A Hard Act to Follow

The care your loved one needs — only the hours you need.

“Because the care you’d give is a hard act to follow.”

À la carte, in-home respite care in St. Louis. Book a 2, 4, or 6-hour visit and pay only for the time and the help you actually need — so you can rest, work, or breathe, knowing someone dependable is there.

Request Care Apply to Work

Or call (314) 657-7224 · 8 AM–6 PM

Danny Lawrence, founder of A Hard Act to Follow, in downtown St. Louis with the Gateway Arch behind him

Ensuring your loved ones are cared for when you can’t be there.

What is respite care?

Caring for a loved one is one of the hardest jobs there is — and no one can do it around the clock alone. Respite care means short, scheduled in-home visits where we step in so you can rest, run errands, go to your own appointments, or simply take a breath. Your loved one stays safe, engaged, and comfortable in their own home.

Why we’re different

Most respite services sell you a bundle. We don’t. With us, it’s à la carte — you decide what you need.

  • Choose your services

    Companionship, games, memory exercises, rehab practice — pick only what helps your loved one.

  • Choose your hours

    Simple 2, 4, or 6-hour visits. Book what fits your day, not a one-size-fits-all plan.

  • Pay for what you use

    Transparent hourly pricing with no padded packages. You pay for the time and help you actually need.

How it works

  1. 1

    Tell us what you need

    Share a little about your loved one and the help you’re looking for.

  2. 2

    Pick your hours

    Choose a 2, 4, or 6-hour visit and the services that fit.

  3. 3

    We show up

    Dependable, respectful care in your own home — so you get a real break.

What we do

A few of the ways we help during a visit — mix and match whatever your loved one enjoys or needs.

  • Companionship & social time

    Conversation, a friendly presence, and genuine attention for someone who is homebound or isolated.

  • Games & activities

    Cards, Uno, and other simple games to keep visits engaging and enjoyable.

  • Memory care support

    Memory games and gentle, patient engagement for loved ones living with dementia or Alzheimer’s.

  • Rehab encouragement

    Support with at-home rehab routines — like practicing speech with Alexa after a stroke.

  • Safe & at ease

    If a loved one is disoriented or can’t move easily, we keep them secure and calm until a nurse or family returns.

  • Hospital & bedside sitting

    A reassuring presence at the bedside when you can’t be there yourself.

What we don’t do — and why that’s a good thing

We keep our care simple, respectful, and clearly within bounds. We are not a medical or home-healthcare agency and we do not provide nursing, cooking, life-skills help, errands, or driving. Our care is in-home only, and out of respect for privacy and safety, our caregivers never enter the bathroom or bedroom.

Simple, honest pricing

Starting at $33 per hour. Choose the package that fits your day.

  • 2-Hour Visit

    $33/hour

    $66 total

    A short, focused break — games, social time, or simply a safe, calming presence.

  • 6-Hour Visit

    $33/hour

    $198 total

    A full part of the day covered, so you can work or travel with peace of mind.

  • Need to go longer? Hours beyond your booked package are $40/hour.
  • Private pay. Care is paid out of pocket — we do not currently bill health insurance.
  • Late cancellations. A late-cancellation fee applies; details are in your service agreement.

Meet Danny

A Hard Act to Follow was founded by Danny Lawrence, who has been blind since age eleven. That experience is exactly why this work matters to him — he knows firsthand what it means to depend on others, to value independence, and to be treated with dignity rather than pity.

Danny is a two-time Missouri state wrestling champion and was inducted into the Alpha Sigma Lambda honor society at Washington University in St. Louis. People who’ve watched him work tend to say the same thing — he’s a hard act to follow — and that’s the standard he brings to caring for your family.

Danny Lawrence wearing his Alpha Sigma Lambda honor cords at Washington University in St. Louis
Inducted into Alpha Sigma Lambda at Washington University in St. Louis.

Where we serve

We come to you, within about a 10-mile radius of Highway 40 (I-64) & Grand Blvd in St. Louis — covering St. Louis City and many close-in St. Louis County communities, including:

  • Midtown & Central West End
  • The Grove / Forest Park Southeast
  • Shaw & Tower Grove
  • The Hill & Dogtown
  • Soulard & Lafayette Square
  • Downtown & Midtown
  • Southampton & St. Louis Hills
  • Clayton & Richmond Heights
  • University City & Olivette
  • Maplewood, Brentwood & Webster Groves
  • Shrewsbury & Affton
  • Normandy & Wellston

Common ZIP codes: 63101, 63103, 63104, 63108, 63109, 63110, 63112, 63113, 63116, 63117, 63118, 63119, 63123, 63124, 63130, 63139, 63143, 63144.

Not sure if you’re in range? Just ask — we’ll let you know.

Request care

Tell us about your loved one and what you’re looking for. Danny will follow up with you personally. Your information is kept private and used only to plan care.

Your contact info
About the person needing care

Note: our caregivers do not enter the bathroom or bedroom and do not provide medical/nursing care.

The help you need

Care is private-pay (out of pocket). This helps us plan something that works for you.

Work with us

Want meaningful work helping families in St. Louis? Caregivers are paid $20/hour. A background check is required, and we’ll ask a little about who you are and what you enjoy.

About you
Your interests & experience
A quick personality snapshot
Background check