Senior Transportation in St. James, MO

Local figures

Senior Transportation in St. James, MO: the local picture

9.0%

of households have no vehicle (6.1% in Phelps County)

8.8 mi

to the nearest hospital with an emergency department (Rolla)

898

residents 65 or older (23% of St. James)

53%

of residents 65+ report a disability (38% in Phelps County)

About 143 St. James households, 9.0%, have no vehicle (6.1% in Phelps County). The Census figure covers all ages, but older adults who stop driving are a large part of it.

Hospitals with an emergency department near St. James: Phelps County Regional Medical Center in Rolla (8.8 mi); Salem Memorial District Hospital in Salem (27 mi); Missouri Baptist Sullivan Hospital in Sullivan (29 mi). Distances are straight-line, so allow more on the road.

53% of residents 65 and older report a disability. If walking is hard, look for a caregiver who is comfortable with walkers and car transfers, not only a driver.

St. James compared with Phelps County and Missouri

Census figure	St. James	Phelps County	Missouri
Households with no vehicle	9.0%	6.1%	6.6%
Residents 65+ with a disability	53%	38%	34%
Residents 65 or older	23%	17%	18%
Residents 65+ in households who live alone	44%	30%	30%
Residents 65+ below the poverty line (approx.)	17%	12%	10%
Residents 85 or older	3.3%	2.1%	2.0%
Median income, households headed by someone 65+	$31,314	$47,348	—

Older residents in towns around St. James

Town	Distance	Residents 65+	Households with no car
Rolla, MO	8.9 mi	2,865	7.7%
Cuba, MO	12 mi	540	9.8%
Owensville, MO	25 mi	552	9.4%
Salem, MO	25 mi	1,025	8.1%
Sullivan, MO	28 mi	1,280	3.1%
St. Robert, MO	32 mi	700	3.3%

Hospitals near St. James

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Phelps County Regional Medical Center	Rolla, MO	8.8 mi	2 of 5	(573) 458-8899
Salem Memorial District Hospital	Salem, MO	27 mi	4 of 5	(573) 729-6626
Missouri Baptist Sullivan Hospital	Sullivan, MO	29 mi	2 of 5	(573) 468-4186
General Leonard Wood Ach (Ft Leonard Wood)	Fort Leonard Wood, MO	32 mi	not rated	(573) 596-0035

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

What it covers

What a caregiver who drives can help with

Rides to doctor, dental and therapy appointments
Waiting during the appointment and taking notes
Grocery shopping, pharmacy and errands
Trips to church, the senior center and family

Cost

What senior transportation costs in St. James

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 53% of the $2,610 monthly median income of St. James 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 caregiver who drives

Giving up driving is a common reason older adults start to miss appointments and see fewer people. Before a caregiver drives, agree whose car is used, check that the auto insurance covers it, and agree a mileage rate in writing. The National Aging and Disability Transportation Center and the Eldercare Locator (1-800-677-1116) can point you to free and low-cost ride programs.

Questions worth asking: May I see your license and proof of auto insurance? Will you drive your car or ours? How do you help someone with a walker in and out of the car? More in our senior transportation guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Senior Transportation in St. James: common questions

Where is the nearest emergency hospital to St. James?

Phelps County Regional Medical Center in Rolla, about 8.8 mi in a straight line from the center of St. James (Medicare hospital file). Its listed phone number is (573) 458-8899. In an emergency, call 911.

How much does senior transportation cost in St. James?

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 53% of the $2,610 monthly median income of St. James 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).

Does Medicare pay for rides to appointments?

Original Medicare covers emergency ambulance trips, not routine rides. Medicaid covers non-emergency medical transportation for eligible members, and some Medicare Advantage plans include rides (Medicare.gov).

More near St. James

More senior care near St. James

Senior Transportation in nearby cities

Other care in St. James

More for St. James families

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.

Senior Transportation and Escorted Rides in St. James, MO