Hospice Support in St. James, MO: Caregivers at Home

Local figures

Hospice Support in St. James, MO: the local picture

7

Medicare-certified hospices serve St. James ZIP codes

131

residents 85 or older (3.3% of all residents)

44%

of residents 65+ in households live alone (30% in Phelps County)

53%

of residents 65+ report a disability (38% in Phelps County)

Medicare lists 7 hospices whose service area includes St. James ZIP codes, the nearest offices being Phelps Health Home Health And Hospice in Rolla (8.8 mi) and Three Rivers Hospice South in Mountain Grove (69 mi).

326 St. James residents 65 or older live alone (44% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

St. James compared with Phelps County and Missouri

Census figure	St. James	Phelps County	Missouri
Residents 85 or older	3.3%	2.1%	2.0%
Residents 65+ in households who live alone	44%	30%	30%
Residents 65+ with a disability	53%	38%	34%
Residents 65+ with difficulty dressing or bathing	2.6%	7.7%	6.4%
Residents 65 or older	23%	17%	18%
Residents 65+ below the poverty line (approx.)	17%	12%	10%
Median income, households headed by someone 65+	$31,314	$47,348	—

Older residents in towns around St. James

Town	Distance	Residents 65+	Live alone (65+)
Rolla, MO	8.9 mi	2,865	41%
Cuba, MO	12 mi	540	30%
Owensville, MO	25 mi	552	48%
Salem, MO	25 mi	1,025	63%
Sullivan, MO	28 mi	1,280	41%
St. Robert, MO	32 mi	700	41%

Hospices serving St. James

Hospice	Office	Distance	Phone
Phelps Health Home Health And Hospice	Rolla, MO	8.8 mi	(573) 364-2425
Three Rivers Hospice South	Mountain Grove, MO	69 mi	(417) 926-3373
Preferred Hospice Of Missouri (Northeast)	Ballwin, MO	71 mi	(636) 527-9330
Alternative Hospice, LLC	Fenton, MO	71 mi	(636) 343-3839
Heartland Hospice (St Louis)	Saint Louis, MO	77 mi	(314) 453-0990
Bjc Hospice	Saint Louis, MO	77 mi	(314) 872-5050

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

What it covers

What a caregiver for hospice support can help with

Comfort, company and a calm presence
Gentle personal care and repositioning
Small meals and fluids as the person wants
Telling the hospice nurse about changes

Cost

What hospice support costs in St. James

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 53% of the $2,610 monthly median income of St. James 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 caregiver for hospice support

Under Medicare, hospice is for someone whose doctors certify a life expectancy of six months or less and who chooses comfort care instead of treatment to cure the illness. Medicare does not cover room and board for hospice care at home (Medicare.gov).

Questions worth asking: Have you cared for someone at the end of life? How do you work with a hospice nurse? Can you sit overnight in the last days if needed? More in our hospice support guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Hospice Support in St. James: common questions

How much does hospice support cost in St. James?

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 53% of the $2,610 monthly median income of St. James 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).

Who qualifies for hospice under Medicare?

Someone whose hospice doctor (and regular doctor, if they have one) certifies a life expectancy of six months or less, and who accepts comfort care instead of curative treatment (Medicare.gov).

More near St. James

More senior care near St. James

Hospice Support in nearby cities

Other care in St. James

More for St. James 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.

In-Home Hospice Support in St. James, MO