24-Hour Home Care in Charleston, MO: Round-the-Clock Care

Local figures

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

4.0%

of residents 65+ have difficulty dressing or bathing (6.6% in Mississippi County)

19

residents 85 or older (0.4% of all residents)

44%

of residents 65+ report a disability (53% in Mississippi County)

$36,458

median yearly income of households headed by someone 65+

23 Charleston residents 65 or older have difficulty dressing or bathing (4.0%; 6.6% in Mississippi County), and 188 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 19 residents are 85 or older (0.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Bertrand Nursing And Rehab Center in Bertrand (6.9 mi) and Aspire Senior Living East Prairie in East Prairie (9.6 mi).

Charleston compared with Mississippi County and Missouri

Census figure	Charleston	Mississippi County	Missouri
Residents 65+ with difficulty dressing or bathing	4.0%	6.6%	6.4%
Residents 65+ with serious difficulty walking	32%	33%	21%
Residents 65+ with serious difficulty remembering	5.0%	12%	8.0%
Residents 85 or older	0.4%	1.3%	2.0%
Residents 65+ in households who live alone	38%	39%	30%
Residents 65+ below the poverty line (approx.)	8.1%	9.7%	10%
Median income, households headed by someone 65+	$36,458	$40,000	—

Older residents in towns around Charleston

Town	Distance	Residents 65+	Self-care difficulty (65+)
East Prairie, MO	9.9 mi	563	4.9%
Sikeston, MO	14 mi	3,549	10%
Scott City, MO	24 mi	562	9.1%
Chaffee, MO	26 mi	540	5.4%
New Madrid, MO	26 mi	560	9.3%
Cape Girardeau, MO	30 mi	7,947	4.8%

Home health agencies serving Charleston

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Dexter, MO	36 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 243-0042
Amedisys Home Health Of Missouri	Poplar Bluff, MO	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(573) 727-9687
Adoration Home Health	Sikeston, MO	14 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(573) 472-2234
Visiting Nurse Association Of Southeast Missouri, Inc	Kennett, MO	61 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(573) 888-5892
Grace Reliant Health Services, LLC	Cape Girardeau, MO	30 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(573) 803-5009

Nursing homes near Charleston (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Bertrand Nursing And Rehab Center	Bertrand, MO	6.9 mi	5 of 5	60	(573) 683-4290
Aspire Senior Living East Prairie	East Prairie, MO	9.6 mi	3 of 5	52	(573) 649-3551
Daybreak Nursing Center	Sikeston, MO	12 mi	4 of 5	70	(573) 471-7683
Delta South Nursing & Rehabilitation	Sikeston, MO	13 mi	4 of 5	60	(573) 471-3400

Straight-line miles from the center of Charleston. 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 Charleston

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, 381% of the $3,038 monthly median income of Charleston 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 Charleston: common questions

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

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, 381% of the $3,038 monthly median income of Charleston 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.

More near Charleston

More senior care near Charleston

24-Hour Home Care in nearby cities

Other care in Charleston

More for Charleston families

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.

24-Hour Home Care in Charleston, MO