St. Louis is a historic city that is best known for being home to The Gateway Arch, an iconic memorial that honors Lewis and Clark and the expansion of America towards the west. Seniors who enjoy good food, plenty of shopping venues and exploring museums will love living in St. Louis. This vibrant city has a population of more than 300,000, 12.6% of whom are seniors over the age of 65. 

St. Louis has a number of excellent home health care programs available for its senior community. According to the Genworth Cost of Care Survey 2019, the average cost of homemaker services is $4,195 per month and the average cost of home health aide services is $4,385 per month. Homemaker services cost slightly less in St. Louis than the national average, which is $4,290, and the cost of home health aide services is exactly the same at $4,385 per month. 

At Caring.com, we’ve compiled a comprehensive directory of every home care provider in the St. Louis area – complete with types of care provided, services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled a list of resources to help seniors and their families access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in Saint Louis, MO

2018, 2020, 2021, 2022

Right at Home St. Louis Central

121 Hunter Ave, Ste 202, Saint Louis, MO, 63124

The services provide security so I know my mom can get bathed and get food without hurting herself. I would like more consistency in providers.
The services provide security so I know my mom can get bathed and get food without hurting herself. I would like more consistency in providers.

BrightStar of West St. Louis County and St. Charles

1065 Executive Parkway Dr, Suite 215, St. Louis, MO, 63141

BrightStar Care of West St. Louis County and St. Charles is available to you 24 hours a day, 7 days a week to make more possible for you and your loved ones. Our Joint Commission Accredited agency pro … (read more)
BrightStar Care of West St. Louis County and St. Charles is available to you 24 hours a day, 7 days a week to make more possible for you and your loved ones. Our Joint Commission Accredited agency pro … (read more)

2019, 2020, 2021, 2022

Bluebird Homecare

2 Cityplace Drive, #200, Saint Louis, MO, 63141

They do fine, but they could do a little more housekeeping. I like that the few times I’ve had them, they answer questions well.
They do fine, but they could do a little more housekeeping. I like that the few times I’ve had them, they answer questions well.

2020, 2022

Assistance Home Care

9893 Manchester Road, Saint Louis, MO, 63119

When Moving Isn’t An Option… Assistance Home Care is committed to honoring one’s wishes to stay at home and enrich the journey of aging with compassion, dignity, and respect. <p></p> Established i … (read more)
When Moving Isn’t An Option… Assistance Home Care is committed to honoring one’s wishes to stay at home and enrich the journey of aging with compassion, dignity, and respect. <p></p> Established i … (read more)

Interim HealthCare of Fenton, MO

1736 Westpark Center Dr., Fenton, MO, 63026

Interim HealthCare is very good. They have a nurse come in for my dad to do stuff for him. They also clean, they help with bathing, cooking the meals, and laundry. The caregiver is very polite and pro … (read more)
Interim HealthCare is very good. They have a nurse come in for my dad to do stuff for him. They also clean, they help with bathing, cooking the meals, and laundry. The caregiver is very polite and pro … (read more)

2022

Home Instead – St. Louis, MO

8147 Delmar Blvd, Suite 215, Saint Louis, MO, 63130

The staff was professional and caring. They spent the time that was needed to learn about my Mom to give her the best services possible. They recognized how hard this process was for me as an individu … (read more)
The staff was professional and caring. They spent the time that was needed to learn about my Mom to give her the best services possible. They recognized how hard this process was for me as an individu … (read more)

Home Instead – St. Peters, MO

1236 Jungermann Rd, Suite C, Saint Peters, MO, 63376

My mother continues to be very impressed with her helpers from Home Instead. The owner is personable and is more than willing to work with my mother’s schedule and needs. As an adult child living fa … (read more)
My mother continues to be very impressed with her helpers from Home Instead. The owner is personable and is more than willing to work with my mother’s schedule and needs. As an adult child living fa … (read more)

Coleman Homecare Solution – St. Louis, MO

8976 Watson Rd Suite D, St Louis, MO, 63119

We were in need of a home health provider that we could afford. Coleman was affordable and has been very professional. My mother loves the care and attention she receives. The workers are friendly and … (read more)
We were in need of a home health provider that we could afford. Coleman was affordable and has been very professional. My mother loves the care and attention she receives. The workers are friendly and … (read more)

Family Values Home Health Care LLC

4144 Lindell Blvd, Suite 203 ,, St Louis, MO, 63108


Caring Professionals LLC

629 North New Ballas Rd, Creve Coeur, MO, 63141

Choosing the right home care provider for you and your loved one can be a difficult decision. <p></p> Caring Professionals LLC, is a trusted home care provider in St. Louis senior care. Our customiz … (read more)
Choosing the right home care provider for you and your loved one can be a difficult decision. <p></p> Caring Professionals LLC, is a trusted home care provider in St. Louis senior care. Our customiz … (read more)

Home Helpers of Arnold & Festus

3685 West Outer Road Suite 2B, Arnold, MO, 63010

Care and Companionship: <p></p> Personal care, companion care, homemaker services, 24 hour home care, and wake up tuck in assistance. <p></p> Specialized Care: <p></p> Alzheimer’s and Dementia c … (read more)
Care and Companionship: <p></p> Personal care, companion care, homemaker services, 24 hour home care, and wake up tuck in assistance. <p></p> Specialized Care: <p></p> Alzheimer’s and Dementia c … (read more)

2018, 2019, 2020, 2021, 2022

Good Samaritan Senior Care

11100 Mueller Road, Suite 3, Saint Louis, MO, 63123

If they can’t come they have someone else come to make sure I am taken care of. One thing I would tell a friend they are very dependable.
If they can’t come they have someone else come to make sure I am taken care of. One thing I would tell a friend they are very dependable.

2019, 2020, 2021

Seniors Home Care

504 Marshall Ave, Saint Louis, MO, 63119

They talk to me which helps me a lot. The helpers are very friendly and caring.
They talk to me which helps me a lot. The helpers are very friendly and caring.

Compassionate Nursing Services

11710 Administration Dr, Saint Louis, MO, 63146

The fact that they are consistent and reliable. I also had the ability to keep track of what’s going on without actually being there. I like their staff.
The fact that they are consistent and reliable. I also had the ability to keep track of what’s going on without actually being there. I like their staff.

BrightStar Care Central St. Louis County

2190 S. Mason Rd., Suite 204, Saint Louis, MO, 63131

My caregiver makes me feel safe. I like the care giver that I have is wonderful.
My caregiver makes me feel safe. I like the care giver that I have is wonderful.

2017, 2018

Senior Services Unlimited

6255 Knox Industrial Drive , St. Louis, MO, 63139

They are wonderful my mother needed them the nursing director came to the nursing home she was at on day she was discharged to meet us she was very warm and caring explained everything to us and the … (read more)
They are wonderful my mother needed them the nursing director came to the nursing home she was at on day she was discharged to meet us she was very warm and caring explained everything to us and the … (read more)

AccuCare Home Health

1185 N Price Rd , St. Louis, MO, 63132

WE couldn’t do it without them, we have 24/7 care. We rely on them heavily. I think they know us and they know my mother, I don’t feel like a number.
WE couldn’t do it without them, we have 24/7 care. We rely on them heavily. I think they know us and they know my mother, I don’t feel like a number.

FirstLight HomeCare of North St. Louis, MO

320 Brookes Drive Suite 217, Hazelwood, MO, 63042

My parents were clients of FirstLight. They lived alone with no family nearby to help them. They were happy with the caregivers they were matched with. FirstLight was also able to provide immediate a … (read more)
My parents were clients of FirstLight. They lived alone with no family nearby to help them. They were happy with the caregivers they were matched with. FirstLight was also able to provide immediate a … (read more)

Griswold Home Care

428 McDonough Street, St. Charles, MO, 63301

This is an awesome resource. I used Griswold for temporary care after surgery and found the people to be wonderful and the scheduling process very accommodating. Highly recommended.
This is an awesome resource. I used Griswold for temporary care after surgery and found the people to be wonderful and the scheduling process very accommodating. Highly recommended.

Private Home Care St. Louis – St. Louis, MO

6900 Delmar Blvd., University City, MO, 63130

After interviewing several agencies, we selected Private Home Care because they seemed most in touch with what we wanted for my father and because they listened to and shared our goals. After several … (read more)
After interviewing several agencies, we selected Private Home Care because they seemed most in touch with what we wanted for my father and because they listened to and shared our goals. After several … (read more)

Saint Louis Home Care Resources 

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in Saint Louis:

Weatherization Assistance Program

Address: 3701 Grandel Square, St. Louis, MO 63108
Phone Number: (314) 651-3646

The Urban League Weatherization Assistance Program is federally funded but also takes donations from local businesses. The program enables low-income households to permanently reduce their energy bills by making their homes more energy-efficient. Priority is given to senior citizens on a fixed income and those with disabilities. Services provided by the program include furnace repairs and replacements, installing insulation, window and door repairs and caulking.

Community Centers

Address: Not Listed (Multiple locations)
Phone Number: (636) 207-0847

Aging Ahead is a nonprofit organization that operates 21 senior community centers throughout the city of St. Louis. Each center provides nutritious meals to seniors participating in activities at the centers and delivers meals to the homes of eligible seniors in the surrounding areas. There is no charge for any of the services or meals at the center but voluntary contributions are always welcomed. Activities offered at the centers include exercise classes, health screenings, arts and crafts, social events and guest lectures.

Meal Programs

Address: 1200 Market Street, St. Louis, MO 63103
Phone Number: (314) 612-5918

This state-funded program provides home-delivered meals to senior citizens five times a week. The meals are delivered hot at lunchtime from Monday to Friday ensuring that seniors in the area are getting nutritious food on a regular basis. The program aims to keep seniors safely in their homes for as long as they are able to be independent. Nutritional supplements are provided with the meals if a dietician thinks that a senior is lacking in certain vitamins or minerals. A three-meal emergency food pack is provided to all seniors in case of an emergency or inclement weather preventing the standard meal delivery from occurring. 

Chores and Home Repairs Program

Address: 1200 Market Street, St. Louis, MO 63103
Phone Number: (314) 612-5918

The program includes both volunteer and state-funded contractors who perform minor home repairs and chores for seniors in the St. Louis area. The home repairs are funded by the state in general but the senior may have to contribute depending on the scale of the work required. Services offered include basic plumbing and electric work, minor home repairs to the interior and exterior of the building and the installation of ramps. The chore program is entirely carried out by volunteers and no cost is involved. Chores and work offered by the program include yard work, painting, cleaning and gutter clearing. 

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Checklist for determining the need for home care


Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

Talking with Family and Others about a loved one's needs