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

Local figures

Live-In Caregivers in De Soto, MO: the local picture

65

residents 85 or older (1.0% of all residents)

414

households headed by someone 65+ own their home (61%)

44%

of De Soto homes have 3 or more bedrooms (76% in Jefferson County)

$15.00

Missouri minimum wage per hour

About 65 De Soto 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. 44% of homes in De Soto have three or more bedrooms (76% in Jefferson County), while 21% have one bedroom or none, where live-in care rarely works; the median home has 5 rooms.

Of De Soto households headed by someone 65 or older, 414 own their home and 260 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

De Soto compared with Jefferson County and Missouri

Census figure	De Soto	Jefferson County	Missouri
Residents 85 or older	1.0%	1.5%	2.0%
Residents 65+ in households who live alone	39%	24%	30%
Residents 65+ with a disability	42%	34%	34%
Residents 65+ below the poverty line (approx.)	13%	9.3%	10%
Residents 65 or older	17%	17%	18%
Residents 5+ who speak a language other than English at home	0.5%	3.3%	6.7%
Median income, households headed by someone 65+	$36,619	$57,683	—

Older residents in towns around De Soto

Town	Distance	Residents 65+	Residents 85+
Hillsboro, MO	6.4 mi	393	13
Festus, MO	9.8 mi	2,090	208
Crystal City, MO	11 mi	961	190
Herculaneum, MO	12 mi	814	141
Pevely, MO	13 mi	811	91
Bonne Terre, MO	15 mi	848	93

Emergency hospitals near De Soto

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Mercy Hospital Jefferson	Crystal City, MO	12 mi	4 of 5	(636) 933-1000
Parkland Health Center - Bonne Terre	Bonne Terre, MO	15 mi	not rated	(573) 358-1400
Washington County Memorial Hospital	Potosi, MO	20 mi	not rated	(573) 438-5451

Straight-line miles from the center of De Soto. 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 De Soto

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 (113% of the $3,052 monthly median income of De Soto 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 (379% of the $3,052 monthly median income of De Soto 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 De Soto: common questions

Where is the nearest emergency hospital to De Soto?

Mercy Hospital Jefferson in Crystal City, about 12 mi in a straight line from the center of De Soto (Medicare hospital file). Its listed phone number is (636) 933-1000. In an emergency, call 911.

How much does live-in care cost in De Soto?

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 (113% of the $3,052 monthly median income of De Soto 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 (379% of the $3,052 monthly median income of De Soto 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 De Soto?

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 De Soto 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 De Soto

More senior care near De Soto

Live-In Caregivers in nearby cities

Other care in De Soto

More for De Soto 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 De Soto, MO