In-Home Dementia Care

Nona’s Home Care provides in-home dementia care across San Diego County and Orange County, with dementia-trained caregivers available from a few hours a week to 24-hour support.

Family caregivers often feel there is little they can do to help, and a person with dementia can be at risk of hurting themselves or others. In-home dementia care eases the pressure on families and gives your loved one the support they need in their own familiar environment. A trained dementia caregiver brings structure, patience and safety to each day, so the whole family can breathe a little easier. Whether your loved one needs a few hours of help each week or support around the clock, care is built around their routines, personality and stage of dementia.

Why In-Home Dementia Care Helps

Dementia caregiver walking beside a senior using a walker

People living with dementia often do much better when they can stay in a familiar environment. Dementia can cause confusion about place and time, and familiar surroundings help a person stay calmer and more oriented.

A qualified dementia caregiver from Nona’s Home Care keeps your loved one comfortable at home while keeping them, and everyone else in the home, safe. In-home dementia care also helps seniors maintain a high quality of life. Here are a few of the ways dementia care at home can benefit your family:

Dementia caregiver holding hands with a senior woman in a cardigan at home

Experienced Dementia Caregivers

If you’ve never cared for someone with dementia, you may not know what to expect or how to handle the symptoms. Dementia can be very hard on loved ones, especially when a parent forgets who they are or has emotional outbursts for no clear reason.

An experienced dementia caregiver brings a calm, neutral presence to those moments. They can ease the situation as it happens and teach family members how to respond to similar moments in the future.

Safety at Home

Nona’s in-home dementia caregivers are trained to keep a person with dementia from hurting themselves or others. They have experience with similar situations and know what can be handled at home and when more help is needed. As your dementia caregiver gets to know your loved one, they can anticipate safety concerns and help prevent them.

Caregiver with her hands on a smiling senior woman's shoulders during dementia care

Care That Adapts to Each Stage

As dementia progresses, more care is needed. Early on, dementia caregivers spend much of their time helping your loved one handle everyday tasks on their own, while learning their triggers and watching for signs of distress.

Dementia caregivers adjust routines so your loved one gets quiet and rest when they need it. As symptoms progress, they know when and how to step in, so your loved one keeps as much independence as possible for as long as possible.

What Our Dementia Care Services Include

In-home dementia care in San Diego and Orange County covers both the practical help and the calm structure a person with dementia needs:

  • Consistent daily routines for meals, rest, activity and bedtime
  • Help with bathing, dressing, toileting and grooming, at your parent’s pace
  • Meals and fluids, with cueing and finger foods when eating gets harder
  • Medication reminders at the right times
  • Memory-friendly activities: music, photos, folding, gardening and walks
  • Supervision to prevent falls, wandering and kitchen accidents
  • Rides and company at medical appointments
  • Respite so family caregivers can rest, work or travel

Every care plan starts with your loved one’s history, routines and preferences. We learn what calms them, what upsets them and what they still enjoy, then build each visit around it. As needs change, your dementia caregiver adjusts the plan with your family, so care always fits where your loved one is today.

How our dementia caregivers are trained
A good dementia caregiver knows that behavior is communication. Nona’s caregivers are trained to:

  • Redirect gently instead of correcting or arguing
  • Spot triggers like pain, hunger, noise or a urinary infection
  • Use simple, one-step instructions and visual cues
  • Keep your parent’s dignity at the center of personal care
  • Handle repeated questions, suspicion and late-day agitation calmly

Because our caregiver turnover is close to zero, your parent sees the same familiar faces, which matters more in dementia care than almost anything else. Our caregivers also learn each person’s life story, favorite music and daily habits, which helps them connect and redirect more naturally.

Dementia care at each stage
Needs change as dementia progresses, and the care plan changes with them:

  • Early stage: companionship, reminders, rides and help with household tasks, often 12 to 20 hours a week
  • Middle stage: more hands-on personal care, supervision for safety and daily structure, often 6 to 10 hours a day
  • Late stage: full personal care, repositioning and comfort, often 24-hour care, sometimes alongside hospice

See Alzheimer’s care at home by stage and dementia care at home costs for more detail. We reassess the care plan as your loved one moves from one stage to the next, so hours and support increase only when they’re needed.

Sundowning, wandering and nighttime care
Late-afternoon agitation, getting up at night and trying to leave the house are some of the hardest parts of dementia for families. Our dementia caregivers keep evenings calm with light, routine and gentle activity, and use door alerts and supervision to prevent wandering. When nights become unsafe, awake overnight or 24-hour care keeps your parent safe and lets the family sleep. Many families start with a few awake overnight shifts a week, then add more as nighttime needs grow. Read our guides to sundowning and dementia wandering.

Updates you can read from anywhere
Many of the families we work with live out of town or work full time. After each visit, caregivers record how your parent ate, slept, moved and felt, plus anything unusual. You’ll know how the day went without having to call, and our owner-level oversight means concerns reach someone who can act quickly. Adult children who live in other cities often tell us these updates are what let them sleep at night.

How much does in-home dementia care cost?
In-home dementia care in San Diego and Orange County costs $40 to $50 an hour at Nona’s, depending on the level of care. 24-hour and live-in dementia care cost $850 to $1,100 a day. There are no deposits or weekly minimums, and we help families bill long-term care insurance policies that cover dementia care at home.

Monthly costs depend mostly on your loved one’s stage and how many hours of care they need. In the early stage, 12 to 20 hours a week costs about $2,100 to $4,300 a month. In the middle stage, 6 to 10 hours a day runs about $7,300 to $15,200 a month. Around-the-clock dementia care at home costs about $25,800 to $33,400 a month. Where your loved one falls in the $40 to $50 range depends on the level of care, such as help with transfers, incontinence or frequent nighttime waking. We’ll recommend a schedule during your free consultation and adjust it as needs change.

Why Families Choose Nona’s for Dementia Care

Families throughout San Diego County and Orange County choose Nona’s for dementia-trained caregivers, familiar faces from visit to visit, and in-home dementia care that grows with their loved one’s needs. We serve families throughout San Diego County, from Del Mar and La Jolla to North County, East County and the South Bay, and across Orange County, including Irvine, Newport Beach, Mission Viejo and Laguna Woods. Call (855) 687-6662 for a free consultation.

Our Caregivers Love Working for Us and You

We have almost no turnover among our senior care services because we create a supportive work environment, with plenty of training to enable our senior caregiving staff to thrive in their careers.

Never be Left Without the Care You Need

You’ll love the relationship you form with a dedicated caregiver during regularly scheduled shifts. However, if ever there is an unforeseen emergency, you won’t need to worry about being left without coverage. We have unmatched staff availability.

Senior Care Services Only When You Need Them

Change or cancel shifts with at least 24 hours notice without any kind of penalties or obligations. We don’t require weekly minimums or deposits either, so you have total control over your schedule.

We accept long term care benefits from all major carriers. Including, but not limited to:

John Hancock long-term care insurance logo
Mutual of Omaha long-term care insurance logo
TriPlus long-term care insurance logo
CalPERS long-term care insurance logo
LTCG insurance logo
Unum insurance logo

How do I start my home care?

Starting in-home dementia care in San Diego or Orange County with Nona’s Home Care is simple. With our schedule flexibility, you can try a dementia caregiver and adjust or cancel as you like. A free consultation shows how dementia care at home can fit your family’s needs.

Frequently asked questions

How much does in-home dementia care cost?
At Nona’s Home Care in San Diego, in-home dementia care costs $40 to $50 an hour, depending on the level of care. 24-hour or live-in dementia care costs $850 to $1,100 a day. There are no deposits or weekly minimums, and long-term care insurance often helps pay once help with daily activities is needed. We’ll walk through costs and recommend a schedule during your free consultation.

Are your caregivers dementia-trained?
Yes. Nona’s in-home dementia caregivers are trained to redirect rather than argue, recognize triggers, handle sundowning and wandering, and provide personal care with dignity. We match each family with caregivers who fit their parent’s stage and personality, and our low turnover means your parent sees the same faces. Caregivers also get to know each person’s history and routines, so they can respond with patience instead of frustration.

Can dementia care start the same day?
Often, yes. Nona’s can frequently start dementia care the same day, especially after a hospital stay or a sudden change. We’ll do a quick consultation, match a dementia-trained caregiver, and set up an initial schedule that can grow as needs become clearer. Backup caregivers mean coverage continues even if your regular caregiver is out.

What’s the difference between dementia care and Alzheimer’s care?
Alzheimer’s is the most common type of dementia, but dementia also includes vascular, Lewy body and frontotemporal dementia, among others. Dementia care covers all of them. Our Alzheimer’s care page explains how care changes through the stages of Alzheimer’s specifically. Whatever the diagnosis, our caregivers tailor the care plan to your loved one’s symptoms and needs.

Can someone with dementia stay at home until the end?
Many people can, with the right support. As dementia progresses, care usually grows from a few hours a week to 24-hour care, often with hospice in the final stage. Staying home depends on safety, cost and family support. Read when it’s time for memory care for honest signs. We’ll always be upfront with you if home is no longer the safest option.

Can a person with dementia be left alone?
In the early stage, sometimes, for short periods. As memory and judgment decline, being alone becomes risky because of wandering, falls, stove accidents and missed medications. A caregiver for part of the day, then overnight or 24-hour care, keeps your parent safe as needs increase. A short trial schedule can help you see how your loved one does with a caregiver before needs become urgent.

Helpful guides

Caregiver in scrubs smiling beside a senior man in a wheelchair in San Diego

Learn more about personalized home care