In-Home Personal Care in Union, MO
Hands-on help with bathing, dressing, toileting and grooming, at home and on the person’s own schedule. Post what you need in Union for free and hire a caregiver directly, with no agency mark-up.

Personal Care in Union, MO: the local picture
About 49 Union residents aged 65 or older have difficulty dressing or bathing (3.3%; 5.5% in Franklin County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
289 have serious difficulty walking or climbing stairs (19%), so many personal care visits also mean help getting to the bathroom or shower safely.
146 of the 1,585 older residents are 85 or older; needs for hands-on help rise with age.
Union compared with Franklin County and Missouri
| Census figure | Union | Franklin County | Missouri |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 3.3% | 5.5% | 6.4% |
| Residents 65+ with serious difficulty walking | 19% | 20% | 21% |
| Residents 85 or older | 1.1% | 2.1% | 2.0% |
| Residents 65+ with a disability | 35% | 34% | 34% |
| Residents 65+ in households who live alone | 30% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 5.5% | 7.6% | 10% |
| Median income, households headed by someone 65+ | $51,622 | $51,567 | — |
Older residents in towns around Union
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| St. Clair, MO | 6.3 mi | 776 | 7.8% |
| Villa Ridge, MO | 6.4 mi | 469 | 12% |
| Washington, MO | 8.0 mi | 3,040 | 2.7% |
| Gray Summit, MO | 10 mi | 424 | 6.6% |
| Pacific, MO | 14 mi | 1,355 | 6.3% |
| New Haven, MO | 17 mi | 506 | 3.5% |
Home health agencies with aides 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 |
| Apollo Medical | Saint Louis, MO | 33 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 692-0611 |
| Centerwell Home Health | Creve Coeur, MO | 33 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 434-3030 |
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 personal care aide can help with
- Bathing or showering, with a shower chair if needed
- Dressing and undressing
- Toileting and incontinence care
- Grooming: hair, shaving and oral care
What personal care 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 personal care aide
The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.
Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Personal Care in Union: common questions
How much does personal care 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).
What is the difference between personal care and companion care?
Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.
More senior care near Union
Personal Care in nearby cities
- Personal Care in St. Clair, MO
- Personal Care in Villa Ridge, MO
- Personal Care in Washington, MO
- Personal Care in Gray Summit, MO
- Personal Care in Pacific, MO
- Personal Care in New Haven, MO
- Personal Care in Sullivan, MO
- Personal Care in Eureka, MO
- Personal Care in Wildwood, MO
- Personal Care in Byrnes Mill, MO
- Personal Care in Ellisville, MO
- Personal Care in High Ridge, MO
- Personal Care in Clarkson Valley, MO
- Personal Care in Dardenne Prairie, MO
- Personal Care in Lake St. Louis, MO
- Personal Care in Weldon Spring, MO
Other care in Union
- Companion Care in Union
- Dementia Care in Union
- Respite Care in Union
- Live-In Caregivers in Union
- Post-Surgery Care in Union
- Senior Transportation in Union
- Home Health Aides in Union
- Nursing Assistants in Union
- Overnight Caregivers in Union
- 24-Hour Home Care in Union
- Mobility Assistance in Union
- Parkinson’s Care in Union
- Stroke Recovery Support in Union
- Disability Care for Adults in Union
- Hospice Support in Union
- Senior Meal Preparation in Union
- Senior Housekeeping in Union
- Medication Reminders in Union
- Veterans’ Home 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.
Find personal care in Union
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