In-Home Support for Adults With Disabilities in Old Jamestown, 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 Old Jamestown for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Old Jamestown, MO: the local picture
About 1,270 Old Jamestown residents aged 18 to 64 report a disability (11%; 9.9% in St. Louis County).
607 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.9% of Old Jamestown households have no vehicle (6.6% in St. Louis County); say in your posting if you need a caregiver who drives.
Old Jamestown compared with St. Louis County and Missouri
| Census figure | Old Jamestown | St. Louis County | Missouri |
|---|---|---|---|
| Residents 18 to 64 with a disability | 11% | 9.9% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 5.3% | 3.6% | 4.7% |
| Households with no vehicle | 3.9% | 6.6% | 6.6% |
| Residents 5+ who speak a language other than English at home | 5.1% | 11% | 6.7% |
| Residents 65+ with a disability | 29% | 28% | 34% |
| Residents 65+ below the poverty line (approx.) | 4.5% | 8.2% | 10% |
| Median income, households headed by someone 65+ | $70,160 | $63,295 | — |
Older residents in towns around Old Jamestown
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Black Jack, MO | 2.7 mi | 1,537 | 12% |
| Florissant, MO | 3.3 mi | 8,338 | 11% |
| Spanish Lake, MO | 5.3 mi | 2,122 | 14% |
| Dellwood, MO | 5.4 mi | 937 | 15% |
| Ferguson, MO | 6.0 mi | 2,573 | 17% |
| Bellefontaine Neighbors, MO | 6.5 mi | 2,368 | 13% |
Home health agencies serving Old Jamestown
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | Bridgeton, MO | 9.1 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 | 12 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Phoenix Home Care And Hospice | Saint Louis, MO | 13 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 | 15 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Healthy Family Home Care, LLC | Ellisville, MO | 22 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 594-2332 |
Straight-line miles from the center of Old Jamestown. 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 Old Jamestown
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 24% of the $5,847 monthly median income of Old Jamestown 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 Old Jamestown: common questions
How much does disability care for adults cost in Old Jamestown?
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 24% of the $5,847 monthly median income of Old Jamestown 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 Old Jamestown
Disability Care for Adults in nearby cities
- Disability Care for Adults in Black Jack, MO
- Disability Care for Adults in Florissant, MO
- Disability Care for Adults in Spanish Lake, MO
- Disability Care for Adults in Dellwood, MO
- Disability Care for Adults in Ferguson, MO
- Disability Care for Adults in Bellefontaine Neighbors, MO
- Disability Care for Adults in Moline Acres, MO
- Disability Care for Adults in Hazelwood, MO
- Disability Care for Adults in Berkeley, MO
- Disability Care for Adults in Glasgow Village, MO
- Disability Care for Adults in Riverview, MO
- Disability Care for Adults in Jennings, MO
- Disability Care for Adults in Bridgeton, MO
- Disability Care for Adults in Woodson Terrace, MO
- Disability Care for Adults in Alton, IL
- Disability Care for Adults in Godfrey, IL
Other care in Old Jamestown
- Companion Care in Old Jamestown
- Dementia Care in Old Jamestown
- Respite Care in Old Jamestown
- Live-In Caregivers in Old Jamestown
- Post-Surgery Care in Old Jamestown
- Senior Transportation in Old Jamestown
- Home Health Aides in Old Jamestown
- Nursing Assistants in Old Jamestown
- Personal Care in Old Jamestown
- Overnight Caregivers in Old Jamestown
- 24-Hour Home Care in Old Jamestown
- Mobility Assistance in Old Jamestown
- Parkinson’s Care in Old Jamestown
- Stroke Recovery Support in Old Jamestown
- Hospice Support in Old Jamestown
- Senior Meal Preparation in Old Jamestown
- Senior Housekeeping in Old Jamestown
- Medication Reminders in Old Jamestown
- Veterans’ Home Care in Old Jamestown
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 Old Jamestown
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