24-Hour Home Care in Town and Country, MO

Local figures

24-Hour Home Care in Town and Country, MO: the local picture

6.3%

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

620

residents 85 or older (5.3% of all residents)

24%

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

$154,211

median yearly income of households headed by someone 65+

183 Town and Country residents 65 or older have difficulty dressing or bathing (6.3%; 6.0% in St. Louis County), and 473 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 620 residents are 85 or older (5.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Athene Nursing And Rehabilitation in Town And Country (1.7 mi) and Quarters At Des Peres, The in Des Peres (2.1 mi).

Town and Country compared with St. Louis County and Missouri

Census figure	Town and Country	St. Louis County	Missouri
Residents 65+ with difficulty dressing or bathing	6.3%	6.0%	6.4%
Residents 65+ with serious difficulty walking	16%	18%	21%
Residents 65+ with serious difficulty remembering	7.2%	6.3%	8.0%
Residents 85 or older	5.3%	2.4%	2.0%
Residents 65+ in households who live alone	16%	32%	30%
Residents 65+ below the poverty line (approx.)	1.9%	8.2%	10%
Median income, households headed by someone 65+	$154,211	$63,295	—

Older residents in towns around Town and Country

Town	Distance	Residents 65+	Self-care difficulty (65+)
Des Peres, MO	2.8 mi	2,096	1.4%
Creve Coeur, MO	2.8 mi	4,706	5.3%
Frontenac, MO	3.1 mi	684	14%
Manchester, MO	3.6 mi	2,909	4.5%
Ballwin, MO	4.6 mi	5,960	3.3%
Kirkwood, MO	4.7 mi	6,084	4.5%

Home health agencies serving Town and Country

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Healthy Family Home Care, LLC	Ellisville, MO	4.7 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	5.1 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 695-4330
Evertrue Home Health	St. Louis, MO	7.0 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	7.6 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	8.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600

Nursing homes near Town and Country (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Athene Nursing And Rehabilitation	Town And Country, MO	1.7 mi	1 of 5	282	(636) 227-5070
Quarters At Des Peres, The	Des Peres, MO	2.1 mi	1 of 5	147	(314) 821-2886
Brooking Park	Chesterfield, MO	2.2 mi	3 of 5	49	(314) 576-5545
Mason Pointe Care Center	Chesterfield, MO	2.9 mi	5 of 5	63	(417) 932-8040

Straight-line miles from the center of Town and Country. 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 Town and Country

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, 90% of the $12,851 monthly median income of Town and Country 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 Town and Country: common questions

How much does 24-hour home care cost in Town and Country?

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, 90% of the $12,851 monthly median income of Town and Country 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 Town and Country

More senior care near Town and Country

24-Hour Home Care in nearby cities

Other care in Town and Country

More for Town and Country 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.