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

Local figures

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

3.4%

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

426

residents 85 or older (6.7% of all residents)

30%

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

$74,350

median yearly income of households headed by someone 65+

56 Shrewsbury residents 65 or older have difficulty dressing or bathing (3.4%; 6.0% in St. Louis County), and 223 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 426 residents are 85 or older (6.7% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Mary, Queen And Mother Center in Shrewsbury (0.6 mi) and Lutheran Convalescent Home in Webster Groves (1.1 mi).

Shrewsbury compared with St. Louis County and Missouri

Census figure	Shrewsbury	St. Louis County	Missouri
Residents 65+ with difficulty dressing or bathing	3.4%	6.0%	6.4%
Residents 65+ with serious difficulty walking	14%	18%	21%
Residents 65+ with serious difficulty remembering	14%	6.3%	8.0%
Residents 85 or older	6.7%	2.4%	2.0%
Residents 65+ in households who live alone	39%	32%	30%
Residents 65+ below the poverty line (approx.)	11%	8.2%	10%
Median income, households headed by someone 65+	$74,350	$63,295	—

Older residents in towns around Shrewsbury

Town	Distance	Residents 65+	Self-care difficulty (65+)
Webster Groves, MO	1.4 mi	4,585	6.1%
Maplewood, MO	1.8 mi	817	3.1%
Brentwood, MO	2.5 mi	1,301	2.2%
Affton, MO	2.5 mi	3,716	8.6%
Rock Hill, MO	2.6 mi	873	6.1%
Glendale, MO	3.0 mi	1,117	1.4%

Home health agencies serving Shrewsbury

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Evertrue Home Health	St. Louis, MO	2.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 352-7889
Mercy Home Health	Saint Louis, MO	5.5 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 525-1045
Aw Health Care	Saint Louis, MO	5.6 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600
Phoenix Home Care And Hospice	Saint Louis, MO	11 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	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931

Nursing homes near Shrewsbury (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Mary, Queen And Mother Center	Shrewsbury, MO	0.6 mi	2 of 5	217	(314) 961-8000
Lutheran Convalescent Home	Webster Groves, MO	1.1 mi	5 of 5	251	(314) 968-5570
Lansdowne Village	Saint Louis, MO	3.0 mi	1 of 5	145	(314) 351-6888
Bethesda Dilworth	Saint Louis, MO	3.0 mi	3 of 5	350	(314) 968-5460

Straight-line miles from the center of Shrewsbury. 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 Shrewsbury

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, 187% of the $6,196 monthly median income of Shrewsbury 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 Shrewsbury: common questions

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

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, 187% of the $6,196 monthly median income of Shrewsbury 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 Shrewsbury

More senior care near Shrewsbury

24-Hour Home Care in nearby cities

Other care in Shrewsbury

More for Shrewsbury 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 Shrewsbury, MO