West county numbers
Fall prevention home assessment in St. Louis County: who to call for a safety check, a lift assist and overnight help in Ballwin, Chesterfield and Eureka, 2026
One phone list, in the order of how urgent the call is. Every number on it was read from the agency's own page on September 10, 2026.
If you searched for a fall prevention home assessment in St. Louis County, you probably wanted one phone number and got forty. Here are the ones that matter for a family in the west county, from Ballwin and Chesterfield out through Eureka and Pacific, in the order you need them: the emergency line, the fire district lines for when she is down and not hurt, the doctor, the agency that helps with home modifications, the state lines, and the non-medical overnight help that this site's paid placement provides. Nothing here is medical. Every number was taken from the agency's own page, and each is linked so you can check it yourself.
The list, in order of how urgent the call is
1. She is hurt, or cannot get up: 911
Not the non-emergency line, not this page. The National Institute on Aging's rule after a fall is if you are hurt or cannot get up on your own, ask someone for help or call 911. If she hit her head, the CDC says see the doctor right away. Every fire district on this list says the same thing on its own site: for an emergency, call 911.
2. The fire district non-emergency lines, for the question you are afraid to ask
The question is: what do you want me to do when she is on the floor, not hurt, and I cannot lift her? Ask it in daylight, before the night it happens, of the district that covers her address. None of the four district websites below described lift-assist calls in text on the day this page was checked, so this desk makes no claim about what any of them will do. It gives you the number and the question. The 911 rule above still stands the night it happens: NIA's "cannot get up on your own" includes a daughter who cannot lift her mother safely.
- Monarch Fire Protection District, administration and non-emergency (314) 514-0900. Its site names Chesterfield, Wildwood, Maryland Heights, Clarkson Valley, Creve Coeur, Ballwin and unincorporated St. Louis County.
- Metro West Fire Protection District, mailing address PO Box 310, Wildwood. Its contact page says for a service request call (636) 458-2100, and for an emergency call 911. The same administration number is on its who we are page.
- Eureka Fire Protection District, 4849 Highway 109, Eureka. 636-938-5505. Its site describes communities in southwest St. Louis County and northern Jefferson County.
- Pacific Fire Protection District, 910 West Osage Street, Pacific. 636-257-3633. Its site says it serves Franklin, Jefferson and St. Louis Counties.
3. Her doctor, for the assessment that counts
A professional home assessment is something her doctor can order, and the visit it produces is the one insurers and the rest of the care team pay attention to. NIA: after a fall, the doctor might suggest that an occupational therapist, physical therapist or nurse visit your home; these providers can assess your home's safety and advise you about making changes. Ask for it in those words. The sentence to say is on its own page.
4. Aging Ahead, for minor modifications and respite
Aging Ahead is one of 10 Area Agencies on Aging in Missouri, serving St. Louis, St. Charles, Franklin and Jefferson counties since 1973, which is to say every west county address on this page. Its caregiver program lists in-home respite, adult day services, durable medical equipment, minor home safety modifications, and incontinence and nutritional supplies among what it can offer unpaid caregivers, as funding permits, at (636) 207-0847. "As funding permits" is their phrase and it is honest; there may be a wait. Call anyway, and ask for a community options specialist.
5. Inside the city limits: the St. Louis Area Agency on Aging
If she lives in the city of St. Louis rather than the county, the agency is different. The St. Louis Area Agency on Aging serves older adults who reside within the City of St. Louis, at (314) 612-5918.
6. The state lines, if you are not sure who covers her
- Missouri Senior Resource Line, 1-800-235-5503. The state says it connects callers to their local Area Agency on Aging after they enter a 5-digit zip code.
- Eldercare Locator, 1-800-677-1116. A public service of the Administration for Community Living, which NIA's own fall-prevention page points to for local home modification programs.
- DSDS Call Center, 866-835-3505. Missouri's in-home care program for people who qualify for Medicaid, the one DHSS lists as homemaker and personal care with Medicaid as the major payer, is requested through this number. It is an application, not a same-night caregiver.
- 211. United Way's line for Greater St. Louis, a trained resource specialist 24/7, for everything else at 2am.
7. Non-medical overnight help, tonight or this week
Everything above is a directory, a doctor or a program with an application. None of them puts an awake adult in her hallway on Thursday night. That is private, non-medical help at home, which Missouri DHSS describes as private duty or private pay, with no physician order needed and no license issued in Missouri for that type of company. New Plan Care, which pays for a labelled slot on this site, is an independently owned non-medical in-home care company based in Chesterfield that sends caregivers for overnight presence in Ballwin, Chesterfield, Eureka, Glencoe, Grover, Pacific, Valley Park and St. Louis. It does nothing medical and it is not a substitute for anything else on this list. New Plan Care, Call (314) 405-0887. Paid placement, disclosed on the front page and in the footer.
Who does the home safety check?
Three kinds of people, and you can have all three. The doctor-ordered one, by an occupational therapist, physical therapist or nurse, which NIA describes and which carries weight with everyone else. Aging Ahead's, where its page says community options specialists and case managers deliver the services, including the minor modifications. And yours, this weekend, with the CDC's Check for Safety checklist, which is what the Saturday page on this site walks through. Do yours first. It costs nothing and it tells the other two where to look.
Chesterfield, Ballwin, Eureka, Pacific: which fire district is hers?
The street decides, not the town. Monarch's site names Chesterfield, Wildwood, Maryland Heights, Clarkson Valley, St. Louis County, Creve Coeur and Ballwin. Metro West's public contact page is a Wildwood mailing address. Eureka and Pacific each have their own district. Glencoe, Grover and Valley Park are not named in text on any of the four sites this desk checked, so it will not guess for them. Call the non-emergency line of whichever district seems closest, give the address, and ask. If it is not them, they will tell you who it is, and that is a two-minute call worth making before the night you need it.
Will Medicare send someone to check the house?
Only through home health, and only on a doctor's order. Medicare.gov's rule is that you must need part-time or intermittent skilled services and be homebound to qualify. If she does, a home health visit after a fall is a real possibility, and it can bring a physical therapist to the door. What Medicare will not do is the night: the same page says it does not pay for 24-hour-a-day care at your home, or personal care that helps with daily living when that is the only care you need. The overnight page has the rest of the money.