Best Assisted Living in Missouri

Why trust this guide? Our editorial team analyzed 268 assisted living communities in MO using MO Dept. of Health & Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MO
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every assisted living provider in Missouri.
268 homes
Other senior care options in Missouri:

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Info below is compiled from the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Daybreak Nursing Center
AL
HOS
NH
PC
RC
SNF
Sikeston
70
Facility 70
MO AVG 88
Rank #124 / 217
No
73
Facility 73
MO AVG 42
Rank #26 / 259
Skilled Nursing Facility (70)Daybreak Nursing Center, LLC
4
Facility 4
MO AVG 12
Rank #45 / 93
A+
Armour Oaks Senior Living Community
AL
IL
NH
SNF
Kansas City (Waldo Homes)
38
Facility 38
MO AVG 88
Rank #195 / 217
Yes
73
Facility 73
MO AVG 42
Rank #26 / 259
Studio / 1 Bed / 2 Bed / 3 BedMo Women's Christian Assoc Of Kansas City
7
Facility 7
MO AVG 12
Rank #38 / 93
A+
Nazareth Living Center
AL
IL
MC
NH
RC
SNF
Saint Louis
235
Facility 235
MO AVG 88
Rank #6 / 217
Yes
29
Facility 29
MO AVG 42
Rank #167 / 259
Skilled Nursing Facility (121), ALF** (114)Nazareth Living Center
39
Facility 39
MO AVG 12
Rank #9 / 93
A+
Troy Manor
AL
MC
NH
SNF
Troy
150
Facility 150
MO AVG 88
Rank #22 / 217
No
68
Facility 68
MO AVG 42
Rank #35 / 259
Skilled Nursing Facility (130), Assisted Living Facility (20)N & R Of Troy, LLC
31
Facility 31
MO AVG 12
Rank #13 / 93
A+
Country Meadows
AL
IL
MC
Park Hills
87
Facility 87
MO AVG 88
Rank #86 / 217
Yes
37
Facility 37
MO AVG 42
Rank #145 / 259
Skilled Nursing Facility (72), Assisted Living Facility (15)Country Meadows Nursing & Rehab, LLC
28
Facility 28
MO AVG 12
Rank #16 / 93
A+
Brookdale West County
AL
CCRC
IL
MC
NH
SNF
Ballwin
98
Facility 98
MO AVG 88
Rank #61 / 217
Yes
56
Facility 56
MO AVG 42
Rank #76 / 259
Unit TypeVb Ballwin Sh, LLC
48
Facility 48
MO AVG 12
Rank #2 / 93
A+
Gardens Senior Living Community
AL
IL
MC
Springfield (Mark Twain)
148
Facility 148
MO AVG 88
Rank #28 / 217
Yes
47
Facility 47
MO AVG 42
Rank #120 / 259
Studio / 1 Bed / 2 BedBslc II
30
Facility 30
MO AVG 12
Rank #14 / 93
A+
Sunrise of Des Peres
AL
MC
Des Peres
102
Facility 102
MO AVG 88
Rank #55 / 217
Yes
50
Facility 50
MO AVG 42
Rank #107 / 259
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
18
Facility 18
MO AVG 12
Rank #29 / 93
A+
Parkside Manor, LLC
AL
Bowling Green
48
Facility 48
MO AVG 88
Rank #173 / 217
No
59
Facility 59
MO AVG 42
Rank #65 / 259
ALF** (48)Parkside Manor, LLC
7
Facility 7
MO AVG 12
Rank #38 / 93
A+
Lakewood Senior Living
AL
ADC
HC
HOS
MC
RC
Springfield
67
Facility 67
MO AVG 88
Rank #132 / 217
Yes
44
Facility 44
MO AVG 42
Rank #129 / 259
Studio / 1 BedLakewood Residential Care, LLC
24
Facility 24
MO AVG 12
Rank #22 / 93
A+

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other MO assisted living community we track that reports that metric, not just the 268 on this page. See how we rank facilities

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Maranatha Village, Inc

233 East Norton Rd, Springfield, MO 65803-3633
Overview of Maranatha Village

Maranatha Village offers assisted living and independent living in Springfield, MO. In assisted living, residents receive help with daily tasks such as dressing, bathing, and taking medication while keeping their own apartment. Independent living offers private living with community services and no daily care.

Having both care levels on one campus may suit a resident whose needs change over time, since a move to a different community may not be necessary. Premier Rehab provides rehabilitation services, including short term rehab, for people who need temporary recovery support. Maranatha Village opened in 1973 and has 149 beds.

A Walk Score of 94 places the area in the walker's paradise band, meaning daily errands do not require a car and a resident who no longer drives can still get out independently. Pets are allowed, so residents may be able to keep a pet with them. Brian Miller serves as the administrator.

Contact Maranatha Village, Inc

Overview of Brookdale West County

Nestled in the serene neighborhood of Ballwin, Missouri, Brookdale West County offers a tranquil haven for seniors seeking assisted living and memory care services. The community provides personalized support with daily activities such as grooming, dressing, and medication management, ensuring peace of mind for residents and their families. Around-the-clock care team availability ensures prompt response to any emergency, while allowing residents the independence to engage in a vibrant lifestyle.

From engaging fitness classes to creative workshops and lively social gatherings, The community fosters an enriching environment where residents can thrive and build meaningful connections. Residents enjoy the convenience of restaurant-style dining and a full calendar of events designed to inspire and entertain, all within a warm and inviting setting at Brookdale West County.

Contact Brookdale West County

Overview of Troy Manor

Troy Manor offers nursing home, assisted living, memory care, and skilled nursing in Troy, MO. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication while supporting a resident’s ability to live in their own space.

Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home and skilled nursing provide licensed nursing care on site around the clock.

Having several care levels in one community may suit a resident whose needs grow over time, since changing care needs may not require leaving the community. Troy Manor has 150 beds, with Dylan Hagler serving as the administrator, and N & R Of Troy operating the community.

Physical and occupational therapies provide rehabilitation focused on movement and daily function. A salon and spa gives residents access to personal grooming at the community, while the Resident Transportation program provides transportation arranged through Troy Manor.

Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 3 hours and 25 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.

A Walk Score of 68 means the area is somewhat walkable, with some errands possible on foot. A resident who no longer drives may be able to handle some nearby errands independently.

Contact Troy Manor

Overview of Daybreak Nursing Center

Daybreak Nursing Center is a nursing home in Sikeston, Missouri, offering assisted living, hospice care, palliative care, respite care, nursing care, and skilled nursing. Skilled nursing provides licensed nursing care on site around the clock, while assisted living includes help with daily tasks such as bathing, dressing, and medication. Hospice care centers on comfort focused support, and palliative care addresses comfort and symptom relief for people with serious illness.

Respite care is available for short stays, which can suit a family caregiver who needs coverage while traveling or recovering. The combination of care levels may be a good fit for a resident whose needs grow over time. Daybreak Nursing Center has 70 beds and 94% occupancy, meaning most of its beds are in use.

Programs include Companionship, Day to Day Assisting, Nursing/assisted living Sitting, and Post Surgery Care/Hospital Sitting. Together, these provide support with companionship, daily tasks, sitting needs, and post surgery or hospital stays. Total nurse staffing is 3h 3m per resident per day, representing the daily amount of nurse staffing time allocated per resident. Payment options are Medicare, Medicaid, and private pay. A Walk Score of 73 places the area in the very walkable band, with most errands possible on foot, so a resident who no longer drives can still get out independently. Nancy Driskill serves as the administrator.

Contact Daybreak Nursing Center

Overview of Sunrise of Des Peres

Uplift your mood with the blissful senior living community of Sunrise of Des Peres situated on Manchester Road, Des Peres, MO, providing assisted living, memory care, short-term stay, and hospice coordination. With seniors’ well-being and safety in mind, the community features pleasant and spacious accommodations including studio, one-bedroom, two-bedroom apartments, and companion suites. Live your life as you prefer with a caring and dedicated team handling the housekeeping and other mundane activities.

The community is committed to improving seniors’ quality of life, conducting a variety of interactive activities, and fulfilling learning programs. Join your friends and engage in inspiring conversations over meals catered to your dietary requirements and preferences. Sunrise of Des Peres is ideal to spend your golden years in comfort and luxury with its well-maintained campus filled with warmth and friendly community.

Contact Sunrise of Des Peres

Overview of Armour Oaks Senior Living Community

At Armour Oaks Senior Living Community, inclusivity is at the heart of their values. They celebrate diversity and welcome individuals of all races, genders, abilities, and religious beliefs. Their commitment to inclusivity extends to every aspect of the home, from staff and residents to policies and practices. They offer services, such as assisted living, independent living, and nursing care. The accommodations are designed to suit different preferences, with one- to two-bedroom apartments and two to three bedroom townhomes for those who desire more space and independence. The home embraces diversity and is Medicaid accepted, ensuring seniors have access to the care they deserve.

The community lives by an all-inclusive space. They have complete utilities, allowing seniors to focus on spending their day how they like it. Common areas abound, including fitness rooms for staying active, verandas for taking in the beauty of nature, and party rooms for socializing and making cherished memories. In addition to the physical amenities, they also offer chaplain services, providing comfort, guidance, and support to seniors in their sunset years. Indeed, there is nothing better than living in a home that promotes inclusivity and diversity, and celebrates the unique qualities of every individual.

Contact Armour Oaks Senior Living Community

Country Meadows

1301 N St Joe Dr, Park Hills, MO 63601-1965
Overview of Country Meadows

Country Meadows in Park Hills, Missouri, provides assisted living, independent living, and memory care. Independent living centers on private housing paired with community amenities, whereas assisted living assists with daily tasks like bathing, dressing, and managing medication. Memory care sections utilize a secured layout designed for safety and supervision.

Operating as an 87-bed location managed by administrator Kimberly Burch, the site permits pets and accepts short-term respite stays. The culinary department prepares restaurant-style dining options with accommodations for special diets. Routine off-site errands depend on vehicle transportation given the local 37 walk score, though scheduled transport is available. Salon, spa, and rehabilitation options appear on the facility profile.

Prospective residents can get in touch with Country Meadows to ask about current room availability, discuss personal care needs, and set up a walkthrough.

Contact Country Meadows

Overview of Nazareth Living Center

Nazareth Living Center offers independent living, assisted living, memory care, respite care, nursing home care, and skilled nursing in Saint Louis, MO. Independent living means having a private living space with community services and no daily care, while assisted living provides help with bathing, dressing, medication, and similar tasks while the resident keeps an apartment. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing care on site around the clock. Respite care is available for short stays, which can give a family caregiver time to travel or recover.

The range of care levels can suit a resident whose needs grow over time without requiring a move to a different community. With 235 beds, Nazareth Living Center is a larger community with more residents and staff, and usually more programming. The total nurse staffing figure is 3 hours and 50 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.

Starting prices are $2,485 for independent living, $6,030 for assisted living, $5,250 for memory care, $336 for a semi private skilled nursing room, and $413 for a private skilled nursing room. Medicare, Medicaid, and private pay are accepted, giving families payment routes for covered care or private payment. Rehabilitation services and short term rehab support a resident receiving therapy during a temporary rehabilitation stay. Residents may have pets, use available transportation, and attend religious services at the community. Joseph Vanhooser serves as the administrator. Nazareth Living Center may be a good fit for someone who needs the option to move among several levels of care as support needs change.

Contact Nazareth Living Center

Parkside Manor, LLC

300 S Saint Charles St, Bowling Green, MO 63334-2221
Overview of Parkside Manor

Offering assisted living, Parkside Manor in Bowling Green, Missouri, has a 48-bed capacity. Along with assistance with daily tasks, residents also have access to rehabilitation services. 24-hour staffing is also available with licensed nurses and CNAs on-site, ensuring care is accessible around the clock.

Administered by Karen Harrower, its occupancy is at 90%, with 43 beds currently in use. Resident transportation is also available, providing a transportation option through the community.

The community has a Walk Score of 59, meaning the area is somewhat walkable and some errands can be completed on foot. For a resident who no longer drives, this may allow occasional independent trips for nearby errands, while other destinations may require a ride.

Contact Parkside Manor, LLC

Overview of Gardens Senior Living Community

The numbers alone tell part of the story: 148 beds, three layout options, multiple decades of operation, and a care menu that spans assisted living, memory care, short-term rehab, and respite, all in a single-story building on Springfield’s west side. Gardens Senior Living Community, operated by BSLC II and run day-to-day by administrator Heather Brown, is built for range. That breadth is the defining feature.

The on-site service list is substantial. Pharmacy, therapy, podiatry, and medication management are all available without leaving the building, and licensed nurses and CNAs are on-site around the clock. For families weighing how long a placement will hold as needs shift, that infrastructure matters. The Garden Homes program is a named offering within the community, and religious services are available on-site, which will be relevant for residents and families for whom faith life is part of daily routine.

Restaurant-style dining, a fitness center, chapel, library, computer center, Jacuzzi spa, and salon fill out the amenity picture. The neighborhood at 1302 W Sunset St in the Mark Twain area has a Walk Score of 47, meaning most trips out will need a car or transportation coordination. Studio, one-bedroom, and two-bedroom units are available, so housing options scale with circumstance.

Gardens is a practical match for older adults who need substantive on-site medical support across a range of care levels, and for families who want a faith-oriented community large enough to accommodate changing needs without requiring a move.

Contact Gardens Senior Living Community

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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Missouri at a glance

Avg Monthly Cost: $5,469The average monthly cost across facilities in Missouri. 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: 42/ 100The average Walk Score across facilities in Missouri. 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: 88The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in Missouri

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.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 268 assisted living facilities in Missouri. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Missouri?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Missouri?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.