Festus, Missouri

Live-In Caregivers in Festus, 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 Festus for free and hire a caregiver directly, with no agency mark-up.

A younger man supporting an older man's arm as they walk through a bright living room
Local figures

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

208
residents 85 or older (1.6% of all residents)
921
households headed by someone 65+ own their home (66%)
63%
of Festus homes have 3 or more bedrooms (76% in Jefferson County)
$15.00
Missouri minimum wage per hour

About 208 Festus 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. 63% of homes in Festus have three or more bedrooms (76% in Jefferson County), while 8.5% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.

Of Festus households headed by someone 65 or older, 921 own their home and 480 rent; among householders 85 and older it is 118 owners and 16 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Festus compared with Jefferson County and Missouri

Census figureFestusJefferson CountyMissouri
Residents 85 or older1.6%1.5%2.0%
Residents 65+ in households who live alone34%24%30%
Residents 65+ with a disability43%34%34%
Residents 65+ below the poverty line (approx.)11%9.3%10%
Residents 65 or older16%17%18%
Residents 5+ who speak a language other than English at home1.6%3.3%6.7%
Median income, households headed by someone 65+$63,224$57,683—

Older residents in towns around Festus

TownDistanceResidents 65+Residents 85+
Crystal City, MO1.5 mi961190
Herculaneum, MO2.8 mi814141
Pevely, MO4.8 mi81191
Barnhart, MO8.1 mi65954
Hillsboro, MO8.6 mi39313
Imperial, MO9.3 mi64948

Emergency hospitals near Festus

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Mercy Hospital JeffersonCrystal City, MO1.6 mi4 of 5(636) 933-1000
Mercy Hospital SouthSaint Louis, MO19 mi2 of 5(314) 525-1000
Ssm St Clare Health CenterFenton, MO20 mi4 of 5(636) 496-2000

Straight-line miles from the center of Festus. 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 Festus

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 (65% of the $5,269 monthly median income of Festus 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 (220% of the $5,269 monthly median income of Festus 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 Festus: common questions

Where is the nearest emergency hospital to Festus?

Mercy Hospital Jefferson in Crystal City, about 1.6 mi in a straight line from the center of Festus (Medicare hospital file). Its listed phone number is (636) 933-1000. In an emergency, call 911.

How much does live-in care cost in Festus?

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 (65% of the $5,269 monthly median income of Festus 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 (220% of the $5,269 monthly median income of Festus 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 Festus?

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 Festus 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.

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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