Certified Nursing Assistants (CNAs) for Home Care in St. Paul, 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. Paul for free and hire a caregiver directly, with no agency mark-up.
Nursing Assistants in St. Paul, MO: the local picture
The nearest Medicare-certified nursing homes to St. Paul are Abbey Senior Health in O Fallon (3.3 mi), Garden View Care Center in O Fallon (4.4 mi), Cottages Of Lake St Louis in Lake Saint Louis (5.5 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. Paul has about 25 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
St. Paul compared with St. Charles County and Missouri
| Census figure | St. Paul | St. Charles County | Missouri |
|---|---|---|---|
| Residents 85 or older | 0.7% | 1.7% | 2.0% |
| Residents 65+ with a disability | 20% | 31% | 34% |
| Residents 65 or older | 12% | 17% | 18% |
| Residents 65+ in households who live alone | 13% | 26% | 30% |
| Residents 65+ below the poverty line (approx.) | 0.0% | 6.3% | 10% |
| Households with no vehicle | 7.3% | 3.8% | 6.6% |
| Median income, households headed by someone 65+ | $90,313 | $67,902 | — |
Older residents in towns around St. Paul
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| O'Fallon, MO | 4.6 mi | 13,569 | 1,506 |
| Lake St. Louis, MO | 5.3 mi | 3,712 | 270 |
| Wentzville, MO | 7.4 mi | 6,519 | 480 |
| Dardenne Prairie, MO | 7.6 mi | 1,954 | 154 |
| Cottleville, MO | 8.1 mi | 901 | 26 |
| St. Peters, MO | 8.6 mi | 11,461 | 1,401 |
Nursing homes near St. Paul
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Abbey Senior Health | O Fallon, MO | 3.3 mi | 3 of 5 | 55 | (636) 240-5754 |
| Garden View Care Center | O Fallon, MO | 4.4 mi | 1 of 5 | 80 | (636) 240-2840 |
| Cottages Of Lake St Louis | Lake Saint Louis, MO | 5.5 mi | 4 of 5 | 60 | (636) 614-3510 |
| Sunterra Springs Dardenne Prairie | Dardenne Prairie, MO | 5.8 mi | 2 of 5 | 38 | (636) 865-0200 |
| Delmar Gardens Of O'fallon | O Fallon, MO | 6.3 mi | 3 of 5 | 198 | (636) 240-6100 |
| St Peters Post Acute | Saint Peters, MO | 7.9 mi | 1 of 5 | 130 | (636) 922-7600 |
Home health agencies serving St. Paul
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Phoenix Home Care And Hospice | Saint Louis, MO | 18 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 695-4330 |
| Elara Caring | Bridgeton, MO | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Healthy Family Home Care, LLC | Ellisville, MO | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 594-2332 |
| Aw Health Care | Saint Louis, MO | 26 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
Straight-line miles from the center of St. Paul. 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. Paul
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 18% of the $7,526 monthly median income of St. Paul 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. Paul: common questions
What nursing homes are near St. Paul?
The closest Medicare-certified nursing homes are Abbey Senior Health in O Fallon (3.3 mi, 3 of 5 overall); Garden View Care Center in O Fallon (4.4 mi, 1 of 5 overall); Cottages Of Lake St Louis in Lake Saint Louis (5.5 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in St. Paul?
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 18% of the $7,526 monthly median income of St. Paul 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. Paul
Nursing Assistants in nearby cities
- Nursing Assistants in O'Fallon, MO
- Nursing Assistants in Lake St. Louis, MO
- Nursing Assistants in Wentzville, MO
- Nursing Assistants in Dardenne Prairie, MO
- Nursing Assistants in Cottleville, MO
- Nursing Assistants in St. Peters, MO
- Nursing Assistants in Weldon Spring, MO
- Nursing Assistants in Moscow Mills, MO
- Nursing Assistants in St. Charles, MO
- Nursing Assistants in Troy, MO
- Nursing Assistants in Chesterfield, MO
- Nursing Assistants in Wright City, MO
- Nursing Assistants in Maryland Heights, MO
- Nursing Assistants in Clarkson Valley, MO
- Nursing Assistants in Bridgeton, MO
- Nursing Assistants in Hazelwood, MO
Other care in St. Paul
- Companion Care in St. Paul
- Dementia Care in St. Paul
- Respite Care in St. Paul
- Live-In Caregivers in St. Paul
- Post-Surgery Care in St. Paul
- Senior Transportation in St. Paul
- Home Health Aides in St. Paul
- Personal Care in St. Paul
- Overnight Caregivers in St. Paul
- 24-Hour Home Care in St. Paul
- Mobility Assistance in St. Paul
- Parkinson’s Care in St. Paul
- Stroke Recovery Support in St. Paul
- Disability Care for Adults in St. Paul
- Hospice Support in St. Paul
- Senior Meal Preparation in St. Paul
- Senior Housekeeping in St. Paul
- Medication Reminders in St. Paul
- Veterans’ Home Care in St. Paul
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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