Alzheimer’s and Dementia Care at Home in Bulverde, TX

Nancy Wilch, MSN, RN, is our Director of Nursing, and she helps build the care plan every family starts with when memory loss changes life at home. Alzheimer’s and dementia care in Bulverde means a caregiver who understands why routine matters, why wandering happens, and why a familiar face at the door can calm a hard afternoon. We step in at the moment a family realizes a loved one needs more supervision than phone calls can give.

This service is not a rushed errand or a quick check-in. It is steady, planned support built around the person, their habits, and the stage of the disease they are in. We focus on safety, routine, and comfort, and we coordinate that care so families are not carrying it alone.

How dementia care starts at home

We start with a phone call where we listen to what is happening day to day. From there, we set up an in-home visit so we can see the home, meet the family, and talk through routines, triggers, and what a typical day looks like. We use that visit to match a caregiver whose experience fits the situation, not just the schedule. Once a caregiver is matched, we set hours that work for the family and can adjust them as needs shift. Care can often start the same day a family calls, when needed. Nothing is locked in place. If the first schedule does not fit, we change it.

Services that often go with this one

Memory loss often comes with a higher risk of falls, so many families pair this service with fall prevention from caregivers in Bulverde, which looks at the home itself and how a caregiver can reduce hazards day to day. Grocery runs and errands get harder once someone cannot be left alone safely, and that is where grocery shopping and errands from caregivers in Bulverde helps fill the gap without disrupting a daily routine. Both services work alongside dementia care rather than replacing it, since the goal in every case is the same: a safer, steadier day at home.

To see everything else our caregivers help with beyond memory care, take a look at our full list of services.

Who benefits from dementia care in Bulverde

Alzheimer’s and dementia care in Bulverde fits a parent who repeats questions, gets turned around in their own house, or has started wandering at night. It fits a spouse who has not had an uninterrupted night of sleep in months and needs another set of hands. It also fits an adult child living out of state who needs someone trustworthy checking in daily. It is not the right fit for a medical crisis or a need for skilled nursing procedures. In that case, we would point a family toward medical or hospital-based care instead, since our caregivers provide non-medical support, not clinical treatment.

Who oversees care in Bulverde

Nancy Wilch, MSN, RN, Director of Nursing.

Troy Wilch, Founder.

Licensed by the State of Texas, license #023668.

Every visit in Bulverde is scheduled and supervised out of this office.

Caring for someone with dementia around Bulverde

Families in Bulverde often deal with larger properties and longer drive times between relatives, which makes daily hands-on help harder to arrange without support. Texas Hill Country summers bring real heat, and a person with dementia may not recognize when they are overheated or dehydrated, so a caregiver watching for that matters. Two-story homes add fall risk on stairs, especially as confusion increases. The days right after a hospital stay are often when routines fall apart fastest, and that is exactly when steady, in-home support can keep a person safe and settled.

What our dementia caregivers do during a visit

Our caregivers focus on safety, routine, and comfort at every stage of the disease. A visit might include help with bathing and dressing, preparing meals, light housekeeping, medication reminders, and keeping a familiar daily rhythm that reduces confusion and agitation. Caregivers watch for wandering risk, help with transfers around the home, and offer company and conversation, which matters as much as any task. We coordinate with family members so everyone knows what happened during the visit and what to expect next. What this service does not include is medical care. Our caregivers do not perform nursing tasks, give injections, or manage medical equipment. Families needing those services should ask their doctor or a home health agency to arrange them alongside us.

How we keep every visit safe

Nancy Wilch, MSN, RN, helps shape the care plan for each family, drawing on her background as a Registered Nurse. Plans are reviewed as needs change, not left untouched for months at a time. If something comes up at nine at night, a family has someone to call rather than waiting until morning. For broader education on the disease itself, families are welcome to visit the Alzheimer’s Association San Antonio & South Texas page, which covers what we do not: the medical and research side of dementia.

What families ask us first

What happens during the first dementia care visit, and how long does it take

We visit the home to meet the family, see daily routines, and talk through specific concerns. This usually takes about an hour and helps us match the right caregiver. From there, we set a schedule that fits the household.

How are caregivers screened before they start a shift

Every caregiver is bonded and insured before stepping into a home. We also train caregivers specifically on dementia care needs like routine, safety, and communication. Ongoing check-ins help us catch and fix any issues early.

Who shows up for a visit, and is it the same caregiver each time

We match a caregiver based on the person’s needs and personality, not just availability. We aim to keep the same caregiver on a case so routines and trust can build over time. Consistency matters a great deal with dementia.

How is the cost of dementia care figured

Care is billed hourly, and the hours scheduled each week are what shape the cost. Families typically pay for this directly, though some use long-term care insurance or a veteran’s Aid and Attendance benefit to help cover it. We can talk through what fits a specific situation.

What happens if care needs change over time

We adjust hours up or down as the disease progresses or as family circumstances shift. A family can request a different caregiver, pause care, or stop altogether. None of this requires a long process, just a call to our office.

Who oversees the care plan and who do we call with a problem

Nancy Wilch, MSN, RN, is involved in building and reviewing care plans. Plans get revisited as needs change rather than sitting untouched. Families can call our office directly whenever a concern comes up, day or night.