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Other senior care options in Missouri:

Best Assisted Living in Missouri

Reviewed by
Last updated
Jun 2026
We analyzed
394 homes in Missouri

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

Other senior care options in Missouri:

Compare Assisted Living around Missouri

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

The Manor at Elfindale
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.

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).

Springfield (Fassnight)
100
Facility 100
MO AVG 97
Rank #177 / 454
No
51
Facility 51
MO AVG 45
Rank #241 / 563
Private RoomsVsl Springfield Manor, LLC
35
Facility 35
MO AVG 11
Rank #17 / 209
A+
Sunrise of Des Peres
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).

Des Peres
102
Facility 102
MO AVG 97
Rank #169 / 454
Yes
50
Facility 50
MO AVG 45
Rank #244 / 563
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
18
Facility 18
MO AVG 11
Rank #54 / 209
A+
Brookdale West County
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.

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.

Ballwin
98
Facility 98
MO AVG 97
Rank #189 / 454
No
56
Facility 56
MO AVG 45
Rank #181 / 563
Unit TypeVb Ballwin Sh, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
The Madison 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.

Kansas City (Martin City)
66
Facility 66
MO AVG 97
Rank #320 / 454
Yes
32
Facility 32
MO AVG 45
Rank #376 / 563
Studio / 1 BedSwkc Senior Community LLC
6
Facility 6
MO AVG 11
Rank #89 / 209
A+
Brookdale Creve Coeur
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.

St. Louis (New Ballas Place)
46
Facility 46
MO AVG 97
Rank #405 / 454
Yes
64
Facility 64
MO AVG 45
Rank #135 / 563
Studio / 1 Bed / 2 BedBrookdale Living Communities Of Missouri-Cc, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
NorthPark 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.

Ozark
52
Facility 52
MO AVG 97
Rank #384 / 454
Yes
18
Facility 18
MO AVG 45
Rank #460 / 563
Studio / 1 Bed / 2 BedOzark Residential, LLC
42
Facility 42
MO AVG 11
Rank #12 / 209
-
Bradford Court
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.

ADC

Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.

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.

Nixa
50
Facility 50
MO AVG 97
Rank #390 / 454
Yes
65
Facility 65
MO AVG 45
Rank #124 / 563
Studio / 1 BedNixa Residential, LLC
23
Facility 23
MO AVG 11
Rank #43 / 209
A+
Capetown 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.

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.

Cape Girardeau
53
Facility 53
MO AVG 97
Rank #382 / 454
Yes
7
Facility 7
MO AVG 45
Rank #518 / 563
Studio / Suite / 2 BedCapetown Residential LLC
17
Facility 17
MO AVG 11
Rank #58 / 209
A+
Armour Oaks Senior Living Community
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.

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).

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).

Kansas City (Waldo Homes)
38
Facility 38
MO AVG 97
Rank #424 / 454
Yes
73
Facility 73
MO AVG 45
Rank #70 / 563
Studio / 1 Bed / 2 Bed / 3 BedMo Women's Christian Assoc Of Kansas City
7
Facility 7
MO AVG 11
Rank #85 / 209
A+
Brookdale Wornall Place
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.

Kansas City (Country Lane Estates)
68
Facility 68
MO AVG 97
Rank #314 / 454
Yes
30
Facility 30
MO AVG 45
Rank #386 / 563
1 Bed / 2 BedBlc Kansas City-Gc, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
New Perspective Senior Living | Weldon Spring
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.

Weldon Spring
170
Facility 170
MO AVG 97
Rank #35 / 454
Yes
13
Facility 13
MO AVG 45
Rank #486 / 563
Studio / 1 Bed / 2 BedWeldon Springs Ops LLC
18
Facility 18
MO AVG 11
Rank #54 / 209
A+
The Jefferson City Nursing and Rehabilitation Center
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.

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).

Jefferson City
120
Facility 120
MO AVG 97
Rank #89 / 454
No
33
Facility 33
MO AVG 45
Rank #369 / 563
1 Bed-
21
Facility 21
MO AVG 11
Rank #51 / 209
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.

ADC

Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.

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 97
Rank #293 / 454
Yes
42
Facility 42
MO AVG 45
Rank #315 / 563
Studio / Alcove / SuiteAshland Villa, LLC
27
Facility 27
MO AVG 11
Rank #34 / 209
A+
Lakewood 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.

ADC

Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.

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.

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.

Springfield
67
Facility 67
MO AVG 97
Rank #317 / 454
Yes
44
Facility 44
MO AVG 45
Rank #307 / 563
Studio / 1 BedLakewood Residential Care, LLC
23
Facility 23
MO AVG 11
Rank #43 / 209
A+
The Castlewood 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.

Nixa
66
Facility 66
MO AVG 97
Rank #320 / 454
Yes
4
Facility 4
MO AVG 45
Rank #530 / 563
Studio / 1 BedNixa Senior Community LLC
11
Facility 11
MO AVG 11
Rank #75 / 209
A+
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View all Nearby Homes
Overview of Baptist Homes of Independence

Have a magnificent retirement with the respected senior living community of Baptist Homes of Independence in the tranquil town of Independence, MO, offering top-notch assisted living services. Dedicated to providing its residents with comfort and peace of mind, a passionate team ensures round-the-clock assistance with daily activities. The community also offers healthcare services including staffing & ancillary services, non-ambulatory care, incontinence care, and diabetic care.

Meet new friends and enjoy its beautifully created spaces along the way. The community also serves delectable and healthy meals that satisfy cravings. Experience its vibrant off-site social activities and on-site devotional activities towards an active and enriching lifestyle. Baptist Homes of Independence is ideal for seniors seeking to maximize independence while receiving the unparalleled care and assistance they deserve.

Contact Baptist Homes of Independence

Overview of The Bungalows at Branson Meadows

Settled in the vibrant neighborhood of Branson, MO, the Bungalows at Branson Meadows is a welcoming senior living community that offers assisted living and respite care services. Here, residents can choose from a wide array of spacious and luxurious accommodations with several floor plans that are also pet-friendly. Moreover, they are treated as part of their big family wherein love and support for each other prevail. As for respite care services, the community offers a short-term one that can last up to 60 days.

The community is committed to providing a wide range of amenities and services wherein residents can enjoy individualized care plans, personal laundry and linen service, daily housekeeping, daily wellness checks, medication management, and a lot more. In addition, this community is known for its accessibility to dining, shopping, and entertainment wherein seniors can make the most out of their living experience.

Contact The Bungalows at Branson Meadows

Fields of Florissant

1101 Garden Plaza Drive, Florissant, MO 63033
Overview of Fields of Florissant

At 1101 Garden Plaza Drive in Florissant, Fields of Florissant operates a 102-bed multi-level-of-care community encompassing nursing home, independent living, assisted living, and memory care. The 3-story building contains studio through 2-bedroom units and is run by Willow Ridge Senior Living-Florissant LLC, administered by Ms Kari Lenz. Occupancy sits at 64%. The neighborhood is car-dependent (Walk Score 17), positioned 1.1 miles from Florissant’s city center; transport is necessary for most errands and services.

The operational model includes on-site rehabilitation, chef-prepared meals, weekly housekeeping, activity programming, community spaces, transportation access, beauty services, and pet-friendly residency. Missouri Medicaid waivers apply for eligible nursing home and dementia care residents; Medicare Savings Program coverage is available; private payment is accepted.

Over eight years, Fields of Florissant has been inspected 14 times; exactly double the Missouri state average of 7 inspections. The facility’s deficiency rate per inspection is 3.6, which is 28% lower than the state average of 5, suggesting that when violations occur, they’re less concentrated than typical. But the annual deficiency volume of 6.3 per year exceeds the state average of 4.4 by 43%, meaning the cumulative violation load across all inspections runs elevated. Translation: this facility gets inspected more often than most Missouri nursing homes, and when summed across those inspections, citation counts run above average even though individual inspection sessions show lower violation density.

What this characterizes is a facility under elevated regulatory attention with mixed compliance results; more frequent scrutiny and higher overall violation counts, but violations per inspection cycle running below average.

Contact Fields of Florissant

Overview of Aurora Health and Rehabilitation

McCutchen Rd Healthcare LLC and owner Iraj Alipour operate Aurora Health and Rehabilitation, a 116-bed skilled nursing facility managed by administrator Lindi Schmitt at 1200 McCutchen Road in Rolla, Missouri. Resident accounts are handled through standard financial channels, including Medicare, Medicaid, and private pay. If you explore the local area, the property features a high walkability score of 89 out of 100, which means visiting relatives can walk to nearby spots and handle errands easily without needing a car.

The facility maintains a 65 percent occupancy rate across its first year of operation, with residents staying an average of 497 days. This timeline shows that the daily schedule focuses mostly on long-term residential care alongside shorter post-hospital therapy tracks. Continuous physical monitoring is handled through an around-the-clock shift framework that averages 2 hours and 35 minutes of total nursing care per resident each day, including about 39 minutes of direct care from registered nurses.

Recent inspection logs show that investigators substantiated complaints regarding family communication gaps and discharge-readmission protocols, while surveys noted procedural deficiencies in staffing adequacy and direct care compliance, meaning the building’s cumulative citations-per-inspection rate is above zero.

Prospective representatives can tour the newly opened building to see the physical therapy spaces and discuss the community’s clinical recovery tracks. The indoor environment is staffed 24 hours a day to handle routine medical needs and long-term physical support. Families can contact the front desk directly to check current room options, meet the nursing supervisors, and review the facility’s specific communication policies first-hand.

Contact Aurora Health and Rehabilitation

Overview of Parkwood Meadows Senior Living

Have a relaxing retirement in the serene neighborhood of Parkwood Drive, Sainte Genevieve, MO, with the distinct senior living community of Parkwood Meadows Senior Living by Americare offering assisted living, memory care, respite care, adult day club, hospice care, and rehabilitation. The community features a wide array of private and semi-private accommodations, promising seniors unmatched comfort and convenience. Dedicated to helping seniors thrive and live to their potential, a team of compassionate and highly skilled team provides top-tier care and support.

Stimulating activities and fun programs are conducted for residents to gain meaningful experiences and create lasting moments with friends. Have the finest dining experience with delightful dining options for dietary satisfaction. Parkwood Meadows Senior Living is an incredible community that strives to provide a welcoming abode for seniors to live a glorious retirement.

Contact Parkwood Meadows Senior Living

Overview of The Castlewood Senior Living

Located in the charming family neighborhood in Nixa, Missouri, The Castlewood Senior Living is a pet-friendly senior living community that offers Independent Living, Assisted Living, and Memory Care. Live boldly with an extra hand to help you with various chores, including housekeeping, laundry, transportation, pet care, and maintenance. The community ensures its residents live comfortably with their wide array of cozy residences designed to accommodate seniors’ needs and tastes.

Proving its commitment to providing exceptional care and welcoming environment for senior living, the community has been recognized as Best Assisted Living community by the U.S. News and World Report. Living is more fun and engaging with plenty of interesting activities and enrichment programs conducted both on-site and off-site. With most of the chores handled, residents have more time to explore the community’s plethora of amenities, such as a swimming pool, fitness center, library, movie theater, and beautifully maintained grounds that are perfect for basking in the sun.

Contact The Castlewood Senior Living

Overview of Ravenwood Senior Living

In Ravenwood Senior Living is a haven of peace and tranquility, residents are invited to savor the joys of life to the fullest in private or semi-private suites that offer a perfect blend of comfort and privacy. The community takes a proactive approach towards ensuring their physical and emotional health. From assisted living to memory care, rehabilitation to respite care, adult day club to hospice care, every individual is catered to with exceptional care, tailored to meet their specific needs.

The home goes beyond providing healthcare; it offers a range of unique activities and therapies to promote holistic wellness. Residents can indulge in pet therapies, a delightful activity that brings a smile to their faces. Bingo is another beloved pastime that fosters social connections, while exercises keep both body and mind in top shape. The Bible study sessions provide spiritual nourishment, offering a space to reflect and grow in faith. At Ravenwood Senior Living, residents are more than just occupants; they are part of a vibrant community that nurtures the soul and uplifts the spirit. With a compassionate team of professionals available round-the-clock, every resident can rest assured that they are in good hands. 

Contact Ravenwood Senior Living

Overview of Lakewood Senior Living

The Lakewood Senior Living community is an exquisite haven of luxury and comfort that promises its residents the ultimate senior living experience. This magnificent abode offers a diverse array of living options, including independent living, assisted living, and memory care, thereby ensuring that every individual can enjoy life to the fullest while receiving the necessary support. With nutritious meals, utilities, house maintenance services, and a 24-hour staff always at the ready, residents can indulge in carefree living and revel in the joys of every moment.

From spacious areas to beautifully landscaped grounds, every inch of this stunning abode is designed to foster a sense of tranquility and inner peace. The food served here is beyond compare, featuring a delectable southern taste charm that is sure to awaken the palate. The bistro is also the perfect place to socialize and connect with like-minded individuals while indulging in some scrumptious cuisine. Other amenities include their state-of-the-art fitness center, arts and crafts center, the garden beds, the physical therapy room equipped with top-of-the-line equipment, and the outdoor fireplace where seniors can unwind and bask in the warmth of the fire, while soaking in the beauty of their surroundings.

Contact Lakewood Senior Living

Overview of The Township Senior Living

Nestled in the heart of Battlefield, Missouri, The Township Senior Living is a dynamic and contemporary community dedicated to serving the diverse needs of seniors. Offering a continuum of care that includes independent living, assisted living, and memory care, this community empowers residents to transition seamlessly through various stages of life while enjoying a vibrant lifestyle. Conveniently situated, The Township Senior Living stands as a beacon of compassionate care and fulfillment for older adults in Battlefield. The commitment to providing a nurturing environment is complemented by a dedication to safety, value, and exceptional hospitality, earning the community recognition as a premier destination for senior living.

The Township Senior Living is committed to fostering an engaging environment where residents can embrace a fulfilling lifestyle. From a plethora of enriching activities to serene surroundings, residents find a true sense of belonging. The community features 83 independent living apartments, ranging from cozy studios to spacious two-bedroom units, all housed within a charming lodge-style building. Each apartment is equipped with modern amenities including a fully functional kitchen and an in-unit washer and dryer, fostering convenience and comfort. For those in need of hands-on personal care, the assisted living section offers 46 private apartments. Residents here receive personalized attention and support, ensuring their well-being and comfort. These living spaces are complemented by a range of amenities, including community common areas, a commercial kitchen, a salon, and a fitness center, enhancing the overall experience for all residents and nurturing a strong sense of community and connection.

Contact The Township Senior Living

Overview of Troy Manor

Troy Manor is a 150-bed skilled nursing facility and assisted living community that has operated for 31 years under a mixed-care model. The property handles a blend of long-term care and short-term rehabilitation, resulting in an average resident stay of 188 days. Admissions lean heavily toward Medicaid-dependent individuals, who account for 82% of the total census. Business records indicate notable financial and operational strain, highlighted by a declining 65% occupancy rate and a net operating loss of $1.1 million.

Official health department and licensing databases show severe, long-standing compliance issues alongside substantial staffing shortages. Over the past seven years, regulators have documented 71 total deficiencies, creating an annual average of 10.1 citations that doubles the Missouri state baseline. The facility has compiled four critical and four serious citations since 2019, including a May 2025 substantiated complaint regarding the verbal abuse of a resident and a failure to notify state authorities.

Past inspection cycles also flagged a major 97-day medication mix-up in 2023 that resulted in a resident hospitalization, as well as recurring issues with infection control, pressure ulcer management, and elopement protocols. These challenges have led to $208,000 in total federal financial fines and two separate government payment blocks that temporarily suspended admissions. Daily staffing numbers track well below average, with registered nurse hours running 61% below the state norm and certified nursing aide hours trailing by 37%.

Older adults evaluating regional long-term skilled nursing or assisted living options can review these public tracking archives to analyze the provider’s operational history. Since the state documentation confirms significant historical financial penalties, multiple admission freezes, and thin front-line staffing volumes alongside persistent clinical care deficiencies, the files show a care environment facing heavy administrative and safety challenges.

Contact Troy Manor

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 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 394 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.