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

Local figures

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

4.5%

of residents 65+ have difficulty dressing or bathing (6.0% in St. Louis County)

249

residents 85 or older (1.4% of all residents)

22%

of residents 65+ report a disability (28% in St. Louis County)

$67,903

median yearly income of households headed by someone 65+

130 Manchester residents 65 or older have difficulty dressing or bathing (4.5%; 6.0% in St. Louis County), and 409 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 249 residents are 85 or older (1.4% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Manchester Rehab And Healthcare Center in Ballwin (1.3 mi) and Lutheran Senior Services At Meramec Bluffs in Ballwin (1.3 mi).

Manchester compared with St. Louis County and Missouri

Census figure	Manchester	St. Louis County	Missouri
Residents 65+ with difficulty dressing or bathing	4.5%	6.0%	6.4%
Residents 65+ with serious difficulty walking	14%	18%	21%
Residents 65+ with serious difficulty remembering	5.1%	6.3%	8.0%
Residents 85 or older	1.4%	2.4%	2.0%
Residents 65+ in households who live alone	24%	32%	30%
Residents 65+ below the poverty line (approx.)	5.6%	8.2%	10%
Median income, households headed by someone 65+	$67,903	$63,295	—

Older residents in towns around Manchester

Town	Distance	Residents 65+	Self-care difficulty (65+)
Valley Park, MO	2.4 mi	1,297	3.7%
Ballwin, MO	2.5 mi	5,960	3.3%
Des Peres, MO	3.5 mi	2,096	1.4%
Town and Country, MO	3.6 mi	3,421	6.3%
Ellisville, MO	4.4 mi	2,594	7.3%
Kirkwood, MO	4.6 mi	6,084	4.5%

Home health agencies serving Manchester

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Healthy Family Home Care, LLC	Ellisville, MO	3.4 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 594-2332
Mercy Home Health	Saint Louis, MO	6.3 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 525-1045
Phoenix Home Care And Hospice	Saint Louis, MO	8.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 695-4330
Evertrue Home Health	St. Louis, MO	8.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 352-7889
Aw Health Care	Saint Louis, MO	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600

Nursing homes near Manchester (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Manchester Rehab And Healthcare Center	Ballwin, MO	1.3 mi	1 of 5	137	(636) 391-0666
Lutheran Senior Services At Meramec Bluffs	Ballwin, MO	1.3 mi	5 of 5	32	(636) 861-0600
Big Bend Woods Healthcare Center	Valley Park, MO	1.9 mi	1 of 5	135	(636) 225-5144
Garden View Care Center At Dougherty Ferry	Valley Park, MO	1.9 mi	4 of 5	66	(636) 861-0500

Straight-line miles from the center of Manchester. 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 Manchester

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, 205% of the $5,659 monthly median income of Manchester 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 Manchester: common questions

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

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, 205% of the $5,659 monthly median income of Manchester 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 Manchester

More senior care near Manchester

24-Hour Home Care in nearby cities

Other care in Manchester

More for Manchester 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 Manchester, MO