Live-In Caregivers in O'Fallon, MO: 24-Hour Home Care

Local figures

Live-In Caregivers in O'Fallon, MO: the local picture

1,506

residents 85 or older (1.6% of all residents)

6,782

households headed by someone 65+ own their home (81%)

78%

of O'Fallon homes have 3 or more bedrooms (77% in St. Charles County)

$15.00

Missouri minimum wage per hour

About 1,506 O'Fallon 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. 78% of homes in O'Fallon have three or more bedrooms (77% in St. Charles County), while 5.2% have one bedroom or none, where live-in care rarely works; the median home has 6.4 rooms.

Of O'Fallon households headed by someone 65 or older, 6,782 own their home and 1,574 rent; among householders 85 and older it is 524 owners and 495 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

O'Fallon compared with St. Charles County and Missouri

Census figure	O'Fallon	St. Charles County	Missouri
Residents 85 or older	1.6%	1.7%	2.0%
Residents 65+ in households who live alone	28%	26%	30%
Residents 65+ with a disability	30%	31%	34%
Residents 65+ below the poverty line (approx.)	7.0%	6.3%	10%
Residents 65 or older	14%	17%	18%
Residents 5+ who speak a language other than English at home	7.9%	5.8%	6.7%
Median income, households headed by someone 65+	$66,647	$67,902	—

Older residents in towns around O'Fallon

Town	Distance	Residents 65+	Residents 85+
Dardenne Prairie, MO	3.0 mi	1,954	154
Lake St. Louis, MO	3.5 mi	3,712	270
Cottleville, MO	4.1 mi	901	26
St. Paul, MO	4.6 mi	418	25
St. Peters, MO	6.2 mi	11,461	1,401
Weldon Spring, MO	6.4 mi	1,512	330

Emergency hospitals near O'Fallon

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Progress West Hospital	Ofallon, MO	2.4 mi	4 of 5	(636) 344-2273
Ssm St Joseph Hospital West	Lake Saint Louis, MO	3.5 mi	3 of 5	(636) 625-5200
Barnes-Jewish St Peters Hospital	Saint Peters, MO	5.3 mi	3 of 5	(636) 916-9000

Straight-line miles from the center of O'Fallon. 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 O'Fallon

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 (62% of the $5,554 monthly median income of O'Fallon 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 (208% of the $5,554 monthly median income of O'Fallon 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 O'Fallon: common questions

Where is the nearest emergency hospital to O'Fallon?

Progress West Hospital in Ofallon, about 2.4 mi in a straight line from the center of O'Fallon (Medicare hospital file). Its listed phone number is (636) 344-2273. In an emergency, call 911.

How much does live-in care cost in O'Fallon?

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 (62% of the $5,554 monthly median income of O'Fallon 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 (208% of the $5,554 monthly median income of O'Fallon 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 O'Fallon?

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 O'Fallon 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 O'Fallon

More senior care near O'Fallon

Live-In Caregivers in nearby cities

Other care in O'Fallon

More for O'Fallon 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 O'Fallon, MO