Thank you for working with us and making a tough time easier, it really was a stress reliever. Your staff were kind, and took great care of dad. We especially appreciated JJ’s gentle and kind heart, and love for dad. We appreciate you helping us in our time of need. you were the extra set of hands that we needed!
Dementia & Alzheimer's Care
Dementia and Alzheimer’s care from Generations Home Care is patient, non-medical memory care provided in your loved one’s own home. Caregivers in Spokane, Tacoma, and Bremerton, Washington, and McKinney, Texas provide steady routines, gentle redirection, and a calm, safe environment in the familiar surroundings that matter so much with memory loss.

Can someone with dementia keep living at home?
In many cases, yes, and home is often where they do best. Familiar rooms, photos, routines, and neighborhoods are anchors when memory becomes unreliable. A move to a new facility takes all of those anchors away at once, which can be deeply disorienting.
In-home memory care keeps your loved one where everything is familiar, with support shaped around their day. Care can start with a few hours of help and grow gradually, all the way to 24-hour care, without another disruptive move.

How do caregivers handle the hard moments?
Memory care asks more of a caregiver than most work. Take something as simple as a shower: a person with dementia may refuse, argue, or become anxious. Our caregivers know not to push. They prepare the bath first and then invite. They keep a consistent routine, play favorite music, cover the mirror if being undressed is upsetting, and act like there is all the time in the world. If today is still a no, a gentle cloth wash keeps hygiene on track without a battle.
That patience, applied to dressing, meals, medication reminders, and outings, is the difference between care that works and care that adds stress. You can read more of our team’s approach in our guide to bathing and dementia.
When should we start memory care at home?
Earlier than most families think. The best time is while your loved one can still build a comfortable routine with a caregiver, so the relationship is already trusted when needs grow. Signs it is time for support:
- Missed medications, missed meals, or spoiled food
- Wandering, or getting lost on familiar routes
- The stove left on, doors left open, or unpaid bills piling up
- Sundowning: agitation and confusion in the late afternoon and evening
- A spouse or family caregiver who is exhausted, on edge, or unwell
- If you are the one running out of steam, respite care gives family caregivers a real break.

How does care start?
Call us or fill out our contact form
Tell us what is changing. We have supported many families through exactly this.
Free in-home assessment
We visit at your loved one’s best time of day, listen, and learn their history, routine, and preferences. No obligation, no pressure.
Meet your caregiver and begin
We match for patience and personality, start gently, and adjust as the disease changes. Care can grow from a few hours to around-the-clock support with the same team.

Why do families choose Generations Home Care for memory care?
We are locally owned in every city we serve, not a franchise, and we have cared for families since 2015.
- Every caregiver passes a background check before entering a client’s home, and a fingerprint background check in Washington
- Our Washington caregivers are HCA or CNA certified, with annual continuing education
- Our Texas caregivers are screened against the state Employee Misconduct Registry and Nurse Aide Registry, and complete nine hours of continuing education each year
- Caregivers are W-2 employees, never contractors, supported by a local office team
- Licensed by the Washington State Department of Health (IHS.FS.60603640) and by Texas Health and Human Services (024759)
- No minimum hours, no long-term contract, and our rates are published on every location page
Frequently Asked Questions
What is the difference between dementia care and Alzheimer's care?
Alzheimer’s is the most common cause of dementia, and at home the care is the same: routine, patience, safety, and connection. Our caregivers support seniors with Alzheimer’s, other dementias, and general memory loss, adapting to each person and stage.
Is in-home memory care medical care?
No. We provide non-medical care: supervision, routines, personal care, meals, medication reminders, and companionship. We coordinate easily with the medical side of your loved one’s care, including home health nurses and hospice teams.
What if my parent wanders or gets agitated?
Caregivers keep a watchful presence, use calm redirection instead of confrontation, and stick to routines that reduce anxiety. We also flag patterns to your family early, like sundowning or new wandering, so the care plan can adjust before a crisis.
Can you handle bathing when my parent refuses?
This is one of the most common struggles, and yes. Preparation, routine, patience, and gentle alternatives usually get there without a fight. Our caregivers never force care.
How many hours of care do we need?
Wherever you are is where we start. Some families begin with a few hours a week for routine and supervision; others need overnight or 24-hour support. There is no minimum, and the plan grows only when your loved one needs it to.
Testimonials
Caring for a parent with memory loss is heavy
You don’t have to carry it alone. Schedule a free in-home assessment and talk with someone who understands.