Live-In Caregivers in Troy, MO
A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Troy for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Troy, MO: the local picture
About 289 Troy 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. 75% of homes in Troy have three or more bedrooms (79% in Lincoln County), while 7.4% have one bedroom or none, where live-in care rarely works; the median home has 5.6 rooms.
Of Troy households headed by someone 65 or older, 760 own their home and 469 rent; among householders 85 and older it is 142 owners and 61 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Troy compared with Lincoln County and Missouri
| Census figure | Troy | Lincoln County | Missouri |
|---|---|---|---|
| Residents 85 or older | 2.1% | 1.3% | 2.0% |
| Residents 65+ in households who live alone | 31% | 27% | 30% |
| Residents 65+ with a disability | 50% | 37% | 34% |
| Residents 65+ below the poverty line (approx.) | 15% | 12% | 10% |
| Residents 65 or older | 15% | 15% | 18% |
| Residents 5+ who speak a language other than English at home | 4.5% | 2.7% | 6.7% |
| Median income, households headed by someone 65+ | $45,805 | $55,188 | — |
Older residents in towns around Troy
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Moscow Mills, MO | 2.9 mi | 389 | 74 |
| Wright City, MO | 10 mi | 799 | 22 |
| Wentzville, MO | 12 mi | 6,519 | 480 |
| Warrenton, MO | 14 mi | 1,425 | 229 |
| St. Paul, MO | 15 mi | 418 | 25 |
| Lake St. Louis, MO | 16 mi | 3,712 | 270 |
Emergency hospitals near Troy
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Mercy Hospital Lincoln | Troy, MO | 2.2 mi | not rated | (636) 528-8551 |
| Ssm St Joseph Hospital West | Lake Saint Louis, MO | 16 mi | 3 of 5 | (636) 625-5200 |
| Progress West Hospital | Ofallon, MO | 20 mi | 4 of 5 | (636) 344-2273 |
Straight-line miles from the center of Troy. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Troy
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 (90% of the $3,817 monthly median income of Troy 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 (303% of the $3,817 monthly median income of Troy 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.
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.
Live-In Caregivers in Troy: common questions
Where is the nearest emergency hospital to Troy?
Mercy Hospital Lincoln in Troy, about 2.2 mi in a straight line from the center of Troy (Medicare hospital file). Its listed phone number is (636) 528-8551. In an emergency, call 911.
How much does live-in care cost in Troy?
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 (90% of the $3,817 monthly median income of Troy 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 (303% of the $3,817 monthly median income of Troy 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 Troy?
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 Troy 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 senior care near Troy
Live-In Caregivers in nearby cities
- Live-In Caregivers in Moscow Mills, MO
- Live-In Caregivers in Wright City, MO
- Live-In Caregivers in Wentzville, MO
- Live-In Caregivers in Warrenton, MO
- Live-In Caregivers in St. Paul, MO
- Live-In Caregivers in Lake St. Louis, MO
- Live-In Caregivers in O'Fallon, MO
- Live-In Caregivers in Dardenne Prairie, MO
- Live-In Caregivers in Cottleville, MO
- Live-In Caregivers in St. Peters, MO
- Live-In Caregivers in Weldon Spring, MO
- Live-In Caregivers in St. Charles, MO
- Live-In Caregivers in New Haven, MO
- Live-In Caregivers in Montgomery City, MO
- Live-In Caregivers in Bowling Green, MO
- Live-In Caregivers in Washington, MO
Other care in Troy
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.
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