24-Hour Home Care in Excelsior Springs, 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 Excelsior Springs for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Excelsior Springs, MO: the local picture
114 Excelsior Springs residents 65 or older have difficulty dressing or bathing (7.6%; 6.2% in Clay County), and 382 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 202 residents are 85 or older (1.9% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Aspire Senior Living Excelsior Springs in Excelsior Springs (1.6 mi) and Valley Manor And Rehabilitation Center in Excelsior Springs (1.7 mi).
Excelsior Springs compared with Clay County and Missouri
| Census figure | Excelsior Springs | Clay County | Missouri |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 7.6% | 6.2% | 6.4% |
| Residents 65+ with serious difficulty walking | 26% | 20% | 21% |
| Residents 65+ with serious difficulty remembering | 11% | 7.8% | 8.0% |
| Residents 85 or older | 1.9% | 1.4% | 2.0% |
| Residents 65+ in households who live alone | 27% | 29% | 30% |
| Residents 65+ below the poverty line (approx.) | 17% | 9.2% | 10% |
| Median income, households headed by someone 65+ | $45,789 | $57,117 | — |
Older residents in towns around Excelsior Springs
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Kearney, MO | 6.4 mi | 1,967 | 3.2% |
| Lawson, MO | 6.5 mi | 440 | 2.3% |
| Liberty, MO | 12 mi | 4,881 | 4.6% |
| Buckner, MO | 15 mi | 450 | 3.1% |
| Richmond, MO | 15 mi | 1,256 | 11% |
| Pleasant Valley, MO | 15 mi | 479 | 7.4% |
Home health agencies serving Excelsior Springs
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Saint Lukes Home Care | Kansas City, MO | 27 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (816) 756-1160 |
| Centerwell Home Health | Overland Park, KS | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (913) 906-0522 |
| Elara Caring | Jefferson City, MO | 120 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 690-1753 |
| Faith Home Healthcare | Gladstone, MO | 18 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (913) 296-7636 |
| Phoenix Home Care | Independence, MO | 22 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (816) 373-7442 |
Nursing homes near Excelsior Springs (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Aspire Senior Living Excelsior Springs | Excelsior Springs, MO | 1.6 mi | 2 of 5 | 108 | (816) 630-3145 |
| Valley Manor And Rehabilitation Center | Excelsior Springs, MO | 1.7 mi | 1 of 5 | 120 | (816) 637-1010 |
| Lawson Manor & Rehab | Lawson, MO | 7.3 mi | 1 of 5 | 60 | (816) 580-3269 |
| Norterre | Liberty, MO | 11 mi | 3 of 5 | 60 | (816) 479-4793 |
Straight-line miles from the center of Excelsior Springs. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in Excelsior Springs
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, 303% of the $3,816 monthly median income of Excelsior Springs 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.
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.
24-Hour Home Care in Excelsior Springs: common questions
How much does 24-hour home care cost in Excelsior Springs?
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, 303% of the $3,816 monthly median income of Excelsior Springs 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 senior care near Excelsior Springs
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Kearney, MO
- 24-Hour Home Care in Lawson, MO
- 24-Hour Home Care in Liberty, MO
- 24-Hour Home Care in Buckner, MO
- 24-Hour Home Care in Richmond, MO
- 24-Hour Home Care in Pleasant Valley, MO
- 24-Hour Home Care in Lathrop, MO
- 24-Hour Home Care in Sugar Creek, MO
- 24-Hour Home Care in Smithville, MO
- 24-Hour Home Care in Independence, MO
- 24-Hour Home Care in Gladstone, MO
- 24-Hour Home Care in North Kansas City, MO
- 24-Hour Home Care in Kansas City, MO
- 24-Hour Home Care in Grain Valley, MO
- 24-Hour Home Care in Blue Springs, MO
- 24-Hour Home Care in Lexington, MO
Other care in Excelsior Springs
- Companion Care in Excelsior Springs
- Dementia Care in Excelsior Springs
- Respite Care in Excelsior Springs
- Live-In Caregivers in Excelsior Springs
- Post-Surgery Care in Excelsior Springs
- Senior Transportation in Excelsior Springs
- Home Health Aides in Excelsior Springs
- Nursing Assistants in Excelsior Springs
- Personal Care in Excelsior Springs
- Overnight Caregivers in Excelsior Springs
- Mobility Assistance in Excelsior Springs
- Parkinson’s Care in Excelsior Springs
- Stroke Recovery Support in Excelsior Springs
- Disability Care for Adults in Excelsior Springs
- Hospice Support in Excelsior Springs
- Senior Meal Preparation in Excelsior Springs
- Senior Housekeeping in Excelsior Springs
- Medication Reminders in Excelsior Springs
- Veterans’ Home Care in Excelsior Springs
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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