Gainesville Alzheimer's and Dementia Care at Home
Dementia changes a family slowly, then all at once. One month Mom is repeating questions; the next she is up at 2 a.m. looking for her car keys. Our Alzheimer's and memory care in Gainesville, FL brings a trained, patient caregiver into the home to keep the day steady, keep your loved one safe, and give you back time to rest. We follow the person's history and habits, so each visit feels familiar and personal.
Alzheimer's in Alachua County, by the Numbers
Families here are far from alone. The Alzheimer's Association estimates that one in eight Floridians age 65 and older is living with Alzheimer's disease. Its county-level estimates, based on a 2023 study by Dhana and colleagues, put Alachua County at about 11.6 percent of residents 65 and older, or roughly 4,800 people, as of 2020. The county's older population keeps growing too: about 46,700 residents were 65 or older in 2024, around 16 percent of everyone who lives here.
Behind those numbers are spouses and adult children doing most of the work. The Alzheimer's Association counts more than 877,000 unpaid dementia caregivers in Florida, giving about 1.38 billion hours of care a year. Many of them are in Gainesville, juggling jobs at UF or the hospitals with nightly phone calls from a parent who is confused and scared.
Dementia Care That Changes as the Disease Does
Memory loss moves through stages, and the help your family needs will shift with it. We plan for that from the first home visit, so you are not starting over each time things change.
- Early stage: a few hours a week of companionship, reminders, help with bills and appointments, and driving once the car keys are retired.
- Middle stage: daily visits with help bathing and dressing, steady meals, redirection when frustration builds, and supervision to prevent wandering.
- Later stage: full personal care, safe transfers, gentle feeding help and, when needed, 24-hour or live-in care so someone is always awake and close by.
What a Dementia-Trained Caregiver Does Differently
Every caregiver on our team completes dementia training and a refresher each year, on top of a Florida Level 2 background screening, reference checks and CPR certification. For memory care we also look for a certain temperament: someone slow to rush, quick to smile and comfortable hearing the same story six times in an afternoon.

A Calmer Late Afternoon: Easing Sundowning
Many people with Alzheimer's grow anxious, restless or angry as daylight fades, a pattern called sundowning. In Gainesville's long summer evenings it can stretch late into the night. A caregiver scheduled through the afternoon and evening keeps things predictable. Here is what that shift can look like.
Sample afternoon and evening
- 2:00 p.m.Caregiver arrives, short walk in the yard or neighborhood while it is still bright.
- 3:00 p.m.Quiet activity: folding towels, sorting photos or music from your loved one's twenties.
- 4:30 p.m.Lights on and blinds adjusted before shadows grow, and a light snack with water.
- 5:30 p.m.Simple dinner at the same time each night, with the TV news off.
- 7:00 p.m.Warm wash, pajamas, and a familiar show or prayer before bed.
- 8:00 p.m.Doors checked, night-lights on, and notes left for the family.
Our post on simple routines that ease sundowning has more ideas you can use on the nights you are on your own.
How Do You Keep Someone With Dementia Safe at Home?
Keeping someone with dementia safe at home usually comes down to a handful of quiet changes. During the home visit we walk through the house with you and look at the stove, the doors, the bathroom, the medicine cabinet and the car keys. Caregivers then keep those safeguards in place day to day, without making your loved one feel watched or scolded.
- Stove knobs, sharp tools and cleaning products put away or secured.
- Car keys kept out of sight once driving is no longer safe.
- Clutter and throw rugs cleared from the paths to the bathroom and bedroom.
- Medications kept in a locked box, with reminders given at the right times.
- A recent photo and a list of familiar places ready in case your loved one ever wanders.
Our caregivers also watch for the things that tend to speed decline: skipped meals, too little water in the summer heat, poor sleep, and long days alone in front of the television. Small, steady fixes to those habits often make the biggest difference in how a person with dementia feels.
Gainesville Dementia Resources We Work Alongside
Gainesville has more dementia support than most towns its size, and a good care plan uses it. UF Health's Memory and Cognitive Disorders program is one of Florida's state-supported memory disorder clinics, partly funded through the Florida Department of Elder Affairs, and many local families get a diagnosis and follow-up there. ElderCare of Alachua County, a UF Health affiliate, runs Al'z Place, an adult day program for people living with dementia. Our caregivers can drive to appointments, take notes for you, and cover the hours before and after an adult day program. Families in outlying towns such as High Springs and Hawthorne often have us handle these longer appointment days from start to finish.
We are a non-medical agency. Changes in medications, new behaviors that could signal an infection, or wound care go to your loved one's doctor or a home health agency. Our caregivers watch closely and tell you the same day when something seems different.
Caring for the Caregiver, Too
Most people living with dementia in Gainesville are cared for by a spouse or an adult child, often for years. That kind of caregiving wears people down. Our caregivers give you hours back each week to sleep, work, see friends or keep your own doctor appointments. Many families start with a standing afternoon of respite care and add more as the disease progresses, so the same trusted caregiver is already in place when needs grow.
Starting In-Home Memory Care Near Gainesville
- 1Call us.Dana Brooks, our care coordinator, listens to what is happening and answers questions about cost and schedules.
- 2Free home visit.We meet your loved one, look at home safety and learn their routines, triggers and favorite things.
- 3Meet the caregiver.Your family meets the caregiver first, and we can change caregivers anytime at no charge.
- 4Steady care begins.Care often starts within 48 hours, with the same small team each week to build trust.
There are no long-term contracts, and visits start at four hours. Long-term care insurance and VA Aid and Attendance can often help with the cost, and we help families with both. See how our care process works for what the first weeks look like. Read Paying for Care or call (352) 352-9346, day or night.
Where We Provide Alzheimer's & Memory Care Around Gainesville
Alzheimer's & Memory Care FAQs
My mother has Alzheimer's and refuses help. How do you handle that?
It is very common. We often start with short companionship visits framed as a friend stopping by, then add personal care once trust is built. Meeting the caregiver before the first visit helps, and we can try a different caregiver at no charge if the fit is wrong.
Can your caregiver take my dad to his memory clinic appointments at UF Health?
Yes. Caregivers can drive to appointments in Gainesville, sit in with your permission, take notes and share them with the family afterward.
Do you work with ElderCare of Alachua County's adult day program?
Many families combine the two. A caregiver can help your loved one get ready, drive to and from Al'z Place, and cover the afternoon and evening at home.
Is home memory care an option for someone who wanders at night?
Often, yes. Overnight or 24-hour care keeps an awake caregiver in the house. We also suggest simple safeguards, such as door chimes and keeping car keys out of sight.
How is in-home dementia care paid for in Florida?
Most families use private pay, long-term care insurance or VA Aid and Attendance. Medicare generally does not cover ongoing non-medical care. Our Paying for Care page explains each option.
We live out of state. How will we know how Mom is doing?
Caregivers write notes after every visit, and Dana calls the family each week. You can reach our Gainesville office any time, 7 days a week.
Helpful guides for families
Dementia careSimple Routines That Ease Sundowning
Planning careSigns It's Time to Bring In Help at Home
Planning careHow to Choose a Home Care Agency in GainesvilleRelated services
- Alzheimer's Association Central and North Florida Chapter (Florida prevalence and caregiver figures)
- Alzheimer's Association: Florida county prevalence estimates, based on Dhana et al., Alzheimer's & Dementia, 2023
- USAFacts: Alachua County population age 65 and older (U.S. Census Bureau Population Estimates)
- UF Health: Memory and Cognitive Disorders
- ElderCare of Alachua County: Al'z Place

