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

Local figures

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

447

residents 85 or older (2.2% of all residents)

1,029

households headed by someone 65+ own their home (55%)

48%

of Rolla homes have 3 or more bedrooms (62% in Phelps County)

$15.00

Missouri minimum wage per hour

About 447 Rolla 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. 48% of homes in Rolla have three or more bedrooms (62% in Phelps County), while 21% have one bedroom or none, where live-in care rarely works; the median home has 5 rooms.

Of Rolla households headed by someone 65 or older, 1,029 own their home and 839 rent; among householders 85 and older it is 271 owners and 52 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Rolla compared with Phelps County and Missouri

Census figure	Rolla	Phelps County	Missouri
Residents 85 or older	2.2%	2.1%	2.0%
Residents 65+ in households who live alone	41%	30%	30%
Residents 65+ with a disability	37%	38%	34%
Residents 65+ below the poverty line (approx.)	17%	12%	10%
Residents 65 or older	14%	17%	18%
Residents 5+ who speak a language other than English at home	8.5%	4.8%	6.7%
Median income, households headed by someone 65+	$40,317	$47,348	—

Older residents in towns around Rolla

Town	Distance	Residents 65+	Residents 85+
St. James, MO	8.9 mi	898	131
Cuba, MO	21 mi	540	61
St. Robert, MO	23 mi	700	56
Fort Leonard Wood, MO	24 mi	48	0
Salem, MO	25 mi	1,025	163
Waynesville, MO	26 mi	934	213

Emergency hospitals near Rolla

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Phelps County Regional Medical Center	Rolla, MO	0.2 mi	2 of 5	(573) 458-8899
General Leonard Wood Ach (Ft Leonard Wood)	Fort Leonard Wood, MO	23 mi	not rated	(573) 596-0035
Salem Memorial District Hospital	Salem, MO	26 mi	4 of 5	(573) 729-6626

Straight-line miles from the center of Rolla. 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 Rolla

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 (103% of the $3,360 monthly median income of Rolla 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 (345% of the $3,360 monthly median income of Rolla 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 Rolla: common questions

Where is the nearest emergency hospital to Rolla?

Phelps County Regional Medical Center in Rolla, about 0.2 mi in a straight line from the center of Rolla (Medicare hospital file). Its listed phone number is (573) 458-8899. In an emergency, call 911.

How much does live-in care cost in Rolla?

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 (103% of the $3,360 monthly median income of Rolla 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 (345% of the $3,360 monthly median income of Rolla 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 Rolla?

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 Rolla 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 Rolla

More senior care near Rolla

Live-In Caregivers in nearby cities

Other care in Rolla

More for Rolla 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 Rolla, MO