Home Health Aides in St. Paul, 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 St. Paul for free and hire a caregiver directly, with no agency mark-up.
Home Health Aides in St. Paul, MO: the local picture
28 Medicare-certified home health agencies list St. Paul 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.
St. Paul has about 418 residents aged 65 or older, 20% of whom report a disability.
St. Paul compared with St. Charles County and Missouri
| Census figure | St. Paul | St. Charles County | Missouri |
|---|---|---|---|
| Residents 65+ with a disability | 20% | 31% | 34% |
| Residents 65 or older | 12% | 17% | 18% |
| Residents 85 or older | 0.7% | 1.7% | 2.0% |
| Residents 65+ in households who live alone | 13% | 26% | 30% |
| Residents 65+ below the poverty line (approx.) | 0.0% | 6.3% | 10% |
| Residents 5+ who speak a language other than English at home | 1.0% | 5.8% | 6.7% |
| Median income, households headed by someone 65+ | $90,313 | $67,902 | — |
Older residents in towns around St. Paul
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| O'Fallon, MO | 4.6 mi | 13,569 | 30% |
| Lake St. Louis, MO | 5.3 mi | 3,712 | 28% |
| Wentzville, MO | 7.4 mi | 6,519 | 35% |
| Dardenne Prairie, MO | 7.6 mi | 1,954 | 23% |
| Cottleville, MO | 8.1 mi | 901 | 20% |
| St. Peters, MO | 8.6 mi | 11,461 | 34% |
Medicare-certified home health agencies serving St. Paul
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| 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 | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Healthy Family Home Care, LLC | Ellisville, MO | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 594-2332 |
| 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 |
| 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 |
| St Luke's Home Health Services | Chesterfield, MO | 18 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 205-6612 |
| Vita LLC | Chesterfield, MO | 18 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 St. Paul. 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 St. Paul
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 18% of the $7,526 monthly median income of St. Paul 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 St. Paul: common questions
Which home health agencies serve St. Paul?
Medicare lists 28 certified agencies whose service area includes St. Paul ZIP codes. The highest-rated on Medicare’s quality stars include Phoenix Home Care And Hospice (4.5 of 5), Elara Caring (4.5 of 5), Healthy Family Home Care, LLC (4.5 of 5). Compare them on Medicare Care Compare.
How much does home health aides cost in St. Paul?
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 18% of the $7,526 monthly median income of St. Paul 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 St. Paul
Home Health Aides in nearby cities
- Home Health Aides in O'Fallon, MO
- Home Health Aides in Lake St. Louis, MO
- Home Health Aides in Wentzville, MO
- Home Health Aides in Dardenne Prairie, MO
- Home Health Aides in Cottleville, MO
- Home Health Aides in St. Peters, MO
- Home Health Aides in Weldon Spring, MO
- Home Health Aides in Moscow Mills, MO
- Home Health Aides in St. Charles, MO
- Home Health Aides in Troy, MO
- Home Health Aides in Chesterfield, MO
- Home Health Aides in Wright City, MO
- Home Health Aides in Maryland Heights, MO
- Home Health Aides in Clarkson Valley, MO
- Home Health Aides in Bridgeton, MO
- Home Health Aides in Hazelwood, MO
Other care in St. Paul
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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