Dementia Care in St. Clair, MO: In-Home Alzheimer's Care

Local figures

Dementia Care in St. Clair, MO: the local picture

96

residents 85 or older (2.0% of all residents)

776

residents 65 or older (16% of St. Clair)

57%

of residents 65+ report a disability (34% in Franklin County)

6+

Medicare-certified nursing homes within 25 miles

St. Clair has about 96 residents aged 85 or older among 776 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.

57% of residents 65 and older report a disability (34% in Franklin County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

39% of older St. Clair 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.

St. Clair compared with Franklin County and Missouri

Census figure	St. Clair	Franklin County	Missouri
Residents 85 or older	2.0%	2.1%	2.0%
Residents 65 or older	16%	19%	18%
Residents 65+ with a disability	57%	34%	34%
Residents 65+ in households who live alone	39%	27%	30%
Residents 65+ below the poverty line (approx.)	19%	7.6%	10%
Residents 5+ who speak a language other than English at home	1.1%	1.9%	6.7%
Median income, households headed by someone 65+	$29,360	$51,567	—

Older residents in towns around St. Clair

Town	Distance	Residents 65+	Residents 85+
Union, MO	6.3 mi	1,585	146
Villa Ridge, MO	10 mi	469	7
Sullivan, MO	13 mi	1,280	214
Gray Summit, MO	14 mi	424	30
Washington, MO	14 mi	3,040	345
Pacific, MO	16 mi	1,355	212

Nursing homes near St. Clair

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
St Clair Nursing Center	Saint Clair, MO	1.1 mi	5 of 5	79	(636) 629-2100
Union Nursing	Union, MO	6.4 mi	4 of 5	60	(636) 206-8585
Sunset Health Care Center	Union, MO	7.3 mi	2 of 5	120	(636) 583-2252
Life Care Center Of Sullivan	Sullivan, MO	14 mi	4 of 5	120	(573) 468-3128
Meramec Nursing	Sullivan, MO	14 mi	1 of 5	60	(573) 468-7733
Grandview Healthcare Center	Washington, MO	15 mi	2 of 5	102	(636) 239-9190

Hospices serving St. Clair

Hospice	Office	Distance	Phone
New Haven Hospice Care, Inc	New Haven, MO	20 mi	(573) 237-2878
Breeze Hospice Of Missouri	Ballwin, MO	30 mi	(314) 833-3180
Alternative Hospice, LLC	Fenton, MO	30 mi	(636) 343-3839
Community Loving Care Hospice	Wentzville, MO	32 mi	(636) 639-6280

Straight-line miles from the center of St. Clair. 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 St. Clair

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 56% of the $2,447 monthly median income of St. Clair 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 St. Clair: common questions

What nursing homes are near St. Clair?

The closest Medicare-certified nursing homes are St Clair Nursing Center in Saint Clair (1.1 mi, 5 of 5 overall); Union Nursing in Union (6.4 mi, 4 of 5 overall); Sunset Health Care Center in Union (7.3 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in St. Clair?

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 56% of the $2,447 monthly median income of St. Clair 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 St. Clair

More senior care near St. Clair

Dementia Care in nearby cities

Other care in St. Clair

More for St. Clair 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 St. Clair, MO