We provide in-home care throughout both St. Louis and Alton area If you’re unsure whether you’re in our coverage area, complete the form or call us and we’ll confirm quickly.

Royalty Home Health Care supports seniors and older adults with disabilities who need help staying safe, comfortable, and independent at home.

Personal care (bathing, dressing, grooming)

Companionship and supervision

Meal preparation and hydration reminders

Light housekeeping and laundry

Mobility support and fall-prevention assistance

Dementia-friendly routines and memory support

Errands and transportation (as applicable)

Respite care for family caregivers
Services may be provided by CHHAs, CNAs, Nurses (RN/LPN), DSPs, Employment Specialists, and Clerical/Administrative support depending on the program and need.

Yes—care can be scheduled hourly, overnight, or around-the-clock based on your needs and availability.

Yes. We can support seniors living with memory challenges and many ongoing conditions by providing structure, safety support, and consistent routines—while keeping families informed.

Absolutely. Needs can change, and we can adjust schedules and services to match new routines, safety concerns, or health changes.

Fill out our website form or contact one of our offices. We’ll learn about your needs, discuss options, and guide you through next steps. In most cases, someone will reach out within 24–48 hours. ✅

Yes. We screen and verify our team members to support a safe, trustworthy care environment.

We work to minimize disruptions and communicate quickly. If coverage is needed, we’ll coordinate a replacement plan whenever possible.

If you have a preference, let us know—we’ll do our best to accommodate requests whenever scheduling allows.

Caregivers at Royalty follow safety protocols and will take appropriate action based on the situation (including contacting family and/or emergency services when needed). We also encourage families to share any emergency contacts and care instructions up front.

We focus on safe mobility practices, clear walkways, proper transfers, and routine awareness—plus communicating concerns if we notice changes.

Payment options vary by service type and program. We’ll clearly explain rates, schedules, and billing before services begin—no surprises.

Yes. Coverage depends on the service type and the client’s eligibility. Some families use private pay, long-term care insurance, or veterans-related benefits (when eligible). If you’re unsure what you qualify for, we’ll help you understand your options.