Live-In Caregivers in Chesterfield, MO
A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Chesterfield for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Chesterfield, MO: the local picture
About 1,741 Chesterfield 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. 73% of homes in Chesterfield have three or more bedrooms (63% in St. Louis County), while 7.2% have one bedroom or none, where live-in care rarely works; the median home has 7.5 rooms.
Of Chesterfield households headed by someone 65 or older, 6,606 own their home and 1,237 rent; among householders 85 and older it is 735 owners and 416 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Chesterfield compared with St. Louis County and Missouri
| Census figure | Chesterfield | St. Louis County | Missouri |
|---|---|---|---|
| Residents 85 or older | 3.5% | 2.4% | 2.0% |
| Residents 65+ in households who live alone | 27% | 32% | 30% |
| Residents 65+ with a disability | 22% | 28% | 34% |
| Residents 65+ below the poverty line (approx.) | 4.9% | 8.2% | 10% |
| Residents 65 or older | 25% | 19% | 18% |
| Residents 5+ who speak a language other than English at home | 16% | 11% | 6.7% |
| Median income, households headed by someone 65+ | $91,461 | $63,295 | — |
Older residents in towns around Chesterfield
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Clarkson Valley, MO | 2.4 mi | 448 | 43 |
| Ballwin, MO | 4.6 mi | 5,960 | 656 |
| Ellisville, MO | 4.8 mi | 2,594 | 647 |
| Weldon Spring, MO | 5.4 mi | 1,512 | 330 |
| Town and Country, MO | 5.7 mi | 3,421 | 620 |
| Manchester, MO | 6.4 mi | 2,909 | 249 |
Emergency hospitals near Chesterfield
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| St Lukes Hospital | Chesterfield, MO | 2.3 mi | 4 of 5 | (314) 434-1500 |
| Mercy Hospital St Louis | Saint Louis, MO | 6.6 mi | 4 of 5 | (314) 251-6000 |
| Barnes-Jewish West County Hospital | Creve Coeur, MO | 6.6 mi | 5 of 5 | (314) 996-8000 |
Straight-line miles from the center of Chesterfield. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Chesterfield
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 (45% of the $7,622 monthly median income of Chesterfield 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 (152% of the $7,622 monthly median income of Chesterfield 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.
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.
Live-In Caregivers in Chesterfield: common questions
Where is the nearest emergency hospital to Chesterfield?
St Lukes Hospital in Chesterfield, about 2.3 mi in a straight line from the center of Chesterfield (Medicare hospital file). Its listed phone number is (314) 434-1500. In an emergency, call 911.
How much does live-in care cost in Chesterfield?
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 (45% of the $7,622 monthly median income of Chesterfield 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 (152% of the $7,622 monthly median income of Chesterfield 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 Chesterfield?
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 Chesterfield 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 senior care near Chesterfield
Live-In Caregivers in nearby cities
- Live-In Caregivers in Clarkson Valley, MO
- Live-In Caregivers in Ballwin, MO
- Live-In Caregivers in Ellisville, MO
- Live-In Caregivers in Weldon Spring, MO
- Live-In Caregivers in Town and Country, MO
- Live-In Caregivers in Manchester, MO
- Live-In Caregivers in Maryland Heights, MO
- Live-In Caregivers in Creve Coeur, MO
- Live-In Caregivers in Wildwood, MO
- Live-In Caregivers in Cottleville, MO
- Live-In Caregivers in Des Peres, MO
- Live-In Caregivers in Valley Park, MO
- Live-In Caregivers in Frontenac, MO
- Live-In Caregivers in St. Peters, MO
- Live-In Caregivers in Dardenne Prairie, MO
- Live-In Caregivers in Kirkwood, MO
Other care in Chesterfield
- Companion Care in Chesterfield
- Dementia Care in Chesterfield
- Respite Care in Chesterfield
- Post-Surgery Care in Chesterfield
- Senior Transportation in Chesterfield
- Home Health Aides in Chesterfield
- Nursing Assistants in Chesterfield
- Personal Care in Chesterfield
- Overnight Caregivers in Chesterfield
- 24-Hour Home Care in Chesterfield
- Mobility Assistance in Chesterfield
- Parkinson’s Care in Chesterfield
- Stroke Recovery Support in Chesterfield
- Disability Care for Adults in Chesterfield
- Hospice Support in Chesterfield
- Senior Meal Preparation in Chesterfield
- Senior Housekeeping in Chesterfield
- Medication Reminders in Chesterfield
- Veterans’ Home Care in Chesterfield
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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