Chesterfield, Missouri

In-Home Dementia and Alzheimer's Care in Chesterfield, MO

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Chesterfield for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Chesterfield, MO: the local picture

1,741
residents 85 or older (3.5% of all residents)
12,641
residents 65 or older (25% of Chesterfield)
22%
of residents 65+ report a disability (28% in St. Louis County)
6+
Medicare-certified nursing homes within 25 miles

Chesterfield has about 1,741 residents aged 85 or older among 12,641 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

22% of residents 65 and older report a disability (28% in St. Louis County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

27% of older Chesterfield residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Chesterfield compared with St. Louis County and Missouri

Census figureChesterfieldSt. Louis CountyMissouri
Residents 85 or older3.5%2.4%2.0%
Residents 65 or older25%19%18%
Residents 65+ with a disability22%28%34%
Residents 65+ in households who live alone27%32%30%
Residents 65+ below the poverty line (approx.)4.9%8.2%10%
Residents 5+ who speak a language other than English at home16%11%6.7%
Median income, households headed by someone 65+$91,461$63,295—

Older residents in towns around Chesterfield

TownDistanceResidents 65+Residents 85+
Clarkson Valley, MO2.4 mi44843
Ballwin, MO4.6 mi5,960656
Ellisville, MO4.8 mi2,594647
Weldon Spring, MO5.4 mi1,512330
Town and Country, MO5.7 mi3,421620
Manchester, MO6.4 mi2,909249

Nursing homes near Chesterfield

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Delmar Gardens Of ChesterfieldChesterfield, MO1.0 mi3 of 5227(636) 532-0150
Friendship Village ChesterfieldChesterfield, MO1.8 mi5 of 598(636) 733-0199
Garden View Care Center Of ChesterfieldChesterfield, MO1.8 mi4 of 552(636) 537-3333
Westchester House, TheChesterfield, MO2.3 mi2 of 5159(314) 469-1200
Surrey Place St Lukes Hospital Skilled NursingChesterfield, MO2.7 mi4 of 5130(314) 542-3300
Mason Pointe Care CenterChesterfield, MO2.8 mi5 of 563(417) 932-8040

Hospices serving Chesterfield

HospiceOfficeDistancePhone
St Luke's Hospice ServicesChesterfield, MO2.3 mi(314) 205-6707
Pathways Hospice And Palliative CareChesterfield, MO2.3 mi(636) 733-7399
Breeze Hospice Of MissouriBallwin, MO3.5 mi(314) 833-3180
Bjc HospiceSaint Louis, MO6.6 mi(314) 872-5050

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

What it covers

What a dementia caregiver can help with

  • Keeping a predictable daily routine
  • Gentle help with bathing, dressing and toileting
  • Meals, hydration and medication reminders
  • Calming approaches for sundowning, agitation and repeated questions
Cost

What dementia care costs in Chesterfield

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 18% of the $7,622 monthly median income of Chesterfield 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in Chesterfield: common questions

What nursing homes are near Chesterfield?

The closest Medicare-certified nursing homes are Delmar Gardens Of Chesterfield in Chesterfield (1.0 mi, 3 of 5 overall); Friendship Village Chesterfield in Chesterfield (1.8 mi, 5 of 5 overall); Garden View Care Center Of Chesterfield in Chesterfield (1.8 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Chesterfield?

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 18% of the $7,622 monthly median income of Chesterfield 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).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

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.

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