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

Local figures

Live-In Caregivers in Montgomery City, MO: the local picture

69

residents 85 or older (2.5% of all residents)

234

households headed by someone 65+ own their home (80%)

62%

of Montgomery City homes have 3 or more bedrooms (66% in Montgomery County)

$15.00

Missouri minimum wage per hour

About 69 Montgomery City 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. 62% of homes in Montgomery City have three or more bedrooms (66% in Montgomery County), while 9.4% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.

Of Montgomery City households headed by someone 65 or older, 234 own their home and 57 rent; among householders 85 and older it is 48 owners and 4 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Montgomery City compared with Montgomery County and Missouri

Census figure	Montgomery City	Montgomery County	Missouri
Residents 85 or older	2.5%	1.8%	2.0%
Residents 65+ in households who live alone	48%	25%	30%
Residents 65+ with a disability	31%	35%	34%
Residents 65+ below the poverty line (approx.)	11%	10%	10%
Residents 65 or older	14%	20%	18%
Residents 5+ who speak a language other than English at home	1.8%	2.1%	6.7%
Median income, households headed by someone 65+	$38,438	$52,898	—

Older residents in towns around Montgomery City

Town	Distance	Residents 65+	Residents 85+
Warrenton, MO	22 mi	1,425	229
Vandalia, MO	23 mi	467	29
Mexico, MO	24 mi	2,173	393
Fulton, MO	25 mi	1,891	288
Wright City, MO	27 mi	799	22
Troy, MO	29 mi	2,050	289

Emergency hospitals near Montgomery City

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Hermann Area District Hospital	Hermann, MO	27 mi	not rated	(573) 486-2191
Mercy Hospital Lincoln	Troy, MO	29 mi	not rated	(636) 528-8551
Mercy Hospital Washington	Washington, MO	39 mi	4 of 5	(636) 239-8000

Straight-line miles from the center of Montgomery City. 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 Montgomery City

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 (108% of the $3,203 monthly median income of Montgomery City 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 (361% of the $3,203 monthly median income of Montgomery City 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 Montgomery City: common questions

Where is the nearest emergency hospital to Montgomery City?

Hermann Area District Hospital in Hermann, about 27 mi in a straight line from the center of Montgomery City (Medicare hospital file). Its listed phone number is (573) 486-2191. In an emergency, call 911.

How much does live-in care cost in Montgomery City?

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 (108% of the $3,203 monthly median income of Montgomery City 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 (361% of the $3,203 monthly median income of Montgomery City 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 Montgomery City?

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 Montgomery City 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 Montgomery City

More senior care near Montgomery City

Live-In Caregivers in nearby cities

Other care in Montgomery City

More for Montgomery City 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 Montgomery City, MO