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

Live-In Caregivers in Macon, MO: the local picture
About 159 Macon 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 Macon have three or more bedrooms (67% in Macon County), while 10% have one bedroom or none, where live-in care rarely works; the median home has 5.9 rooms.
Of Macon households headed by someone 65 or older, 532 own their home and 227 rent; among householders 85 and older it is 47 owners and 55 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Macon compared with Macon County and Missouri
| Census figure | Macon | Macon County | Missouri |
|---|---|---|---|
| Residents 85 or older | 2.9% | 3.0% | 2.0% |
| Residents 65+ in households who live alone | 33% | 30% | 30% |
| Residents 65+ with a disability | 39% | 35% | 34% |
| Residents 65+ below the poverty line (approx.) | 7.3% | 10% | 10% |
| Residents 65 or older | 23% | 22% | 18% |
| Residents 5+ who speak a language other than English at home | 1.8% | 3.1% | 6.7% |
| Median income, households headed by someone 65+ | $38,725 | $39,974 | — |
Older residents in towns around Macon
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Moberly, MO | 22 mi | 2,295 | 327 |
| Kirksville, MO | 32 mi | 2,261 | 353 |
| Brookfield, MO | 32 mi | 998 | 142 |
| Monroe City, MO | 40 mi | 509 | 71 |
| Centralia, MO | 41 mi | 986 | 46 |
| Fayette, MO | 43 mi | 352 | 62 |
Emergency hospitals near Macon
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Macon County Samaritan Memorial Hospital | Macon, MO | 0.6 mi | 2 of 5 | (660) 385-8700 |
| Moberly Regional Medical Center | Moberly, MO | 22 mi | 2 of 5 | (660) 263-8400 |
| Northeast Regional Medical Center | Kirksville, MO | 32 mi | 2 of 5 | (660) 785-1000 |
Straight-line miles from the center of Macon. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Macon
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 (107% of the $3,227 monthly median income of Macon 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 (359% of the $3,227 monthly median income of Macon 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.
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.
Live-In Caregivers in Macon: common questions
Where is the nearest emergency hospital to Macon?
Macon County Samaritan Memorial Hospital in Macon, about 0.6 mi in a straight line from the center of Macon (Medicare hospital file). Its listed phone number is (660) 385-8700. In an emergency, call 911.
How much does live-in care cost in Macon?
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 (107% of the $3,227 monthly median income of Macon 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 (359% of the $3,227 monthly median income of Macon 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 Macon?
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 Macon 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 senior care near Macon
Live-In Caregivers in nearby cities
- Live-In Caregivers in Moberly, MO
- Live-In Caregivers in Kirksville, MO
- Live-In Caregivers in Brookfield, MO
- Live-In Caregivers in Monroe City, MO
- Live-In Caregivers in Centralia, MO
- Live-In Caregivers in Fayette, MO
- Live-In Caregivers in Palmyra, MO
- Live-In Caregivers in Mexico, MO
- Live-In Caregivers in Columbia, MO
- Live-In Caregivers in Boonville, MO
- Live-In Caregivers in Canton, MO
- Live-In Caregivers in Hannibal, MO
- Live-In Caregivers in Chillicothe, MO
- Live-In Caregivers in Marshall, MO
- Live-In Caregivers in Quincy, IL
- Live-In Caregivers in Vandalia, MO
Other care in Macon
- Companion Care in Macon
- Dementia Care in Macon
- Respite Care in Macon
- Post-Surgery Care in Macon
- Senior Transportation in Macon
- Home Health Aides in Macon
- Nursing Assistants in Macon
- Personal Care in Macon
- Overnight Caregivers in Macon
- 24-Hour Home Care in Macon
- Mobility Assistance in Macon
- Parkinson’s Care in Macon
- Stroke Recovery Support in Macon
- Disability Care for Adults in Macon
- Hospice Support in Macon
- Senior Meal Preparation in Macon
- Senior Housekeeping in Macon
- Medication Reminders in Macon
- Veterans’ Home Care in Macon
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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