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

Local figures

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

13

residents 85 or older (0.4% of all residents)

151

households headed by someone 65+ own their home (62%)

77%

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

$15.00

Missouri minimum wage per hour

About 13 Hillsboro 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. 77% of homes in Hillsboro have three or more bedrooms (76% in Jefferson County); the median home has 5.5 rooms.

Of Hillsboro households headed by someone 65 or older, 151 own their home and 91 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Hillsboro compared with Jefferson County and Missouri

Census figure	Hillsboro	Jefferson County	Missouri
Residents 85 or older	0.4%	1.5%	2.0%
Residents 65+ in households who live alone	36%	24%	30%
Residents 65+ with a disability	36%	34%	34%
Residents 65+ below the poverty line (approx.)	13%	9.3%	10%
Residents 65 or older	11%	17%	18%
Residents 5+ who speak a language other than English at home	1.4%	3.3%	6.7%
Median income, households headed by someone 65+	$27,112	$57,683	—

Older residents in towns around Hillsboro

Town	Distance	Residents 65+	Residents 85+
De Soto, MO	6.4 mi	1,115	65
Festus, MO	8.6 mi	2,090	208
Herculaneum, MO	9.6 mi	814	141
Pevely, MO	9.8 mi	811	91
Crystal City, MO	10 mi	961	190
Barnhart, MO	11 mi	659	54

Emergency hospitals near Hillsboro

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Mercy Hospital Jefferson	Crystal City, MO	10 mi	4 of 5	(636) 933-1000
Ssm St Clare Health Center	Fenton, MO	19 mi	4 of 5	(636) 496-2000
Mercy Hospital South	Saint Louis, MO	21 mi	2 of 5	(314) 525-1000

Straight-line miles from the center of Hillsboro. 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 Hillsboro

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 (152% of the $2,259 monthly median income of Hillsboro 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 (512% of the $2,259 monthly median income of Hillsboro 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 Hillsboro: common questions

Where is the nearest emergency hospital to Hillsboro?

Mercy Hospital Jefferson in Crystal City, about 10 mi in a straight line from the center of Hillsboro (Medicare hospital file). Its listed phone number is (636) 933-1000. In an emergency, call 911.

How much does live-in care cost in Hillsboro?

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 (152% of the $2,259 monthly median income of Hillsboro 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 (512% of the $2,259 monthly median income of Hillsboro 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 Hillsboro?

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 Hillsboro 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 Hillsboro

More senior care near Hillsboro

Live-In Caregivers in nearby cities

Other care in Hillsboro

More for Hillsboro families

Sources

Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); 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 Hillsboro, MO