Live-In Caregivers in Excelsior Springs, MO

Local figures

Live-In Caregivers in Excelsior Springs, MO: the local picture

202

residents 85 or older (1.9% of all residents)

654

households headed by someone 65+ own their home (77%)

69%

of Excelsior Springs homes have 3 or more bedrooms (70% in Clay County)

$15.00

Missouri minimum wage per hour

About 202 Excelsior Springs 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. 69% of homes in Excelsior Springs have three or more bedrooms (70% in Clay County), while 7.4% have one bedroom or none, where live-in care rarely works; the median home has 5.7 rooms.

Of Excelsior Springs households headed by someone 65 or older, 654 own their home and 200 rent; among householders 85 and older it is 77 owners and 9 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Excelsior Springs compared with Clay County and Missouri

Census figure	Excelsior Springs	Clay County	Missouri
Residents 85 or older	1.9%	1.4%	2.0%
Residents 65+ in households who live alone	27%	29%	30%
Residents 65+ with a disability	38%	33%	34%
Residents 65+ below the poverty line (approx.)	17%	9.2%	10%
Residents 65 or older	16%	15%	18%
Residents 5+ who speak a language other than English at home	6.9%	7.9%	6.7%
Median income, households headed by someone 65+	$45,789	$57,117	—

Older residents in towns around Excelsior Springs

Town	Distance	Residents 65+	Residents 85+
Kearney, MO	6.4 mi	1,967	187
Lawson, MO	6.5 mi	440	61
Liberty, MO	12 mi	4,881	488
Buckner, MO	15 mi	450	41
Richmond, MO	15 mi	1,256	244
Pleasant Valley, MO	15 mi	479	57

Emergency hospitals near Excelsior Springs

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Excelsior Springs Hospital	Excelsior Springs, MO	0.8 mi	not rated	(816) 630-6081
Liberty Hospital	Liberty, MO	12 mi	2 of 5	(816) 781-7200
Ray County Memorial Hospital	Richmond, MO	15 mi	not rated	(816) 470-5432

Straight-line miles from the center of Excelsior Springs. 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 Excelsior Springs

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 (90% of the $3,816 monthly median income of Excelsior Springs 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 (303% of the $3,816 monthly median income of Excelsior Springs 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 Excelsior Springs: common questions

Where is the nearest emergency hospital to Excelsior Springs?

Excelsior Springs Hospital in Excelsior Springs, about 0.8 mi in a straight line from the center of Excelsior Springs (Medicare hospital file). Its listed phone number is (816) 630-6081. In an emergency, call 911.

How much does live-in care cost in Excelsior Springs?

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 (90% of the $3,816 monthly median income of Excelsior Springs 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 (303% of the $3,816 monthly median income of Excelsior Springs 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 Excelsior Springs?

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 Excelsior Springs 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 Excelsior Springs

More senior care near Excelsior Springs

Live-In Caregivers in nearby cities

Other care in Excelsior Springs

More for Excelsior Springs 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.