Companion Care for Seniors in Pleasant Hill, 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 Pleasant Hill for free and hire a caregiver directly, with no agency mark-up.

Companion Care in Pleasant Hill, MO: the local picture
About 605 residents of Pleasant Hill aged 65 or older live alone, 43% of older residents in households (27% in Cass County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
2.7% of Pleasant Hill households have no vehicle (3.9% in Cass County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 1,464 Pleasant Hill residents aged 65 or older, 313 are 85 or older (21%). 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.
625 Pleasant Hill households headed by someone 65 or older own their home and 400 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 88 older Pleasant Hill residents (6.3%) live below the poverty line (5.8% in Cass 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 4.7% of Pleasant Hill residents aged 5 and over speak a language other than English at home. The most common are Spanish (368), French, Haitian or Cajun (29). 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.
Pleasant Hill compared with Cass County and Missouri
| Census figure | Pleasant Hill | Cass County | Missouri |
|---|---|---|---|
| Residents 65+ in households who live alone | 43% | 27% | 30% |
| Residents 65 or older | 17% | 18% | 18% |
| Residents 5+ who speak a language other than English at home | 4.7% | 3.3% | 6.7% |
| Households with no vehicle | 2.7% | 3.9% | 6.6% |
| Residents 65+ below the poverty line (approx.) | 6.3% | 5.8% | 10% |
| Residents 65+ with a disability | 38% | 36% | 34% |
| Median income, households headed by someone 65+ | $52,522 | $58,034 | — |
Older residents in towns around Pleasant Hill
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| Greenwood, MO | 4.1 mi | 862 | 16% |
| Raymore, MO | 10 mi | 4,539 | 25% |
| Lee's Summit, MO | 10 mi | 16,776 | 25% |
| Harrisonville, MO | 12 mi | 1,640 | 29% |
| Peculiar, MO | 12 mi | 831 | 19% |
| Belton, MO | 14 mi | 3,631 | 33% |
Hospitals near Pleasant Hill (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Lee's Summit Medical Center | Lees Summit, MO | 8.5 mi | 3 of 5 | (816) 282-5000 |
| Saint Luke's East Hospital | Lees Summit, MO | 9.6 mi | 4 of 5 | (816) 347-5000 |
| Cass Regional Medical Center | Harrisonville, MO | 12 mi | 4 of 5 | (816) 380-5888 |
Straight-line miles from the center of Pleasant Hill. 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 Pleasant Hill
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 31% of the $4,377 monthly median income of Pleasant Hill 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 Pleasant Hill: common questions
How many seniors live alone in Pleasant Hill?
About 605 residents aged 65 or older, 43% of older residents in households (Census ACS 2020–2024) (27% in Cass County).
How much does companion care cost in Pleasant Hill?
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 31% of the $4,377 monthly median income of Pleasant Hill 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 Pleasant Hill?
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 Pleasant Hill
Companion Care in nearby cities
- Companion Care in Greenwood, MO
- Companion Care in Raymore, MO
- Companion Care in Lee's Summit, MO
- Companion Care in Harrisonville, MO
- Companion Care in Peculiar, MO
- Companion Care in Belton, MO
- Companion Care in Blue Springs, MO
- Companion Care in Grandview, MO
- Companion Care in Grain Valley, MO
- Companion Care in Oak Grove, MO
- Companion Care in Raytown, MO
- Companion Care in Independence, MO
- Companion Care in Leawood, KS
- Companion Care in Odessa, MO
- Companion Care in Buckner, MO
- Companion Care in Prairie Village, KS
Other care in Pleasant Hill
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 Pleasant Hill
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