The 6 Best In-Home Care Agencies in St. Louis, Ranked

No agency in the pull has more reviews. Its site lists round-the-clock private duty care, including dementia care, says the owner is a medical professional with ICU and hospice nursing experience, and calls it the largest private duty agency in St. Louis. Only the review count can be checked against a file. The listing has no street address, so ask where the office is.

Three listings carry this name: St. Louis at 141 reviews (4.9), St. Charles at 88 (4.8) and Ellisville at 22 (5.0). We rank it once and never add counts together. Its site describes a family-owned company whose staff include CNAs and HHAs, and says: "No long-term commitments, minimum hours or contracts."

A national home care brand with a St. Louis County office. Its St. Louis page lists 24/7 care, dementia care, live-in support and respite care, as well as hourly visits. If live-in help may be needed later, ask early how that change works.

A local office of a national senior care brand; its site names the local owner. What sets it apart is paperwork: it offers to file and manage long-term care insurance claims and describes itself as an Accredited VA Provider, useful to families paying through a policy or veterans' benefits.

A Webster Groves agency founded by a registered nurse. Its site says it has provided "private-duty home care services to the St. Louis area since 1987," the earliest start any agency here gives, with companionship, homemaker services, transportation and care management.

The only one of the six at a perfect 5.0. Its own website could not be read on 2026-09-12, so this card rests on the Google listing alone. The name says home health: ask directly whether a visit is non-medical home care or skilled home health before you book. That gap is why the file check matters.