About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Find Home Care Agencies Near St. Louis, MO

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St. Louis, Missouri, has 248 home care agencies that help seniors and adults with disabilities receive care within the comforts of home. The average cost of St. Louis home care is $29 per hour, but the total cost depends on each person’s care requirements. The agency listings, reviews, payment methods, and home care regulations below can help you take the next step in choosing a home care agency.

Home Care Agencies near St Louis, MO

Showing 75 home care providers
Last Updated: 12/6/25
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Photo of Pleasant Journey Home Care
11 Photo available
1 review
Caring Respectful And Will Do Things To Help That Is Not Required Of The Company And “Above Her Pay A Grade”. [name removed] Is Not Like Other Agency. She Puts Herself Out For Others That Is Not...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Senior Helpers of Webster Groves, MO
11 Photo available
5 reviews
My mom has a caregiver from Senior Helpers 1 time a week and has had this service for about 15 months. My mom can be difficult to deal with due to dementia but she looks forward to the help and relies on the
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Senior Helpers specializes in providing professional personal care and companion care to seniors who desire to maintain their independence at home.  Based on the needs of our clients, we customize each caregiver/client relationship to ensure the finest compassionate and individualized one-on-one...
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Photo of TheKey of St. Louis, MO
55 Photos available
13 reviews
[name removed] was very happy with the service. I would tell others lookin into them mainly to have task list prepared if there are specific things or assistance needed to be done so the caregiver can work...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Home Care Assistance of St. Louis is a provider of premium in-home care services serving the entire greater St. Louis area. Since opening in 2006, we have served hundreds of clients providing them with the freedom to live safely in their own home. We specialize in live-in care and also provide...
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Photo of EverTrue Laclede Groves
11 Photo available
5 star
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Marvelous facility! My mom lived at Laclede Groves for the last 3 years of her life. From her 90th birthday party in the first month of her stay to her last week in Laclede’s hospice care, our family was...
Provides: Assisted Living, Memory Care, Independent Living, Home Care, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Senior Services Unlimited - St. Louis MO
33 Photos available
28 reviews
Exceptional care from all the staff in the organization. The admin staff is response and agile, they were able to meet the ever changing needs of our parent and did so with great care and service. The...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
SENIOR SERVICES UNLIMITED We are a family owned and operated business since 1987, Senior Services Unlimited has been providing thousands of families-just like yours-with premium care services at the most reasonable cost. SSU's bonded, insured and carefully screened staff is here to help. Our...
Photo of Grandma Joan's Live-In Care Consulting and Recruiting
66 Photos available
57 reviews
I was in a real pinch to find the right care giver and "home manager" for my parents. Mom suffers from dementia and suddenly Dad, her main caregiver, had a stroke. Almost overnight, we needed immediate...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
About our Consulting and Recruiting ServicesGrandma Joan is an award-winning consulting and recruiter service that has been helping discerning families recruit, screen, and hire premium live-in caregivers since 2010.We act as the family’s private 3rd party recruiters, finding and screening the...
Photo of Private Home Care- Saint Louis
66 Photos available
8 reviews
It's taken me awhile to write this review. In August, my father, who had been battling cancer for seven years, finally gave us his fight & came home to die in peace. My mother, sister & I would be his...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
At Private Home Care, we believe in embracing, celebrating, and improving the aging experience by providing a long-term solution for those who choose to age naturally at home. Our approach is simple: we place outstanding, committed caregivers with our clients so that they can remain at home for...
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Photo of Home Instead - University City, MO
11 Photo available
7 reviews
Home Instead has been an excellent source of support for our family. The care that has been provided for my father is reliable, consistent, and compassionate. They have regularly checked in and adapt as his...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
3 reviews
It was ok the director [name removed] was very good. Our helper was not a good fit. Very hard to understand. Required special food bought my me. Didn’t like American food. Was on the phone all of the time...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
4 reviews
This company sets a high standard for the staff. They are professional accessible and communication is very good. Weve been using them almost 6 months and are very pleased. The driving force in the...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
It has been an excellent experience for my father since he started to receive from this home care agency. They have been great to work with, and I'am very pleased with all they have done for my family. The...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to have the peace of mind that comes with knowing their loved-ones are safe and...
1 review
Home Instead has been very professional overall my mom's care pros are very attentive to her needs.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
It is great for me to get out while [name removed] is watching my husband. I truly needed a break and Assistance Home Care works right for us. I have no worries to leave [name removed] in [name removed] care...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
Visiting Angels have been remarkable for her. She feels so much better having someone with her most of the day. I am so thankful for them.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
8 reviews
A few call-offs or no-call/no-shows, or a couple of disinterested caregivers prevent a 5 rating. I would recommend Amada, but also to report to the manager any unapproved absences or disinterested...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
They were very helpful in answering my questions when I was considering homecare. They were friendly and patient. They still call from time to time just to check in and see how things are going.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
“A lot of people just want to stay in their home,” says Dennis Autrey, an Eldercare Advisor with A Place For Mom.You know your aging parent or family member needs help. You have talked, maybe even argued, with your spouse, brothers and sisters about what to do.You have so many questions and...
1 review
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Helping Hands Patient Services, LLC
22 Photos available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
HELPING HANDS PATIENT SERVICES is a limited liability corporation with a staff of dedicated lift team technicians and support personnel. HHPS’ mission is to provide safe patient handling, improve patient comfort, safety and recovery, and prevent employee injuries through skillful, compassionate...
Photo of Nurses For You - St. Louis, MO
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.

Costs of home care in St. Louis, Missouri

Average home care costs in Saint Louis, MO

Average hourly rate
$29/hr
Average overnight rate
$34/hr
Average weekend rate
$35/hr

Home care costs vs. senior living costs in Saint Louis, MO

44 hours of home care/wk
$5,525/mo
$5,636/mo

Home care costs in Saint Louis vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Saint Louis, MO$29$116$2,511$30,160
Missouri$31$124$2,685$32,240
National$30$120$2,598$31,200
Saint Louis, MO
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
Missouri
Hourly cost:$31
Daily cost:$124
Monthly cost:$2,685
Annual cost:$32,240
National
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in St Louis.

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Paying for home care in St. Louis, Missouri

Retirement funds and personal savings are common ways to pay for home care in St. Louis. While it’s common for people to consider turning to their health insurance, usually only medically necessary services are covered. For those needing nonmedical support with everyday tasks, care services will likely not be covered. Nonmedical home care services typically include housekeeping and support with activities of daily living, such as personal hygiene tasks and mealtimes.

Personal funds like retirement accounts, savings, and pensions are most often used to cover the cost of home care. Long-term care (LTC) insurance may be another option, as many policies provide benefits once you need help with at least two activities of daily living (or ADLs). If you have a long-term care insurance policy, be sure to check when your specific policy starts providing coverage. In addition, Medicare, Medicaid, and Veterans Affairs (VA) benefits may cover home care costs if you’re eligible.

Paying for home care
Get an overview of all payment options for home care.

VA home care benefits
See how VA benefits can help veterans and their spouses pay for home care.

Home care and LTC insurance
Learn how to use long-term care insurance to cover home care costs.

Does Medicare pay for home care in St. Louis?

Yes, nonmedical home care services are covered by Medicare, but only if those services are deemed necessary alongside doctor-prescribed at-home medical care services.[01] A doctor must determine that care services are medically necessary, and those services must be provided by a Medicare-certified home care agency. Also, to receive Medicare coverage for medically necessary home care services, you must be at least 65 years old or have a disability.

Missouri’s State Health Insurance Assistance Program (SHIP) is a great resource for one-on-one support with Medicare enrollment and benefits. SHIP will connect you with a counselor for individualized help. To get started, visit their website to fill out their contact form at the bottom of the page. Or, you can call 1-800-390-3330 on weekdays to speak with a counselor about Medicare and home care coverage.

Does Medicaid pay for home care in St. Louis?

Yes, the Missouri Medicaid program, MO HealthNet, pays for personal home care services if they’re given alongside doctor-prescribed skilled nursing care services. This means Missouri residents age 63+ and adults with disabilities can use MO HealthNet to cover nonmedical home care services provided with medically necessary home health care.

You can also look into the Aged and Disabled Waiver from the Missouri Department of Social Services. This home and community based services (HCBS) waiver is for adults age 63+ who are at risk of living in a nursing home if they don’t have other care options. Homemaker services, help with chores, adult day care, and meals delivered at home may be covered by this waiver.

Where do I get information about veterans benefits in St. Louis?

U.S. Department of Veterans Affairs (VA) benefits can help eligible veterans, their spouses, or their dependents pay for St. Louis home care. However, understanding what you qualify for and applying for benefits can be overwhelming. We recommend first contacting the VA St. Louis regional office to get started.

Veterans and their loved ones can also use a Missouri veterans service organization (VSO) for support with benefits. VSOs have qualified benefit officers trained to help people understand their eligibility and guide them through the application process. To find a VSO near you and receive support, browse the organizations listed below:

What other St. Louis services help seniors age in place?

The city of St. Louis and St. Louis County offer additional resources to help seniors age in place. These resources connect seniors with local services that help with different areas of daily life, such as transportation and even home repairs. Combining these services with home care can help seniors continue living in their homes for as long as possible.

The St. Louis Area Agency on Aging has a list of senior centers and a host of information about local services that help seniors retain their independence. Available services include health management programs, minor home repairs, senior nutrition, and assistance with health insurance.

The County Older Resident Programs are for St. Louis seniors age 60+. These programs typically include volunteer visitors, tax and claims assistance, telephone reassurance, and transportation. You can reach them during weekdays to get more information on the services they offer.

What families are saying about home care in Saint Louis

Recent reviews for home care in Saint Louis

EverTrue Laclede Groves in Webster Groves, MO

5.0
After an extensive search, I realize Lutheran Senior Services' Laclede Groves retirement community in Webster Groves offers the best Life Plan facility in the St. Louis area. I'm experiencing the high level of quality of life and care that all seniors hope to experience in their retirement. ...
Read more

Dignity at Home Care LLC - Saint Charles, MO

4.0
The first person was unqualified, young and not showing up. They did not know how to cook. We did get a local person, who is doing great. Office manager was really nice while she was there. Overall, we are happy.

DUPE Right at Home - O'Fallon, MO in O Fallon, MO

5.0
They are doing a very good job. For the most part we have two ladies that come, but we do have others from time to time. They are pretty consistent.

How to choose the right St. Louis home care agency

Understanding licensure requirements, accreditation, caregiver requirements, and other business practices can help you choose the right home care agency. St. Louis home care agencies aren’t required to have a license, but there are licensing requirements for any home care agencies that provide medical care services.

On this page, you’ll find home care agencies that provide a range of services. Some provide only nonmedical care, others exclusively medical care, and still others may provide both. Take time to consult with your or your loved one’s doctor or social worker to fully understand their care needs. This step is crucial so you ensure you find a home care agency that provides services that will meet their needs.

Licensure and accreditation

St. Louis home care agencies offering only nonmedical care aren’t licensed, but some may be accredited. Accreditation means that an accrediting organization recognizes that the home care agency has met a certain set of standards. Examples of standards for accreditation include caregiver competency, how clients are assessed, and infection control methods.[02]

Home care agencies offering medical care, on the other hand, must be licensed each year by the Missouri Department of Health and Senior Services after passing an inspection.[03] During inspections, representatives from the department visit the agency’s location and look at client and caregiver training records. They may also visit clients in their homes.[04] Visit the Department of Health and Senior Services website for more information on these regulations.

Hiring practices

If St. Louis home care agencies aren’t licensed, they may each have their own hiring practices. However, it’s common for home care agencies to hire caregivers who are at least 18 years old, have passed a thorough background check, and have or will complete CPR and first aid training. If you’re considering a home care agency offering medical care services, those caregivers must receive dementia-specific training.[05] If only nonmedical home care is needed, it may be worth asking those agencies if they also have dementia training requirements.

You can contact any agency you’re interested in to ask about caregiver qualifications. For example, consider asking what, if any, training caregivers are required to complete and how often the agency evaluates each caregiver’s abilities.

Fees and minimums

We recommend taking time to understand St. Louis home care agencies’ fees and requirements that may affect the overall cost of care. Having this information ahead of time can help you make an informed decision, so consider asking the questions below:

  • Does the agency charge a fee for the initial client assessment?
  • Is there a required minimum number of shifts or hours per shift? Some agencies require at least seven hours per week or between two and four hours per day.
  • Does the agency charge an upfront deposit?
  • What is the estimated charge of care per hour based on your loved one’s current needs?

We also suggest asking if the agency has a minimum client age requirement, as this can impact which agencies may be the best fit. You can also describe a few of your or your loved one’s needs and ask how the agency’s caregivers can meet them.

Other questions to ask St. Louis home care agencies

Ask these 10 questions to help you find the right home care agency.

Frequently asked questions about home care in Saint Louis

Pleasant Journey Home Care, Senior Helpers of Webster Groves, MO and TheKey of St. Louis, MO are the top-rated Home Care facilities near St Louis, MO. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Home Care in St Louis is $5,525 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.
Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.
Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

References

  1. Medicare.gov. Home health services.

  2. The Joint Commission. (2018). Accreditation for personal care and support.

  3. Certified Home Health Agency, Missouri State Statues Chapter 197.400 § 197.475.

  4. Missouri Department of Health and Senior Services. Home health (certified/skilled).

  5. Home Health Agencies, Code of State Regulations Chapter 26 (2020).

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The information contained on this page 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 endorse the contents of the third-party sites.
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1.

Medicare.gov. Home health services.

2.

The Joint Commission. (2018). Accreditation for personal care and support.

3.

Certified Home Health Agency, Missouri State Statues Chapter 197.400 § 197.475.

4.

Missouri Department of Health and Senior Services. Home health (certified/skilled).

5.

Home Health Agencies, Code of State Regulations Chapter 26 (2020).