Home Health Aides in Montgomery City, MO: Hire In-Home Help

Local figures

Home Health Aides in Montgomery City, MO: the local picture

4

Medicare-certified home health agencies list Montgomery City ZIP codes in their service area

$15.90

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

392

residents 65 or older (14% of Montgomery City)

31%

of residents 65+ report a disability (35% in Montgomery County)

4 Medicare-certified home health agencies list Montgomery City ZIP codes in their service area; the highest-rated are below, and 3 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.

Montgomery City has about 392 residents aged 65 or older, 31% of whom report a disability.

Montgomery City compared with Montgomery County and Missouri

Census figure	Montgomery City	Montgomery County	Missouri
Residents 65+ with a disability	31%	35%	34%
Residents 65 or older	14%	20%	18%
Residents 85 or older	2.5%	1.8%	2.0%
Residents 65+ in households who live alone	48%	25%	30%
Residents 65+ below the poverty line (approx.)	11%	10%	10%
Residents 5+ who speak a language other than English at home	1.8%	2.1%	6.7%
Median income, households headed by someone 65+	$38,438	$52,898	—

Older residents in towns around Montgomery City

Town	Distance	Residents 65+	65+ with a disability
Warrenton, MO	22 mi	1,425	43%
Vandalia, MO	23 mi	467	35%
Mexico, MO	24 mi	2,173	45%
Fulton, MO	25 mi	1,891	34%
Wright City, MO	27 mi	799	35%
Troy, MO	29 mi	2,050	50%

Medicare-certified home health agencies serving Montgomery City

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Centerwell Home Health	Columbia, MO	46 mi	5 of 5	nursing, physical therapy, occupational therapy	(573) 256-4705
Elara Caring	Bridgeton, MO	61 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(800) 381-5931
Montgomery County Health Department	Montgomery City, MO	0.8 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(573) 564-2495
Orthopaedic And Medical Home Health, LLC	Columbia, MO	43 mi	3 of 5	nursing, physical therapy, occupational therapy, medical social work, home health aides	(573) 474-1786

Straight-line miles from the center of Montgomery City. 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 Montgomery City

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 $3,203 monthly median income of Montgomery City 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 Montgomery City: common questions

Which home health agencies serve Montgomery City?

Medicare lists 4 certified agencies whose service area includes Montgomery City ZIP codes. The highest-rated on Medicare’s quality stars include Centerwell Home Health (5 of 5), Elara Caring (4.5 of 5), Montgomery County Health Department (3.5 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Montgomery City?

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 $3,203 monthly median income of Montgomery City 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 Montgomery City

More senior care near Montgomery City

Home Health Aides in nearby cities

Other care in Montgomery City

More for Montgomery City families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Montgomery City, MO