Residential Support Services · Mid-Missouri

Residential Support Services for Adults with Developmental Disabilities

Palmer's Home Care provides individualized residential support across 50+ homes throughout Mid-Missouri. These aren't group homes or institutional placements — they're real houses, in real neighborhoods, decorated by the people who live in them and staffed by trained professionals who show up as partners, not caretakers.

50+ Homes in Mid-Missouri

Max 2 Residents Per Home

Every Home Has Its Own Car

Palmer's Home Care residential home in Mid-Missouri neighborhood

A neighborhood in Mid-Missouri served by Palmer's Home Care

We Build Homes Differently
On Purpose

The PHC Home Difference

Most residential DD providers in Missouri are licensed to place up to four individuals in a single home. Palmer's Home Care caps every home at two.

That's not a regulatory requirement — it's a deliberate choice made by founder Robert Palmer, based on one conviction: people with disabilities deserve the same quality of life as anyone else. And that starts with the home they come back to every day.

Newly Built Homes

Robert sources new 3-bed, 2-bath homes in established neighborhoods — the same houses your neighbors live in, with driveways, yards, and mailboxes.

A Car in Every Driveway

Every PHC home includes its own house car — because mobility is independence. Residents don't wait for a van schedule. They go when they want to go.

Two Residents, Maximum

Two residents. A new home. A car in the driveway. It sounds simple — and it is. That's the whole idea.

Interior of a Palmer's Home Care residence in Columbia Missouri

Resident enjoying daily life in their Palmer's Home Care home

This Is a Home, Not a Program

When someone moves in, the first conversation isn't about schedules or service plans. It's about them — their taste in furniture, what they like to cook, what time they wake up, which shows they watch.

Daily life looks different for every resident, because it should. Staff are there to support whatever that looks like — not to run a schedule on behalf of the house.

Residents choose their own room setup, decor, and routines
Community integration is a core expectation, not a checkbox
Grocery shopping, local events, real neighborhood relationships
Some work, some attend day programs — each person's day is their own

Partners, Not Caretakers

Our Direct Support Professionals are trained in the philosophy behind the care — not just the protocols.

Character + Credentials

We hire for character as much as credentials. Every DSP is trained in the philosophy behind the care, not just the protocols.

50%+ Long-Term Staff

Over half our full-time staff have been with PHC for four or more years. That continuity means residents build real relationships.

Clinical Backup

Every resident is supported by RNs and LPNs available for medical oversight — backing up the DSP relationship, not replacing it.

They Step Back Too

DSPs step back when a resident can do something independently, and step in when they're needed. Support, not control.

“They don’t run the house — they support the people who live in it.”
— The Palmer’s Home Care DSP Philosophy

Serving Mid-Missouri

Palmer’s Home Care operates residential homes across a growing region of Central Missouri. We currently serve individuals and families in four counties — and we’re expanding.

If you’re looking for residential services and aren’t sure whether we serve your area, reach out. We’d rather talk than have you assume we can’t help.

Coverage is growing. Contact us to discuss current availability in your county.

Boone County Columbia, Ashland, Centralia & surrounding communities

Randolph County Moberly & surrounding communities

Cole County Jefferson City area

Additional Counties Contact us to discuss availability in your area

Ready to Learn More?

Whether you’re a family member exploring options, a case manager considering a referral, or an individual looking for a new home — we’d like to talk.

Start the Conversation

Reach out by phone, email, or contact form. Tell us about the individual and what they’re looking for in a home.

We Coordinate Together

PHC works with the Missouri Department of Mental Health and regional support coordinators to identify the right placement fit.

Find the Right Home

Every placement starts with a conversation. We’ll find a home, a neighborhood, and a team that genuinely fits.

Call Us

(573) 777-1459

Email Us

dhayes@phc.team

Contact Form

Send a Message

Residential Services

Residential Support Services for Adults with Developmental Disabilities