Home Health Aides in Lake St. Louis, MO: Hire In-Home Help

Local figures

Home Health Aides in Lake St. Louis, MO: the local picture

27

Medicare-certified home health agencies list Lake St. Louis ZIP codes in their service area

$15.90

median hourly wage of home care aides in Missouri (BLS, May 2025)

3,712

residents 65 or older (21% of Lake St. Louis)

28%

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

27 Medicare-certified home health agencies list Lake St. Louis 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.

Lake St. Louis has about 3,712 residents aged 65 or older, 28% of whom report a disability.

Lake St. Louis compared with St. Charles County and Missouri

Census figure	Lake St. Louis	St. Charles County	Missouri
Residents 65+ with a disability	28%	31%	34%
Residents 65 or older	21%	17%	18%
Residents 85 or older	1.5%	1.7%	2.0%
Residents 65+ in households who live alone	17%	26%	30%
Residents 65+ below the poverty line (approx.)	9.2%	6.3%	10%
Residents 5+ who speak a language other than English at home	4.6%	5.8%	6.7%
Median income, households headed by someone 65+	$80,422	$67,902	—

Older residents in towns around Lake St. Louis

Town	Distance	Residents 65+	65+ with a disability
O'Fallon, MO	3.5 mi	13,569	30%
Dardenne Prairie, MO	4.6 mi	1,954	23%
Wentzville, MO	5.2 mi	6,519	35%
St. Paul, MO	5.3 mi	418	20%
Cottleville, MO	7.2 mi	901	20%
Weldon Spring, MO	8.7 mi	1,512	30%

Medicare-certified home health agencies serving Lake St. Louis

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Healthy Family Home Care, LLC	Ellisville, MO	17 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 594-2332
Phoenix Home Care And Hospice	Saint Louis, MO	18 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(636) 695-4330
Elara Caring	Bridgeton, MO	20 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931
Evertrue Home Health	St. Louis, MO	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 352-7889
Aw Health Care	Saint Louis, MO	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 726-5600
St Luke's Home Health Services	Chesterfield, MO	16 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(314) 205-6612
Vita LLC	Chesterfield, MO	16 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(314) 275-4020
Cooperative Home Care, Inc	Saint Louis, MO	31 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(314) 772-8585

Straight-line miles from the center of Lake St. Louis. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Lake St. Louis

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 21% of the $6,702 monthly median income of Lake St. Louis 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 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.

Questions

Home Health Aides in Lake St. Louis: common questions

Which home health agencies serve Lake St. Louis?

Medicare lists 27 certified agencies whose service area includes Lake St. Louis ZIP codes. The highest-rated on Medicare’s quality stars include Healthy Family Home Care, LLC (4.5 of 5), Phoenix Home Care And Hospice (4.5 of 5), Elara Caring (4.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Lake St. Louis?

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 21% of the $6,702 monthly median income of Lake St. Louis 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 near Lake St. Louis

More senior care near Lake St. Louis

Home Health Aides in nearby cities

Other care in Lake St. Louis

More for Lake St. Louis 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.

Home Health Aides in Lake St. Louis, MO