Certified Nursing Assistants (CNAs) for Home Care in Troy, MO
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Troy for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Troy, MO: the local picture
The nearest Medicare-certified nursing homes to Troy are Troy Manor in Troy (0.7 mi), Lincoln County Nursing & Rehab in Troy (1.1 mi), Warrenton Manor in Wright City (13 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).
Troy has about 289 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
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+ with a disability | 50% | 37% | 34% |
| Residents 65 or older | 15% | 15% | 18% |
| Residents 65+ in households who live alone | 31% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 15% | 12% | 10% |
| Households with no vehicle | 6.3% | 4.5% | 6.6% |
| 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 |
Nursing homes near Troy
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Troy Manor | Troy, MO | 0.7 mi | 2 of 5 | 130 | (636) 528-8446 |
| Lincoln County Nursing & Rehab | Troy, MO | 1.1 mi | not rated | 90 | (636) 528-5712 |
| Warrenton Manor | Wright City, MO | 13 mi | 1 of 5 | 120 | (636) 456-8700 |
| Elsberry Missouri Health Care Center | Elsberry, MO | 14 mi | 4 of 5 | 56 | (573) 898-2880 |
| Cottages Of Lake St Louis | Lake Saint Louis, MO | 17 mi | 4 of 5 | 60 | (636) 614-3510 |
| Abbey Senior Health | O Fallon, MO | 18 mi | 3 of 5 | 55 | (636) 240-5754 |
Home health agencies serving Troy
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Phoenix Home Care And Hospice | Saint Louis, MO | 33 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 | 33 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Aw Health Care | Saint Louis, MO | 41 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Amedisys Home Health Of Missouri | Hillsboro, MO | 54 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 789-4715 |
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 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 Troy
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 36% of the $3,817 monthly median income of Troy 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 Troy: common questions
What nursing homes are near Troy?
The closest Medicare-certified nursing homes are Troy Manor in Troy (0.7 mi, 2 of 5 overall); Lincoln County Nursing & Rehab in Troy (1.1 mi, not rated overall); Warrenton Manor in Wright City (13 mi, 1 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Troy?
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 36% of the $3,817 monthly median income of Troy 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 Troy
Nursing Assistants in nearby cities
- Nursing Assistants in Moscow Mills, MO
- Nursing Assistants in Wright City, MO
- Nursing Assistants in Wentzville, MO
- Nursing Assistants in Warrenton, MO
- Nursing Assistants in St. Paul, MO
- Nursing Assistants in Lake St. Louis, MO
- Nursing Assistants in O'Fallon, 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 St. Charles, MO
- Nursing Assistants in New Haven, MO
- Nursing Assistants in Montgomery City, MO
- Nursing Assistants in Bowling Green, MO
- Nursing Assistants in Washington, MO
Other care in Troy
- Companion Care in Troy
- Dementia Care in Troy
- Respite Care in Troy
- Live-In Caregivers in Troy
- Post-Surgery Care in Troy
- Senior Transportation in Troy
- Home Health Aides in Troy
- Personal Care in Troy
- Overnight Caregivers in Troy
- 24-Hour Home Care in Troy
- Mobility Assistance in Troy
- Parkinson’s Care in Troy
- Stroke Recovery Support in Troy
- Disability Care for Adults in Troy
- Hospice Support in Troy
- Senior Meal Preparation in Troy
- Senior Housekeeping in Troy
- Medication Reminders in Troy
- Veterans’ Home 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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