Other senior care options in Columbia:

Best Assisted Living in Columbia, MO

Why trust this guide? Our editorial team analyzed 14 assisted living communities in Columbia, MO using Missouri Dept. of Health and Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MO
Reviewed by
Last updated
Jun 2026
We analyzed
14 homes
Other senior care options in Columbia:
Avg Monthly Cost: $6,087The average monthly cost across facilities in Columbia, MO. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 29/ 100The average Walk Score across facilities in Columbia, MO. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 58The average licensed bed capacity across facilities in Columbia, MO. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Columbia (Metro Area)

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

The Westbury Senior Living
AL
IL
MC
Columbia
72
Facility 72
MO AVG 97
Rank #293 / 454
Yes
27
Facility 27
MO AVG 45
Rank #414 / 563
Studio / 1 BedColumbia Senior Living LLC
Churchill Terrace
AL
HC
RC
Fulton
57
Facility 57
MO AVG 97
Rank #376 / 454
Yes
16
Facility 16
MO AVG 45
Rank #467 / 563
Studio / SuiteFulton Residential, LLC
Bluff Creek Terrace Assisted Living
AL
ADC
HC
MC
RC
Columbia
48
Facility 48
MO AVG 97
Rank #399 / 454
Yes
23
Facility 23
MO AVG 45
Rank #432 / 563
Studio / 1 Bed / 2 BedColumbia Residential, LLC
Colony Pointe Senior Living
AL
ADC
HC
MC
RC
Columbia (Colonies)
59
Facility 59
MO AVG 97
Rank #372 / 454
Yes
45
Facility 45
MO AVG 45
Rank #296 / 563
Studio / 1 Bed / 2 BedAmericare At Colony Pointe Assisted Living, LLC
Bluff Creek Terrace Senior Living
AL
ADC
HC
MC
RC
Columbia
48
Facility 48
MO AVG 97
Rank #399 / 454
Yes
26
Facility 26
MO AVG 45
Rank #418 / 563
StudioColumbia Residential, LLC
Mill Creek Village Senior Living
AL
ADC
HC
IL
MC
RC
Columbia
59
Facility 59
MO AVG 97
Rank #372 / 454
Yes
3
Facility 3
MO AVG 45
Rank #540 / 563
Studio / 1 Bed / 2 BedAmericare At Mill Creek Village Assisted Living Ll
Lake George Senior Living
AL
IL
Columbia
10
Facility 10
MO AVG 97
Rank #453 / 454
No
2
Facility 2
MO AVG 45
Rank #545 / 563
-Lake George Senior Living LLC
The Arbors at Bluff Creek Terrace
AL
NH
ADC
HC
MC
RC
Columbia
48
Facility 48
MO AVG 97
Rank #399 / 454
No
26
Facility 26
MO AVG 45
Rank #418 / 563
-Columbia Residential, LLC
Lenoir Woods
AL
IL
MC
Columbia (Lenoir Street)
-Yes
8
Facility 8
MO AVG 45
Rank #513 / 563
1 Bed / 2 Bed-
Hillcrest Assisted Living
AL
NH
Columbia
-Yes
0
Facility 0
MO AVG 45
Rank #553 / 563
--
Ashland Villa
AL
ADC
HC
RC
Ashland
72
Facility 72
MO AVG 97
Rank #293 / 454
Yes
42
Facility 42
MO AVG 45
Rank #315 / 563
Studio / Alcove / SuiteAshland Villa, LLC
Hartmann Village Senior Living
AL
HC
IL
RC
Boonville
42
Facility 42
MO AVG 97
Rank #413 / 454
Yes
10
Facility 10
MO AVG 45
Rank #502 / 563
Studio / 1 Bed / 2 Bed / 3 BedBoonville Residential, LLC
Parkside Manor
AL
NH
MC
RC
Columbia
120
Facility 120
MO AVG 97
Rank #89 / 454
No
98
Facility 98
MO AVG 45
Rank #1 / 563
Skilled Nursing Facility (120)N & R Of Columbia, LLC
Americare
AL
ADC
HC
IL
MC
NH
RC
Columbia
-No
46
Facility 46
MO AVG 45
Rank #283 / 563
--
Overview of The Westbury Senior Living

Westbury prides itself on the seamless transition because the warm and welcoming environment allows residents to settle in immediately. Seniors can trust a seamless transition because the warm and welcoming atmosphere will enable residents to settle in immediately. Offering independent living, assisted living, and memory care– management ensures hassle-free and seamless transfer to your new place.  The Westbury ensures that comfort and relaxation are being prioritized.

Seniors get unlimited access to amenities and services such as engaging wellness programs, outings and events, transportation, housekeeping, and laundry services. Memory care units and assisted living residents get more specialized services such as medication management and ADLs.

Contact The Westbury Senior Living

Overview of Churchill Terrace

Set amidst the peaceful neighborhood of Fulton, MO, Churchill Terrace is a one-of-a-kind senior living community that offers a broad range of care options, including assisted living, respite care, rehabilitation, and hospice care. With its wide array of care services, the community ensures residents enjoy a seamless transition should their care needs change. Bright and spacious studios and one-bedroom apartments are available to provide residents a comfortable space they can fully relax in or invite families and friends over.

Everyday is an opportunity to live vibrantly with a wide range of fun and enriching activities, events, and health & wellness programs. Residents can freely participate in volunteer opportunities and fitness classes or enjoy live music performances or relaxing walks in the beautiful grounds. The community makes sure residents always have the energy they need with carefully prepared meals that are both healthy and tasty.

Contact Churchill Terrace

Overview of Bluff Creek Terrace Assisted Living

Discover a maintenance-free retirement with Bluff Creek Terrace Assisted Living in Columbia, MO, which provides assisted living and incontinence care. With a strong dedication to increasing seniors’ quality of life, the community works hard to develop a care plan that meets their specific requirements and preferences. This community offers a wide array of room layouts, including studio, one-bedroom, and two-bedroom apartments that provide a homey feel to the residents.

Have a wonderful time with friends while engaging in various fun activities and programs, including day trips, outings, live dance performances, and more. The community provides tasty and healthy meals customized to accommodate individual dietary requirements and preferences. Bluff Creek Terrace Assisted Living is ideal for seniors seeking to live genuine independence with utmost care and support throughout.

Contact Bluff Creek Terrace Assisted Living

Overview of Bluff Creek Terrace Senior Living

Treat yourself to a fully supported and comfortable retirement lifestyle at Bluff Creek Terrace Senior Living, a remarkable senior living community in Columbia, MO, offering various care options for residents’ varying and changing needs. Whether you need assisted living services, memory care, respite care or rehabilitative services, the community makes sure all of your care needs are met. With an array of conveniently designed accommodations with full, private bath, kitchenette, and individual heat and A/C, residents are guaranteed a relaxing living environment.

Most of the tiring chores are handled so residents can freely participate and engage in the community’s vibrant calendar of activities and extensive wellness programs designed to nurture their overall well-being. Dining experiences are enhanced with well-prepared meals that residents can peacefully enjoy in their private living space or savor with friends in the lovely dining room. With a dedicated care team that handles most of residents’ care needs, inviting community spaces, and vibrant daily programming, residents are guaranteed to thrive in this stunning community.

Contact Bluff Creek Terrace Senior Living

Overview of Colony Pointe Senior Living

Make your retirement years the best time of your life at Colony Pointe Senior Living, an inviting senior living community located in Columbia, MO, offering a wide range of enriching senior lifestyle services. The community provides its residents with compassionate assisted living services, memory care, respite care, hospice care, and rehabilitation. Featuring an array of well-curated floor plans, including studios, one-bedroom, and two-bedroom apartments, the community warrants residents a living space that perfectly matches their tastes and needs.

Residents can rest easy knowing that a dedicated care team is available 24-hours a day to provide various assistance, including personal care assistance or medication management. The community provides a broad range of interesting activities that enriches residents’ body, mind, and soul. Residents can look forward to savory and nutritious meals that cater to their dietary needs, making sure they always get the nourishment they need to stay healthy and active.

Contact Colony Pointe Senior Living

Overview of Mill Creek Village Senior Living

Mill Creek Village of the Americare senior living communities has gained many families’ trust over the years. The independent living home encourages, empowers, and enriches the lives of its residents through its comprehensive services and professional staff. The retirement home makes it a point that residents can live freely despite their needed assistance; they want their residents to make the most out of their experience at Mill Creek.

Their all-inclusive amenities include daily delicious and nutritious meals by a chef, weekly housekeeping and laundry, and everyday fitness activities with their finest gym equipment. They also provide every private apartment with an emergency call system.

Contact Mill Creek Village Senior Living

Overview of Lake George Senior Living

Lake George Senior Living is an idyllic retreat located in the heart of Columbia, Missouri. Nestled between tranquil residential neighborhoods, The Brooks and Old Hawthorne, Lake George provides the perfect environment for retirement living. This vibrant community offers a harmonious blend of assisted living and independent living options, providing residents with a place to call home that is both enriching and convenient. Situated in close proximity to the downtown area and local hospitals, Lake George Senior Living offers the perfect balance between serenity and accessibility. A highlight of this one-of-a-kind community is the home-cooked meals provided by their dedicated staff, ensuring each meal is crafted with the resident’s health in mind. 

With a backdrop of lush landscapes and the gentle rustling of leaves, residents can bask in the refreshing breeze and be charmed by the sights of deer, turkey, geese, and birds. For those with a penchant for angling, the option to embark on a fishing expedition is an invitation to connect with nature in this haven for nature enthusiasts. Beyond the outdoors, Lake George Senior Living extends its care to include medication management, diabetic support, and incontinence care, ensuring that residents’ health and well-being remain paramount through their personalized care packages and low staff-to-resident ratio. Handicap-accessible features are seamlessly integrated, exemplifying the community’s commitment to fostering an inclusive and supportive environment. 

Contact Lake George Senior Living

Overview of The Arbors at Bluff Creek Terrace

The Arbors at Bluff Creek Terrace is a 48-bed nonprofit memory care and assisted living community at 3104 Bluff Creek Drive in Columbia, Boone County, Missouri, operated by Columbia Residential LLC under administrator Jessica Bankhead and owner Christina Benton. The facility carries a 1-star CMS overall rating and has faced substantive inspection challenges over the past four years.

Since 2021, the community recorded 39 health citations across 12 inspections.

In November 2024, an unannounced survey identified an infection-control violation with critical severity; meaning the noncompliance posed immediate risk of serious harm to residents. That citation was corrected. Two months earlier, a complaint investigation documented serious deficiencies in pharmacy documentation and quality-of-care practices; both were resolved. Resident-rights violations comprise the largest category (9 of 39 citations), followed by quality-of-life concerns (8 citations).

The facility incurred $38,000 in federal penalties between November 2024 and January 2025.

Nursing hours per resident are at 4 hours 22 minutes daily and exceed the Missouri average by 17 percent, the facility’s strongest marker. The staff roster includes 19 RNs, 20 LPNs, and 96 CNAs, with additional therapy contractors. Occupancy of 89.4 percent signals sustained demand in the local market.

Long-stay residents report declines in mobility and activities-of-daily-living independence at rates 48–54 percent worse than state average. Urinary tract infection prevalence runs 81 percent above state benchmark. Short-stay residents’ influenza vaccination lags 53 percent below state rates.

On-site nurse aide training, an active resident council, and memory care programming are available.

The Arbors is oriented toward short-term Medicare rehabilitation and private-pay stays, with occupancy and staffing investment indicating operational stability, though quality-decline measures and recent critical findings require consideration.

Contact The Arbors at Bluff Creek Terrace

Overview of Lenoir Woods

The Lenoir Woods is a beautiful community that offers an exquisite lifestyle for residents of independent living, assisted living, memory care, and skilled nursing. As a proud Lutheran Senior community, the LifePlan community provides resort-like accommodations with exceptional hospitality. The home is praised for its staff, who have exceedingly done excellent work providing care for their residents’ growth. Lenoir Woods is the home that cultivates a fun-filled, memorable, and comfortable senior living experience.

They offer an exceptional dining experience, innovative programs, and educational activities that all aim to ensure a wonderful experience during your golden years. Staff is committed to enhancing the lives of the residents, so they provide the necessary additional support needed.  

Contact Lenoir Woods

Overview of Hillcrest Assisted Living

Hillcrest residents of assisted living and memory care housing options have access to personal care that aims to enhance their quality of life. The team of dedicated professionals dedicates itself to ensuring the best quality of service to the residents while equally gaining their independence. The tightly-knit community is a friendly environment that allows seniors to nurture and grow as individuals, regardless of age. The senior living community has a personalized care program that caters to the specific needs of unique individuals– designed to ensure that seniors are able.

The Hillcrest residents offer a personalized care program designed to meet each individual’s unique needs. They offer an exceptional dining experience, innovative programs, and educational activities that all aim to ensure a wonderful experience during your golden years. Staff is committed to enhancing the lives of the residents, so they provide the necessary additional support needed, 24/7.

Contact Hillcrest Assisted Living

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Assisted Living in Columbia, MO

What is the average cost of assisted living in Columbia, MO?

The average monthly cost of assisted living in Columbia, MO is approximately $4,300. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Columbia, MO?

Assisted living in Columbia, MO typically ranges from $3,800–$6,400 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Columbia, MO?

Assisted living facilities in Columbia, MO typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

How many licensed assisted living facilities are there in Columbia, MO?

According to state licensing records, there are approximately ~25–30 licensed assisted living facilities in Columbia, MO.

What's the difference between assisted living and memory care in Missouri?

Assisted living in Missouri supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Missouri?

Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Missouri Medicaid cover assisted living?

Missouri Medicaid does not directly pay room-and-board for assisted living, but most states (including Missouri) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.