Union, Missouri

Certified Nursing Assistants (CNAs) for Home Care in Union, MO

Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Union for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Nursing Assistants in Union, MO: the local picture

6+
Medicare-certified nursing homes within 25 miles
569
certified beds in the 6 nearest nursing homes
$15.90
median hourly wage of home care aides in Missouri (BLS, May 2025)
$15.00
Missouri minimum wage per hour

The nearest Medicare-certified nursing homes to Union are Sunset Health Care Center in Union (1.3 mi), Union Nursing in Union (2.4 mi), St Clair Nursing Center in Saint Clair (5.7 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).

Union has about 146 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.

Union compared with Franklin County and Missouri

Census figureUnionFranklin CountyMissouri
Residents 85 or older1.1%2.1%2.0%
Residents 65+ with a disability35%34%34%
Residents 65 or older12%19%18%
Residents 65+ in households who live alone30%27%30%
Residents 65+ below the poverty line (approx.)5.5%7.6%10%
Households with no vehicle5.9%3.8%6.6%
Median income, households headed by someone 65+$51,622$51,567—

Older residents in towns around Union

TownDistanceResidents 65+Residents 85+
St. Clair, MO6.3 mi77696
Villa Ridge, MO6.4 mi4697
Washington, MO8.0 mi3,040345
Gray Summit, MO10 mi42430
Pacific, MO14 mi1,355212
New Haven, MO17 mi506105

Nursing homes near Union

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Sunset Health Care CenterUnion, MO1.3 mi2 of 5120(636) 583-2252
Union NursingUnion, MO2.4 mi4 of 560(636) 206-8585
St Clair Nursing CenterSaint Clair, MO5.7 mi5 of 579(636) 629-2100
Grandview Healthcare CenterWashington, MO9.0 mi2 of 5102(636) 239-9190
Pacific Care CenterPacific, MO14 mi1 of 5118(636) 271-4222
New Haven Care CenterNew Haven, MO17 mi4 of 590(573) 237-2103

Home health agencies serving Union

AgencyOfficeDistanceCMS quality starsServices listedPhone
Elara CaringBridgeton, MO38 mi4.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(800) 381-5931
Centerwell Home HealthRolla, MO54 mi4.5 of 5nursing, physical therapy, occupational therapy, medical social work, home health aides(573) 341-3456
Amedisys Home Health Of MissouriHillsboro, MO26 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(636) 789-4715
Mercy Home HealthSaint Louis, MO32 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(314) 729-4550

Straight-line miles from the center of Union. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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
Cost

What CNAs costs in Union

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 32% of the $4,302 monthly median income of Union 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.

Before you hire

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.

Questions

Nursing Assistants in Union: common questions

What nursing homes are near Union?

The closest Medicare-certified nursing homes are Sunset Health Care Center in Union (1.3 mi, 2 of 5 overall); Union Nursing in Union (2.4 mi, 4 of 5 overall); St Clair Nursing Center in Saint Clair (5.7 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does CNAs cost in Union?

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 32% of the $4,302 monthly median income of Union 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.

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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