Our services
24-Hour Home Care in St. Louis
24/7 non-medical care and supervision across St. Louis, St. Louis County, St. Charles, and surrounding Missouri communities.
What we help with
When someone needs supervision or help through the night as well as the day. Continuous non-medical care at home.
- Overnight supervision
- Personal care and mobility support
- Medication reminders (non-medical)
- Meal preparation and housekeeping
- Memory care safety oversight
- Direct access to our office
Understanding 24/7 home care
When your loved one needs continuous care and supervision, you should not have to choose between home comfort and reliable support. Here at Home Healthcare provides 24-hour home care in St. Louis. Our trained caregivers deliver continuous personal care, companionship, and safety oversight so your family member can remain at home with attentive support.
Round-the-clock home care is intensive, one-on-one attention tailored to your loved one's needs, preferences, and routines. Unlike facility care, this model keeps familiar surroundings while ensuring someone is present when needs arise day or night.
We provide 24-hour home care across St. Louis County, including Chesterfield, Ballwin, Town and Country, Ladue, Kirkwood, Webster Groves, and Clayton, and across St. Charles County. Families anywhere in the county get the same coordinated day and night shifts and the same local office to call.
Many families consider 24/7 care after a crisis, but proactive planning often leads to better outcomes. Whether your loved one has advanced dementia, needs constant supervision for safety, or requires help through the night as well as the day, our continuous care services provide peace of mind for families who want quality of life at home.
This is non-medical private-pay care. We do not provide skilled nursing, clinical monitoring, wound care, or medication administration.
24-hour care or live-in care: which fits?
Families often ask us which of the two they need. Both keep someone in the home day and night. The difference is what happens overnight.
24-hour care
Caregivers work in shifts, so someone is awake and alert all night. It fits when your loved one wakes often, wanders, or needs help several times a night.
Live-in care
One caregiver lives in the home, with a private bedroom, and sleeps at night. It fits when nights are mostly quiet, and it costs less than awake overnight shifts.
Not sure yet?
Many families start with live-in care. The caregiver keeps a log of each night, and we read it with you. If the caregiver is up several times a night, we talk through moving to 24-hour care.
Comprehensive 24/7 care services
Our round-the-clock services cover daily living, personal care, household help, and emotional support. We coordinate between shifts so care stays consistent.
Personal care and safety
- Bathing, dressing, and grooming assistance
- Mobility support and transfer assistance
- Incontinence care and hygiene management
- Feeding assistance and mealtime support
- Positioning and comfort care
- Overnight supervision and night monitoring
- Emergency response awareness and family notification
Daily living and household support
- Meal planning and preparation
- Light housekeeping and laundry
- Grocery shopping and errands
- Medication reminders (non-medical)
- Pet care assistance
- Family communication and updates
Companionship and emotional support
- Social interaction and conversation
- Activity engagement and stimulation
- Emotional support during difficult times
- Participation in family events when appropriate
- Comfort-focused support during end-of-life seasons at home
Who needs 24/7 home care?
Advanced dementia and Alzheimer's
Progressive memory loss creates safety concerns that require constant supervision. Our dementia-aware caregivers understand common behaviors, use redirection techniques, and help maintain safe environments while preserving quality of life.
High fall risk and mobility concerns
Balance problems, mobility limitations, or medication side effects can create dangerous situations. Continuous supervision helps prevent accidents while supporting independence within safe limits.
Individuals with disabilities
Adults with developmental disabilities, traumatic brain injuries, or physical limitations often need ongoing assistance with daily activities and safety supervision.
Families needing overnight coverage
When a loved one cannot safely be alone at night, around-the-clock care provides rest for family caregivers and steady presence for your loved one.
What makes our 24/7 care different
Trained care teams
Our caregivers are background-checked, bonded, insured, and trained for complex daily care situations. We provide ongoing education and supervision.
Careful shift handoffs
We coordinate carefully between day and night caregivers, ensuring consistent approaches and complete handoffs about needs and preferences.
Family-centered planning
We work closely with families to understand routines, preferences, and care goals. Our internal care plans adapt as needs change while maintaining dignity.
Direct office access
Families can reach our team directly when something matters. You are not routed through a distant call center.
Flexible arrangements
We accommodate various living situations and adapt to different home environments while maintaining consistent care quality.
Getting started with 24/7 care
Beginning round-the-clock care requires careful planning. We guide families through this process with sensitivity and thoroughness.
We conduct a detailed complimentary assessment covering daily needs, safety concerns, home environment, and family preferences.
From there, our team builds an internal care plan covering specific services, scheduling preferences, and safety considerations. Caregivers on your care team are trained on that plan. Caregivers may rotate; the team stays aligned through consistent planning and supervision.
Services can begin on your preferred schedule. We stay in regular contact with families and adjust as needs change.
When possible, we recommend a gradual introduction, starting with day coverage and adding overnight services as comfort levels increase.
Questions families ask about 24-hour care
What is the difference between 24-hour care and live-in care?
With 24-hour care, caregivers work in shifts and someone is awake all night. With live-in care, one caregiver lives in the home with a private bedroom and sleeps at night. Live-in care fits when nights are mostly quiet; 24-hour care fits when your loved one needs help through the night.
How is 24-hour home care priced in St. Louis?
Around-the-clock care is usually priced as a daily rate rather than by the hour. We talk through pricing after your complimentary assessment, with no hidden fees. For reference, hourly non-medical home care in St. Louis generally runs $28 to $35 an hour in 2026.
Does Medicare pay for 24-hour home care?
No. Medicare does not pay for non-medical home care like ours. Our families pay privately, and we accept long-term care insurance. We provide the invoices and daily care notes most carriers ask for.
Do you provide 24-hour care across St. Louis County?
Yes. We provide 24-hour care across St. Louis County, including Chesterfield, Ballwin, Town and Country, Ladue, Kirkwood, Webster Groves, and Clayton, and across St. Charles County, including St. Charles, St. Peters, O'Fallon, and Wentzville.
What happens if there is a problem in the middle of the night?
With 24-hour care, a caregiver is awake in the home all night. Current clients can also reach our on-call team anytime, day or night, and the call goes to our own team, people who know your care plan.
Areas we serve
- St. Louis and St. Louis County, including Clayton, Kirkwood, Frontenac, Ladue, Webster Groves, and Creve Coeur
- St. Charles County, including St. Charles, St. Peters, O'Fallon, and Wentzville
- Chesterfield, Ballwin, Des Peres, and Manchester
Related services
Need continuous care at home?
Call us directly or request a complimentary assessment. Someone from our team will reach out by phone.