Respite Care in St. Paul, NE
A few hours, a day or a weekend of cover so the family member doing the caring can rest, work, see a doctor or travel. Post what you need in St. Paul for free and hire a caregiver directly, with no agency mark-up.
Respite Care in St. Paul, NE: the local picture
Most older adults in St. Paul live with someone: 67% of residents 65 and older in households do. When one of them needs care, the person they live with usually provides most of it, and respite is what keeps that sustainable.
About 317 St. Paul residents aged 65 or older report a disability (50%) (40% in Howard County). Many of them rely on a spouse or adult child day to day.
Medicare lists 5 hospices serving St. Paul ZIP codes. For someone on hospice, Medicare also covers short inpatient respite stays so the family caregiver can rest.
St. Paul compared with Howard County and Nebraska
| Census figure | St. Paul | Howard County | Nebraska |
|---|---|---|---|
| Residents 65+ with a disability | 50% | 40% | 32% |
| Residents 65+ in households who live alone | 33% | 28% | 31% |
| Residents 65 or older | 25% | 23% | 17% |
| Residents 85 or older | 6.2% | 3.3% | 2.0% |
| Residents 65+ below the poverty line (approx.) | 5.4% | 7.7% | 9.2% |
| Households with no vehicle | 2.3% | 3.0% | 5.4% |
| Median income, households headed by someone 65+ | $40,250 | $54,107 | — |
Older residents in towns around St. Paul
| Town | Distance | Residents 65+ | 65+ with a disability |
|---|---|---|---|
| Grand Island, NE | 21 mi | 7,806 | 35% |
| Central City, NE | 25 mi | 641 | 45% |
| Aurora, NE | 34 mi | 976 | 25% |
| Hastings, NE | 43 mi | 4,646 | 36% |
| Kearney, NE | 48 mi | 5,546 | 29% |
| York, NE | 51 mi | 1,607 | 45% |
Hospices serving St. Paul
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Vchs Hospice | Ord, NE | 36 mi | (308) 728-4355 |
| Brookestone Home Health & Hospice | Kearney, NE | 47 mi | (308) 995-4375 |
| Aseracare Hospice | York, NE | 52 mi | (308) 624-3939 |
| Eventide Hospice | Lincoln, NE | 98 mi | (402) 486-8506 |
| St. Croix Hospice | Omaha, NE | 122 mi | (402) 609-4818 |
Nursing homes near St. Paul (ask about short stays)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Brookefield Park | St Paul, NE | 0.7 mi | 4 of 5 | 70 | (308) 754-5486 |
| Good Samaritan Society - Grand Island Village | Grand Island, NE | 20 mi | 1 of 5 | 67 | (308) 384-3535 |
| Tiffany Square | Grand Island, NE | 21 mi | 2 of 5 | 103 | (308) 384-2333 |
| Adept Nursing & Rehab Of Grand Island | Grand Island, NE | 21 mi | 1 of 5 | 76 | (308) 382-5440 |
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 respite caregiver can help with
- Taking over the usual routine while you are away
- Meals, medication reminders and personal care
- Company and activities
- Overnight cover for a weekend or a trip
What respite care costs in St. Paul
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 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. Nebraska'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a respite caregiver
Family caregivers carry most long-term care in the U.S., and burnout is a common reason a home arrangement breaks down. The federal National Family Caregiver Support Program funds respite through local Area Agencies on Aging, and the ARCH National Respite Locator lists respite programs by state.
Questions worth asking: Can you do a short paid visit first, while I am home? Are you available at short notice if I am ill? Can you stay overnight, and what do you charge for it? More in our respite care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Respite Care in St. Paul: common questions
Which hospices serve St. Paul?
Medicare lists 5 hospices for St. Paul ZIP codes, including Vchs Hospice, Brookestone Home Health & Hospice, Aseracare Hospice.
How much does respite care cost in St. Paul?
At the Nebraska median aide wage of $17.38 an hour, 20 hours of help a week comes to about $1,506 a month in wages, which is 45% of the $3,354 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. Nebraska's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Does Medicaid or Medicare pay for respite care?
Medicare pays for short inpatient respite stays only for people on its hospice benefit (Medicare.gov); the hospices on this page serve St. Paul. Many state Medicaid home and community-based programs, veterans’ programs and the National Family Caregiver Support Program fund respite. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Nebraska.
More senior care near St. Paul
Respite Care in nearby cities
Other 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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