Companion Care in Macon, MO: Senior Companions at Home

Local figures

Companion Care in Macon, MO: the local picture

1,282

residents 65 or older (23% of Macon)

33%

of residents 65+ in households live alone (30% in Macon County)

1.8%

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

4.9%

of households have no vehicle (5.8% in Macon County)

About 376 residents of Macon aged 65 or older live alone, 33% of older residents in households (30% in Macon County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

4.9% of Macon households have no vehicle (5.8% in Macon County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 1,282 Macon residents aged 65 or older, 159 are 85 or older (12%). 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.

532 Macon households headed by someone 65 or older own their home and 227 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 83 older Macon residents (7.3%) live below the poverty line (10% in Macon 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.

Macon compared with Macon County and Missouri

Census figure	Macon	Macon County	Missouri
Residents 65+ in households who live alone	33%	30%	30%
Residents 65 or older	23%	22%	18%
Residents 5+ who speak a language other than English at home	1.8%	3.1%	6.7%
Households with no vehicle	4.9%	5.8%	6.6%
Residents 65+ below the poverty line (approx.)	7.3%	10%	10%
Residents 65+ with a disability	39%	35%	34%
Median income, households headed by someone 65+	$38,725	$39,974	—

Older residents in towns around Macon

Town	Distance	Residents 65+	Live alone (65+)
Moberly, MO	22 mi	2,295	47%
Kirksville, MO	32 mi	2,261	39%
Brookfield, MO	32 mi	998	36%
Monroe City, MO	40 mi	509	45%
Centralia, MO	41 mi	986	31%
Fayette, MO	43 mi	352	29%

Hospitals near Macon (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Macon County Samaritan Memorial Hospital	Macon, MO	0.6 mi	2 of 5	(660) 385-8700
Moberly Regional Medical Center	Moberly, MO	22 mi	2 of 5	(660) 263-8400
Northeast Regional Medical Center	Kirksville, MO	32 mi	2 of 5	(660) 785-1000

Straight-line miles from the center of Macon. 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 Macon

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 43% of the $3,227 monthly median income of Macon 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 Macon: common questions

How many seniors live alone in Macon?

About 376 residents aged 65 or older, 33% of older residents in households (Census ACS 2020–2024) (30% in Macon County).

How much does companion care cost in Macon?

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 43% of the $3,227 monthly median income of Macon 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 Macon?

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 Macon

More senior care near Macon

Companion Care in nearby cities

Other care in Macon

More for Macon 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 Macon, MO