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.

Dementia Care in Chesterfield, MO: the local picture
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 figure | Chesterfield | St. Louis County | Missouri |
|---|---|---|---|
| Residents 85 or older | 3.5% | 2.4% | 2.0% |
| Residents 65 or older | 25% | 19% | 18% |
| Residents 65+ with a disability | 22% | 28% | 34% |
| Residents 65+ in households who live alone | 27% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 4.9% | 8.2% | 10% |
| Residents 5+ who speak a language other than English at home | 16% | 11% | 6.7% |
| Median income, households headed by someone 65+ | $91,461 | $63,295 | — |
Older residents in towns around Chesterfield
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Clarkson Valley, MO | 2.4 mi | 448 | 43 |
| Ballwin, MO | 4.6 mi | 5,960 | 656 |
| Ellisville, MO | 4.8 mi | 2,594 | 647 |
| Weldon Spring, MO | 5.4 mi | 1,512 | 330 |
| Town and Country, MO | 5.7 mi | 3,421 | 620 |
| Manchester, MO | 6.4 mi | 2,909 | 249 |
Nursing homes near Chesterfield
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Delmar Gardens Of Chesterfield | Chesterfield, MO | 1.0 mi | 3 of 5 | 227 | (636) 532-0150 |
| Friendship Village Chesterfield | Chesterfield, MO | 1.8 mi | 5 of 5 | 98 | (636) 733-0199 |
| Garden View Care Center Of Chesterfield | Chesterfield, MO | 1.8 mi | 4 of 5 | 52 | (636) 537-3333 |
| Westchester House, The | Chesterfield, MO | 2.3 mi | 2 of 5 | 159 | (314) 469-1200 |
| Surrey Place St Lukes Hospital Skilled Nursing | Chesterfield, MO | 2.7 mi | 4 of 5 | 130 | (314) 542-3300 |
| Mason Pointe Care Center | Chesterfield, MO | 2.8 mi | 5 of 5 | 63 | (417) 932-8040 |
Hospices serving Chesterfield
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| St Luke's Hospice Services | Chesterfield, MO | 2.3 mi | (314) 205-6707 |
| Pathways Hospice And Palliative Care | Chesterfield, MO | 2.3 mi | (636) 733-7399 |
| Breeze Hospice Of Missouri | Ballwin, MO | 3.5 mi | (314) 833-3180 |
| Bjc Hospice | Saint Louis, MO | 6.6 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 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
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.
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.
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.
More senior care near Chesterfield
Dementia Care in nearby cities
- Dementia Care in Clarkson Valley, MO
- Dementia Care in Ballwin, MO
- Dementia Care in Ellisville, MO
- Dementia Care in Weldon Spring, MO
- Dementia Care in Town and Country, MO
- Dementia Care in Manchester, MO
- Dementia Care in Maryland Heights, MO
- Dementia Care in Creve Coeur, MO
- Dementia Care in Wildwood, MO
- Dementia Care in Cottleville, MO
- Dementia Care in Des Peres, MO
- Dementia Care in Valley Park, MO
- Dementia Care in Frontenac, MO
- Dementia Care in St. Peters, MO
- Dementia Care in Dardenne Prairie, MO
- Dementia Care in Kirkwood, MO
Other care in Chesterfield
- Companion Care in Chesterfield
- Respite Care in Chesterfield
- Live-In Caregivers in Chesterfield
- Post-Surgery Care in Chesterfield
- Senior Transportation in Chesterfield
- Home Health Aides in Chesterfield
- Nursing Assistants in Chesterfield
- Personal Care in Chesterfield
- Overnight Caregivers in Chesterfield
- 24-Hour Home Care in Chesterfield
- Mobility Assistance in Chesterfield
- Parkinson’s Care in Chesterfield
- Stroke Recovery Support in Chesterfield
- Disability Care for Adults in Chesterfield
- Hospice Support in Chesterfield
- Senior Meal Preparation in Chesterfield
- Senior Housekeeping in Chesterfield
- Medication Reminders in Chesterfield
- Veterans’ Home Care in Chesterfield
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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