Certified Nursing Assistants (CNAs) for Home Care in St. James, MO
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in St. James for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in St. James, MO: the local picture
The nearest Medicare-certified nursing homes to St. James are St James Living Center in Saint James (0.5 mi), Aurora Health And Rehabilitation in Rolla (8.1 mi), Rolla Presbyterian Manor in Rolla (8.3 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in Missouri earn a median $15.90 an hour (BLS, May 2025, home health and personal care aides). Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
St. James has about 131 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
St. James compared with Phelps County and Missouri
| Census figure | St. James | Phelps County | Missouri |
|---|---|---|---|
| Residents 85 or older | 3.3% | 2.1% | 2.0% |
| Residents 65+ with a disability | 53% | 38% | 34% |
| Residents 65 or older | 23% | 17% | 18% |
| Residents 65+ in households who live alone | 44% | 30% | 30% |
| Residents 65+ below the poverty line (approx.) | 17% | 12% | 10% |
| Households with no vehicle | 9.0% | 6.1% | 6.6% |
| Median income, households headed by someone 65+ | $31,314 | $47,348 | — |
Older residents in towns around St. James
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Rolla, MO | 8.9 mi | 2,865 | 447 |
| Cuba, MO | 12 mi | 540 | 61 |
| Owensville, MO | 25 mi | 552 | 179 |
| Salem, MO | 25 mi | 1,025 | 163 |
| Sullivan, MO | 28 mi | 1,280 | 214 |
| St. Robert, MO | 32 mi | 700 | 56 |
Nursing homes near St. James
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| St James Living Center | Saint James, MO | 0.5 mi | 3 of 5 | 90 | (573) 265-8921 |
| Aurora Health And Rehabilitation | Rolla, MO | 8.1 mi | 2 of 5 | 116 | (573) 364-2311 |
| Rolla Presbyterian Manor | Rolla, MO | 8.3 mi | 5 of 5 | 30 | (573) 364-7336 |
| Silverstone Place | Rolla, MO | 9.2 mi | 3 of 5 | 110 | (573) 426-6200 |
| Cedar Pointe | Rolla, MO | 9.7 mi | 1 of 5 | 102 | (573) 364-7766 |
| Phelps Health | Rolla, MO | 10 mi | 5 of 5 | 20 | (573) 364-8899 |
Home health agencies serving St. James
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Rolla, MO | 8.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (573) 341-3456 |
| Elara Caring | Jefferson City, MO | 52 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 690-1753 |
| Central Missouri Home Health | Jefferson City, MO | 52 mi | 4 of 5 | nursing, physical therapy, occupational therapy, home health aides | (573) 681-3777 |
| Bjc Home Care Services | Saint Louis, MO | 77 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 362-0200 |
Straight-line miles from the center of St. James. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs costs in St. James
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 53% of the $2,610 monthly median income of St. James households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants in St. James: common questions
What nursing homes are near St. James?
The closest Medicare-certified nursing homes are St James Living Center in Saint James (0.5 mi, 3 of 5 overall); Aurora Health And Rehabilitation in Rolla (8.1 mi, 2 of 5 overall); Rolla Presbyterian Manor in Rolla (8.3 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in St. James?
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 53% of the $2,610 monthly median income of St. James households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near St. James
Nursing Assistants in nearby cities
- Nursing Assistants in Rolla, MO
- Nursing Assistants in Cuba, MO
- Nursing Assistants in Owensville, MO
- Nursing Assistants in Salem, MO
- Nursing Assistants in Sullivan, MO
- Nursing Assistants in St. Robert, MO
- Nursing Assistants in Fort Leonard Wood, MO
- Nursing Assistants in Waynesville, MO
- Nursing Assistants in Licking, MO
- Nursing Assistants in St. Clair, MO
- Nursing Assistants in Union, MO
- Nursing Assistants in Potosi, MO
- Nursing Assistants in New Haven, MO
- Nursing Assistants in Jefferson City, MO
- Nursing Assistants in Washington, MO
- Nursing Assistants in Villa Ridge, MO
Other care in St. James
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.
Find CNAs in St. James
Posting is free and takes about ten minutes. Caregivers near St. James can see it as soon as it is live.
Create your free family accountLooking for caregiving work instead? Create a free caregiver profile.
