Aging in Place STL

St. Louis metro|Data pulled September 12, 2026|Advertising disclosure

St. Louis home care agencies rated 4.9 or higher with 20 or more reviews

Two bars, both stated: a rating of 4.9 or higher, and 20 or more reviews so the rating rests on something. 16 agencies clear both.

A perfect 5.0 from 21 reviews and a 4.9 from 237 are not the same kind of number, which is why both columns are printed and why the sort is rating first, review count second. Neither bar says anything about whether an agency will take a few hours a week; that question is on the front page.

how to read it

the top 7

Read the first 7 before the full table

  1. LB Home Health Caregivers

    Google rating 5.0 from 40 reviews. St. Louis

  2. TD Home Health Caregivers

    Google rating 5.0 from 29 reviews. O'Fallon

  3. Elite In-Home Care, LLC

    Google rating 5.0 from 24 reviews. St. Louis

  4. Senior Home Health Caregivers

    Google rating 5.0 from 24 reviews. Chesterfield

  5. Tailored Senior Services

    Google rating 5.0 from 23 reviews. St Charles

  6. Assistance Home Care

    Google rating 5.0 from 22 reviews. Ellisville

  7. Care Companions of Clayton CDS LLC

    Google rating 5.0 from 21 reviews. Brentwood

all 16

Scan the whole table

RankAgencyCityGoogle ratingReviewsNote
1LB Home Health CaregiversSt. Louis5.040
2TD Home Health CaregiversO'Fallon5.029
3Elite In-Home Care, LLCSt. Louis5.024
4Senior Home Health CaregiversChesterfield5.024
5Tailored Senior ServicesSt Charles5.023
6Assistance Home CareEllisville5.022
7Care Companions of Clayton CDS LLCBrentwood5.021
8Caring Christians Private Duty(no address listed)4.9237
9Assistance Home CareSt. Louis4.9141
101st Choice Home Health Care, LLCSt. Louis4.993
11Gentle Hands Home CareSt. Louis4.954
12Personal CareFerguson4.954
13Seniors Home CareWebster Groves4.947
14Cater to Your Needs Home Health Care, LLCSt. Louis4.932
15Harmony In-Home Healthcare Inc.Florissant4.932
16Home Care Solutions of St. LouisEureka4.921

A rating of 5 is printed as 5.0. The file stores it as the integer 5.

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The 20 most-reviewed home care agencies in St. LouisReview count alone, metro-wide. Most-reviewed in St. Charles CountyThe county cut, 10 or more reviews. 9 listings. The 7 best companion and homemaker care agencies, rankedThe editorial ranking, from the family caregiver's side. One paid position, disclosed. Ask these before you hire anyoneMissouri does not license this category. Here is what you can check instead. How we rate, and where every number comes fromThe five criteria, the file, the pull date and the disclosure.

Featured provider, paid placement

Staying home usually starts with a few hours of help.

Tell us what has gotten harder at home. Non-medical support can start small, with a plan built together and changed when life changes. This slot is a paid placement and was not scored from anything on this page.

New Plan Care Solutions is independently owned and operated in St. Louis by Stacie Postol. Non-medical in-home support for St. Louis and St. Charles counties: personal care and daily routines, companionship, homemaking, respite for family caregivers, and day-to-day help while recovering at home. Background-checked caregivers, plans built together and changed when life changes, support that can start with a few hours.

Disclosure: New Plan Care Solutions is a client of this site's publisher and compensates us for this placement. It is the only provider featured here, and the guides on this site are educational, not medical advice.

Call or text (314) 405-0887 or visit newplancare.com

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Goes straight to New Plan Care Solutions, not to a lead broker. See their privacy policy.

Our #1 pick for starting small in St. Louis and St. Charles countiesCall or text New Plan Care Solutions (314) 405-0887