In-Home Dementia and Alzheimer's Care in Festus, 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 Festus for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Festus, MO: the local picture
Festus has about 208 residents aged 85 or older among 2,090 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.
43% of residents 65 and older report a disability (34% in Jefferson County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
34% of older Festus 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.
Festus compared with Jefferson County and Missouri
| Census figure | Festus | Jefferson County | Missouri |
|---|---|---|---|
| Residents 85 or older | 1.6% | 1.5% | 2.0% |
| Residents 65 or older | 16% | 17% | 18% |
| Residents 65+ with a disability | 43% | 34% | 34% |
| Residents 65+ in households who live alone | 34% | 24% | 30% |
| Residents 65+ below the poverty line (approx.) | 11% | 9.3% | 10% |
| Residents 5+ who speak a language other than English at home | 1.6% | 3.3% | 6.7% |
| Median income, households headed by someone 65+ | $63,224 | $57,683 | — |
Older residents in towns around Festus
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Crystal City, MO | 1.5 mi | 961 | 190 |
| Herculaneum, MO | 2.8 mi | 814 | 141 |
| Pevely, MO | 4.8 mi | 811 | 91 |
| Barnhart, MO | 8.1 mi | 659 | 54 |
| Hillsboro, MO | 8.6 mi | 393 | 13 |
| Imperial, MO | 9.3 mi | 649 | 48 |
Nursing homes near Festus
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Fountainbleau Nursing Center | Festus, MO | 1.7 mi | 4 of 5 | 116 | (636) 937-3500 |
| Crystal Oaks | Festus, MO | 1.9 mi | 4 of 5 | 131 | (636) 933-1818 |
| Scenic Wellness And Rehabilitation Center | Herculaneum, MO | 2.6 mi | 4 of 5 | 189 | (636) 931-2995 |
| Superior Manor Of Festus, LLC | Festus, MO | 2.7 mi | 1 of 5 | 55 | (314) 624-5575 |
| Hillcrest Care Center Inc | De Soto, MO | 9.6 mi | 4 of 5 | 120 | (636) 586-3022 |
| Baisch Nursing Center | De Soto, MO | 11 mi | 3 of 5 | 61 | (636) 586-2291 |
Hospices serving Festus
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Alternative Hospice, LLC | Fenton, MO | 20 mi | (636) 343-3839 |
| Accentcare Hospice & Palliative Care Of Missouri | Saint Louis, MO | 22 mi | (314) 909-6200 |
| Serenity Hospicecare | Park Hills, MO | 26 mi | (573) 431-0162 |
| Bristol Hospice - St Louis | Saint Louis, MO | 28 mi | (314) 962-4673 |
Straight-line miles from the center of Festus. 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 Festus
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 26% of the $5,269 monthly median income of Festus 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 Festus: common questions
What nursing homes are near Festus?
The closest Medicare-certified nursing homes are Fountainbleau Nursing Center in Festus (1.7 mi, 4 of 5 overall); Crystal Oaks in Festus (1.9 mi, 4 of 5 overall); Scenic Wellness And Rehabilitation Center in Herculaneum (2.6 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Festus?
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 26% of the $5,269 monthly median income of Festus 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 Festus
Dementia Care in nearby cities
- Dementia Care in Crystal City, MO
- Dementia Care in Herculaneum, MO
- Dementia Care in Pevely, MO
- Dementia Care in Barnhart, MO
- Dementia Care in Hillsboro, MO
- Dementia Care in Imperial, MO
- Dementia Care in De Soto, MO
- Dementia Care in Arnold, MO
- Dementia Care in Waterloo, IL
- Dementia Care in Oakville, MO
- Dementia Care in Byrnes Mill, MO
- Dementia Care in High Ridge, MO
- Dementia Care in Murphy, MO
- Dementia Care in Columbia, IL
- Dementia Care in Mehlville, MO
- Dementia Care in Concord, MO
Other care in Festus
- Companion Care in Festus
- Respite Care in Festus
- Live-In Caregivers in Festus
- Post-Surgery Care in Festus
- Senior Transportation in Festus
- Home Health Aides in Festus
- Nursing Assistants in Festus
- Personal Care in Festus
- Overnight Caregivers in Festus
- 24-Hour Home Care in Festus
- Mobility Assistance in Festus
- Parkinson’s Care in Festus
- Stroke Recovery Support in Festus
- Disability Care for Adults in Festus
- Hospice Support in Festus
- Senior Meal Preparation in Festus
- Senior Housekeeping in Festus
- Medication Reminders in Festus
- Veterans’ Home Care in Festus
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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