82 home care communities across 33 cities in Missouri. Missouri's senior-care market is centered around St. Louis, Kansas City, and Springfield, with the Ozarks emerging as a retirement destination.
Home care brings personal-care services and companionship into the senior's own home rather than moving them into a community.
Pick a city to see communities, compare amenities, and request pricing.

O Fallon, MO

Buckner, MO

Columbia, MO

Liberty, MO

Ballwin, MO

Belton, MO

Springfield, MO

Carthage, MO

Springfield, MO

Columbia, MO

Lees Summit, MO

Augusta, MO
Home Care (typical US range)
$25 - $45 per hour (US, 2026)
Most agencies require a minimum number of hours per visit, often 4 hours. Round-the-clock home care can run $20,000-$30,000+ per month, often more than a private room in assisted living. Long-term care insurance and VA Aid and Attendance can offset costs; Medicare covers medically prescribed home health (a different service) but not non-medical home care.
Overall, the cost of living is less than the rest of the country, almost 13 points below the national average. Where Missouri shines is its housing costs, which are nearly 22 points below the national average. Its rent is below the rest of the country, and its median home cost is almost $150K cheaper. While utilities are near the national average, they're still lower. Combined with the affordable homes Missouri offers, you might be able to retire in Missouri without paying too much. There's a reason why many are looking to Missouri as their retirement place. Here is why you should too. Missouri's cost-of-living index is 87.1 (100 = US average). The median home price is around $157,200. Average rent runs about $830 a month.
Home care fits seniors who can safely stay in their own home with some help, family caregivers who need respite, and households where moving to a community isn't the right answer (because of cost, preference, or a spouse who isn't ready). It's not appropriate for someone who needs 24-hour skilled nursing or active medical treatment - that's home health or a skilled-nursing facility.
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Tell us the city, budget, and care level you're considering. We'll send pricing for Missouri home care communities that fit. No phone calls until you ask.
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