Adult Disability Care in St. Louis, MO: In-Home Support

Local figures

Disability Care for Adults in St. Louis, MO: the local picture

14%

of residents aged 18 to 64 have a disability

9,307

residents aged 18 to 64 have difficulty doing errands alone

18%

of households have no vehicle

29

Medicare-certified home health agencies list St. Louis ZIP codes in their service area

About 27,321 St. Louis residents aged 18 to 64 report a disability (14%).

9,307 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

18% of St. Louis households have no vehicle; say in your posting if you need a caregiver who drives.

St. Louis compared with Missouri

Census figure	St. Louis	Missouri
Residents 18 to 64 with a disability	14%	13%
Residents 18 to 64 with difficulty doing errands alone	4.9%	4.7%
Households with no vehicle	18%	6.6%
Residents 5+ who speak a language other than English at home	9.4%	6.7%
Residents 65+ with a disability	39%	34%
Residents 65+ below the poverty line (approx.)	18%	10%
Median income, households headed by someone 65+	$41,674	—

Older residents in towns around St. Louis

Town	Distance	Residents 65+	Disability (18 to 64)
Pine Lawn, MO	4.4 mi	326	21%
Maplewood, MO	4.6 mi	817	7.1%
Pagedale, MO	4.6 mi	511	26%
Clayton, MO	4.7 mi	2,418	4.1%
Richmond Heights, MO	4.8 mi	1,238	6.4%
Northwoods, MO	5.1 mi	1,033	23%

Home health agencies serving St. Louis

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Aw Health Care	Saint Louis, MO	4.7 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600
Evertrue Home Health	St. Louis, MO	5.8 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 352-7889
Elara Caring	Bridgeton, MO	12 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931
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
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

Straight-line miles from the center of St. Louis. 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 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 40% of the $3,473 monthly median income of 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.

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 St. Louis: common questions

How much does disability care for adults cost in 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 40% of the $3,473 monthly median income of 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 near St. Louis

More senior care near St. Louis

Disability Care for Adults in nearby cities

Other care in St. Louis

More for St. Louis 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 St. Louis, MO