24-Hour Home Care in Pacific, MO
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Pacific for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Pacific, MO: the local picture
80 Pacific residents 65 or older have difficulty dressing or bathing (6.3%; 5.5% in Franklin County), and 360 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 212 residents are 85 or older (2.8% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Pacific Care Center in Pacific (0.2 mi) and St Andrew's At Francis Place in Eureka (6.1 mi).
Pacific compared with Franklin County and Missouri
| Census figure | Pacific | Franklin County | Missouri |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 6.3% | 5.5% | 6.4% |
| Residents 65+ with serious difficulty walking | 28% | 20% | 21% |
| Residents 65+ with serious difficulty remembering | 3.9% | 8.1% | 8.0% |
| Residents 85 or older | 2.8% | 2.1% | 2.0% |
| Residents 65+ in households who live alone | 42% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 1.9% | 7.6% | 10% |
| Median income, households headed by someone 65+ | $44,973 | $51,567 | — |
Older residents in towns around Pacific
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Gray Summit, MO | 4.4 mi | 424 | 6.6% |
| Eureka, MO | 5.8 mi | 1,766 | 3.4% |
| Villa Ridge, MO | 7.3 mi | 469 | 12% |
| Wildwood, MO | 8.0 mi | 7,286 | 2.5% |
| Byrnes Mill, MO | 9.9 mi | 497 | 17% |
| Ellisville, MO | 12 mi | 2,594 | 7.3% |
Home health agencies serving Pacific
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Healthy Family Home Care, LLC | Ellisville, MO | 14 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 594-2332 |
| Phoenix Home Care And Hospice | Saint Louis, MO | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 695-4330 |
| Elara Caring | Bridgeton, MO | 26 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Aw Health Care | Saint Louis, MO | 26 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Centerwell Home Health | Rolla, MO | 66 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (573) 341-3456 |
Nursing homes near Pacific (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Pacific Care Center | Pacific, MO | 0.2 mi | 1 of 5 | 118 | (636) 271-4222 |
| St Andrew's At Francis Place | Eureka, MO | 6.1 mi | 3 of 5 | 106 | (636) 938-5151 |
| Marymount Manor | Eureka, MO | 7.4 mi | 1 of 5 | 174 | (636) 938-6770 |
| Aegis Health And Rehabilitation | Wildwood, MO | 10 mi | 1 of 5 | 66 | (636) 394-2522 |
Straight-line miles from the center of Pacific. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What 24-hour home care costs in Pacific
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, 309% of the $3,748 monthly median income of Pacific 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.
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.
24-Hour Home Care in Pacific: common questions
How much does 24-hour home care cost in Pacific?
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, 309% of the $3,748 monthly median income of Pacific 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 senior care near Pacific
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Gray Summit, MO
- 24-Hour Home Care in Eureka, MO
- 24-Hour Home Care in Villa Ridge, MO
- 24-Hour Home Care in Wildwood, MO
- 24-Hour Home Care in Byrnes Mill, MO
- 24-Hour Home Care in Ellisville, MO
- 24-Hour Home Care in High Ridge, MO
- 24-Hour Home Care in Clarkson Valley, MO
- 24-Hour Home Care in Ballwin, MO
- 24-Hour Home Care in Union, MO
- 24-Hour Home Care in Murphy, MO
- 24-Hour Home Care in Valley Park, MO
- 24-Hour Home Care in Manchester, MO
- 24-Hour Home Care in Washington, MO
- 24-Hour Home Care in Chesterfield, MO
- 24-Hour Home Care in St. Clair, MO
Other care in Pacific
- Companion Care in Pacific
- Dementia Care in Pacific
- Respite Care in Pacific
- Live-In Caregivers in Pacific
- Post-Surgery Care in Pacific
- Senior Transportation in Pacific
- Home Health Aides in Pacific
- Nursing Assistants in Pacific
- Personal Care in Pacific
- Overnight Caregivers in Pacific
- Mobility Assistance in Pacific
- Parkinson’s Care in Pacific
- Stroke Recovery Support in Pacific
- Disability Care for Adults in Pacific
- Hospice Support in Pacific
- Senior Meal Preparation in Pacific
- Senior Housekeeping in Pacific
- Medication Reminders in Pacific
- Veterans’ Home Care in Pacific
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.
Find 24-hour home care in Pacific
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