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

Local figures

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

131

residents 85 or older (3.3% of all residents)

898

residents 65 or older (23% of St. James)

53%

of residents 65+ report a disability (38% in Phelps County)

6+

Medicare-certified nursing homes within 25 miles

St. James has about 131 residents aged 85 or older among 898 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.

53% of residents 65 and older report a disability (38% in Phelps County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

44% of older St. James 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. James compared with Phelps County and Missouri

Census figure	St. James	Phelps County	Missouri
Residents 85 or older	3.3%	2.1%	2.0%
Residents 65 or older	23%	17%	18%
Residents 65+ with a disability	53%	38%	34%
Residents 65+ in households who live alone	44%	30%	30%
Residents 65+ below the poverty line (approx.)	17%	12%	10%
Residents 5+ who speak a language other than English at home	1.0%	4.8%	6.7%
Median income, households headed by someone 65+	$31,314	$47,348	—

Older residents in towns around St. James

Town	Distance	Residents 65+	Residents 85+
Rolla, MO	8.9 mi	2,865	447
Cuba, MO	12 mi	540	61
Owensville, MO	25 mi	552	179
Salem, MO	25 mi	1,025	163
Sullivan, MO	28 mi	1,280	214
St. Robert, MO	32 mi	700	56

Nursing homes near St. James

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
St James Living Center	Saint James, MO	0.5 mi	3 of 5	90	(573) 265-8921
Aurora Health And Rehabilitation	Rolla, MO	8.1 mi	2 of 5	116	(573) 364-2311
Rolla Presbyterian Manor	Rolla, MO	8.3 mi	5 of 5	30	(573) 364-7336
Silverstone Place	Rolla, MO	9.2 mi	3 of 5	110	(573) 426-6200
Cedar Pointe	Rolla, MO	9.7 mi	1 of 5	102	(573) 364-7766
Phelps Health	Rolla, MO	10 mi	5 of 5	20	(573) 364-8899

Hospices serving St. James

Hospice	Office	Distance	Phone
Phelps Health Home Health And Hospice	Rolla, MO	8.8 mi	(573) 364-2425
Three Rivers Hospice South	Mountain Grove, MO	69 mi	(417) 926-3373
Preferred Hospice Of Missouri (Northeast)	Ballwin, MO	71 mi	(636) 527-9330
Alternative Hospice, LLC	Fenton, MO	71 mi	(636) 343-3839

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

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 53% of the $2,610 monthly median income of St. James 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. James: common questions

What nursing homes are near St. James?

The closest Medicare-certified nursing homes are St James Living Center in Saint James (0.5 mi, 3 of 5 overall); Aurora Health And Rehabilitation in Rolla (8.1 mi, 2 of 5 overall); Rolla Presbyterian Manor in Rolla (8.3 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in St. James?

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 53% of the $2,610 monthly median income of St. James 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. James

More senior care near St. James

Dementia Care in nearby cities

Other care in St. James

More for St. James 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. James, MO