24-Hour Home Care in St. James, MO: Round-the-Clock Care

Local figures

24-Hour Home Care in St. James, MO: the local picture

2.6%

of residents 65+ have difficulty dressing or bathing (7.7% in Phelps County)

131

residents 85 or older (3.3% of all residents)

53%

of residents 65+ report a disability (38% in Phelps County)

$31,314

median yearly income of households headed by someone 65+

19 St. James residents 65 or older have difficulty dressing or bathing (2.6%; 7.7% in Phelps County), and 164 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 131 residents are 85 or older (3.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are St James Living Center in Saint James (0.5 mi) and Aurora Health And Rehabilitation in Rolla (8.1 mi).

St. James compared with Phelps County and Missouri

Census figure	St. James	Phelps County	Missouri
Residents 65+ with difficulty dressing or bathing	2.6%	7.7%	6.4%
Residents 65+ with serious difficulty walking	22%	24%	21%
Residents 65+ with serious difficulty remembering	13%	8.6%	8.0%
Residents 85 or older	3.3%	2.1%	2.0%
Residents 65+ in households who live alone	44%	30%	30%
Residents 65+ below the poverty line (approx.)	17%	12%	10%
Median income, households headed by someone 65+	$31,314	$47,348	—

Older residents in towns around St. James

Town	Distance	Residents 65+	Self-care difficulty (65+)
Rolla, MO	8.9 mi	2,865	6.8%
Cuba, MO	12 mi	540	21%
Owensville, MO	25 mi	552	11%
Salem, MO	25 mi	1,025	13%
Sullivan, MO	28 mi	1,280	4.9%
St. Robert, MO	32 mi	700	5.0%

Home health agencies serving St. James

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Rolla, MO	8.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 341-3456
Elara Caring	Jefferson City, MO	52 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 690-1753
Central Missouri Home Health	Jefferson City, MO	52 mi	4 of 5	nursing, physical therapy, occupational therapy, home health aides	(573) 681-3777
Bjc Home Care Services	Saint Louis, MO	77 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 362-0200
Phelps Health Home Health And Hospice	Rolla, MO	8.8 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(573) 364-2425

Nursing homes near St. James (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
St James Living Center	Saint James, MO	0.5 mi	3 of 5	90	(573) 265-8921
Aurora Health And Rehabilitation	Rolla, MO	8.1 mi	2 of 5	116	(573) 364-2311
Rolla Presbyterian Manor	Rolla, MO	8.3 mi	5 of 5	30	(573) 364-7336
Silverstone Place	Rolla, MO	9.2 mi	3 of 5	110	(573) 426-6200

Straight-line miles from the center of St. James. 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 St. James

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, 444% of the $2,610 monthly median income of St. James 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 St. James: common questions

How much does 24-hour home care cost in St. James?

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, 444% of the $2,610 monthly median income of St. James 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 St. James

More senior care near St. James

24-Hour Home Care in nearby cities

Other care in St. James

More for St. James 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 St. James, MO