Centralia, Missouri

24-Hour Home Care in Centralia, MO

Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Centralia for free and hire a caregiver directly, with no agency mark-up.

A smiling caregiver with her arm around an older woman in a bright room at home
Local figures

24-Hour Home Care in Centralia, MO: the local picture

7.6%
of residents 65+ have difficulty dressing or bathing (4.5% in Boone County)
46
residents 85 or older (1.0% of all residents)
51%
of residents 65+ report a disability (29% in Boone County)
$49,153
median yearly income of households headed by someone 65+

71 Centralia residents 65 or older have difficulty dressing or bathing (7.6%; 4.5% in Boone County), and 240 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 46 residents are 85 or older (1.0% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Heritage Hall Nursing Center in Centralia (0.7 mi) and Pin Oaks Living Center in Mexico (13 mi).

Centralia compared with Boone County and Missouri

Census figureCentraliaBoone CountyMissouri
Residents 65+ with difficulty dressing or bathing7.6%4.5%6.4%
Residents 65+ with serious difficulty walking26%17%21%
Residents 65+ with serious difficulty remembering14%7.2%8.0%
Residents 85 or older1.0%1.3%2.0%
Residents 65+ in households who live alone31%30%30%
Residents 65+ below the poverty line (approx.)9.6%8.6%10%
Median income, households headed by someone 65+$49,153$64,058—

Older residents in towns around Centralia

TownDistanceResidents 65+Self-care difficulty (65+)
Mexico, MO14 mi2,1739.0%
Columbia, MO21 mi14,8835.5%
Moberly, MO22 mi2,2958.6%
Fulton, MO26 mi1,89111%
Ashland, MO28 mi7330.0%
Fayette, MO30 mi3522.7%

Home health agencies serving Centralia

AgencyOfficeDistanceCMS quality starsServices listedPhone
Centerwell Home HealthColumbia, MO23 mi5 of 5nursing, physical therapy, occupational therapy(573) 256-4705
Elara CaringJefferson City, MO44 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(800) 690-1753
Central Missouri Home HealthJefferson City, MO44 mi4 of 5nursing, physical therapy, occupational therapy, home health aides(573) 681-3777
Phoenix Home CareJefferson City, MO46 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(573) 635-3900
Angels Care Home HealthMoberly, MO22 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(660) 263-1517

Nursing homes near Centralia (to compare)

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Heritage Hall Nursing CenterCentralia, MO0.7 mi4 of 560(573) 682-5551
Pin Oaks Living CenterMexico, MO13 mi1 of 5124(573) 581-7261
Villa At Blue Ridge, TheColumbia, MO19 mi1 of 597(573) 474-6111
Columbia Post AcuteColumbia, MO19 mi5 of 570(573) 397-7144

Straight-line miles from the center of Centralia. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

  • Someone awake and on duty at all hours
  • Personal care, meals and medication reminders through the day
  • Help at night without relying on one tired caregiver
  • Written handover notes between shifts
Cost

What 24-hour home care costs in Centralia

24-hour care is 168 paid hours a week. At $15.90 an hour (the Missouri median aide wage) that is about $11,575 a month in wages before any overtime, 283% of the $4,096 monthly median income of Centralia households headed by someone 65+. Rates are agreed with each caregiver. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Centralia: common questions

How much does 24-hour home care cost in Centralia?

24-hour care is 168 paid hours a week. At $15.90 an hour (the Missouri median aide wage) that is about $11,575 a month in wages before any overtime, 283% of the $4,096 monthly median income of Centralia households headed by someone 65+. Rates are agreed with each caregiver. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

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