Annie’s House Inc
Assisted Living & Residential Care · Missouri, MO

Annie’s House Inc

Assisted Living & Residential Care · Missouri, MO

Overview of Annie’s House INC

Annie’s House INC operates as a 40-bed residential care facility in Marble Hill, Bollinger County, Missouri, serving residents ages 21 and older with mental and physical disabilities. Andrea Cook administers the community under Annie’s House INC ownership. The facility accepts both male and female residents and coordinates weekly outings and volunteer-based activity programming.

As a residential care setting rather than a traditional assisted living or skilled nursing facility, Annie’s House operates under distinct regulatory oversight. Prospective residents must demonstrate income from Social Security, SSI, or equivalent sources and maintain active insurance coverage at admission. Pets reside on the premises.

The facility’s rural location and walk score of 34 mean that access to hospitals, shopping, dining, and banking depends on external transportation or family assistance. Few local services are reachable by foot.

The facility’s designation as residential care, rather than skilled nursing, reflects a less intensive licensing category, though this distinction does not necessarily indicate lower quality; it reflects the intensity of medical services provided.

To assess regulatory compliance, families should contact the Missouri Department of Health and Senior Services, Division of Regulation and Licensure, directly or request records from the facility itself.

The facility’s admission requirements of demonstrated income and active insurance establish a baseline standard but provide limited transparency into actual monthly costs or financial assistance options beyond state programs.

The rural setting and non-disclosure of operational, staffing, and compliance data present significant evaluation challenges.

Families should ask about insurance coverage eligibility, staffing model and resident supervision, recent inspections, transportation availability, and pricing and any additional fees.

Bed community size
40-bed community Rank #419 / 454Bed count — State benchmarkedThis home is ranked 419th out of 454 homes in Missouri. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #98 / 209Years in operation — State benchmarkedThis home is ranked 98th out of 209 homes in Missouri. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 34 / 100 Rank #361 / 563Walk Score — State benchmarkedThis home is ranked 361st out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
98%
Rank #12 / 428Occupancy rate — State benchmarkedThis home is ranked 12th out of 428 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 428. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
39 / 40
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeResidential Care Facility
StatusActive
IssuanceNovember 1, 2024
ExpirationOctober 31, 2026
CountyBollinger
License Number052262
State License TypesDepartment of Mental Health, Department of Health and Senior Services

Ownership & Operating Entity

Annie’s House Inc is legally operated by Annie's House, Inc, and administrated by Andrea Cook.

Corporate EntityANNIE'S HOUSE, INC
Owner NameAnnie's House, Inc

Type Of Units

Residential Care Facility
40 units
Total beds
40 units

Safety & Compliance

Safety FeaturesAll employees are CPR and First-aid certified.

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets Allowed
Visitor PolicyVisitors are allowed if not experiencing COVID-19 symptoms.
Admission CriteriaMust have some sort of income and insurance upon admission.
Minimum Age21+

Amenities & Lifestyle

Shared Bathrooms
Therapy Animals (Including A Therapy Dog And Other Animals On Site)
ActivitiesResidents have the opportunity to attend weekly outings into the community, including trips to stores, restaurants, and local attractions. There are also quarterly or monthly trips to places like the zoo and family fun centers, as well as annual camping trips and out-of-state excursions.
Specific Programs[email protected]
Volunteer ProgramsYes

Contact Annie’s House Inc

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2019 · 7 years of data 15 deficiencies 5 inspections

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Missouri state average
Overall vs. MO average 0 Worse No metrics in this bucket. 4 Better Metrics better than Missouri average:
• Total deficiencies (57% below)
• Deficiencies per year (58% below)
• Deficiencies per inspection (40% below)
• Total inspections (29% below)
Latest Inspection November 13, 2025 Other An inspection that falls outside standard annual surveys and formal complaint investigations. May include administrative compliance checks, documentation reviews, focused surveys on specific concerns, or revisit surveys to verify prior corrections.

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1535 This facility has 57% fewer total deficiencies than a typical Missouri assisted living residence (15 vs. MO avg 35).↓ 57% better
Deficiencies per year Info Average deficiencies per year since 2019. 2.15 This facility has 58% fewer deficiencies per year than a typical Missouri assisted living residence (2.1 vs. MO avg 5).↓ 58% better
Deficiencies per inspection Info Average deficiencies per inspection. 35 This facility has 40% fewer deficiencies per inspection than a typical Missouri assisted living residence (3 vs. MO avg 5).↓ 40% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 57 This facility has 29% fewer total inspections than a typical Missouri assisted living residence (5 vs. MO avg 7).↓ 29% better

Places of interest near Annie’s House Inc

Address 111.5 miles from city center Info Estimated distance in miles from Marble Hill's city center to Annie’s House Inc's address, calculated via Google Maps.

Calculate Travel Distance to Annie’s House Inc

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Address

Financial Assistance for
Assisted Living in Missouri

Annie’s House Inc is located in MARBLE HILL, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Compare Assisted Living around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

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NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

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NH

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IL

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Annie’s House Inc
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Marble Hill
40
Facility 40
MO AVG 97
Rank #419 / 454
No
34
Facility 34
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Residential Care Facility (40)Annie's House, Inc
1
Facility 1
MO AVG 11
Rank #98 / 209
-

Frequently Asked Questions about Annie’s House Inc

Who is the owner of Annie’s House Inc?

The legal owner and operator of Annie’s House Inc is Annie's House, Inc.

Is Annie’s House Inc in a walkable area?

Annie’s House Inc has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Annie’s House Inc?

According to MO state health department records, Annie’s House Inc's license number is 052262.

When does Annie’s House Inc's license expire?

According to MO state health department records, Annie’s House Inc's license expires on October 31, 2026.

What is the occupancy rate at Annie’s House Inc?

Annie’s House Inc's occupancy is 98%.

Who is the administrator of Annie’s House Inc?

Andrea Cook is the administrator of Annie’s House Inc.

How many beds does Annie’s House Inc have?

Annie’s House Inc has 40 beds.

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