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

Local figures

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

25

residents 85 or older (0.7% of all residents)

418

residents 65 or older (12% of St. Paul)

20%

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

6+

Medicare-certified nursing homes within 25 miles

St. Paul has about 25 residents aged 85 or older among 418 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.

20% 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.

13% of older St. Paul 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. Paul compared with St. Charles County and Missouri

Census figure	St. Paul	St. Charles County	Missouri
Residents 85 or older	0.7%	1.7%	2.0%
Residents 65 or older	12%	17%	18%
Residents 65+ with a disability	20%	31%	34%
Residents 65+ in households who live alone	13%	26%	30%
Residents 65+ below the poverty line (approx.)	0.0%	6.3%	10%
Residents 5+ who speak a language other than English at home	1.0%	5.8%	6.7%
Median income, households headed by someone 65+	$90,313	$67,902	—

Older residents in towns around St. Paul

Town	Distance	Residents 65+	Residents 85+
O'Fallon, MO	4.6 mi	13,569	1,506
Lake St. Louis, MO	5.3 mi	3,712	270
Wentzville, MO	7.4 mi	6,519	480
Dardenne Prairie, MO	7.6 mi	1,954	154
Cottleville, MO	8.1 mi	901	26
St. Peters, MO	8.6 mi	11,461	1,401

Nursing homes near St. Paul

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Abbey Senior Health	O Fallon, MO	3.3 mi	3 of 5	55	(636) 240-5754
Garden View Care Center	O Fallon, MO	4.4 mi	1 of 5	80	(636) 240-2840
Cottages Of Lake St Louis	Lake Saint Louis, MO	5.5 mi	4 of 5	60	(636) 614-3510
Sunterra Springs Dardenne Prairie	Dardenne Prairie, MO	5.8 mi	2 of 5	38	(636) 865-0200
Delmar Gardens Of O'fallon	O Fallon, MO	6.3 mi	3 of 5	198	(636) 240-6100
St Peters Post Acute	Saint Peters, MO	7.9 mi	1 of 5	130	(636) 922-7600

Hospices serving St. Paul

Hospice	Office	Distance	Phone
Solace Hospice Care, LLC	O'fallon, MO	6.8 mi	(636) 220-4050
Ssm Health At Home Hospice	Wentzville, MO	6.9 mi	(636) 695-2050
Community Loving Care Hospice	Wentzville, MO	6.9 mi	(636) 639-6280
St Croix Hospice	Saint Peters, MO	7.9 mi	(636) 926-3722

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

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 $7,526 monthly median income of St. Paul 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. Paul: common questions

What nursing homes are near St. Paul?

The closest Medicare-certified nursing homes are Abbey Senior Health in O Fallon (3.3 mi, 3 of 5 overall); Garden View Care Center in O Fallon (4.4 mi, 1 of 5 overall); Cottages Of Lake St Louis in Lake Saint Louis (5.5 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in St. Paul?

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 $7,526 monthly median income of St. Paul 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. Paul

More senior care near St. Paul

Dementia Care in nearby cities

Other care in St. Paul

More for St. Paul 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. Paul, MO