24-Hour Home Care in Montgomery City, MO

Local figures

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

4.6%

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

69

residents 85 or older (2.5% of all residents)

31%

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

$38,438

median yearly income of households headed by someone 65+

18 Montgomery City residents 65 or older have difficulty dressing or bathing (4.6%; 5.8% in Montgomery County), and 91 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 69 residents are 85 or older (2.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Aspire Senior Living New Florence in New Florence (4.8 mi) and Wellsville Health Care Center in Wellsville (7.5 mi).

Montgomery City compared with Montgomery County and Missouri

Census figure	Montgomery City	Montgomery County	Missouri
Residents 65+ with difficulty dressing or bathing	4.6%	5.8%	6.4%
Residents 65+ with serious difficulty walking	23%	18%	21%
Residents 65+ with serious difficulty remembering	5.1%	6.6%	8.0%
Residents 85 or older	2.5%	1.8%	2.0%
Residents 65+ in households who live alone	48%	25%	30%
Residents 65+ below the poverty line (approx.)	11%	10%	10%
Median income, households headed by someone 65+	$38,438	$52,898	—

Older residents in towns around Montgomery City

Town	Distance	Residents 65+	Self-care difficulty (65+)
Warrenton, MO	22 mi	1,425	2.2%
Vandalia, MO	23 mi	467	2.6%
Mexico, MO	24 mi	2,173	9.0%
Fulton, MO	25 mi	1,891	11%
Wright City, MO	27 mi	799	1.4%
Troy, MO	29 mi	2,050	3.8%

Home health agencies serving Montgomery City

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Columbia, MO	46 mi	5 of 5	nursing, physical therapy, occupational therapy	(573) 256-4705
Elara Caring	Bridgeton, MO	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931
Montgomery County Health Department	Montgomery City, MO	0.8 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(573) 564-2495
Orthopaedic And Medical Home Health, LLC	Columbia, MO	43 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 474-1786

Nursing homes near Montgomery City (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Aspire Senior Living New Florence	New Florence, MO	4.8 mi	1 of 5	87	(573) 415-9333
Wellsville Health Care Center	Wellsville, MO	7.5 mi	1 of 5	112	(573) 684-2002
Aspire Senior Living Jonesburg	Jonesburg, MO	14 mi	1 of 5	81	(636) 488-5400
Stonebridge Hermann	Hermann, MO	20 mi	5 of 5	118	(573) 486-3155

Straight-line miles from the center of Montgomery 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 Montgomery 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, 361% of the $3,203 monthly median income of Montgomery 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 Montgomery City: common questions

How much does 24-hour home care cost in Montgomery 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, 361% of the $3,203 monthly median income of Montgomery 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 Montgomery City

More senior care near Montgomery City

24-Hour Home Care in nearby cities

Other care in Montgomery City

More for Montgomery City 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.