Private-Pay Home Care in St. Louis | Assistance Home Care
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
✓Emergency-start care
✓24/7 Care Management Team
✓Flexible care schedules
✓Back-up caregivers available
✓24/7 Care & Safety Program included
Care plans built around your loved one — not the other way around.
From first call to first shift — without the overwhelm.
Start the Conversation
Help our team understand your current care situation, and we’ll explore care options together — including schedules and budget.
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.
Care Planning Begins
We coordinate onboarding, build a customized care plan, and begin scheduling professional caregivers right away.
Ongoing Care Management
Schedules, check-ins and plan updates from a 24/7 care management team — so the plan keeps pace as needs change.
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.
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.
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.
Trusted by more than 6,000 St. Louis families
Three St. Louis area offices
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.