An Assistance Home Care caregiver sharing a warm moment with a client at home in St. Louis

Reliable home care for St. Louis families who need more support at home

From dementia and respite care to overnight and 24/7 support — when a few hours a week is no longer enough, we build the care plan around your loved one’s routines, safety and independence. Over 6,000 families have trusted us with theirs.

📞 Call Us Today — (314) 784-0363

Same-day assessments
Emergency-start care
24/7 Care Management Team
Flexible care schedules
Back-up caregivers available
24/7 Care & Safety Program included

Request a Complimentary Consultation
Confidential · No obligation · Same-day assessments available

A care advisor responds fast — usually the same day.

Home care built to support daily life

Care plans built around your loved one — not the other way around.

An Assistance Home Care caregiver supporting a client with daily life at home

Whether care is needed a few days a week or around the clock, plans flex as needs change — and your family gets one team, one point of contact, and caregivers your loved one actually knows.

24/7 & Overnight Care — full-time caregiver support for families whose loved ones need continuous daytime and overnight coverage.
Dementia & Memory Support — calm, consistent help with routines, safety and engagement from highly trained dementia caregivers.
Personal Hygiene & Mobility Care — respectful, dignified assistance with bathing, dressing, grooming, toileting, mobility and transfers.
Family Caregiver Respite — reliable coverage so family caregivers can rest, work, travel or simply step away and recharge.
Household Support & Companionship — meal preparation, light housekeeping, errands, transportation and staying connected to daily life.

Starting home care

From first call to first shift — without the overwhelm.

1

Start the Conversation

Help our team understand your current care situation, and we’ll explore care options together — including schedules and budget.

2

Meet With Our Team

During our Discovery Visit or call, we learn your loved one’s routine, needs, preferences and the schedule you’re considering.

3

Care Planning Begins

We coordinate onboarding, build a customized care plan, and begin scheduling professional caregivers right away.

4

Ongoing Care Management

Schedules, check-ins and plan updates from a 24/7 care management team — so the plan keeps pace as needs change.

Our Service Pledge Guarantee

What happens when a caregiver calls out at 6 AM?

At Assistance Home Care, a staffed backup caregiver bench and a 24/7 care management team mean the shift gets covered — and you get a call from us before you ever have to call us. When care is full-time, reliability isn’t a feature. It’s the whole point.

Assistance Home Care team members coordinating around-the-clock care coverage

Who home care supports

Experienced, non-medical support across complex care needs

Alzheimer’s & Dementia — routines, cueing, safety, personal care and meaningful engagement.

Parkinson’s, MS, ALS & Movement Disorders — mobility, daily routines, meals, transportation and independence.

Stroke & Brain Injury — personal care, transfers, routines and adapting to changes at home.

Chronic Conditions & Cancer — day-to-day help that makes treatment, fatigue and household responsibilities easier to manage.

Hospice & End-of-Life Support — non-medical comfort, personal care and family respite alongside the hospice clinical team.

Something not listed? — if your loved one’s condition isn’t named here, reach out. Chances are, we’ve cared for it.

A St. Louis family, caring for St. Louis families

The family owners and care team of Assistance Home Care in St. Louis

We’re not a franchise with a local zip code. We’re a family-owned St. Louis company — the owners live here, our care team works here, and the families we serve are our neighbors in Kirkwood, Chesterfield, St. Charles and everywhere in between.

What families say

Trusted by more than 6,000 St. Louis families

Caring.comBBB Accredited6,000+ families served

Close to home

Three St. Louis area offices

St. Louis County

9893 Manchester Rd
St. Louis, MO 63119

314-631-1989

St. Charles County

2234 Bluestone Dr
St. Charles, MO 63303

636-724-4357

West County

53 Clarkson Rd, Suite A
Ellisville, MO 63011

636-200-2909

Home care, answered

The questions every family asks first

How quickly can home care begin?

Same-day assessments and emergency-start care are available upon request. In most non-emergency cases, home care can begin within a day or two of our Discovery Visit — exact timing depends on care needs, schedule, location and caregiver availability.

Do you provide 24/7 home care?

Yes. We coordinate overnight and around-the-clock schedules based on your loved one’s needs, including live-in style coverage and rotating caregiver teams for continuous care.

Are these services private pay?

Our home care services are primarily private pay. We also accept Long-Term Care Insurance, VA benefits and grants — and we’ll help you navigate LTCI claims paperwork.

How much does home care cost?

Rates depend on the schedule and level of support your loved one needs. During your complimentary consultation we’ll walk through exact pricing for your situation — no surprises, no pressure.

Can you support a loved one with a complex diagnosis?

Yes. Our Care Professionals provide non-medical support for dementia, Parkinson’s, stroke, ALS, MS, chronic conditions, cancer, hospice situations and more. If a condition isn’t listed, reach out — we’ll tell you honestly whether we’re the right fit.

The right amount of support changes everything.

One conversation is all it takes to see what’s possible — same-day assessments, flexible schedules, and a care plan built around your family. Confidential and no obligation.