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

Local figures

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

2.7%

of residents 65+ have difficulty dressing or bathing (5.5% in Franklin County)

345

residents 85 or older (2.3% of all residents)

31%

of residents 65+ report a disability (34% in Franklin County)

$36,903

median yearly income of households headed by someone 65+

79 Washington residents 65 or older have difficulty dressing or bathing (2.7%; 5.5% in Franklin County), and 516 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 345 residents are 85 or older (2.3% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Grandview Healthcare Center in Washington (1.4 mi) and Sunset Health Care Center in Union (7.0 mi).

Washington compared with Franklin County and Missouri

Census figure	Washington	Franklin County	Missouri
Residents 65+ with difficulty dressing or bathing	2.7%	5.5%	6.4%
Residents 65+ with serious difficulty walking	18%	20%	21%
Residents 65+ with serious difficulty remembering	9.3%	8.1%	8.0%
Residents 85 or older	2.3%	2.1%	2.0%
Residents 65+ in households who live alone	39%	27%	30%
Residents 65+ below the poverty line (approx.)	13%	7.6%	10%
Median income, households headed by someone 65+	$36,903	$51,567	—

Older residents in towns around Washington

Town	Distance	Residents 65+	Self-care difficulty (65+)
Union, MO	8.0 mi	1,585	3.3%
Villa Ridge, MO	9.3 mi	469	12%
Gray Summit, MO	11 mi	424	6.6%
New Haven, MO	12 mi	506	3.5%
St. Clair, MO	14 mi	776	7.8%
Pacific, MO	15 mi	1,355	6.3%

Home health agencies serving Washington

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Bridgeton, MO	35 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	38 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	58 mi	4.5 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 341-3456
Amedisys Home Health Of Missouri	Hillsboro, MO	31 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 789-4715
Cooperative Home Care, Inc	Saint Louis, MO	41 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(314) 772-8585

Nursing homes near Washington (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Grandview Healthcare Center	Washington, MO	1.4 mi	2 of 5	102	(636) 239-9190
Sunset Health Care Center	Union, MO	7.0 mi	2 of 5	120	(636) 583-2252
Union Nursing	Union, MO	8.9 mi	4 of 5	60	(636) 206-8585
New Haven Care Center	New Haven, MO	12 mi	4 of 5	90	(573) 237-2103

Straight-line miles from the center of Washington. 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 Washington

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, 376% of the $3,075 monthly median income of Washington 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 Washington: common questions

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

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, 376% of the $3,075 monthly median income of Washington 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 Washington

More senior care near Washington

24-Hour Home Care in nearby cities

Other care in Washington

More for Washington 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 Washington, MO