Live-In Caregivers in Town and Country, MO

Local figures

Live-In Caregivers in Town and Country, MO: the local picture

620

residents 85 or older (5.3% of all residents)

1,450

households headed by someone 65+ own their home (86%)

85%

of Town and Country homes have 3 or more bedrooms (63% in St. Louis County)

$15.00

Missouri minimum wage per hour

About 620 Town and Country 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. 85% of homes in Town and Country have three or more bedrooms (63% in St. Louis County), while 5.7% have one bedroom or none, where live-in care rarely works; the median home has 10 rooms.

Of Town and Country households headed by someone 65 or older, 1,450 own their home and 238 rent; among householders 85 and older it is 118 owners and 133 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Town and Country compared with St. Louis County and Missouri

Census figure	Town and Country	St. Louis County	Missouri
Residents 85 or older	5.3%	2.4%	2.0%
Residents 65+ in households who live alone	16%	32%	30%
Residents 65+ with a disability	24%	28%	34%
Residents 65+ below the poverty line (approx.)	1.9%	8.2%	10%
Residents 65 or older	29%	19%	18%
Residents 5+ who speak a language other than English at home	12%	11%	6.7%
Median income, households headed by someone 65+	$154,211	$63,295	—

Older residents in towns around Town and Country

Town	Distance	Residents 65+	Residents 85+
Des Peres, MO	2.8 mi	2,096	158
Creve Coeur, MO	2.8 mi	4,706	891
Frontenac, MO	3.1 mi	684	140
Manchester, MO	3.6 mi	2,909	249
Ballwin, MO	4.6 mi	5,960	656
Kirkwood, MO	4.7 mi	6,084	838

Emergency hospitals near Town and Country

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Missouri Baptist Medical Center	Saint Louis, MO	1.7 mi	5 of 5	(314) 996-5000
Mercy Hospital St Louis	Saint Louis, MO	2.2 mi	4 of 5	(314) 251-6000
Barnes-Jewish West County Hospital	Creve Coeur, MO	2.2 mi	5 of 5	(314) 996-8000

Straight-line miles from the center of Town and Country. 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 Town and Country

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 (27% of the $12,851 monthly median income of Town and Country 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 (90% of the $12,851 monthly median income of Town and Country 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 Town and Country: common questions

Where is the nearest emergency hospital to Town and Country?

Missouri Baptist Medical Center in Saint Louis, about 1.7 mi in a straight line from the center of Town and Country (Medicare hospital file). Its listed phone number is (314) 996-5000. In an emergency, call 911.

How much does live-in care cost in Town and Country?

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 (27% of the $12,851 monthly median income of Town and Country 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 (90% of the $12,851 monthly median income of Town and Country 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 Town and Country?

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 Town and Country 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 Town and Country

More senior care near Town and Country

Live-In Caregivers in nearby cities

Other care in Town and Country

More for Town and Country 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.