24-Hour Home Care in the St. Louis Metro Area
When safety can’t wait until morning, AW Health Care provides around-the-clock in-home care you can trust. Our 24-hour home care services are designed for seniors and adults who require continuous supervision, assistance, or companionship—day and night.
Whether your loved one is recovering from illness, living with dementia, or facing mobility challenges, our professional caregivers deliver consistent, compassionate support to help them live safely and comfortably at home.
- Day & overnight coverage
- Full-Time, Part-Time, and Overnight Awake Caregivers
- Services in St. Louis & St. Charles County
- RN-supervised care plans tailored to 24-hour needs
- Family peace of mind, 365 days a year
What’s Included in Our 24-Hour Home Care
24-hour care means more than just being present — it means being responsive, attentive, and proactive every minute of the day. AW Health Care’s services include:
- Personal care: Bathing, grooming, dressing, toileting, incontinence support
- Mobility assistance: Transfers, repositioning, fall prevention
- Meal prep and feeding: Including overnight hydration/snacks
- Medication reminders: Day and night schedules
- Overnight monitoring: Fall risk watch, wandering prevention, sleep safety
- Companionship: Conversational support and reassurance
- Housekeeping: Daily tasks like laundry, dishes, and bed-making
Service Areas We Cover
Our 24-hour home care is available throughout:
- St. Louis, MO: University City, Central West End, Clayton, South City, and beyond
- St. Charles County, MO: O’Fallon, St. Peters, Lake St. Louis
Unsure if you’re in our service radius? Call 314.726.5600 and we’ll confirm.
Start 24-Hour Home Care with AW Health Care Today
Call 314.726.5600 or Contact Us to speak with a care coordinator
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Why Families Rely on AW Health Care for 24-Hour Care
- Trusted local, women-owned agency
- Ranked in top 10% of home health agencies in the region
- Over 400 caregivers trained in day + night care dynamics
- Fully integrated team — non-medical and skilled services available
- RN case managers oversee all plans and adjust them as needed
- We staff for consistency and quality — not just availability
Whether it’s fall risk, memory care, or advanced support needs — our caregivers are awake, alert, and ready every hour your family can’t be there.
Payment Options
- Private pay
- Long-term care
- Workers comp
- Medicaid for those who qualify
- Medicare through GUIDE
Overnight Monitoring and Sleep Safety
Caregivers remain awake during overnight shifts, offering:
- Redirection for wandering (especially with dementia clients)
- Assistance with nighttime toileting or pain episodes
- Comforting presence for anxious or disoriented clients
- Monitoring of breathing, behavior, or other alerts to clinical staff or family
We never “sleep over.” Our overnight caregivers are fully engaged throughout the shift.
Meal Preparation and Nutrition Around the Clock
- Support with evening meals and post-dinner clean-up
- Overnight hydration reminders or light snacks as needed
- Early-morning breakfast prep before day shift transition
- Feeding assistance for clients with swallowing or coordination issues
Nutrition doesn’t stop at 6pm — we provide 24-hour sustenance and care.
We are a women-owned company, ranked in the top 10% of home health agencies in the St. Louis region, proudly delivering care to more than 1,500 clients each day, backed by over 400 team members.
24-Hour Personal Care
From morning routines to middle-of-the-night bathroom trips, our caregivers provide:
- Safe bathing and dressing for every shift
- Incontinence care and hygiene during overnight hours
- Gentle redirection for confused or agitated clients
- Dignified assistance with all private tasks
Mobility, Transfers, and Repositioning
24-hour clients often face high fall risk or pressure sore risk. We:
- Help with bed-to-chair transfers and toileting throughout the day/night
- Reposition clients in bed to prevent pressure ulcers
- Monitor ambulation for signs of fatigue or instability
- Alert families and care teams to any decline in strength or movement
Caregiver Continuity and Shift Handoffs
Depending on your needs, we offer:
- Split-shift 24-hour care (multiple caregivers in rotation)
- RN-led planning to determine what model fits best
We manage scheduling, staffing, and communication — you stay focused on your loved one.
When is 24-Hour Home Care Needed?
- Recovery from surgery, stroke, or hospitalization
- Fall risk requiring constant supervision
- Advanced Alzheimer’s or dementia
- Sundowning or nighttime agitation
- Medication schedules across multiple time points
- Family caregivers who can no longer provide full-day coverage
Even if your loved one only needs light assistance at night, the reassurance of 24-hour presence can be life-changing.
Contact Us!
When you fill out this form, you can expect to receive a call and email from our professional staff. We will reach out to you and answer your questions.
FAQs About 24-Hour Home Care
Not always. 24-hour care typically means caregivers rotate in shifts, ensuring someone is always awake. Live-in care usually involves one caregiver staying in the home, with breaks and sleep time.
No. Medicare does not pay for 24-hour non-medical care. Many families use private pay, long-term care insurance, or Veterans benefits. We can help you review options.
We match based on personality, experience level, and medical conditions. We prioritize consistency in the team and manage shift handoffs.
AW Health Care offers both non-medical and medical home health care. We can layer in skilled nursing, physical therapy, or medication management as needed.
Yes. We often provide short-term 24-hour care after hospitalization, surgery, or during hospice.