St. Louis metro|Updated September 12, 2026
Ranked from your side of the kitchen table. Not which agency will sell you the biggest block of hours, but which ones will take the few hours a week of company, meals, errands and light housekeeping that actually keep a parent at home.
Plenty of agencies will send someone for twelve hours a day. Fewer will build a plan around four hours a week and let it grow. We ranked them on five criteria, each agency's own website, and a September 2026 pull of Google listings for 162 metro agencies.
By the Aging in Place STL desk. Scoring rules, weights and the data file are on the how we rate page.
the rankings
None of them carries a numeric score from us. Each carries a label defended from its own website and its Google listing, pulled September 12, 2026 and printed as pulled.
Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.
The most-reviewed agency in this ranking. Its service pledge lists "options for shorter visits or respite care" and "no long-term commitments, minimum hours or contracts." The site leans toward personal care, so ask for a companion visit by name.
Verdict
The strongest published no-minimum promise on this list. Ask for the shortest visit they will schedule.
The only agency here with a service page titled "Companionship / Homemaker Services": conversation, games and puzzles, laundry and ironing, changing linens, mailing bills, pet care, and "supplemental or respite care."
Verdict
If the job is household and company rather than hands-on care, this is the most clearly written menu in the metro.
A pairing model rather than a conventional employer: it matches families with independently referred caregivers for companionship, homemaking and personal care, with schedules that start at a few hours a week and run up to around the clock. Ask who employs, insures and supervises the person in the house.
Verdict
Flexible by design and priced to match; understand the pairing model before you sign.
A national brand with a named local owner. The Kirkwood office lists meal preparation, light housekeeping, companionship and respite, plus help filing long-term care insurance claims and VA-accredited help with veterans benefits. No minimum hours stated.
Verdict
The pick if a long-term care policy or a veterans benefit is going to pay for the hours.
A franchise office with a named local owner, whose companion care page pairs "friendly, one-on-one interaction with practical help around the house and on errands." A second office in south St. Louis County is a separate listing (Google 4.6 from 24 reviews); we rank Webster Groves.
Verdict
A solid franchise option for the inner-ring suburbs if you want companion care written into the plan.
The largest national name here: a matched caregiver plus a caregiver manager and a client success manager, and help "from a few hours of companionship to comprehensive 24/7 support." For four hours a week that may be more structure than you need.
Verdict
Built for care that is going to grow. Ask about the minimum before you fall for the structure.
Google ratings and review counts: Google Maps listings for 162 St. Louis-area home care
agencies, pulled September 12, 2026 (engine/data/home_care_companies.json). All six agencies are described from their own websites, read the same day. Corrections:
write to us.
ask New Plan Care
This form goes to New Plan Care Solutions, a St. Louis in-home care company. Name and email are required; the phone number is optional unless you want a call or a text, and you will be contacted only the way you ask. Or call (314) 405-0887.
Sent. New Plan Care Solutions has your request, and we will contact you only the way you asked.
Need to talk sooner? Call (314) 405-0887 and mention this site.
We never ask about your parent's health here. Help at home is non-medical.
for the family caregiver
Every checklist and survey page this desk already had, for the adult child doing the work.
the tables
The same 162-row file, sorted by the numbers alone: no editorial order, no scores, no sponsor.
five caregiver questions
Yes, but not everywhere. Some agencies set a minimum visit length or weekly hours, so ask in the first call. Assistance Home Care publishes a no-minimum-hours pledge.
Companion and homemaker care is company, meals, light housekeeping, laundry and errands. Personal care is hands-on help with daily routines such as bathing and dressing. Both are non-medical, and neither replaces your parent's doctor.
No. Missouri licenses home health agencies, not non-medical help at home, so there is no licence to check. Our hiring checklist covers what you can check: state business records, background checks and insurance.
Respite is a caregiver coming in so you can leave for a morning, an afternoon or a weekend. In Missouri, 33.6 percent of older caregivers gave 20 or more hours a week in the CDC's 2021 survey. Every agency on this page names respite or short visits on its website.
New Plan Care, a St. Louis in-home care company, supports this site. No agency paid to appear in the rankings. Our rules are on the how we rate page.
read this before you trust the rest
The order is our opinion on five stated criteria, not a survey, a licensing check or a measure of anybody's quality of care. The Google numbers are real and dated; the labels are ours. Help at home is non-medical.