In-Home Support for Adults With Disabilities in Town and Country, 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 Town and Country for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Town and Country, MO: the local picture
About 246 Town and Country residents aged 18 to 64 report a disability (4.2%; 9.9% in St. Louis County).
119 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
4.8% of Town and Country households have no vehicle (6.6% in St. Louis County); say in your posting if you need a caregiver who drives.
Town and Country compared with St. Louis County and Missouri
| Census figure | Town and Country | St. Louis County | Missouri |
|---|---|---|---|
| Residents 18 to 64 with a disability | 4.2% | 9.9% | 13% |
| Residents 18 to 64 with difficulty doing errands alone | 2.0% | 3.6% | 4.7% |
| Households with no vehicle | 4.8% | 6.6% | 6.6% |
| Residents 5+ who speak a language other than English at home | 12% | 11% | 6.7% |
| Residents 65+ with a disability | 24% | 28% | 34% |
| Residents 65+ below the poverty line (approx.) | 1.9% | 8.2% | 10% |
| Median income, households headed by someone 65+ | $154,211 | $63,295 | — |
Older residents in towns around Town and Country
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Des Peres, MO | 2.8 mi | 2,096 | 4.6% |
| Creve Coeur, MO | 2.8 mi | 4,706 | 7.5% |
| Frontenac, MO | 3.1 mi | 684 | 5.0% |
| Manchester, MO | 3.6 mi | 2,909 | 9.0% |
| Ballwin, MO | 4.6 mi | 5,960 | 7.3% |
| Kirkwood, MO | 4.7 mi | 6,084 | 5.7% |
Home health agencies serving Town and Country
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Healthy Family Home Care, LLC | Ellisville, MO | 4.7 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 | 5.1 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 | 7.0 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Mercy Home Health | Saint Louis, MO | 7.6 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 525-1045 |
| Aw Health Care | Saint Louis, MO | 8.7 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 Town and Country. 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 Town and Country
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 11% of the $12,851 monthly median income of Town and Country 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 Town and Country: common questions
How much does disability care for adults cost in Town and Country?
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 11% of the $12,851 monthly median income of Town and Country 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 Town and Country
Disability Care for Adults in nearby cities
- Disability Care for Adults in Des Peres, MO
- Disability Care for Adults in Creve Coeur, MO
- Disability Care for Adults in Frontenac, MO
- Disability Care for Adults in Manchester, MO
- Disability Care for Adults in Ballwin, MO
- Disability Care for Adults in Kirkwood, MO
- Disability Care for Adults in Ladue, MO
- Disability Care for Adults in Chesterfield, MO
- Disability Care for Adults in Valley Park, MO
- Disability Care for Adults in Glendale, MO
- Disability Care for Adults in Maryland Heights, MO
- Disability Care for Adults in Olivette, MO
- Disability Care for Adults in Rock Hill, MO
- Disability Care for Adults in Clarkson Valley, MO
- Disability Care for Adults in Ellisville, MO
- Disability Care for Adults in Brentwood, MO
Other care in Town and Country
- Companion Care in Town and Country
- Dementia Care in Town and Country
- Respite Care in Town and Country
- Live-In Caregivers in Town and Country
- Post-Surgery Care in Town and Country
- Senior Transportation in Town and Country
- Home Health Aides in Town and Country
- Nursing Assistants in Town and Country
- Personal Care in Town and Country
- Overnight Caregivers in Town and Country
- 24-Hour Home Care in Town and Country
- Mobility Assistance in Town and Country
- Parkinson’s Care in Town and Country
- Stroke Recovery Support in Town and Country
- Hospice Support in Town and Country
- Senior Meal Preparation in Town and Country
- Senior Housekeeping in Town and Country
- Medication Reminders in Town and Country
- Veterans’ Home Care in Town and Country
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 Town and Country
Posting is free and takes about ten minutes. Caregivers near Town and Country can see it as soon as it is live.
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