In-Home Dementia Care in Orlando

This is a working guide to dementia care in Orlando: clinics, support groups, adult day options, Central Florida realities and costs.

A younger metro with real dementia risk

Central Florida is younger than the coasts. In Orange County, about 14.3% of the roughly 1.53 million residents are 65 or older, and Osceola County is similar at about 14.5% of roughly 482,000 residents (Census Bureau, 2025 estimates). That’s still more than 280,000 older adults across the two counties, and Florida as a whole sits near 23%.

Dementia risk is not lower here, though. The Alzheimer’s Association’s 2023 county-level estimates put Alzheimer’s prevalence among residents 65 and older at about 12.7% in Orange and 12.6% in Osceola, both above Florida’s statewide estimate of 12.5% and among the higher rates in the state.

Language is a big part of the picture. About 55% of Osceola residents and about 39% of Orange residents speak a language other than English at home (Census, 2020-2024). For families caring for a parent who is most at ease in Spanish, that shapes every choice, from the doctor to the day program to the companion.

The Central Florida dementia support network

Senior Resource Alliance

The Senior Resource Alliance is the Area Agency on Aging for Orange, Osceola, Seminole and Brevard counties and runs the region’s Aging and Disability Resource Center. Call (407) 514-1800, or the statewide Elder Helpline at 1-800-963-5337, to be screened for Alzheimer’s Disease Initiative respite, caregiver support and other state programs.

Two Memory Disorder Clinics in Orlando

Orlando has two of Florida’s state-designated Memory Disorder Clinics:

• Orlando Health Center for Aging and Memory, (321) 841-2800
• AdventHealth Memory Care Clinic, (407) 392-9237

Both offer memory evaluation and family education. Your loved one’s primary care doctor can usually make the referral. The region’s two big hospital systems are AdventHealth and Orlando Health; AdventHealth also runs hospitals in Kissimmee and Celebration in Osceola County. Veterans have the Orlando VA Medical Center at Lake Nona.

The Alzheimer’s & Dementia Resource Center in Winter Park

This local nonprofit offers support groups, caregiver workshops and training, care coaching and referrals, and it hosts a satellite office of the State of Florida Brain Bank research program. Call (407) 436-7750.

Alzheimer’s Association Central and North Florida Chapter

The chapter is headquartered in Longwood in Seminole County, (407) 951-7992, and covers 43 counties from Orlando to Jacksonville and Pensacola. Its Helpline, 800-272-3900, offers bilingual staff or translation in more than 200 languages.

Local resources at a glance

What’s different about caregiving in Central Florida

Summer heat and daily thunderstorms are the other constant. Keep outings to the morning, keep water in sight, and watch for new confusion, which can be a sign of dehydration or infection. Our guide to sudden confusion and delirium explains when to call the doctor.

How Orlando-area families use Dementia Companions

1. Coverage for working families. Adult children who work shifts, whether in hospitality, healthcare or elsewhere, book companion hours that match their schedule.
2. Language and culture. Tell us your loved one’s preferred language when you call, then use the caregiver video profiles to hear each person before you choose.
3. Relief for a spouse. Regular respite so a husband or wife in Winter Park or Kissimmee can rest, run errands or see friends.
4. Weighing the next step. Families comparing home care with a move use our in-home care vs. memory care guide.

Companion care is $35 an hour for 40+ hours a week across Orange and Osceola, with no contract. See our Florida cost guide and paying for dementia care to plan.

Planning dementia care in Orlando around a working week

Orange and Osceola are younger counties, so the caregiver is often an adult child with a job, kids and a commute on I-4. Some sample plans are below. Our rate is $35/hour for 40+ hours a week; call us about shorter schedules.

The shift-worker plan is built for families who work evenings: the companion arrives mid-afternoon, when late-day restlessness often starts, makes an early dinner, and keeps the evening calm until you get home. The long Saturday gives a spouse or adult child a full day off each week, which is often what keeps caregiving sustainable.

CareScout’s 2025 Florida medians for comparison: about $67,320 a year for assisted living, about $124,100 for a semi-private nursing home room, and about $19,500 for adult day health care. Some families pair two or three days of adult day with companion hours on the remaining days; try the cost calculator with your own mix.

Adult day and caregiver support in Orange and Osceola

In Osceola County, the Osceola Council on Aging lists adult day health care, Meals on Wheels, home care services and transportation from its Kissimmee offices at 700 Generation Point, (407) 846-8532. In Orange County, the Alzheimer’s & Dementia Resource Center has supported caregivers since 1984 with free support groups, care navigation and education, (407) 436-7750.

Respite funding can also come from the state’s Alzheimer’s Disease Initiative through Senior Resource Alliance, and from Medicare’s GUIDE dementia model, which since July 2024 has let participating providers cover up to $2,500 a year in respite for eligible patients. Ask both clinics listed above whether they participate.

Questions Orlando-area families should ask

1. Does the caregiver live close enough that I-4, SR 417 or tourist traffic will not make them late?
2. Can we schedule evening or weekend visits around a shift job?
3. Is a Spanish-speaking caregiver available, and can we hear them on video first?
4. Can the caregiver take Mom to her memory clinic visit and write down what the doctor says?
5. What happens if a hurricane knocks out power for days?
6. Can the same caregiver cover both a parent in Kissimmee and appointments in downtown Orlando?

Our answers: we match by location, visits can run from 2 hours to a full day on the days you need, bilingual companions are available, every companion is screened for dementia care experience, and companions escort to appointments and send a note. They do not give medication or nursing care. If your loved one also has a home health nurse or hospice team, the companion works alongside them and covers the hours in between, which is where most families feel the gap.

Areas we serve around Orlando

• Winter Park
• Kissimmee
• Lake Nona
• Cost of dementia care in Florida
• Paying for dementia care
• In-home care vs. memory care
• Dementia respite care

Watch a caregiver before you choose

Families watch video interviews like these and choose their companion. No one is sent to your parent's home until you have watched them and said yes.

Kimberly, Miami10 minute interviewTamia, Miami11 minute interviewTanja, Naples11 minute interview

Watch all our caregiver interviews