Companion Care in Holts Summit, MO for Seniors

Local figures

Companion Care in Holts Summit, MO: the local picture

758

residents 65 or older (16% of Holts Summit)

22%

of residents 65+ in households live alone (26% in Callaway County)

0.3%

of residents 5+ speak a language other than English at home

3.0%

of households have no vehicle (5.7% in Callaway County)

About 159 residents of Holts Summit aged 65 or older live alone, 22% of older residents in households (26% in Callaway County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

3.0% of Holts Summit households have no vehicle (5.7% in Callaway County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 758 Holts Summit residents aged 65 or older, 29 are 85 or older (3.8%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.

394 Holts Summit households headed by someone 65 or older own their home and 45 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.

About 79 older Holts Summit residents (11%) live below the poverty line (11% in Callaway County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.

Holts Summit compared with Callaway County and Missouri

Census figure	Holts Summit	Callaway County	Missouri
Residents 65+ in households who live alone	22%	26%	30%
Residents 65 or older	16%	18%	18%
Residents 5+ who speak a language other than English at home	0.3%	1.7%	6.7%
Households with no vehicle	3.0%	5.7%	6.6%
Residents 65+ below the poverty line (approx.)	11%	11%	10%
Residents 65+ with a disability	31%	35%	34%
Median income, households headed by someone 65+	$54,830	$56,549	—

Older residents in towns around Holts Summit

Town	Distance	Residents 65+	Live alone (65+)
Jefferson City, MO	6.5 mi	7,426	38%
Ashland, MO	13 mi	733	33%
Fulton, MO	17 mi	1,891	40%
Columbia, MO	24 mi	14,883	35%
California, MO	25 mi	862	56%
Eldon, MO	32 mi	1,058	49%

Hospitals near Holts Summit (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Ssm Health St. Mary's Hospital - Jefferson City	Jefferson City, MO	8.6 mi	3 of 5	(573) 681-3000
Boone Hospital Center	Columbia, MO	23 mi	4 of 5	(573) 815-8000
Columbia Mo Va Medical Center	Columbia, MO	23 mi	4 of 5	(573) 814-6000

Straight-line miles from the center of Holts Summit. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a companion caregiver can help with

Conversation, cards, puzzles and shared hobbies
Walks and outings to the park, library or senior center
Company at meals, and help preparing them
Rides or escort to appointments, church and visits

Cost

What companion care costs in Holts Summit

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 30% of the $4,569 monthly median income of Holts Summit 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 companion caregiver

Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).

Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Companion Care in Holts Summit: common questions

How many seniors live alone in Holts Summit?

About 159 residents aged 65 or older, 22% of older residents in households (Census ACS 2020–2024) (26% in Callaway County).

How much does companion care cost in Holts Summit?

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 30% of the $4,569 monthly median income of Holts Summit 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).

What does a companion caregiver do in Holts Summit?

A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.

More near Holts Summit

More senior care near Holts Summit

Companion Care in nearby cities

Other care in Holts Summit

More for Holts Summit 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.

Companion Care for Seniors in Holts Summit, MO