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

Disability Care for Adults in Ste. Genevieve, MO: the local picture
About 734 Ste. Genevieve residents aged 18 to 64 report a disability (28%; 14% in Ste. Genevieve County).
176 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
8.1% of Ste. Genevieve households have no vehicle (4.3% in Ste. Genevieve County); say in your posting if you need a caregiver who drives.
Ste. Genevieve compared with Ste. Genevieve County and Missouri
| Census figure | Ste. Genevieve | Ste. Genevieve County | Missouri |
|---|---|---|---|
| Residents 18 to 64 with a disability | 28% | 14% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 6.8% | 2.9% | 4.7% |
| Households with no vehicle | 8.1% | 4.3% | 6.6% |
| Residents 5+ who speak a language other than English at home | 2.1% | 0.8% | 6.7% |
| Residents 65+ with a disability | 32% | 33% | 34% |
| Residents 65+ below the poverty line (approx.) | 3.9% | 8.7% | 10% |
| Median income, households headed by someone 65+ | $33,627 | $46,934 | — |
Older residents in towns around Ste. Genevieve
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Chester, IL | 13 mi | 1,019 | 32% |
| Red Bud, IL | 16 mi | 798 | 14% |
| Perryville, MO | 20 mi | 1,370 | 18% |
| Sparta, IL | 21 mi | 1,035 | 19% |
| Farmington, MO | 25 mi | 3,359 | 21% |
| Crystal City, MO | 25 mi | 961 | 12% |
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 Ste. Genevieve
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 49% of the $2,802 monthly median income of Ste. Genevieve 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 Ste. Genevieve: common questions
How much does disability care for adults cost in Ste. Genevieve?
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 49% of the $2,802 monthly median income of Ste. Genevieve 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 Ste. Genevieve
Disability Care for Adults in nearby cities
- Disability Care for Adults in Chester, IL
- Disability Care for Adults in Red Bud, IL
- Disability Care for Adults in Perryville, MO
- Disability Care for Adults in Sparta, IL
- Disability Care for Adults in Farmington, MO
- Disability Care for Adults in Crystal City, MO
- Disability Care for Adults in Festus, MO
- Disability Care for Adults in Waterloo, IL
- Disability Care for Adults in Desloge, MO
- Disability Care for Adults in Park Hills, MO
- Disability Care for Adults in Herculaneum, MO
- Disability Care for Adults in Bonne Terre, MO
- Disability Care for Adults in Pevely, MO
- Disability Care for Adults in De Soto, MO
- Disability Care for Adults in Smithton, IL
- Disability Care for Adults in Terre du Lac, MO
Other care in Ste. Genevieve
- Companion Care in Ste. Genevieve
- Dementia Care in Ste. Genevieve
- Respite Care in Ste. Genevieve
- Live-In Caregivers in Ste. Genevieve
- Post-Surgery Care in Ste. Genevieve
- Senior Transportation in Ste. Genevieve
- Home Health Aides in Ste. Genevieve
- Nursing Assistants in Ste. Genevieve
- Personal Care in Ste. Genevieve
- Overnight Caregivers in Ste. Genevieve
- 24-Hour Home Care in Ste. Genevieve
- Mobility Assistance in Ste. Genevieve
- Parkinson’s Care in Ste. Genevieve
- Stroke Recovery Support in Ste. Genevieve
- Hospice Support in Ste. Genevieve
- Senior Meal Preparation in Ste. Genevieve
- Senior Housekeeping in Ste. Genevieve
- Medication Reminders in Ste. Genevieve
- Veterans’ Home Care in Ste. Genevieve
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 Ste. Genevieve
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