Home Health Aides in De Soto, MO
Trained help with personal care, mobility and daily routines at home, hired privately or through a Medicare-certified agency. Post what you need in De Soto for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in De Soto, MO: the local picture
17 Medicare-certified home health agencies list De Soto ZIP codes in their service area; the highest-rated are below, and 8 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.
Home health and personal care aides in Missouri earn a median $15.90 an hour (BLS, May 2025), with the middle half between $13.75 and $17.82.
De Soto has about 1,115 residents aged 65 or older, 42% of whom report a disability.
De Soto compared with Jefferson County and Missouri
| Census figure | De Soto | Jefferson County | Missouri |
|---|---|---|---|
| Residents 65+ with a disability | 42% | 34% | 34% |
| Residents 65 or older | 17% | 17% | 18% |
| Residents 85 or older | 1.0% | 1.5% | 2.0% |
| Residents 65+ in households who live alone | 39% | 24% | 30% |
| Residents 65+ below the poverty line (approx.) | 13% | 9.3% | 10% |
| Residents 5+ who speak a language other than English at home | 0.5% | 3.3% | 6.7% |
| Median income, households headed by someone 65+ | $36,619 | $57,683 | — |
Older residents in towns around De Soto
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Hillsboro, MO | 6.4 mi | 393 | 36% |
| Festus, MO | 9.8 mi | 2,090 | 43% |
| Crystal City, MO | 11 mi | 961 | 36% |
| Herculaneum, MO | 12 mi | 814 | 33% |
| Pevely, MO | 13 mi | 811 | 38% |
| Bonne Terre, MO | 15 mi | 848 | 46% |
Medicare-certified home health agencies serving De Soto
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | Farmington, MO | 27 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (866) 431-3956 |
| Aw Health Care | Saint Louis, MO | 39 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Centerwell Home Health | Rolla, MO | 67 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (573) 341-3456 |
| Amedisys Home Health Of Missouri | Hillsboro, MO | 8.2 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 789-4715 |
| St Luke's Home Health Services | Chesterfield, MO | 35 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 205-6612 |
| Aspire Home Healthcare, LLC | Morton Grove, IL | 307 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (312) 788-8014 |
| Mercy Home Health | Saint Louis, MO | 33 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 729-4550 |
| Delmar Gardens Home Care Inc | Chesterfield, MO | 35 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 733-7330 |
Straight-line miles from the center of De Soto. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a home health aide can help with
- Bathing, grooming, dressing and toileting
- Transfers, walking and positioning
- Meals and help with eating
- Medication reminders
What home health aides costs in De Soto
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 45% of the $3,052 monthly median income of De Soto 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 home health aide
Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.
Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Home Health Aides in De Soto: common questions
Which home health agencies serve De Soto?
Medicare lists 17 certified agencies whose service area includes De Soto ZIP codes. The highest-rated on Medicare’s quality stars include Elara Caring (4.5 of 5), Aw Health Care (4.5 of 5), Centerwell Home Health (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in De Soto?
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 45% of the $3,052 monthly median income of De Soto 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).
What is the difference between a home health aide and a CNA?
Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.
More senior care near De Soto
Home Health Aides in nearby cities
- Home Health Aides in Hillsboro, MO
- Home Health Aides in Festus, MO
- Home Health Aides in Crystal City, MO
- Home Health Aides in Herculaneum, MO
- Home Health Aides in Pevely, MO
- Home Health Aides in Bonne Terre, MO
- Home Health Aides in Barnhart, MO
- Home Health Aides in Terre du Lac, MO
- Home Health Aides in Imperial, MO
- Home Health Aides in Potosi, MO
- Home Health Aides in Desloge, MO
- Home Health Aides in Byrnes Mill, MO
- Home Health Aides in High Ridge, MO
- Home Health Aides in Arnold, MO
- Home Health Aides in Park Hills, MO
- Home Health Aides in Murphy, MO
Other care in De Soto
- Companion Care in De Soto
- Dementia Care in De Soto
- Respite Care in De Soto
- Live-In Caregivers in De Soto
- Post-Surgery Care in De Soto
- Senior Transportation in De Soto
- Nursing Assistants in De Soto
- Personal Care in De Soto
- Overnight Caregivers in De Soto
- 24-Hour Home Care in De Soto
- Mobility Assistance in De Soto
- Parkinson’s Care in De Soto
- Stroke Recovery Support in De Soto
- Disability Care for Adults in De Soto
- Hospice Support in De Soto
- Senior Meal Preparation in De Soto
- Senior Housekeeping in De Soto
- Medication Reminders in De Soto
- Veterans’ Home Care in De Soto
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.
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