Dementia Care in O'Fallon, MO: In-Home Alzheimer's Care

Local figures

Dementia Care in O'Fallon, MO: the local picture

1,506

residents 85 or older (1.6% of all residents)

13,569

residents 65 or older (14% of O'Fallon)

30%

of residents 65+ report a disability (31% in St. Charles County)

6+

Medicare-certified nursing homes within 25 miles

O'Fallon has about 1,506 residents aged 85 or older among 13,569 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.

30% of residents 65 and older report a disability (31% in St. Charles County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

28% of older O'Fallon 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.

O'Fallon compared with St. Charles County and Missouri

Census figure	O'Fallon	St. Charles County	Missouri
Residents 85 or older	1.6%	1.7%	2.0%
Residents 65 or older	14%	17%	18%
Residents 65+ with a disability	30%	31%	34%
Residents 65+ in households who live alone	28%	26%	30%
Residents 65+ below the poverty line (approx.)	7.0%	6.3%	10%
Residents 5+ who speak a language other than English at home	7.9%	5.8%	6.7%
Median income, households headed by someone 65+	$66,647	$67,902	—

Older residents in towns around O'Fallon

Town	Distance	Residents 65+	Residents 85+
Dardenne Prairie, MO	3.0 mi	1,954	154
Lake St. Louis, MO	3.5 mi	3,712	270
Cottleville, MO	4.1 mi	901	26
St. Paul, MO	4.6 mi	418	25
St. Peters, MO	6.2 mi	11,461	1,401
Weldon Spring, MO	6.4 mi	1,512	330

Nursing homes near O'Fallon

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Delmar Gardens Of O'fallon	O Fallon, MO	1.8 mi	3 of 5	198	(636) 240-6100
Garden View Care Center	O Fallon, MO	2.0 mi	1 of 5	80	(636) 240-2840
Abbey Senior Health	O Fallon, MO	2.2 mi	3 of 5	55	(636) 240-5754
Sunterra Springs Dardenne Prairie	Dardenne Prairie, MO	2.2 mi	2 of 5	38	(636) 865-0200
Cottages Of Lake St Louis	Lake Saint Louis, MO	3.1 mi	4 of 5	60	(636) 614-3510
Lutheran Senior Services At Breeze Park	Saint Charles, MO	5.6 mi	4 of 5	50	(636) 939-5223

Hospices serving O'Fallon

Hospice	Office	Distance	Phone
Solace Hospice Care, LLC	O'fallon, MO	2.4 mi	(636) 220-4050
St Croix Hospice	Saint Peters, MO	5.3 mi	(636) 926-3722
Ssm Health At Home Hospice	Wentzville, MO	7.2 mi	(636) 695-2050
Community Loving Care Hospice	Wentzville, MO	7.2 mi	(636) 639-6280

Straight-line miles from the center of O'Fallon. 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 O'Fallon

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 25% of the $5,554 monthly median income of O'Fallon 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 O'Fallon: common questions

What nursing homes are near O'Fallon?

The closest Medicare-certified nursing homes are Delmar Gardens Of O'fallon in O Fallon (1.8 mi, 3 of 5 overall); Garden View Care Center in O Fallon (2.0 mi, 1 of 5 overall); Abbey Senior Health in O Fallon (2.2 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in O'Fallon?

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 25% of the $5,554 monthly median income of O'Fallon 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 near O'Fallon

More senior care near O'Fallon

Dementia Care in nearby cities

Other care in O'Fallon

More for O'Fallon families

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.

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