Adult Disability Care in De Soto, MO: In-Home Support

Local figures

Disability Care for Adults in De Soto, MO: the local picture

9.6%

of residents aged 18 to 64 have a disability (11% in Jefferson County)

118

residents aged 18 to 64 have difficulty doing errands alone

9.4%

of households have no vehicle (3.7% in Jefferson County)

17

Medicare-certified home health agencies list De Soto ZIP codes in their service area

About 344 De Soto residents aged 18 to 64 report a disability (9.6%; 11% in Jefferson County).

118 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

9.4% of De Soto households have no vehicle (3.7% in Jefferson County); say in your posting if you need a caregiver who drives.

De Soto compared with Jefferson County and Missouri

Census figure	De Soto	Jefferson County	Missouri
Residents 18 to 64 with a disability	9.6%	11%	13%
Residents 18 to 64 with difficulty doing errands alone	3.3%	3.7%	4.7%
Households with no vehicle	9.4%	3.7%	6.6%
Residents 5+ who speak a language other than English at home	0.5%	3.3%	6.7%
Residents 65+ with a disability	42%	34%	34%
Residents 65+ below the poverty line (approx.)	13%	9.3%	10%
Median income, households headed by someone 65+	$36,619	$57,683	—

Older residents in towns around De Soto

Town	Distance	Residents 65+	Disability (18 to 64)
Hillsboro, MO	6.4 mi	393	12%
Festus, MO	9.8 mi	2,090	13%
Crystal City, MO	11 mi	961	12%
Herculaneum, MO	12 mi	814	6.9%
Pevely, MO	13 mi	811	11%
Bonne Terre, MO	15 mi	848	25%

Home health agencies serving De Soto

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Elara Caring	Farmington, MO	27 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(866) 431-3956
Aw Health Care	Saint Louis, MO	39 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	67 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	8.2 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 789-4715
St Luke's Home Health Services	Chesterfield, MO	35 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 205-6612

Straight-line miles from the center of De Soto. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in De Soto

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 45% of the $3,052 monthly median income of De Soto households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in De Soto: common questions

How much does disability care for adults cost in De Soto?

At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 45% of the $3,052 monthly median income of De Soto households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Consumer Directed Services in Missouri: how a relative becomes a paid caregiver covers Missouri.

More near De Soto

More senior care near De Soto

Disability Care for Adults in nearby cities

Other care in De Soto

More for De Soto 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.

In-Home Support for Adults With Disabilities in De Soto, MO