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

Local figures

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

10%

of residents 65+ have difficulty dressing or bathing (7.9% in Macon County)

159

residents 85 or older (2.9% of all residents)

39%

of residents 65+ report a disability (35% in Macon County)

$38,725

median yearly income of households headed by someone 65+

115 Macon residents 65 or older have difficulty dressing or bathing (10%; 7.9% in Macon County), and 286 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 159 residents are 85 or older (2.9% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Loch Haven in Macon (1.1 mi) and Macon Health Care Center in Macon (1.4 mi).

Macon compared with Macon County and Missouri

Census figure	Macon	Macon County	Missouri
Residents 65+ with difficulty dressing or bathing	10%	7.9%	6.4%
Residents 65+ with serious difficulty walking	25%	23%	21%
Residents 65+ with serious difficulty remembering	15%	9.1%	8.0%
Residents 85 or older	2.9%	3.0%	2.0%
Residents 65+ in households who live alone	33%	30%	30%
Residents 65+ below the poverty line (approx.)	7.3%	10%	10%
Median income, households headed by someone 65+	$38,725	$39,974	—

Older residents in towns around Macon

Town	Distance	Residents 65+	Self-care difficulty (65+)
Moberly, MO	22 mi	2,295	8.6%
Kirksville, MO	32 mi	2,261	7.9%
Brookfield, MO	32 mi	998	5.3%
Monroe City, MO	40 mi	509	22%
Centralia, MO	41 mi	986	7.6%
Fayette, MO	43 mi	352	2.7%

Home health agencies serving Macon

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Columbia, MO	56 mi	5 of 5	nursing, physical therapy, occupational therapy	(573) 256-4705
Elite Home Health	Kirksville, MO	32 mi	4.5 of 5	nursing, physical therapy, speech therapy, home health aides	(660) 627-2787
Elara Caring	Jefferson City, MO	81 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 690-1753
Angels Care Home Health	Moberly, MO	22 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(660) 263-1517
Orthopaedic And Medical Home Health, LLC	Columbia, MO	56 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 474-1786

Nursing homes near Macon (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Loch Haven	Macon, MO	1.1 mi	2 of 5	100	(660) 385-3113
Macon Health Care Center	Macon, MO	1.4 mi	5 of 5	84	(660) 385-5797
Clarence Care Center	Clarence, MO	12 mi	3 of 5	60	(660) 699-2118
La Plata Nursing Home	La Plata, MO	20 mi	3 of 5	52	(660) 332-4315

Straight-line miles from the center of Macon. 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 Macon

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, 359% of the $3,227 monthly median income of Macon 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 Macon: common questions

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

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, 359% of the $3,227 monthly median income of Macon 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 Macon

More senior care near Macon

24-Hour Home Care in nearby cities

Other care in Macon

More for Macon 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 Macon, MO