Page 10 of Best Assisted Living in Missouri

Overview of Carnegie Village

Located at 107 Bernard Dr in Belton, Missouri, Carnegie Village operates as an 85-bed nursing home with mixed-acuity care. The privately owned facility, administered by Jessica Bradham, serves older adults requiring short-term rehabilitation through its nursing home, assisted living, independent living, and memory care tracks. Nursing staff include 18 registered nurses, 39 licensed practical nurses, and 118 certified nursing assistants, supported by 102 contracted caregivers. A staff-to-resident ratio of 3.34 to 1 runs 97 percent above the Missouri state average.

The facility’s 2-star overall CMS rating reflects inspection performance. Since 2019, the community recorded 44 deficiency citations, 48 percent above the Missouri average. A critical Quality of Care citation in March 2024 was corrected, as was a substantiated Abuse and Neglect citation in September 2024. More recent corrective actions suggest responsiveness to identified compliance gaps.

Federal penalties totaled $16,000 in 2024, 79 percent lower than the Missouri average.

Quality measures tell a mixed picture. The facility earned a 4-star rating for both staffing and quality outcomes, with strong performance on pressure ulcer and incontinence prevention. Yet falls with major injury and unintended weight loss run notably above Missouri averages. Nurse hours average 3 hours 28 minutes per resident per day, slightly below state benchmarks.

Occupancy stands at 92 percent, ranking 31st among 283 Missouri nursing homes, reflecting sustained local demand. The payer mix is weighted toward Medicare (36 percent of admissions, averaging 21-day stays) and private pay (56 percent).

Restaurant-style dining, wellness programming, and 24-hour staffing support day-to-day operations.

Carnegie Village orients toward short-term post-acute rehabilitation in a mixed-acuity setting, with strong staffing infrastructure alongside a compliance history requiring ongoing monitoring.

Overview of Ascension Living Sherbrooke Village

Sherbrooke Village has built a reputation as a leading provider of exceptional care for older adults, with a focus on hospitality and a commitment to creating a seamless living experience. They prioritize the comfort and well-being of their residents above all else. From their carefully crafted wellness programs to their inviting dining options and social activities, they strive to create a warm and welcoming environment that feels like home. But it’s not just their commitment to quality care and hospitality that sets them apart. Their location in the heart of St. Louis, with easy access to all that the vibrant city has to offer, makes them a popular choice among locals as well.
The senior living community provides a wide range of essential services and amenities to ensure that residents receive the care and support they need to live comfortably and independently. Some of these services include daily meals served in the dining room, medication management, care coordination, laundry and housekeeping services, and regular wellness checks by staff members. In addition to these vital services are amenities designed to enhance the quality of life for residents. Some of these amenities include in-room dining services up to three times per month, local transportation up to four times per month, a weekly happy hour, group outings and events, a life enrichment program, and a wellness program. Routine maintenance services are provided to ensure that the community remains safe and comfortable for all residents. Registered dietitian consultation is also available to help residents maintain optimal health and well-being.

Spring Valley Health and Rehabilitation Center operates a 194-bed nursing facility at 2915 South Fremont Avenue in Springfield’s Greene County. The facility is administered by Holly Anderson under ownership by MC Fremont Healthcare, LLC. It accommodates Medicare, Medicaid, and private-pay residents and maintains an occupancy rate of 80%, notably above the Missouri state average of 66.6%.

Spring Valley carries a 2-star overall CMS rating. The health inspection rating is 1 star, placing the facility 65.5% below the Missouri average. Its deficiency record since 2018 totals 78 citations; 123% above the typical Missouri nursing home.

Inspections conducted in August and November 2025 identified medication documentation errors, tube feeding care deficiencies, and environmental sanitation failures. A medication error rate of 20% was documented in the August 2025 investigation. The facility’s record includes two substantiated abuse-related deficiencies: failure to timely report a sexual abuse allegation in January 2024 and failure to timely report and investigate a physical abuse allegation in January 2025.

Total adjusted nursing hours average 2 hours 4 minutes per resident daily; 45% below the Missouri standard and the lowest-ranked measure among 276 state facilities. Registered nurse coverage runs 20 minutes per day (29% below average), licensed practical nurse coverage 35 minutes (15% below average), and certified nurse aide hours 1 hour 52 minutes (20% below average).

The facility’s payroll represents 38.5% of revenue, ranked among the lowest one percent statewide.

The facility scored 5 stars for quality measures, 79.2% above state average. Long-stay residents show lower hospitalization and emergency department utilization rates than peers. Yet 78.2% of long-stay residents are documented with depressive symptoms; 509% worse than the state average. Vaccination rates for influenza and pneumococcal coverage fall below state benchmarks.

The facility operates memory care and hospice services and accepts short-stay rehabilitation and long-term care residents on a mixed medical acuity model.

Overview of Preferred Family Healthcare

Based at 900 East Laharpe in Kirksville, Adair County, Missouri, Preferred Family Healthcare Inc houses 57 residents and serves as one site within a multi-state healthcare organization operating nearly 100 locations. With more than 40 years in operation, the organization focuses on integrated care combining mental health, behavioral health, and addiction recovery services with residential support. Mr Walter (Vince) Winn directs operations at this location.

The service array distinguishes this facility from traditional senior living environments. Residents access addiction recovery programs, employment services, integrated health coordination, supported living arrangements, mental and behavioral health treatment, crisis response services, Dayspring Community Services, trauma-focused cognitive behavioral therapy, and Health Home Services. The residential care classification reflects this behavioral and mental health specialization rather than a medical or skilled nursing orientation.

Kirksville’s city center location yields a walk score of 77, making the facility very walkable. Most daily errands are feasible on foot, and essential services sit within short walking distance. Healthcare facilities, pharmacies, shops, restaurants, and banks cluster nearby without requiring vehicle transportation for routine needs.

The facility’s regulatory classification under the residential care framework differs substantially from traditional skilled nursing homes; this reflects service intensity rather than quality but does mean different state oversight mechanisms apply.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys. Direct inquiry with the facility or the state agency will yield compliance records.

Prospective residents should ask about specific programs, monthly costs and payment terms, and eligibility for state financial assistance based on income, age, and disability status.

Committed to providing accessible care and assistance, St. Elizabeth Hall is a trusted senior living community located at Newstead Avenue, St.Louis, MO, that offers assisted living. Fostering trusted connections with local health institutions, the community features reliable mental health services and high-quality care. Residents experience a worry-free retirement with round-the-clock personalized care from a kind and compassionate team.

The community promotes a fun and friendly environment, orchestrating social, educational, and spiritual activities. Enjoy conversations with friends over delightful and nutritious meals served three times daily. St. Elizabeth Hall is equipped with a chapel for mass and nondenominational services, a beauty salon and barbershop, a well-stocked library, and aesthetic common areas.

The Boulevard Senior Living of Saint Charles is a multi-level retirement village located on Ehlmann Road in St. Charles, Missouri. Managed by 3330 Ehlmann Opco LLC and under the direction of administrator Kelly Arnold, the two-story campus provides independent living, assisted living, and structured memory care. The facility features a 68 percent occupancy rate, providing a combination of long-term apartments and short-term respite stays to support seniors whose physical or cognitive requirements change over time.

The community holds both Joint Commission Accreditation and a dedicated Memory Care Certification. Resident apartments range from studios to one-bedroom floor plans, and the entire property maintains a pet-friendly policy with available animal care assistance. Daily services include standard building maintenance, local transportation, housekeeping, and laundry.

On-site features include a wellness center, an indoor pool, a demonstration kitchen, a crafting studio, and libraries, alongside a rotating schedule of exercise classes and restaurant-style dining. Missouri state reports show a consistent track record of compliance, with overall citation counts remaining below the statewide average.

Prospective residents can coordinate an on-site consultation to review the multi-tiered care programs. Setting up a walkthrough provides a direct opportunity to examine the layout of the secure memory care unit, meet the lifestyle team, and observe the dining options firsthand.

Overview of Turners Rock Senior Living Community

Turners Rock Senior Living Community is a senior living community on East Sunshine Street in Springfield, Missouri, roughly 4.7 miles from the city center. It offers independent living, assisted living, and memory care in one place, which means a resident can move between levels of support without leaving a familiar building and staff. The community is operated by Senior Living Consulting Group, LLC, and administered by Brad Eldridge, who serves as general manager. With 70 beds and occupancy running near 89 percent, it is a moderately sized community that balances personal attention with shared amenities.

Housing options range from studios to one, two, and three bedroom apartments, so couples and residents who want more room have real choices. Independent living residents have housekeeping, home maintenance, and cooking handled for them, which frees up the day for other things. Assisted living and memory care add personal support built around what each resident can still do, with an emphasis on continuity and familiar routines. Pets are welcome, which matters to families who do not want a move to mean giving up a companion animal.

Shared spaces are a real part of daily life here. There is a pool, an outdoor fire pit, a bar, a library, a salon, a fitness area, and a movie theater, along with a regular calendar of community events. Common living areas give residents places to gather outside their apartments, and the surrounding area puts restaurants, shops, and medical care within a short drive.

State inspections by the Missouri Department of Health and Senior Services have tended to focus on building systems and physical-plant upkeep, along with procedural matters such as resident oversight, medication documentation, and health screening records, rather than on the quality of daily care itself. Families touring the community may want to ask how maintenance and oversight procedures are handled day to day.

The neighborhood scores 26 out of 100 for walkability, so most errands and outings will involve a car or community transportation rather than a walk.