Live-In Caregivers in Affton, MO: 24-Hour Home Care

Local figures

Live-In Caregivers in Affton, MO: the local picture

502

residents 85 or older (2.6% of all residents)

2,021

households headed by someone 65+ own their home (80%)

52%

of Affton homes have 3 or more bedrooms (63% in St. Louis County)

$15.00

Missouri minimum wage per hour

About 502 Affton residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 52% of homes in Affton have three or more bedrooms (63% in St. Louis County), while 9.1% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Affton households headed by someone 65 or older, 2,021 own their home and 491 rent; among householders 85 and older it is 244 owners and 130 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Affton compared with St. Louis County and Missouri

Census figure	Affton	St. Louis County	Missouri
Residents 85 or older	2.6%	2.4%	2.0%
Residents 65+ in households who live alone	33%	32%	30%
Residents 65+ with a disability	30%	28%	34%
Residents 65+ below the poverty line (approx.)	13%	8.2%	10%
Residents 65 or older	20%	19%	18%
Residents 5+ who speak a language other than English at home	13%	11%	6.7%
Median income, households headed by someone 65+	$52,740	$63,295	—

Older residents in towns around Affton

Town	Distance	Residents 65+	Residents 85+
Green Park, MO	1.9 mi	595	72
Lemay, MO	2.5 mi	2,439	321
Shrewsbury, MO	2.5 mi	1,761	426
Crestwood, MO	2.8 mi	2,531	215
Webster Groves, MO	3.0 mi	4,585	1,059
Concord, MO	3.0 mi	4,406	416

Emergency hospitals near Affton

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Mercy Hospital South	Saint Louis, MO	4.9 mi	2 of 5	(314) 525-1000
Ssm Health St Mary's Hospital - St Louis	Saint Louis, MO	5.5 mi	3 of 5	(314) 768-8000
Barnes Jewish Hospital	Saint Louis, MO	6.1 mi	4 of 5	(314) 747-3000

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

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in Affton

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.90 an hour (the Missouri median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,445 a month (78% of the $4,395 monthly median income of Affton households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $11,575 a month (263% of the $4,395 monthly median income of Affton households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

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

Questions

Live-In Caregivers in Affton: common questions

Where is the nearest emergency hospital to Affton?

Mercy Hospital South in Saint Louis, about 4.9 mi in a straight line from the center of Affton (Medicare hospital file). Its listed phone number is (314) 525-1000. In an emergency, call 911.

How much does live-in care cost in Affton?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $15.90 an hour (the Missouri median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,445 a month (78% of the $4,395 monthly median income of Affton households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $11,575 a month (263% of the $4,395 monthly median income of Affton households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in Affton?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Affton it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near Affton

More senior care near Affton

Live-In Caregivers in nearby cities

Other care in Affton

More for Affton 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.

Live-In Caregivers in Affton, MO