In-Home Support for Adults With Disabilities in Lake St. Louis, MO
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Lake St. Louis for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Lake St. Louis, MO: the local picture
About 846 Lake St. Louis residents aged 18 to 64 report a disability (7.9%; 9.2% in St. Charles County).
350 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
2.1% of Lake St. Louis households have no vehicle (3.8% in St. Charles County); say in your posting if you need a caregiver who drives.
Lake St. Louis compared with St. Charles County and Missouri
| Census figure | Lake St. Louis | St. Charles County | Missouri |
|---|---|---|---|
| Residents 18 to 64 with a disability | 7.9% | 9.2% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 3.3% | 3.1% | 4.7% |
| Households with no vehicle | 2.1% | 3.8% | 6.6% |
| Residents 5+ who speak a language other than English at home | 4.6% | 5.8% | 6.7% |
| Residents 65+ with a disability | 28% | 31% | 34% |
| Residents 65+ below the poverty line (approx.) | 9.2% | 6.3% | 10% |
| Median income, households headed by someone 65+ | $80,422 | $67,902 | — |
Older residents in towns around Lake St. Louis
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| O'Fallon, MO | 3.5 mi | 13,569 | 8.5% |
| Dardenne Prairie, MO | 4.6 mi | 1,954 | 5.0% |
| Wentzville, MO | 5.2 mi | 6,519 | 8.9% |
| St. Paul, MO | 5.3 mi | 418 | 11% |
| Cottleville, MO | 7.2 mi | 901 | 5.3% |
| Weldon Spring, MO | 8.7 mi | 1,512 | 3.7% |
Home health agencies serving Lake St. Louis
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Healthy Family Home Care, LLC | Ellisville, MO | 17 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 | 18 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 | 20 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Evertrue Home Health | St. Louis, MO | 26 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Aw Health Care | Saint Louis, MO | 26 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
Straight-line miles from the center of Lake St. Louis. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What disability care for adults costs in Lake St. Louis
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 21% of the $6,702 monthly median income of Lake St. Louis 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.
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.
Disability Care for Adults in Lake St. Louis: common questions
How much does disability care for adults cost in Lake St. Louis?
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 21% of the $6,702 monthly median income of Lake St. Louis 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 senior care near Lake St. Louis
Disability Care for Adults in nearby cities
- Disability Care for Adults in O'Fallon, MO
- Disability Care for Adults in Dardenne Prairie, MO
- Disability Care for Adults in Wentzville, MO
- Disability Care for Adults in St. Paul, MO
- Disability Care for Adults in Cottleville, MO
- Disability Care for Adults in Weldon Spring, MO
- Disability Care for Adults in St. Peters, MO
- Disability Care for Adults in Moscow Mills, MO
- Disability Care for Adults in Wright City, MO
- Disability Care for Adults in Chesterfield, MO
- Disability Care for Adults in St. Charles, MO
- Disability Care for Adults in Clarkson Valley, MO
- Disability Care for Adults in Wildwood, MO
- Disability Care for Adults in Troy, MO
- Disability Care for Adults in Ellisville, MO
- Disability Care for Adults in Maryland Heights, MO
Other care in Lake St. Louis
- Companion Care in Lake St. Louis
- Dementia Care in Lake St. Louis
- Respite Care in Lake St. Louis
- Live-In Caregivers in Lake St. Louis
- Post-Surgery Care in Lake St. Louis
- Senior Transportation in Lake St. Louis
- Home Health Aides in Lake St. Louis
- Nursing Assistants in Lake St. Louis
- Personal Care in Lake St. Louis
- Overnight Caregivers in Lake St. Louis
- 24-Hour Home Care in Lake St. Louis
- Mobility Assistance in Lake St. Louis
- Parkinson’s Care in Lake St. Louis
- Stroke Recovery Support in Lake St. Louis
- Hospice Support in Lake St. Louis
- Senior Meal Preparation in Lake St. Louis
- Senior Housekeeping in Lake St. Louis
- Medication Reminders in Lake St. Louis
- Veterans’ Home Care in Lake St. Louis
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.
Find disability care for adults in Lake St. Louis
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