Home Health Aides in Fredericktown, 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 Fredericktown for free and hire a caregiver directly, with no agency mark-up.

Home Health Aides in Fredericktown, MO: the local picture
8 Medicare-certified home health agencies list Fredericktown ZIP codes in their service area; the highest-rated are below, and 7 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.
Fredericktown has about 891 residents aged 65 or older, 54% of whom report a disability.
Fredericktown compared with Madison County and Missouri
| Census figure | Fredericktown | Madison County | Missouri |
|---|---|---|---|
| Residents 65+ with a disability | 54% | 42% | 34% |
| Residents 65 or older | 20% | 20% | 18% |
| Residents 85 or older | 2.2% | 1.6% | 2.0% |
| Residents 65+ in households who live alone | 39% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 4.3% | 9.9% | 10% |
| Residents 5+ who speak a language other than English at home | 3.6% | 2.6% | 6.7% |
| Median income, households headed by someone 65+ | $38,245 | $39,583 | — |
Older residents in towns around Fredericktown
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Farmington, MO | 17 mi | 3,359 | 35% |
| Park Hills, MO | 21 mi | 1,028 | 50% |
| Desloge, MO | 25 mi | 968 | 36% |
| Perryville, MO | 26 mi | 1,370 | 32% |
| Bonne Terre, MO | 28 mi | 848 | 46% |
| Terre du Lac, MO | 29 mi | 500 | 32% |
Medicare-certified home health agencies serving Fredericktown
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | Farmington, MO | 16 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (866) 431-3956 |
| Evertrue Home Health | St. Louis, MO | 73 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Elara Caring | Bridgeton, MO | 82 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Centerwell Home Health | Rolla, MO | 84 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 | 50 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 789-4715 |
| Apollo Medical | Saint Louis, MO | 76 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 692-0611 |
| Bjc Home Care Services | Saint Louis, MO | 76 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 362-0200 |
| Americare Home Health Solutions | Farmington, MO | 16 mi | 2 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (573) 546-0701 |
Straight-line miles from the center of Fredericktown. 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 Fredericktown
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 43% of the $3,187 monthly median income of Fredericktown 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 Fredericktown: common questions
Which home health agencies serve Fredericktown?
Medicare lists 8 certified agencies whose service area includes Fredericktown ZIP codes. The highest-rated on Medicare’s quality stars include Elara Caring (4.5 of 5), Evertrue Home Health (4.5 of 5), Elara Caring (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in Fredericktown?
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 43% of the $3,187 monthly median income of Fredericktown 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 Fredericktown
Home Health Aides in nearby cities
- Home Health Aides in Farmington, MO
- Home Health Aides in Park Hills, MO
- Home Health Aides in Desloge, MO
- Home Health Aides in Perryville, MO
- Home Health Aides in Bonne Terre, MO
- Home Health Aides in Terre du Lac, MO
- Home Health Aides in Ste. Genevieve, MO
- Home Health Aides in Piedmont, MO
- Home Health Aides in Chester, IL
- Home Health Aides in Potosi, MO
- Home Health Aides in Jackson, MO
- Home Health Aides in De Soto, MO
- Home Health Aides in Chaffee, MO
- Home Health Aides in Cape Girardeau, MO
- Home Health Aides in Festus, MO
- Home Health Aides in Crystal City, MO
Other care in Fredericktown
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 home health aides in Fredericktown
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