The 9 Best Senior Home Care Agencies in St. Charles County and West St. Louis County, Ranked

Set the Medicaid program aside and this is the most-reviewed agency with a St. Charles County address: 88 reviews at 4.8 on Bluestone Drive, its original St. Charles County office, with its Ellisville listing adding 22 at 5.0. It describes itself as family-owned, lists Cottleville, Dardenne Prairie, O'Fallon, Lake St. Louis, St. Charles, St. Peters, Weldon Spring and Wentzville among the towns that office serves, and says it asks for no long-term commitments, minimum hours or contracts, with shorter visits and respite care available.

A local office of a national brand, owned by Chuck Fowler according to its site, at 10097 Manchester Rd Suite 208 in Warson Woods (Google lists the address as Kirkwood). It names St. Louis and St. Charles counties as its service area, with Chesterfield among its listed towns, and offers to file and manage long-term care insurance claims for clients at no charge. Non-medical caregiving, 68 reviews at 4.8.

The St. Charles location of a national brand: its listing links to a St. Charles page on the brand's own website, and its office is on Jungermann Road in St. Peters. Fifty-three reviews at 4.6 is a real local record. With any national name, ask about this office, its caregivers and its coverage, not the brand.

Local, family owned and operated by its own account, and the most-reviewed Ballwin listing at 48 reviews and 4.8. HomeTeam offers personal care and respite alongside Consumer Directed Services, the Missouri program in which a family member can be paid as the caregiver.

Griswold works as a referral service it calls Care Pairing: it pairs clients with independently referred caregivers, for anything from a few hours a week to around the clock. It serves more than thirty towns across St. Charles, St. Louis and Warren counties, the widest footprint on this list, which makes it a name to check for a home past Wentzville. 46 reviews at 4.7 from McDonough Street in St. Charles.

Of every St. Charles County listing with at least 20 reviews, this one holds the top rating, a 5.0. It describes personal care assistance, companionship and light household support, paid through long-term care insurance or private pay. Twenty-nine reviews is a smaller sample than the agencies above, which is why it sits here.

Operating in St. Louis since 1992 by its own account, the longest stated history on this list. It names St. Louis, St. Charles, St. Peters, O'Fallon, Chesterfield and Florissant as its service area and describes personal care, companionship and recovery support at home. 26 reviews at 4.7.

The highest rated Chesterfield listing with 20 or more reviews, a 5.0 on 24. It describes itself as non-medical in-home care: companionship, help with bathing and dressing, and daily activities, from a Clarkson Road office near Wildwood. Its site does not state ownership.

Tailored describes a broad range of non-medical home care and personal assistant services from an Old Highway 94 office. It holds a 5.0 on 23 reviews. The sample is the smallest in this list, the only reason it closes it.