In-Home Dementia and Alzheimer's Care in Town and Country, 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 Town and Country for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in Town and Country, MO: the local picture
Town and Country has about 620 residents aged 85 or older among 3,421 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.
24% of residents 65 and older report a disability (28% in St. Louis County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
16% of older Town and Country 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.
Town and Country compared with St. Louis County and Missouri
| Census figure | Town and Country | St. Louis County | Missouri |
|---|---|---|---|
| Residents 85 or older | 5.3% | 2.4% | 2.0% |
| Residents 65 or older | 29% | 19% | 18% |
| Residents 65+ with a disability | 24% | 28% | 34% |
| Residents 65+ in households who live alone | 16% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 1.9% | 8.2% | 10% |
| Residents 5+ who speak a language other than English at home | 12% | 11% | 6.7% |
| Median income, households headed by someone 65+ | $154,211 | $63,295 | — |
Older residents in towns around Town and Country
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Des Peres, MO | 2.8 mi | 2,096 | 158 |
| Creve Coeur, MO | 2.8 mi | 4,706 | 891 |
| Frontenac, MO | 3.1 mi | 684 | 140 |
| Manchester, MO | 3.6 mi | 2,909 | 249 |
| Ballwin, MO | 4.6 mi | 5,960 | 656 |
| Kirkwood, MO | 4.7 mi | 6,084 | 838 |
Nursing homes near Town and Country
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Athene Nursing And Rehabilitation | Town And Country, MO | 1.7 mi | 1 of 5 | 282 | (636) 227-5070 |
| Quarters At Des Peres, The | Des Peres, MO | 2.1 mi | 1 of 5 | 147 | (314) 821-2886 |
| Brooking Park | Chesterfield, MO | 2.2 mi | 3 of 5 | 49 | (314) 576-5545 |
| Mason Pointe Care Center | Chesterfield, MO | 2.9 mi | 5 of 5 | 63 | (417) 932-8040 |
| Delmar Gardens West | Town And Country, MO | 2.9 mi | 2 of 5 | 321 | (314) 878-1330 |
| Country Villa Wellness & Rehabilitation | Creve Coeur, MO | 3.1 mi | 2 of 5 | 148 | (314) 434-5900 |
Hospices serving Town and Country
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Bristol Hospice - St Louis | Saint Louis, MO | 1.7 mi | (314) 962-4673 |
| Mercy Hospice | Saint Louis, MO | 1.7 mi | (314) 729-4400 |
| Bjc Hospice | Saint Louis, MO | 2.2 mi | (314) 872-5050 |
| Heartland Hospice (St Louis) | Saint Louis, MO | 2.2 mi | (314) 453-0990 |
Straight-line miles from the center of Town and Country. 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 Town and Country
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 11% of the $12,851 monthly median income of Town and Country 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 Town and Country: common questions
What nursing homes are near Town and Country?
The closest Medicare-certified nursing homes are Athene Nursing And Rehabilitation in Town And Country (1.7 mi, 1 of 5 overall); Quarters At Des Peres, The in Des Peres (2.1 mi, 1 of 5 overall); Brooking Park in Chesterfield (2.2 mi, 3 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Town and Country?
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 11% of the $12,851 monthly median income of Town and Country 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 Town and Country
Dementia Care in nearby cities
- Dementia Care in Des Peres, MO
- Dementia Care in Creve Coeur, MO
- Dementia Care in Frontenac, MO
- Dementia Care in Manchester, MO
- Dementia Care in Ballwin, MO
- Dementia Care in Kirkwood, MO
- Dementia Care in Ladue, MO
- Dementia Care in Chesterfield, MO
- Dementia Care in Valley Park, MO
- Dementia Care in Glendale, MO
- Dementia Care in Maryland Heights, MO
- Dementia Care in Olivette, MO
- Dementia Care in Rock Hill, MO
- Dementia Care in Clarkson Valley, MO
- Dementia Care in Ellisville, MO
- Dementia Care in Brentwood, MO
Other care in Town and Country
- Companion Care in Town and Country
- Respite Care in Town and Country
- Live-In Caregivers in Town and Country
- Post-Surgery Care in Town and Country
- Senior Transportation in Town and Country
- Home Health Aides in Town and Country
- Nursing Assistants in Town and Country
- Personal Care in Town and Country
- Overnight Caregivers in Town and Country
- 24-Hour Home Care in Town and Country
- Mobility Assistance in Town and Country
- Parkinson’s Care in Town and Country
- Stroke Recovery Support in Town and Country
- Disability Care for Adults in Town and Country
- Hospice Support in Town and Country
- Senior Meal Preparation in Town and Country
- Senior Housekeeping in Town and Country
- Medication Reminders in Town and Country
- Veterans’ Home Care in Town and Country
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.
Find dementia care in Town and Country
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