This site is about non-medical support in a person's own home. It is not about residential memory care facilities, and it does not rate any.
Read this first
None of the agencies below diagnose or treat memory loss. A doctor does that. What they do is the everyday part: keeping a routine, being in the house in the evening or overnight, company, and a break for the family member who has been doing all of it. That is what this page ranks.
St. Louis and St. Charles counties 2026 edition, updated September 12, 2026
When memory changes start to matter, the next step is usually smaller than the one families dread: the right person, at the hard hours, a few times a week. We ranked five St. Louis agencies whose own websites describe memory support against five plain criteria.
Each agency carries its real Google rating and review count and a label we can defend from its own website.
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.
Assistance Home Care describes itself as a local family-owned company, and its site splits dementia care into early and late stages. That staging matters, because the help a person needs in the first year is not the help they need in the fourth. Its St. Louis office alone carries 141 reviews, and its St. Charles and Ellisville offices have listings of their own.
Verdict
The established local benchmark; get a quote and compare it with the others here.
Seniors Home Care runs a named program, SAGE In-Home Memory Care, which its site describes as long-term dementia care at home, and it lists round-the-clock care for families whose hard hours are at night. Its site also describes care management, so ask which side of that line the memory program sits on.
Verdict
A program with a name and a long local record; a strong quote if nights are the problem.
TheKey is a national home care organization, and its St. Louis page lists Alzheimer's and dementia care as a service in its own right. As with any national brand, the experience comes down to the local team and the caregiver who arrives, so ask how caregivers are matched and who covers when one is out.
Verdict
The national option with a memory service of its own; a sensible second quote.
With 237 reviews, Caring Christians Private Duty has the largest review footprint of any agency in our file once the Medicaid program is set aside. Its site says it specializes in Alzheimer's and dementia care and is locally owned by a medical professional. It sits fourth because its menu also runs to home healthcare and hospice care, so the line between everyday support and medical care is less plain. Ask who would be in the house for non-medical hours.
Verdict
The biggest review count in the metro, with a real memory focus.
Senior Helpers is a national franchise; this office opened in 2008 under a local owner, by its own account. Its Senior Gems program, as its site describes it, matches activities and communication to a person's stage of memory change. A second office has its own listing; ask which serves your address.
Verdict
A staged, non-medical program inside a franchise; worth a call if the office is near you.
Google ratings and review counts are copied verbatim from 162 St. Louis area listings pulled September 12, 2026; competitor claims come from each company's own website. The full method.
This goes to New Plan Care Solutions, and a real person reads it. Please leave diagnoses and medications out; those belong with a doctor.
Thank you. New Plan Care Solutions has your message, and we will contact you only the way you asked. If you would rather not wait, call (314) 405-0887.
Longer reads on support at home, and the survey figures behind them.
Photos: New Plan Care Solutions.
Wider cuts of the same Google file. Counts, not verdicts.
Often, yes. The non-medical answer to late-day restlessness is presence and routine: a familiar person, a lit room, a small task, no arguing about where home is. The door at dusk covers the household side. If the pattern is new or sudden, tell her doctor, because several treatable things can look like this.
Yes. Overnight support is an ordinary non-medical service, so the family caregiver can sleep. New Plan Care describes overnight support when nights are hard. Ask any agency whether overnight staff stay awake, what the minimum shift is, and how fast the plan can change.
No. None of these agencies diagnose or treat anything, and neither does this site. A doctor does that, and several causes of memory change are treatable, which is why the appointment comes before the agency.
Usually fewer than families expect: a few hours aimed at the hardest part of the day, often the late afternoon. New Plan Care will start with a few hours and change the plan as needs change. Ask any agency about minimum shifts.
Every figure about another agency is Google's own rating and review count from a file pulled September 12, 2026, and every claim about what it offers comes from its own website.