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Memory Care vs. In-Home Care for Dementia: What’s the Difference?

Written by Claire Samuels
 about the author
13 minute readLast updated March 24, 2022

Elderly adults with dementia require specialized care, whether it’s provided in a senior living community or at home. With the right care tailored to their needs, seniors with cognitive decline can age with dignity, enjoyment, and some independence.

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Memory care and home care are two common options families explore for seniors with dementia. What services do they provide, and what are the most important factors to consider when making a choice of home care versus memory care for your aging loved one?

In this article:

What is a memory care facility?

Memory care communities can be stand-alone facilities or part of a senior living community with multiple levels of care. They provide specialized assistance for seniors experiencing memory loss, often due to Alzheimer’s disease or another type of dementia.

Dementia care facilities provide many of the same services as assisted living, including help with activities of daily living (ADLs), medication management, and nutritious dining options. They also offer unique features tailored to seniors with cognitive impairment:

  • Staff training to support the emotional and mental needs of residents
  • Full-time supervision to prevent wandering
  • A high staff-to-resident ratio
  • Specially designed spaces to ease anxiety and agitation
  • Safety features, which may include alarmed doors and in-room emergency call systems
  • Building layouts that simplify navigation, encourage social interaction, and provide a safe space

Memory care therapies and activities for dementia patients

Dementia care communities offer memory care activities and therapies designed for residents with all levels of dementia — a major benefit of memory care at a community as compared to in-home care. These structured programs often require specially trained staff and aim to reduce cognitive decline, promote positive reminiscence, and comfort residents:

  • Reminiscence therapySensory or visual cues from the past can help seniors reconnect with positive memories. Memory care communities may be well-stocked with old magazines, classic films, and music from residents’ youths.
  • Sensory activities. Appealing to all five senses encourages memories and exploration. Aromatherapy may bring back memories of baking Christmas cookies or mowing the lawn, while diverse textures can evoke a wedding dress, a beloved pet, or the buttons on a military uniform.
  • Art or music therapy. Creative expression can be soothing and feel productive. For instance, music therapy may include listening to favorite records or playing basic instruments. Some residents may retain their musical ability even after significant memory loss. Meanwhile, visual expression, like painting and drawing, are ways to express emotion safely and creatively.
  • Touch therapy. Memory care staff are often trained in hand and arm massage techniques to increase human contact and reduce stress. Some communities may also have contracts with licensed massage therapists who specialize in working with the elderly.
  • Pet therapy. Memory care communities may provide pet therapy to animal lovers who can no longer care for their own furry friends. Well-trained cats and dogs can provide companionship and comfort.

Design features for memory care facilities

Innovative design elements and relaxing spaces in dementia care communities can help ease anxiety and agitation common in people with dementia. Some of these unique features include:

  • Memory boxes on residents’ doors. Familiar objects can guide seniors and reduce anxiety from an inability to read or recall room numbers.
  • Color-coded or texture-coded walls to help those with memory loss navigate
  • Soft corners or circular hallways to allow continuous dementia wandering and prevent residents from feeling trapped
  • Secure gardens for sensory stimulation, nature exposure, and safe exploration
  • Simulated neighborhoods with storefronts, porches, and traditional home facades
  • Controlled lighting to mimic sunrise and sunset
  • Specialized multisensory rooms for light, sound, and touch therapy

Cost of memory care

The national median cost of memory care was $5,430 a month in 2021. However, prices vary depending on your community and state. For example, median monthly cost in Georgia was $3,995 compared to $8,400 in Vermont, while other states had even higher costs.

What is home care?

For seniors who choose to age at home, professional home care offers companionship, practical help, and peace of mind for caregivers. Care aides can provide help with daily activities as well as social interaction. Levels of care vary by need and can span from a few hours of weekly meal prep and housekeeping to 24-hour supervision.

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While home care aides are trained to understand the nuances of senior care, they usually aren’t licensed to provide medical services. Senior home care services will be determined when you create a care contract, but they often include:

  • Companionship, which includes reading aloud, chatting, and in-home activities
  • Transportation to doctor’s appointments, physical therapy, or errands
  • Assistance with ADLs like dressing, bathing, and grooming
  • Meal preparation or delivery
  • Housekeeping, laundry, and dishes
  • Helping the senior organize bills, manage finances, and write checks on time for utilities
  • Dementia activities at home

Home care benefits for seniors

Home care is a common alternative to senior living for elderly adults who can no longer live independently. There are many reasons families may choose home care versus memory care for their elderly loved one:

  • Aging in place. Many seniors have lived in the same house for decades and moving to a new, often smaller, home is a difficult and emotional process.
  • Level of care. Home care can be adjusted to fit new needs as a senior ages. A home care agency could provide transportation and cooking assistance to an active senior as needed, or it could offer full-time care and companionship to someone who’s bedridden.
  • One-on-one interaction. In-home care ensures your loved one has the entire attention of a visiting aide. In senior living communities, staff members must tend to multiple residents.

Cost of home care

Budget is often a concern for families choosing between memory care and home care for elderly loved ones. While the cost of a memory care community is greater than the cost of home care, memory care offers more amenities and other significant benefits that home care can’t provide.

In-home care had a national median cost of $27 an hour in 2021 according to Genworth, an insurance company with a focus on long-term care. Hourly pay for a home health aide ranged from $19 in West Virginia to $36 in Minnesota.

For seniors with early stage dementia who don’t require full-time companionship and supervision, home care may be a good choice. However, home modifications, overnight care, and tracking programs can add significant expenses for seniors with more advanced cognitive decline.

Is in-home memory care available?

While home care can’t provide the structural or design benefits of a memory care community, dementia care at home can help seniors age in place if they have Alzheimer’s or another type of dementia. To make the right choice for your loved one, it’s important to understand the difference between memory care in a community and a memory home care service.

Aging in place with dementia

With the assistance of home care aides, elderly people with early-to-mid-stage cognitive decline may be capable of aging in their own homes or those of family members. For seniors with more advanced dementia, significant adjustments must be made to limit dementia safety risks and age at home:

  • Full-time supervision, or alarmed doors and windows, to prevent dangers caused by wandering
  • Home modifications, such as grab bars, stair lifts, and other safety features
  • Clear, specially designed paths throughout the home that are free of clutter and conducive to safe, unimpeded wandering
  • Sensory stimulation spaces, like a room designated for touch, light, and sound therapy
  • Fencing for any open outdoor areas, or tracking devices in case of separation

How to choose a memory care facility or memory home care services agency

If you’ve already decided on a type of care, here are a few steps to help determine which in-home care agency or memory care community is most appropriate for your loved one.

Choosing an in-home care provider for dementia

It’s vital to work with a home care agency familiar with dementia and Alzheimer’s care, even if your loved one is only experiencing early signs of dementia. Consider these suggestions when hiring an in-home care provider:

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  • Does the caregiver have specialized training or experience? Caring for someone with dementia requires familiarity with symptoms of the disease and best practices for managing difficult behaviors.
  • Be upfront about behaviors. To help caregivers determine how they can provide the best possible care, disclose whether your loved one experiences sundown syndrome, aggression, or other symptoms.
  • Check references. Make sure the home care agency conducts background checks, and ask for contact information or testimonials from current clients.
  • Share background information. Seniors with dementia need to be comfortable with their caregivers, and providers can form stronger bonds with seniors if they know them well. Discuss your loved one’s interests, past accomplishments, and fond memories with the home care aide so they can best provide person-centered dementia care. Share photo albums, favorite music, and recipes as well. These tools are helpful for reminiscence therapy.

Choosing a memory care community

As you’re visiting memory care communities, here are a few questions to ask yourself and the caregivers at these facilities:

  • What are your loved one’s needs? Think about the types of assistance they’ll require and whether the facility is equipped to respond. For example, if your loved one has a chronic condition that requires regular medication or injections, will caregivers be able to provide this care?
  • What amenities are available? For instance, you’ll want to know about the living spaces, dining options, and fitness or wellness programs. Do they fit your loved one’s preferences?
  • How are caregivers trained? Because dementia care can be complicated, learn about the community’s approach to difficult behaviors and the ways staff are trained.
  • What safety features does the facility provide? Visit the community to determine whether the building offers emergency alert systems, 24-hour supervised care, interior courtyards, and other top safety features of memory care communities.
  • How are dementia care plans developed? Many memory care facilities offer person-centered care by learning about a resident’s experiences, abilities, and care needs. Ask about who’s involved in care plans and how often the plans are evaluated.
  • What therapies are offered? Individualized therapies can help improve the quality of life for your loved one and treat symptoms of dementia. Ask about memory-enhancing therapies and how often they’re used.

Other senior living options to consider for memory care

While this article explains the differences between memory care and in-home care, it’s important to learn about other senior living options, too. Each has benefits and features that may fit your loved one’s needs.

The following articles compare memory care to other senior care types:

Additionally, A Place for Mom offers a free consultation service that has helped hundreds of thousands of families find senior living for their aging loved ones. Contact a Senior Living Advisor to discuss the needs of your family member and available options near you.

Sources

Genworth. (2022, February 7). Cost of care trends and insights.

The information contained in this article is for informational purposes only and is not intended to constitute medical advice or diagnosis. Always seek the advice of your physician or other qualified health care provider regarding any medical condition or treatment and never disregard professional medical advice or delay treatment based on anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not recommend or endorse the contents of the third-party sites.

Meet the Author
Claire Samuels

Claire Samuels is a senior copywriter at A Place for Mom. She’s written or contributed to more than 100 articles about senior living and healthy aging, with a special focus on dementia and memory care. Before writing about seniors, she worked as an account executive for independent and assisted living facilities across the Midwest. She earned a bachelor’s degree from Davidson College, where she focused on literature and media studies.

The information contained in this article is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader.  Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter and do not act or refrain from acting on the basis of anything you have read on this site.  Links to third-party websites are only for the convenience of the reader; A Place for Mom does not recommend or endorse the contents of the third-party sites.