Hospice Support in Vandalia, MO: Caregivers at Home

Local figures

Hospice Support in Vandalia, MO: the local picture

6

Medicare-certified hospices serve Vandalia ZIP codes

29

residents 85 or older (0.9% of all residents)

32%

of residents 65+ in households live alone (28% in Audrain County)

35%

of residents 65+ report a disability (37% in Audrain County)

Medicare lists 6 hospices whose service area includes Vandalia ZIP codes, the nearest offices being Pike County Health Department, Home Health & Hospice in Bowling Green (16 mi) and Community Loving Care Hospice in Wentzville (49 mi).

147 Vandalia residents 65 or older live alone (32% of those in households). Someone on hospice who lives alone usually needs added hours of help between the hospice team’s visits.

Vandalia compared with Audrain County and Missouri

Census figure	Vandalia	Audrain County	Missouri
Residents 85 or older	0.9%	2.7%	2.0%
Residents 65+ in households who live alone	32%	28%	30%
Residents 65+ with a disability	35%	37%	34%
Residents 65+ with difficulty dressing or bathing	2.6%	7.0%	6.4%
Residents 65 or older	15%	19%	18%
Residents 65+ below the poverty line (approx.)	6.0%	12%	10%
Median income, households headed by someone 65+	$35,852	$44,936	—

Older residents in towns around Vandalia

Town	Distance	Residents 65+	Live alone (65+)
Bowling Green, MO	16 mi	636	28%
Mexico, MO	23 mi	2,173	36%
Montgomery City, MO	23 mi	392	48%
Louisiana, MO	25 mi	669	41%
Monroe City, MO	27 mi	509	45%
Hannibal, MO	28 mi	3,298	39%

Hospices serving Vandalia

Hospice	Office	Distance	Phone
Pike County Health Department, Home Health & Hospice	Bowling Green, MO	16 mi	(573) 324-2111
Community Loving Care Hospice	Wentzville, MO	49 mi	(636) 639-6280
Preferred Hospice Of Missouri (Central)	Columbia, MO	49 mi	(573) 499-4540
St. Croix Hospice	Moberly, MO	51 mi	(660) 675-4216
Phoenix Home Care And Hospice	Jefferson City, MO	64 mi	(573) 635-3900
Gentiva	Jefferson City, MO	65 mi	(573) 469-4895

Straight-line miles from the center of Vandalia. 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 Vandalia

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 46% of the $2,988 monthly median income of Vandalia 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 Vandalia: common questions

How much does hospice support cost in Vandalia?

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 46% of the $2,988 monthly median income of Vandalia 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 Vandalia

More senior care near Vandalia

Hospice Support in nearby cities

Other care in Vandalia

More for Vandalia 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 Vandalia, MO