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

Local figures

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

212

residents 85 or older (2.8% of all residents)

666

households headed by someone 65+ own their home (73%)

61%

of Pacific homes have 3 or more bedrooms (70% in Franklin County)

$15.00

Missouri minimum wage per hour

About 212 Pacific 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. 61% of homes in Pacific have three or more bedrooms (70% in Franklin County); the median home has 5.2 rooms.

Of Pacific households headed by someone 65 or older, 666 own their home and 247 rent; among householders 85 and older it is 134 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Pacific compared with Franklin County and Missouri

Census figure	Pacific	Franklin County	Missouri
Residents 85 or older	2.8%	2.1%	2.0%
Residents 65+ in households who live alone	42%	27%	30%
Residents 65+ with a disability	39%	34%	34%
Residents 65+ below the poverty line (approx.)	1.9%	7.6%	10%
Residents 65 or older	18%	19%	18%
Residents 5+ who speak a language other than English at home	2.5%	1.9%	6.7%
Median income, households headed by someone 65+	$44,973	$51,567	—

Older residents in towns around Pacific

Town	Distance	Residents 65+	Residents 85+
Gray Summit, MO	4.4 mi	424	30
Eureka, MO	5.8 mi	1,766	252
Villa Ridge, MO	7.3 mi	469	7
Wildwood, MO	8.0 mi	7,286	452
Byrnes Mill, MO	9.9 mi	497	31
Ellisville, MO	12 mi	2,594	647

Emergency hospitals near Pacific

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Mercy Hospital Washington	Washington, MO	15 mi	4 of 5	(636) 239-8000
Ssm St Clare Health Center	Fenton, MO	15 mi	4 of 5	(636) 496-2000
St Lukes Hospital	Chesterfield, MO	16 mi	4 of 5	(314) 434-1500

Straight-line miles from the center of Pacific. 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 Pacific

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 (92% of the $3,748 monthly median income of Pacific 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 (309% of the $3,748 monthly median income of Pacific 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 Pacific: common questions

Where is the nearest emergency hospital to Pacific?

Mercy Hospital Washington in Washington, about 15 mi in a straight line from the center of Pacific (Medicare hospital file). Its listed phone number is (636) 239-8000. In an emergency, call 911.

How much does live-in care cost in Pacific?

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 (92% of the $3,748 monthly median income of Pacific 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 (309% of the $3,748 monthly median income of Pacific 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 Pacific?

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 Pacific 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 Pacific

More senior care near Pacific

Live-In Caregivers in nearby cities

Other care in Pacific

More for Pacific 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 Pacific, MO