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Best Home Health Care Agencies in St. Louis, MO

Our Recommended Top 5

We did the research for you!

  • Licensing
  • User Reviews
  • Mystery Shopping Calls

Our goal is to connect people with the best local professionals. We scored St. Louis Home Health Care Agencies on more than 25 variables across five categories, and analyzed the results to give you a hand-picked list of the best.



5Top Picks

Learn about our selection process.


featured provider = Featured Provider

4545 Gravois Avenue, St Louis, MO 63116 Rating

Review Sources

5.0 (2)

Why choose this provider?

CaringLegends, LLC, provides quality in-home care for aging and disabled people in St. Louis and St. Charles counties. Its staff of RNs and LPNs provides personal nursing care, private duty assistance, and care management. In addition, it offers companionship services, including live-in companionship. The company also provides services to military veterans in accordance with the guidelines of the U.S. Department of Veteran Affairs. The CaringLegends team is composed of insured, background-checked, and experienced W-2 employees.

Affton, MO 63123 Rating

Review Sources

4.1 (9)

Why choose this provider?

All Family Care is an agency in St. Louis that strictly observes an anti-discrimination policy. The team offers temporary and long-term assistance to clients, and its services include full-spectrum case management, rehabilitation support, and hospice care. All Family Care is a member of several industry organizations that advocate ethical industry standards, and the list includes the National Veteran-Owned Business Association, National Private Duty Association, Alzheimer’s Association, Missouri Alliance for Home Care, and Affton Chamber of Commerce.

St Charles, MO 63303 Rating

Review Sources

4.9 (59)
4.1 (14)
3.0 (2)

Why choose this provider?

Assistance Home Care is an agency in St. Charles that provides customized solutions for senior living. The company offers Alzheimer’s and dementia care, movement disorder care, and hospice care, and it also performs non-medical tasks, such as bathing, dressing, toileting, light housework and laundry, medication reminders, and transportation. Assistance Home Care has other locations in St. Louis and West County, and the team can work in private residences, assisted-living facilities, nursing homes, and retirement communities.

Bridgeton, MO 63044 Rating

Review Sources

4.2 (26)

Why choose this provider?

At Home Care is a state-licensed agency in Bridgeton that covers St. Louis, St. Charles, Warren, and Jefferson counties. The company offers a range of services, and this includes “nursing case management oversight and chore worker care to aid in the activities of daily living.” At Home Care is a Missouri Council for In-Home Services and Missouri Alliance for Home Care member, and it has another office in Hannibal. The staff accepts Medicaid, several third-party insurance plans, and private payments.

St. Louis, MO 63122 Rating

Review Sources

4.8 (31)

Why choose this provider?

Home Care Solutions of St. Louis is a provider of home health care in St. Louis that caters to the elderly. The team helps seniors who prefer to live independently in the comforts of their private residence, and some of the tasks are assistance with personal hygiene, participation in recreational activities, transportation, housework, and respite care. Home Care Solutions of St. Louis offers special programs for clients with Alzheimer’s, Parkinson’s, and similar conditions, and it gives complimentary in-home assessments.

Compare our Top Home Health Care Agencies

NameExpertise RatingAddressPromotionsLearn more
CaringLegends, LLC
4545 Gravois Avenue, St Louis, MO 63116
All Family Care
Affton, MO 63123
Assistance Home Care
St Charles, MO 63303
At Home Care
Bridgeton, MO 63044
Home Care Solutions of St. Louis
St. Louis, MO 63122


  • Are home care agencies licensed?

    Most, but not all, states require licensing for home care agencies. Licensure usually means that criminal checks will be done on employees and that staff members must be qualified according to state regulations. For example, if someone is doing nursing care, they must have a nursing license or certificate.

  • Do agencies provide round-the-clock care?

    Many do, although the cost for care during non-traditional working hours may be higher.

  • What are the ADLs?

    The activities of daily living, or ADLs, are a way to determine what level of help you need from a caregiver. They include:

    • Toileting and toilet hygiene
    • Bathing and personal grooming of body and hair
    • Dressing and undressing
    • Cooking and eating regular meals
    • Having the mobility to get around your home
    • Being able to move yourself from one spot to another, such as from a bed to a chair or wheelchair, if necessary
  • What services do home care agencies offer?

    Home caregivers may provide a broad range of services related to medical needs as well as ADLs (activities of daily living). Medical help may be in the form of assisting with physical or occupational therapy, planning and taking medications, and skilled nursing.

  • How do I know if home health care isn’t enough for my loved one?

    If you or your loved one is unable to manage most of the ADLs, or needs round-the-clock nursing care, a nursing home may be a better fit. A doctor can help develop a plan of support that addresses concerns realistically, based on what the individual is able to accomplish and what help is needed.

  • What happens if I don’t like the caregiver I’m assigned?

    You should be able to talk to the agency to have another caregiver assigned to you. But be sure you are not acting prematurely. It takes a while for relationships to develop, and you and your new caregiver need to learn to understand one another and determine how to work well together.

  • Does long-term care insurance pay for home health care?

    Although you will need to look at your policy documents to ensure that this is the case, most long-term care may be used to pay for a home caregiver. Some policies will even pay for a family member who provides care. This is something you can find out by looking at your documents or calling your insurance agent.