Companion Care for Seniors in Old Jamestown, MO
Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Old Jamestown for free and hire a caregiver directly, with no agency mark-up.

Companion Care in Old Jamestown, MO: the local picture
About 804 residents of Old Jamestown aged 65 or older live alone, 22% of older residents in households (32% in St. Louis County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
3.9% of Old Jamestown households have no vehicle (6.6% in St. Louis County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 3,810 Old Jamestown residents aged 65 or older, 455 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.
2,113 Old Jamestown households headed by someone 65 or older own their home and 135 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 166 older Old Jamestown residents (4.5%) live below the poverty line (8.2% in St. Louis 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.
About 5.1% of Old Jamestown residents aged 5 and over speak a language other than English at home. The most common are Spanish (210), German or West Germanic languages (192), French, Haitian or Cajun (173). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.
Old Jamestown compared with St. Louis County and Missouri
| Census figure | Old Jamestown | St. Louis County | Missouri |
|---|---|---|---|
| Residents 65+ in households who live alone | 22% | 32% | 30% |
| Residents 65 or older | 18% | 19% | 18% |
| Residents 5+ who speak a language other than English at home | 5.1% | 11% | 6.7% |
| Households with no vehicle | 3.9% | 6.6% | 6.6% |
| Residents 65+ below the poverty line (approx.) | 4.5% | 8.2% | 10% |
| Residents 65+ with a disability | 29% | 28% | 34% |
| Median income, households headed by someone 65+ | $70,160 | $63,295 | — |
Older residents in towns around Old Jamestown
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| Black Jack, MO | 2.7 mi | 1,537 | 25% |
| Florissant, MO | 3.3 mi | 8,338 | 36% |
| Spanish Lake, MO | 5.3 mi | 2,122 | 36% |
| Dellwood, MO | 5.4 mi | 937 | 18% |
| Ferguson, MO | 6.0 mi | 2,573 | 37% |
| Bellefontaine Neighbors, MO | 6.5 mi | 2,368 | 34% |
Hospitals near Old Jamestown (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Christian Hospital Northeast | Saint Louis, MO | 8.0 mi | 4 of 5 | (314) 653-5000 |
| Alton Memorial Hospital | Alton, IL | 8.6 mi | 4 of 5 | (314) 286-2227 |
| Ssm Health Depaul Hospital St Louis | Bridgeton, MO | 9.1 mi | 4 of 5 | (314) 344-6000 |
Straight-line miles from the center of Old Jamestown. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What companion care costs in Old Jamestown
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 24% of the $5,847 monthly median income of Old Jamestown 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 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.
Companion Care in Old Jamestown: common questions
How many seniors live alone in Old Jamestown?
About 804 residents aged 65 or older, 22% of older residents in households (Census ACS 2020–2024) (32% in St. Louis County).
How much does companion care cost in Old Jamestown?
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 24% of the $5,847 monthly median income of Old Jamestown 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 Old Jamestown?
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 senior care near Old Jamestown
Companion Care in nearby cities
- Companion Care in Black Jack, MO
- Companion Care in Florissant, MO
- Companion Care in Spanish Lake, MO
- Companion Care in Dellwood, MO
- Companion Care in Ferguson, MO
- Companion Care in Bellefontaine Neighbors, MO
- Companion Care in Moline Acres, MO
- Companion Care in Hazelwood, MO
- Companion Care in Berkeley, MO
- Companion Care in Glasgow Village, MO
- Companion Care in Riverview, MO
- Companion Care in Jennings, MO
- Companion Care in Bridgeton, MO
- Companion Care in Woodson Terrace, MO
- Companion Care in Alton, IL
- Companion Care in Godfrey, IL
Other care in Old Jamestown
- Dementia Care in Old Jamestown
- Respite Care in Old Jamestown
- Live-In Caregivers in Old Jamestown
- Post-Surgery Care in Old Jamestown
- Senior Transportation in Old Jamestown
- Home Health Aides in Old Jamestown
- Nursing Assistants in Old Jamestown
- Personal Care in Old Jamestown
- Overnight Caregivers in Old Jamestown
- 24-Hour Home Care in Old Jamestown
- Mobility Assistance in Old Jamestown
- Parkinson’s Care in Old Jamestown
- Stroke Recovery Support in Old Jamestown
- Disability Care for Adults in Old Jamestown
- Hospice Support in Old Jamestown
- Senior Meal Preparation in Old Jamestown
- Senior Housekeeping in Old Jamestown
- Medication Reminders in Old Jamestown
- Veterans’ Home Care in Old Jamestown
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 companion care in Old Jamestown
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