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

Local figures

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

6.5%

of residents 65+ have difficulty dressing or bathing (5.8% in Jefferson County)

13

residents 85 or older (0.4% of all residents)

36%

of residents 65+ report a disability (34% in Jefferson County)

$27,112

median yearly income of households headed by someone 65+

25 Hillsboro residents 65 or older have difficulty dressing or bathing (6.5%; 5.8% in Jefferson County), and 105 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 13 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 Hillcrest Care Center Inc in De Soto (5.6 mi) and Scenic Wellness And Rehabilitation Center in Herculaneum (9.3 mi).

Hillsboro compared with Jefferson County and Missouri

Census figure	Hillsboro	Jefferson County	Missouri
Residents 65+ with difficulty dressing or bathing	6.5%	5.8%	6.4%
Residents 65+ with serious difficulty walking	27%	22%	21%
Residents 65+ with serious difficulty remembering	5.7%	7.7%	8.0%
Residents 85 or older	0.4%	1.5%	2.0%
Residents 65+ in households who live alone	36%	24%	30%
Residents 65+ below the poverty line (approx.)	13%	9.3%	10%
Median income, households headed by someone 65+	$27,112	$57,683	—

Older residents in towns around Hillsboro

Town	Distance	Residents 65+	Self-care difficulty (65+)
De Soto, MO	6.4 mi	1,115	13%
Festus, MO	8.6 mi	2,090	7.4%
Herculaneum, MO	9.6 mi	814	4.0%
Pevely, MO	9.8 mi	811	18%
Crystal City, MO	10 mi	961	10%
Barnhart, MO	11 mi	659	4.0%

Home health agencies serving Hillsboro

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Healthy Family Home Care, LLC	Ellisville, MO	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 594-2332
Evertrue Home Health	St. Louis, MO	29 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 352-7889
Elara Caring	Farmington, MO	33 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 431-3956
Aw Health Care	Saint Louis, MO	33 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600
Elara Caring	Bridgeton, MO	37 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931

Nursing homes near Hillsboro (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Hillcrest Care Center Inc	De Soto, MO	5.6 mi	4 of 5	120	(636) 586-3022
Scenic Wellness And Rehabilitation Center	Herculaneum, MO	9.3 mi	4 of 5	189	(636) 931-2995
Superior Manor Of Festus, LLC	Festus, MO	9.5 mi	1 of 5	55	(314) 624-5575
Crystal Oaks	Festus, MO	9.7 mi	4 of 5	131	(636) 933-1818

Straight-line miles from the center of Hillsboro. 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 Hillsboro

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, 512% of the $2,259 monthly median income of Hillsboro 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 Hillsboro: common questions

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

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, 512% of the $2,259 monthly median income of Hillsboro 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 Hillsboro

More senior care near Hillsboro

24-Hour Home Care in nearby cities

Other care in Hillsboro

More for Hillsboro families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Hillsboro, MO