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.

Nursing Assistants in Union, MO: the local picture
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 figure | Union | Franklin County | Missouri |
|---|---|---|---|
| Residents 85 or older | 1.1% | 2.1% | 2.0% |
| Residents 65+ with a disability | 35% | 34% | 34% |
| Residents 65 or older | 12% | 19% | 18% |
| Residents 65+ in households who live alone | 30% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 5.5% | 7.6% | 10% |
| Households with no vehicle | 5.9% | 3.8% | 6.6% |
| Median income, households headed by someone 65+ | $51,622 | $51,567 | — |
Older residents in towns around Union
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| St. Clair, MO | 6.3 mi | 776 | 96 |
| Villa Ridge, MO | 6.4 mi | 469 | 7 |
| Washington, MO | 8.0 mi | 3,040 | 345 |
| Gray Summit, MO | 10 mi | 424 | 30 |
| Pacific, MO | 14 mi | 1,355 | 212 |
| New Haven, MO | 17 mi | 506 | 105 |
Nursing homes near Union
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Sunset Health Care Center | Union, MO | 1.3 mi | 2 of 5 | 120 | (636) 583-2252 |
| Union Nursing | Union, MO | 2.4 mi | 4 of 5 | 60 | (636) 206-8585 |
| St Clair Nursing Center | Saint Clair, MO | 5.7 mi | 5 of 5 | 79 | (636) 629-2100 |
| Grandview Healthcare Center | Washington, MO | 9.0 mi | 2 of 5 | 102 | (636) 239-9190 |
| Pacific Care Center | Pacific, MO | 14 mi | 1 of 5 | 118 | (636) 271-4222 |
| New Haven Care Center | New Haven, MO | 17 mi | 4 of 5 | 90 | (573) 237-2103 |
Home health agencies serving Union
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | Bridgeton, MO | 38 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (800) 381-5931 |
| Centerwell Home Health | Rolla, MO | 54 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | (573) 341-3456 |
| Amedisys Home Health Of Missouri | Hillsboro, MO | 26 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 789-4715 |
| Mercy Home Health | Saint Louis, MO | 32 mi | 3.5 of 5 | nursing, 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 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 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.
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 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.
More senior care near Union
Nursing Assistants in nearby cities
- Nursing Assistants in St. Clair, MO
- Nursing Assistants in Villa Ridge, MO
- Nursing Assistants in Washington, MO
- Nursing Assistants in Gray Summit, MO
- Nursing Assistants in Pacific, MO
- Nursing Assistants in New Haven, MO
- Nursing Assistants in Sullivan, MO
- Nursing Assistants in Eureka, MO
- Nursing Assistants in Wildwood, MO
- Nursing Assistants in Byrnes Mill, MO
- Nursing Assistants in Ellisville, MO
- Nursing Assistants in High Ridge, MO
- Nursing Assistants in Clarkson Valley, MO
- Nursing Assistants in Dardenne Prairie, MO
- Nursing Assistants in Lake St. Louis, MO
- Nursing Assistants in Weldon Spring, MO
Other care in Union
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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