Care built around cognition rather than around tasks.
Who it is for: Families keeping someone with Alzheimer's or another dementia at home, usually longer than anyone expected.
What to know before you call anyone
Ask what the caregiver is trained in, specifically
Nevada regulation requires training that covers the cognitive changes of aging and dealing with adverse behaviors, but it does not require a named dementia methodology. Agencies that have invested here will tell you the framework by name and how often staff recertify. Agencies that have not will say “all our caregivers are dementia trained.” The difference is real.
Consistency is not a preference here — it is clinical
A person with moderate dementia may not remember a caregiver's name and will absolutely register that this is a stranger. Rotating staff produces refusals, agitation and falls. Ask for a named primary and a named backup, and be willing to pay a premium for it.
Sundowning should shape the schedule
If the hard hours are 4pm to 8pm, that is when you buy care, even if mornings feel more logistically obvious.
Wandering changes the risk math entirely
Exit-seeking is the single most common reason home care stops being viable. If it has started, have the conversation about door alarms, GPS, overnight coverage and — honestly — memory care, before an incident makes the decision for you.
What it costs
There is no separate price list for dementia and alzheimer's care at home — it is priced off the same hourly structure as any other in-home care, with differentials. The Nevada statewide median for a non-medical caregiver is $37 an hour.
See what care costs per month at every hours-per-week level.
Full cost breakdown, including shift minimums and differentials.
Find in-home care that fits — in about 60 seconds
Six quick questions. No cost, no obligation, and we tell you straight if what you need is not what we do.
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Licensed agencies in Las Vegas and Clark County
We track 405 agencies licensed by Nevada HCQC to provide personal care services in the home across Las Vegas and Clark County, pulled from the state's public license registry in November 2026. Nearly all of them provide dementia and alzheimer's care at home in some form; what varies is depth of experience and whether they can actually staff your specific schedule. Browse the full list, or answer the questions above and we will narrow it for you.
See what a licensed caregiver is allowed to do.
See the tasks state regulation forbids a caregiver to do.
Related
Hourly in-home care
The most common way care starts: a caregiver for a set block of hours on set days.
24-hour home care
Awake caregivers in rotating shifts, around the clock.
Live-in caregivers
One caregiver stays in the home, with a private place to sleep and defined off-hours.
Overnight caregivers
Coverage from evening to morning, awake or asleep depending on need.
Respite care at home
Short-term coverage so the family caregiver can rest, travel, recover, or simply stop.
Personal care and bathing help
Hands-on help with bathing, dressing, grooming, the bathroom, and getting around.
Common questions
Is dementia and alzheimer's care at home covered by Medicare?
No. Medicare covers skilled, doctor-ordered home health for homebound patients. Personal care at home — help with bathing, dressing, meals, mobility and company — is not a Medicare benefit, whichever form it takes.
How much does dementia and alzheimer's care at home cost in Las Vegas?
It is priced off the standard hourly structure. The Nevada statewide median for a non-medical caregiver is $37 an hour per the CareScout Cost of Care Survey 2025, with differentials for overnights, weekends and higher acuity.
Do I need a licensed agency for this in Nevada?
To buy it as a service, yes — Nevada requires an agency providing personal care services in the home to hold a license under NRS Chapter 449B. You can also hire a caregiver privately, which is legal and shifts the employer obligations, background checks, insurance and backup coverage onto you.
Sources for this page
- CareScout Cost of Care Survey 2025 — state data tables — CareScout (Genworth), 2025. More than 25,000 rates collected from long-term care providers nationwide between July and November 2025. Annual figures assume 44 hours a week for 52 weeks.
- Home health services — Medicare.gov, Centers for Medicare & Medicaid Services, 2026.
- NAC Chapter 449 — including NAC 449.396 to 449.3982 — Nevada Legislature, 2026.
- NRS Chapter 449B — Agencies to Provide Personal Care Services and Related Entities — Nevada Legislature, 2025.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
