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

Local figures

Live-In Caregivers in Holts Summit, MO: the local picture

29

residents 85 or older (0.6% of all residents)

394

households headed by someone 65+ own their home (90%)

88%

of Holts Summit homes have 3 or more bedrooms (74% in Callaway County)

$15.00

Missouri minimum wage per hour

About 29 Holts Summit 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. 88% of homes in Holts Summit have three or more bedrooms (74% in Callaway County); the median home has 5.4 rooms.

Of Holts Summit households headed by someone 65 or older, 394 own their home and 45 rent. Renters should check that the lease allows another adult to live in before anyone moves in.

Holts Summit compared with Callaway County and Missouri

Census figure	Holts Summit	Callaway County	Missouri
Residents 85 or older	0.6%	1.8%	2.0%
Residents 65+ in households who live alone	22%	26%	30%
Residents 65+ with a disability	31%	35%	34%
Residents 65+ below the poverty line (approx.)	11%	11%	10%
Residents 65 or older	16%	18%	18%
Residents 5+ who speak a language other than English at home	0.3%	1.7%	6.7%
Median income, households headed by someone 65+	$54,830	$56,549	—

Older residents in towns around Holts Summit

Town	Distance	Residents 65+	Residents 85+
Jefferson City, MO	6.5 mi	7,426	1,034
Ashland, MO	13 mi	733	29
Fulton, MO	17 mi	1,891	288
Columbia, MO	24 mi	14,883	2,037
California, MO	25 mi	862	142
Eldon, MO	32 mi	1,058	192

Emergency hospitals near Holts Summit

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Ssm Health St. Mary's Hospital - Jefferson City	Jefferson City, MO	8.6 mi	3 of 5	(573) 681-3000
Boone Hospital Center	Columbia, MO	23 mi	4 of 5	(573) 815-8000
Columbia Mo Va Medical Center	Columbia, MO	23 mi	4 of 5	(573) 814-6000

Straight-line miles from the center of Holts Summit. 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 Holts Summit

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 (75% of the $4,569 monthly median income of Holts Summit 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 (253% of the $4,569 monthly median income of Holts Summit 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 Holts Summit: common questions

Where is the nearest emergency hospital to Holts Summit?

Ssm Health St. Mary's Hospital - Jefferson City in Jefferson City, about 8.6 mi in a straight line from the center of Holts Summit (Medicare hospital file). Its listed phone number is (573) 681-3000. In an emergency, call 911.

How much does live-in care cost in Holts Summit?

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 (75% of the $4,569 monthly median income of Holts Summit 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 (253% of the $4,569 monthly median income of Holts Summit 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 Holts Summit?

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 Holts Summit 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 Holts Summit

More senior care near Holts Summit

Live-In Caregivers in nearby cities

Other care in Holts Summit

More for Holts Summit 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 Holts Summit, MO