Join Our Team Home Care in Chesterfield, MO
If you’re reading this, something changed. A fall. A call from St. Luke’s. A mother who says she’s “fine” but hasn’t eaten a real meal in days. A father who got lost driving home from Dierbergs. You’re the one everyone looks to — while you’re also working, raising kids, and lying awake at 2 a.m. wondering what happens next.
We know, because this company started the same way. Assistance Home Care is locally owned and has provided private duty, non-medical home care in Chesterfield, MO since 2011 — for older adults and adults with disabilities, from a few hours a week to awake 24-hour care — from Chesterfield Valley to Clarkson Road, Wild Horse Creek to Baxter, with our West County office on Clarkson Road just minutes away. Fifteen years. 6,000 families.
West County office: 636-200-2909 · St. Louis County office: 314-631-1989
What you’re carrying — and what we do about it
Every family caregiver in Chesterfield tells us some version of these. Here’s what we do about each one.
“I’m the one who gets the call.”
You get a direct line to an Area Care Manager who knows your family — a person, not a phone tree — and a Care Team that knows the plan. When something changes at 2 a.m., you’re not the only one awake.
“My brother in Denver thinks I’m overreacting.”
Our Family Room portal lets every sibling see the care log and the schedule in real time, wherever they live. Shared facts end most arguments.
“Mom says she doesn’t need help.”
Most parents say that. We introduce Care Pros gradually — often as help around the house — keep the same faces, and coach you on words that lower resistance instead of raising it. Here’s what to say when a parent won’t accept help, including a script for the first conversation.
“The last agency sent five different people in two weeks.”
We build a small, consistent Care Team and keep it consistent, with backup Care Pros who already know the plan. No strangers at the door.
“I can’t keep doing nights.”
Our overnight Care Pros are awake — no sleeping shifts — so you can sleep.
“I don’t know what I don’t know.”
The Discovery Visit is a 60-to-90-minute conversation at your parent’s kitchen table about what has changed, what help would look like, and what it costs. No obligation. You’ll leave with a plan, whether or not it’s with us.
“What if it goes wrong?”
Our Customer Service Pledge: if we ever fall short on a given day, call within 24 hours and we make it right — up to waiving 100% of that visit. In our owner’s words: “What happened, and how can we make it better for tomorrow?”
Private duty home care in Chesterfield — what that means for your family
Private duty means you choose the hours, the help, and the people, and we answer to you, not to an insurance plan. One flat hourly rate, the same nights, weekends and holidays, with no add-ons for how much help is needed or how far we drive. Our Care Pros are competent, professionally trained employees — not contractors. Only 2–3% of applicants make it through our 16-step hiring process. Every one is background-checked, with checks kept current throughout the year, and many are Certified Nursing Assistants or Certified Home Health Aides. All of them train in our own training labs and keep training: 12 hours of continuing education every year, regular training updates, specialized training in dementia care, and quarterly team gatherings. Each is matched to your family by skills and personality and signs our Professionalism Pledge, which spells out what you can expect while they’re in your parent’s home.
Care we provide in Chesterfield
- Hourly care — a few hours a day, a few days a week. Start small and grow as needs change.
- 24-hour home care in Chesterfield — awake Care Pros around the clock, never sleeping shifts.
- Dementia care and Alzheimer’s care at home in Chesterfield — sundowning, wandering, the refusal to bathe: we train for this. Our Area Care Managers are Certified Dementia Specialists, and more than 150 are on our team.
- Hospital-to-home care — the first days home from St. Luke’s, Missouri Baptist or a rehab stay are when falls and readmissions happen. We can meet you at the hospital before discharge and have a Care Pro at the house when your parent gets home.
- Parkinson’s and movement disorder care and care after a stroke.
- Veterans care — help with VA benefits that can offset the cost of care at home.
- Couples care — both spouses, one Care Team. Overnight care — awake, not “resting” shifts.
- Respite care — a few hours, an overnight, or a week away so the primary caregiver can rest while your parent or a disabled family member stays safely at home. Caregiver burnout is real. Respite is how you keep going.
What a Care Pro does in the home
Our Care Pros are professional caregivers. We call them Care Pros because they’re trained, employed by us, and held to a written pledge. Day to day, they help with the daily activities that have gotten hard — what the industry calls activities of daily living: bathing, dressing and grooming; meal preparation and the grocery run; light housekeeping and laundry; medication reminders (we’re non-medical, so reminders, not management); rides to appointments at St. Luke’s or Missouri Baptist; and the companionship that keeps a long afternoon from feeling like one. Every family gets a written, personalized care plan, built at the Discovery Visit and adjusted as needs change.
Questions Chesterfield families ask us
How fast can you start?
We can meet with your family within hours of your first call, and care can begin the same day or within 24 hours. If your parent is being discharged tomorrow, call today.
What does it cost?
One flat hourly rate, the same nights, weekends and holidays. We give you the number on the first call, not after a visit. There will always be cheaper options. We’re not sure that’s what you want when it comes to your family’s peace of mind. How our pricing works.
Can we start with just a few hours?
Yes. Many Chesterfield families start with a few hours a day and add as needs change.
Do you serve Chesterfield Valley and the 63005 side of town?
Yes — all of Chesterfield, 63017 and 63005, plus Clarkson Valley, Wildwood, Ballwin and Town and Country. Our West County office is on Clarkson Road in Ellisville.
Does Medicare pay for home care?
Medicare does not cover personal care or supervision at home when that’s the only care needed, and it does not cover 24-hour care. Most families pay privately. Long-term care insurance often helps, and eligible veterans and surviving spouses may qualify for VA benefits. We help with both.
We’re with another agency and it isn’t working.
Tell us what went wrong. We build the plan around it, and we can usually have a Care Team in place within a day.
Who will be in my mother’s house?
Our own employees, screened and trained by us — the same faces visit after visit — with an Area Care Manager who knows your family and a Family Room portal where you see every care note. Our Care & Safety Program, powered by Sensi, helps detect concerns in the home between visits, at no added cost.
Do you provide skilled nursing or home health?
No. We provide non-medical home care. Skilled nursing care — licensed RNs and LPNs — is provided through home health partners we work with regularly in the community. What we do for older adults in Chesterfield is personal care, supervision, meals, housekeeping and companionship. We don’t do wound care, therapy or medication management. When a doctor orders home health after a hospital stay, we work alongside that agency so your parent has both.
What should we ask any home care agency in Chesterfield?
Ask who will show up and whether it’s the same people. Ask what happens when a Care Pro is sick — what the backup plan is. Ask whether overnight shifts are awake. Ask how caregivers are screened and trained, and how often. Ask whether the rate changes for nights, weekends or “higher needs.” Ask what quality oversight looks like after care starts. We’re glad to answer all of those.
Two offices nearby to best serve you
Assistance Home Care — West County
53 Clarkson Rd, Suite A, Ellisville, MO 63011 · 636-200-2909
Assistance Home Care — St. Louis County
9893 Manchester Rd, St. Louis, MO 63119 · 314-631-1989
Rated 4.9 on Google (November 2026). Great Place to Work certified 2019–2026. Fortune Best Workplaces in Aging Services, 2025.
We also serve nearby Wildwood, Ballwin, Town and Country, Clarkson Valley, Creve Coeur, Des Peres and Ellisville and West County. Assistance Home Care provides private-pay senior care and home care services across Greater St. Louis and St. Charles County.
Caring for those who care for others is why this company exists. Your parents built a life in Chesterfield. Our job is to help them keep living it in their own home, with dignity — and to make sure you’re not carrying it alone.
