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Best Assisted Living in Columbia, MO

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 10 homes in Columbia, MO

Sources: CMS Centers for Medicare and Medicaid Services, and Missouri Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Columbia, Missouri.

Watch this Video to see Columbia's Top-rated Senior Communities
Avg. Monthly cost: $4,300
National average: $5,600
Monthly cost range: $3,800–$6,400
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

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.

Click column headers to sort
The Westbury Senior Living
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Columbia
72
Facility 72
MO AVG 110
Rank #273 / 459
Yes
27
Facility 27
MO AVG 50
Rank #414 / 562
Studio / 1 BedColumbia Senior Living LLC
-
Facility -
MO AVG
-
Churchill Terrace
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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.

Fulton
57
Facility 57
MO AVG 110
Rank #360 / 459
Yes
16
Facility 16
MO AVG 50
Rank #467 / 562
Studio / SuiteFulton Residential, LLC
-
Facility -
MO AVG
-
Bluff Creek Terrace Assisted Living
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).

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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Columbia
48
Facility 48
MO AVG 110
Rank #386 / 459
Yes
23
Facility 23
MO AVG 50
Rank #432 / 562
Studio / 1 Bed / 2 BedColumbia Residential, LLC
-
Facility -
MO AVG
-
Colony Pointe Senior Living
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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.

Columbia (Colonies)
59
Facility 59
MO AVG 110
Rank #356 / 459
Yes
45
Facility 45
MO AVG 50
Rank #296 / 562
Studio / 1 Bed / 2 BedAmericare At Colony Pointe Assisted Living, LLC
-
Facility -
MO AVG
-
Bluff Creek Terrace Senior Living
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).

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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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.

Columbia
48
Facility 48
MO AVG 110
Rank #386 / 459
Yes
26
Facility 26
MO AVG 50
Rank #418 / 562
StudioColumbia Residential, LLC
-
Facility -
MO AVG
-
Lake George Senior Living
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Columbia
10
Facility 10
MO AVG 110
Rank #455 / 459
No
2
Facility 2
MO AVG 50
Rank #544 / 562
-Lake George Senior Living LLC
-
Facility -
MO AVG
-
Lenoir Woods
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

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).

Columbia (Lenoir Street)
-
Facility -
MO AVG 110
Yes
8
Facility 8
MO AVG 50
Rank #512 / 562
1 Bed / 2 Bed-
-
Facility -
MO AVG
-
Hillcrest Assisted Living
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).

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.

Columbia
-
Facility -
MO AVG 110
Yes
0
Facility 0
MO AVG 50
Rank #552 / 562
--
18
Facility 18
MO AVG
Rank #55 / 93
A+
Ashland Villa
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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.

Ashland
72
Facility 72
MO AVG 110
Rank #273 / 459
Yes
42
Facility 42
MO AVG 50
Rank #315 / 562
Studio / Alcove / SuiteAshland Villa, LLC
27
Facility 27
MO AVG
Rank #35 / 93
A+
Hartmann Village Senior Living
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

Boonville
42
Facility 42
MO AVG 110
Rank #400 / 459
Yes
10
Facility 10
MO AVG 50
Rank #502 / 562
Studio / 1 Bed / 2 Bed / 3 BedBoonville Residential, LLC
-
Facility -
MO AVG
-
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 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 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

Overview of Ashland Villa

A one-of-a-kind senior living community set in the quiet neighborhood of South Henry Clay Boulevard, Ashland, MO, Ashland Villa Senior Living by Americare offers assisted living, adult day club respite care, rehabilitation, and hospice care. Experience comfort and safety like no other with snug and sophisticated residences in several studio floor plans. Live your life to the fullest and enjoy new things with genuine care and support from a compassionate and highly skilled team.

Mingle with friends through engaging events and continue living the life you prefer with enjoyable recreational activities and exciting wellness programs. With delectable and nutritious meals, seniors have a delightful dining experience to satisfy their dietary needs and preferences. Filled with warmth and joy, Ashland Villa is great for seniors seeking new adventures in their golden years.

Contact Ashland Villa

Overview of Hartmann Village Senior Living

Recognized as the Best Assisted Living from 2023 to 2024 by US News and World Report, Hartmann Village Senior Living by Americare is an outstanding senior living community located in the tranquil Rankin Mill Lane, Boonville, MO, that provides assisted living, independent living, respite, hospice, adult day club, home health care, and rehabilitation. Featuring a wide array of cozy and elegant residences including studio, one-bedroom, two-bedroom, and three-bedroom floor plans, the community ensures seniors enjoy comfort and safety at its finest. Thrive and reach your full potential with top-notch care and assistance from a dedicated and extremely talented team.

Experience new things and gain valuable knowledge through fun activities and engaging programs to maintain a happy and well-connected lifestyle. With meticulously prepared dining options, residents delight in well-balanced meals for dietary satisfaction. Hartmann Village is a safe place for seniors to spend their golden years without worries.

Contact Hartmann Village Senior 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.