Live-In Caregivers in Richmond Heights, MO

Local figures

Live-In Caregivers in Richmond Heights, MO: the local picture

116

residents 85 or older (1.3% of all residents)

615

households headed by someone 65+ own their home (67%)

43%

of Richmond Heights homes have 3 or more bedrooms (63% in St. Louis County)

$15.00

Missouri minimum wage per hour

About 116 Richmond Heights 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. 43% of homes in Richmond Heights have three or more bedrooms (63% in St. Louis County), while 24% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.

Of Richmond Heights households headed by someone 65 or older, 615 own their home and 304 rent; among householders 85 and older it is 60 owners and 29 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Richmond Heights compared with St. Louis County and Missouri

Census figure	Richmond Heights	St. Louis County	Missouri
Residents 85 or older	1.3%	2.4%	2.0%
Residents 65+ in households who live alone	45%	32%	30%
Residents 65+ with a disability	23%	28%	34%
Residents 65+ below the poverty line (approx.)	7.5%	8.2%	10%
Residents 65 or older	14%	19%	18%
Residents 5+ who speak a language other than English at home	6.1%	11%	6.7%
Median income, households headed by someone 65+	$66,910	$63,295	—

Older residents in towns around Richmond Heights

Town	Distance	Residents 65+	Residents 85+
Clayton, MO	0.9 mi	2,418	297
Brentwood, MO	1.1 mi	1,301	113
Maplewood, MO	1.4 mi	817	85
Rock Hill, MO	2.4 mi	873	171
University City, MO	2.4 mi	5,881	942
Ladue, MO	2.8 mi	2,133	291

Emergency hospitals near Richmond Heights

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Ssm Health St Mary's Hospital - St Louis	Saint Louis, MO	0.1 mi	3 of 5	(314) 768-8000
Barnes Jewish Hospital	Saint Louis, MO	4.2 mi	4 of 5	(314) 747-3000
St Louis Childrens Hospital	Saint Louis, MO	4.2 mi	not rated	(314) 454-6000

Straight-line miles from the center of Richmond Heights. 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 Richmond Heights

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 $5,576 monthly median income of Richmond Heights 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 $5,576 monthly median income of Richmond Heights 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 Richmond Heights: common questions

Where is the nearest emergency hospital to Richmond Heights?

Ssm Health St Mary's Hospital - St Louis in Saint Louis, about 0.1 mi in a straight line from the center of Richmond Heights (Medicare hospital file). Its listed phone number is (314) 768-8000. In an emergency, call 911.

How much does live-in care cost in Richmond Heights?

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 $5,576 monthly median income of Richmond Heights 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 $5,576 monthly median income of Richmond Heights 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 Richmond Heights?

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 Richmond Heights 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 Richmond Heights

More senior care near Richmond Heights

Live-In Caregivers in nearby cities

Other care in Richmond Heights

More for Richmond Heights 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.