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

Local figures

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

5.7%

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

97

residents 85 or older (2.2% of all residents)

54%

of residents 65+ report a disability (42% in Madison County)

$38,245

median yearly income of households headed by someone 65+

44 Fredericktown residents 65 or older have difficulty dressing or bathing (5.7%; 6.6% in Madison County), and 312 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 97 residents are 85 or older (2.2% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Madison Medical Center in Fredericktown (0.2 mi) and Claru Deville Nursing Center in Fredericktown (1.0 mi).

Fredericktown compared with Madison County and Missouri

Census figure	Fredericktown	Madison County	Missouri
Residents 65+ with difficulty dressing or bathing	5.7%	6.6%	6.4%
Residents 65+ with serious difficulty walking	40%	28%	21%
Residents 65+ with serious difficulty remembering	11%	9.6%	8.0%
Residents 85 or older	2.2%	1.6%	2.0%
Residents 65+ in households who live alone	39%	27%	30%
Residents 65+ below the poverty line (approx.)	4.3%	9.9%	10%
Median income, households headed by someone 65+	$38,245	$39,583	—

Older residents in towns around Fredericktown

Town	Distance	Residents 65+	Self-care difficulty (65+)
Farmington, MO	17 mi	3,359	5.7%
Park Hills, MO	21 mi	1,028	13%
Desloge, MO	25 mi	968	4.5%
Perryville, MO	26 mi	1,370	4.5%
Bonne Terre, MO	28 mi	848	6.3%
Terre du Lac, MO	29 mi	500	1.4%

Home health agencies serving Fredericktown

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Farmington, MO	16 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 431-3956
Evertrue Home Health	St. Louis, MO	73 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 352-7889
Elara Caring	Bridgeton, MO	82 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931
Centerwell Home Health	Rolla, MO	84 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 341-3456
Amedisys Home Health Of Missouri	Hillsboro, MO	50 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 789-4715

Nursing homes near Fredericktown (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Madison Medical Center	Fredericktown, MO	0.2 mi	5 of 5	99	(573) 783-3341
Claru Deville Nursing Center	Fredericktown, MO	1.0 mi	3 of 5	90	(573) 783-3993
St Francois Manor	Farmington, MO	15 mi	4 of 5	118	(573) 760-1700
Farmington Presbyterian Manor	Farmington, MO	17 mi	5 of 5	90	(573) 756-6768

Straight-line miles from the center of Fredericktown. 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 Fredericktown

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, 363% of the $3,187 monthly median income of Fredericktown 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 Fredericktown: common questions

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

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, 363% of the $3,187 monthly median income of Fredericktown 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 Fredericktown

More senior care near Fredericktown

24-Hour Home Care in nearby cities

Other care in Fredericktown

More for Fredericktown 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 Fredericktown, MO