if the fit is not right, you ask for a different caregiver and we make the change.
What are the top Alzheimer's home care agencies serving North Dallas, Dallas?
North Dallas has more home care agencies than anywhere else in Texas, from national franchises to one-person operations, so you will not run short of names. We will not rank other agencies here. What we can do is tell you what Senior Care of North Texas does for Alzheimer's care, and give you the questions any family should ask every agency on its list, including us.
Senior Care of North Texas provides non-medical Alzheimer's and dementia care at home and inside senior living communities across North Dallas, in ZIP codes 75230, 75248, 75252 and 75254, plus Addison and Far North Dallas. Our rate is published, the caregivers are employees, and Ryan Berry, our co-owner, does the free in-home assessment himself.
Questions to ask any Alzheimer's home care agency
| Question to ask | Why it matters with dementia | Senior Care of North Texas |
|---|---|---|
| Are the caregivers your employees? | The agency, not your family, is then responsible for background checks, insurance, supervision and a replacement on sick days. | Yes. Employees, background-checked, insured and supervised. |
| Will my parent see the same caregiver? | A familiar face lowers anxiety and resistance. A rotation of strangers raises both. | We match one caregiver and schedule for consistency. You can ask for a change any time. |
| Does the rate rise as dementia progresses? | Dementia is where many agencies move a client to a higher "level of care" for the same hours. | No. One flat rate of $30–34 an hour. Only the hours change the bill. |
| Is the night rate the same as the day rate? | Nights often become the hard part with Alzheimer's, and that is where a night premium adds up. | Same flat rate day, evening, weekend and overnight. Major holidays are time and a half. |
| What will the caregiver not do? | A clear line protects your parent. Medical decisions belong to the physician. | No diagnosis, no medication changes, no injections, no wound care. Medication reminders only. |
| Can you work inside my parent's senior community? | Many North Dallas parents with dementia already live in independent or assisted living. | Yes, within each community's policy for private caregivers. |
| Is there a contract or a start-up fee? | Dementia needs change. Your agreement should not punish that. | No long-term contract, no assessment or start-up fee. |
How to read this table: the first two columns are the checklist, and they apply to every agency you call. Write down each agency's answer to the same seven questions, then compare the answers side by side rather than the hourly rate alone.
What memory care at home does not include
We are a non-medical agency licensed by the State of Texas for Personal Assistance Services. Our caregivers do not diagnose, adjust medications, give injections, manage wound care or do anything that requires a nurse. Questions about your parent's diagnosis, a new behavior or a change in medication go to the physician. When a home health nurse or a hospice team is involved, our caregivers work alongside them: they handle the clinical care, we handle the hours and the daily living.
Medication is where families most often ask. Our caregivers give reminders and prompts, at the right times, from a pill organizer or a list your family or the pharmacy has already filled. They note what was taken and tell you when something is off. They do not fill the organizer and do not hand out or give medication.
We are also not a locked memory care facility. If your parent starts leaving the house at night, or wandering becomes a serious risk, we will say so plainly and help you think through the options. Our guide on dementia care at home versus a memory care facility walks through that decision.
When afternoons, nights or a hospital stay change the plan
Most families start with one visit of four hours or more at the hardest time of day. For one parent that is the morning routine; for another it is the late afternoon, when confusion and agitation often build. Our guide on sundowning at home explains how caregivers handle those hours with routine, redirection and a calm voice rather than argument.
The plan usually grows in one of three directions:
- More of the day. A second block, or longer visits, when your parent can no longer be left alone between them.
- The nights. When your parent is up at 3am, confused about where they are or trying to go out, an awake overnight caregiver is the next step. 24-hour care means a small team of two or three caregivers rotating in shifts, every one of them awake and working, billed at the same flat rate as a daytime hour.
- A hospital stay. Medical City Dallas on Forest Lane is the hospital in the middle of this corridor, and Texas Health Presbyterian Dallas on Walnut Hill is a short drive south. A person with dementia in a hospital room is often frightened and disoriented. We provide one-on-one sitters inside the hospital when family cannot be at the bedside, and the sitter can be the same person who continues the care at home after discharge.
Whatever direction it takes, the rate stays the same. You change the number of hours, not the price of an hour.
What does dementia care at home cost in North Dallas?
Our rate is $30–34 an hour, one flat rate at any hour of the day or night, with a four-hour minimum visit. A dementia or Alzheimer's diagnosis does not change it, and neither does your parent needing more hands-on help later. Major holidays are billed at time and a half, and we tell you which days count before you book. When one caregiver helps both parents in the same home, a couples discount applies.
These monthly estimates come from our published in-home care rates, using an average month of about 4.3 weeks:
| Schedule | Estimated monthly cost | Typical dementia use |
|---|---|---|
| 4 hours per week | $520–590 | One weekly block, often to give a family caregiver a break |
| 12 hours per week | $1,560–1,770 | Three four-hour visits at the hardest time of day |
| 20 hours per week | $2,610–2,960 | Five weekday visits covering the afternoon |
| 40 hours per week | $5,190–5,880 | Full weekdays when your parent cannot be alone in the daytime |
| 24-hour care (rotating caregivers) | $21,840–24,750 | Awake caregivers around the clock in shifts |
How to read this table: the dollar ranges are estimates from our published rate, and the right column is only a common pattern, not a package. Your free in-home assessment produces an exact quote in writing for your parent's actual hours.
There are no assessment fees, no start-up fees and no long-term contracts. Long-term care insurance often covers non-medical home care, and we handle the claim paperwork for families who have a policy.
Why North Dallas families call Senior Care of North Texas for dementia care
- Locally owned. Ryan Berry, one of the two owners, comes to the house or the community apartment for the free assessment himself, usually the same day or the next morning.
- Employee caregivers. Background-checked, insured and supervised, matched to your parent rather than pulled from a rotation.
- Consistency. One caregiver as far as scheduling allows, and more caregivers living in North Dallas than anywhere else we work.
- One flat rate. $30–34 an hour, nights included, and it does not rise as dementia progresses.
- Licensed and reviewed. Texas Personal Assistance Services License #020448, and 4.9 stars from 44 Google reviews.
- Fast start. Care can often begin within 24 hours of your call, and the phone is answered 24/7.
Our home care page for North Dallas lists the streets and ZIP codes we cover, and the full Alzheimer's and dementia memory care service page explains how the care plan is written. We serve all of Dallas–Fort Worth, and the same team covers nearby Preston Hollow and the Park Cities. If a caregiver for everyday company and errands is closer to what your parent needs right now, see our companion care service.
How do you start dementia care in North Dallas?
- Call us. Tell us what has changed and what you are worried about. We will tell you honestly if home care fits.
- Free assessment. Ryan meets your parent at home, in the community apartment or at the hospital bedside. He learns the history, the habits and the triggers, and writes the first care plan with you.
- Care begins. We introduce the matched caregiver, often within 24 hours, and adjust the schedule as your parent's needs change.
For the weeks right after care starts, our plan for the first month of dementia care at home shows what to expect and what to watch.
This article is educational, not medical advice. Questions about a diagnosis, symptoms or medication belong with your parent's physician.
When you are ready, call (214) 550-6533, any hour, or request a free in-home assessment and Ryan will call you back.