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 2024 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 2024 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 2024 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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Top Home Care Agencies in St Louis, MO

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St. Louis, Missouri, has 220 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 $24 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: 12/21/24
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Photo of TheKey Corporate- 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 Lutheran Convalescent Home
11 Photo available
8.5
Review score
3 reviews
8.5
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3 reviews
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, 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.
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 Helpers - Webster Groves, MO
11 Photo available
4 reviews
We initially hired Senior Helpers to help my mom with aftercare from surgery back in June. It was supposed to be only temporary but my mom liked their service and has them come out at least once a week to...
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 Home Helpers Home Care of Alton, IL
22 Photos available
1 review
They did a good job. They were reliable and we were satisfied with them. I haven't had any complaints or concerns.
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 Helpers, is a leader in the non-medical in-home personalized care industry for seniors, new moms and individuals with long term or short term care needs.  Home Helpers of SW IL is locally owned and operated.  Our experienced CNAs and Caregivers are bonded...
Photo of Senior Services Unlimited - St. Louis MO
33 Photos available
28 reviews
The administration at this home health service have been wonderful. I have yet to start there services due to my mother being in an out of the hospital but I am very impressed with how much they have kept in...
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
I'am very satisfied with the services my father has been receiving from this home care agency. He is doing very well, and everything has worked out great. His care giver is amazing. She is very helpful, and...
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
11 Photo available
7 reviews
They are a wonderful agency. I am beyond happy and it does not get any better. They are just always there and Mom likes every woman they send. The ladies at the office are wonderful. The caregivers clean up...
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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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.
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...
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1 review
They were wonderful, all of them. I would not have been able to have made it through everything without having the support that they gave me and my mother. It takes special people to want to do their job,...
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
I use this company for my father that is bed bound, They are always professional & reliable. The personal care plan for my dad was perfect. The service provided is affordable & worth it for the great service
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.
2 reviews
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...
5 reviews
We chose Amada Senior Care because they were immediately available in an emergency situation so they were very flexible. The only issue we had was that I asked them to let me know if they would send a new...
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
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 Pleasant Journey Home Care
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.
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.
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

Costs of home care in St. Louis, Missouri

Average cost of home care in Saint Louis, MO

Average hourly rate
$24/hr
Average overnight rate
$34/hr
Average weekend rate
$35/hr

Average monthly cost of home care vs. senior living in Saint Louis, MO

44 hours of home care/wk
$4,648/mo
$5,415/mo

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

TheKey Corporate- St. Louis, MO in Saint Louis, MO

5.0
It's working out really well for us. We are able to get the same person on a regular basis. They were the only ones that were within our price range and they were able to work with the VA benefits. They are always prompt, and we don't have issues with people not showing up or needing a ...
Read more

Morning Glory Home Care, Inc. in Edwardsville, IL

5.0
Everything is going fine. They have showed up on time as scheduled for every shift I have requested, you can't ask for much more than that. They have been very reliable. We have a main person that comes and they fill in someone if she needs a day off, but for the most part it's a consistent ...
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Senior Helpers - Webster Groves, MO in Saint Louis, MO

5.0
So far it's been a really good experience working with Senior Helpers. Right now their primary role is to help my Mom with cleaning and they seem to get the job done. It would be nice if they sent the same person consistently but that would be my only complaint. I really appreciate the fact that ...
Read more

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

TheKey Corporate- St. Louis, MO, Lutheran Convalescent Home and Senior Helpers - Webster Groves, 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 {{ zipAverageCost }} 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).