#1
Emerest Health Of Missouri
300 Hunter Ave Ste 120, Saint Louis, MO 63124
★★★★½ 4.9 from 718 Google reviews · License not verified
The 9 Best In-Home Care Agencies in O'Fallon, MO
The 9 top-rated in-home care agencies serving O'Fallon, MO, ranked by the Care Close to Home Score from public reviews. Emerest Health Of Missouri ranks first with 4.9 stars from 718 Google reviews. State licenses are not verified here, so ask each agency for its license or registration number.
Updated November 2026 · Data: public reviews, checked October 30, 2026 · How we list agencies
Partner · Paid placement
O'Fallon City Partner
This spot is open
One agency per city and care type can hold this space, with photos, their story and a consultation form. It doesn't affect the rankings below.
#2
Right at Home St Peters
1288 Jungermann Rd, Saint Peters, MO 63376
★★★★½ 4.8 from 295 Caring.com reviews · License not verified
#3
FreedomCare
119 S Main St 44 Suite 303, Saint Charles, MO 63301
★★★★½ 4.8 from 411 Google reviews · License not verified
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#4
Assistance Home Care
9893 Manchester Rd, Saint Louis, MO 63119
★★★★½ 4.9 from 141 Google reviews · License not verified
#5
Assistance Home Care
2234 Bluestone Dr, Saint Charles, MO 63303
★★★★½ 4.8 from 89 Google reviews · License not verified
#6
Visiting Angels Senior Home Care St. Charles
3555 Veterans Memorial Pkwy, Saint Charles, MO 63303
★★★★½ 4.8 from 51 Google reviews · License not verified
#7
SYNERGY HomeCare
3910 Old Hwy 94 S, Saint Charles, MO 63304
★★★★★ 5.0 from 20 Google reviews · License not verified
#8
Visiting Angels Senior Home Care
202 Triad Center W, O Fallon, MO 63366
★★★★½ 4.6 from 30 Google reviews · License not verified
#9
Cooperative Home Care
Crossroads Business Center, 801 Woodlawn Ave Ste 21, O Fallon, MO 63366
★★★★½ 4.5 from 21 Google reviews · License not verified
These are the top 9 agencies, ranked by the Care Close to Home Score from public reviews. We have not verified state licenses for them, so ask each agency for its license number. How we rank
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Tell us the ZIP code and the care you need. We pass your request to up to three agencies that serve your area. Free, no obligation.
Request free helpCost of care in Missouri
Median hourly rate$33
20 hrs / week$2,860/mo
40 hrs / week$5,720/mo
Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.
Paying for in-home care in Missouri
Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.
Ways to payFree, no obligation
Get calls from top-rated in-home care agencies in O'Fallon
Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.
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In-home care in O'Fallon, MO: how to compare agencies
We ranked the top nine in-home care agencies serving O'Fallon, MO by their public reviews. They are ordered by the Care Close to Home Score, which combines the review rating (adjusted for how many reviews stand behind it), the number of reviews and whether a phone number is listed. Each has at least 10 public reviews.
We have not verified state licenses for these agencies: Missouri does not publish a usable roster of non-medical home care agencies, so this list is based on reviews, not on a license check. Ask each agency for its license or registration number if the state requires one.
Few agencies are based in O'Fallon, MO itself, so most of the agencies listed are based in nearby towns and serve O'Fallon, MO. Ask any agency to confirm it covers your address.
In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.
In Missouri, the median rate for in-home care is $33 an hour, about $2,860 a month for 20 hours a week (CareScout 2025).
Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay
More in-home care listings in Missouri
Questions O'Fallon families ask
How do I choose an in-home care agency in O'Fallon?
Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.
How are these agencies ranked?
The Care Close to Home Score is out of 100. About 70 points come from the review rating, adjusted so a handful of reviews counts for less than a hundred, about 24 from the number of reviews, and about 6 from having a phone number listed. Agencies cannot pay to rank higher, and the score does not include a state license check.
Are the agencies on this O'Fallon list licensed?
We have not verified licenses for these agencies, because Missouri does not publish a usable roster of non-medical home care agencies. Ask each agency for its license or registration number if the state requires one, and confirm it with the state.
How do families pay for in-home care in O'Fallon?
Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.
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