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

Local figures

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

22%

of residents 65+ have difficulty dressing or bathing (9.8% in Monroe County)

71

residents 85 or older (2.3% of all residents)

43%

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

$32,000

median yearly income of households headed by someone 65+

106 Monroe City residents 65 or older have difficulty dressing or bathing (22%; 9.8% in Monroe County), and 173 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 71 residents are 85 or older (2.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Monroe City Manor Care Center in Monroe City (0.2 mi) and Luther Manor Retirement & Nursing Center in Hannibal (13 mi).

Monroe City compared with Monroe County and Missouri

Census figure	Monroe City	Monroe County	Missouri
Residents 65+ with difficulty dressing or bathing	22%	9.8%	6.4%
Residents 65+ with serious difficulty walking	36%	22%	21%
Residents 65+ with serious difficulty remembering	12%	6.5%	8.0%
Residents 85 or older	2.3%	2.9%	2.0%
Residents 65+ in households who live alone	45%	31%	30%
Residents 65+ below the poverty line (approx.)	12%	17%	10%
Median income, households headed by someone 65+	$32,000	$35,987	—

Older residents in towns around Monroe City

Town	Distance	Residents 65+	Self-care difficulty (65+)
Palmyra, MO	15 mi	701	8.9%
Hannibal, MO	18 mi	3,298	11%
Quincy, IL	27 mi	7,928	4.7%
Vandalia, MO	27 mi	467	2.6%
Canton, MO	35 mi	343	13%
Mexico, MO	35 mi	2,173	9.0%

Home health agencies serving Monroe City

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Columbia, MO	60 mi	5 of 5	nursing, physical therapy, occupational therapy	(573) 256-4705
Elara Caring	Jefferson City, MO	79 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 690-1753
Blessing Home Care	Quincy, IL	31 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(217) 223-8400
Hannibal Regional Hospital Home Health Agency	Hannibal, MO	19 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(573) 221-6515
Orthopaedic And Medical Home Health, LLC	Columbia, MO	58 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 474-1786

Nursing homes near Monroe City (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Monroe City Manor Care Center	Monroe City, MO	0.2 mi	4 of 5	60	(573) 735-4850
Luther Manor Retirement & Nursing Center	Hannibal, MO	13 mi	1 of 5	64	(573) 221-5533
Maple Lawn Nursing Home	Palmyra, MO	14 mi	1 of 5	110	(573) 769-2213
Westview Nursing Home	Center, MO	15 mi	1 of 5	60	(573) 267-3920

Straight-line miles from the center of Monroe City. 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 Monroe City

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, 434% of the $2,667 monthly median income of Monroe City 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 Monroe City: common questions

How much does 24-hour home care cost in Monroe City?

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, 434% of the $2,667 monthly median income of Monroe City 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 Monroe City

More senior care near Monroe City

24-Hour Home Care in nearby cities

Other care in Monroe City

More for Monroe City 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 Monroe City, MO