Page 18 of 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:

Compare Assisted Living around Missouri

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. 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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.
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.
Estates of Hidden Lake
AL
HOS
NH
RC
St. Louis (Spanish Lake)
67
Facility 67
MO AVG 88
Rank #132 / 217
No
29
Facility 29
MO AVG 42
Rank #167 / 259
-Estates Of Hidden Lake, LLC
Ashbrook
AL
ADC
HOS
RC
Farmington
72
Facility 72
MO AVG 88
Rank #115 / 217
Yes
14
Facility 14
MO AVG 42
Rank #216 / 259
Studio / 1 BedAshbrook Residential, LLC
Bristol Manor of Salisbury
AL
ADC
RESC
Salisbury
12
Facility 12
MO AVG 88
Rank #213 / 217
Yes
53
Facility 53
MO AVG 42
Rank #95 / 259
Studio / 1 BedBristol Care, Inc
St. Francis Park Senior Living
AL
ADC
HOS
IL
RC
Kennett
50
Facility 50
MO AVG 88
Rank #164 / 217
Yes
28
Facility 28
MO AVG 42
Rank #171 / 259
Studio / 1 BedHeritage Residential, LLC
Highland Crest Senior Living
AL
MC
Kirksville
42
Facility 42
MO AVG 88
Rank #185 / 217
Yes
28
Facility 28
MO AVG 42
Rank #171 / 259
StudioKirksville Residential, LLC
Mill Creek Village Senior Living
AL
ADC
HOS
IL
MC
RC
Columbia
59
Facility 59
MO AVG 88
Rank #151 / 217
Yes
3
Facility 3
MO AVG 42
Rank #252 / 259
Studio / 1 Bed / 2 BedAmericare At Mill Creek Village Assisted Living Ll
Cedarhurst of Tesson Heights
AL
IL
MC
St. Louis
108
Facility 108
MO AVG 88
Rank #50 / 217
Yes
23
Facility 23
MO AVG 42
Rank #190 / 259
-Cedarhurst Of Tesson Heights Operator, LLC
Cedarhurst of Des Peres
AL
MC
Des Peres (Acme Heights)
76
Facility 76
MO AVG 88
Rank #105 / 217
Yes
28
Facility 28
MO AVG 42
Rank #171 / 259
-Ch West County Management Mo, LLC
Ashbury Heights of Jefferson City
AL
ADC
RESC
Jefferson City
12
Facility 12
MO AVG 88
Rank #213 / 217
Yes
23
Facility 23
MO AVG 42
Rank #190 / 259
StudioBristol Care, Inc
Addington Place of Lee‘s Summit
AL
MC
Lee's Summit
88
Facility 88
MO AVG 88
Rank #84 / 217
Yes
11
Facility 11
MO AVG 42
Rank #227 / 259
Suite / 1 Bed / 2 BedArhc Lssmtmo01 Trs, LLC

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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Overview of Baptist Homes of Independence

Baptist Homes of Independence offers independent living, assisted living, memory care, residential care, nursing home care, and skilled nursing in Independence, MO. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as bathing, dressing, and medication. Memory care provides a secured setting with supervision, and skilled nursing provides licensed nursing care on site around the clock.

Several care levels are available on one campus, which can suit a resident whose needs may grow over time without requiring a move to another community. The home has 118 beds, placing it between a small and large community in size; that number reflects licensed resident spaces, not the quality of care. Each resident is allocated 3 hours and 56 minutes of hands-on nursing time per day.

Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care based on eligibility and financial arrangements. The area has a Walk Score of 39, so most errands require a car or a ride. Chloe Robinson serves as administrator, and The Baptist Home operates the community.

Contact Baptist Homes of Independence

Overview of Estates of Hidden Lake

Estates of Hidden Lake offers nursing home, assisted living, hospice care, nursing care, and respite care in St. Louis, MO. Nursing home and nursing care support residents who need ongoing nursing attention, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Hospice care focuses on comfort for a person nearing the end of life, and respite care provides a short stay when a usual caregiver needs temporary relief.

With several care types in one community, Estates of Hidden Lake may suit a resident whose needs change over time or a family seeking temporary care during a caregiver’s recovery or travel. The community is in the Spanish Lake neighborhood and has 67 beds. Total nurse staffing is 2 hours and 17 minutes per resident per day, representing the daily amount of nurse staffing assigned across each resident.

Medicare, Medicaid, and private pay are accepted. Medicare applies to eligible short-term skilled care rather than long-term residence, Medicaid is a payment route for eligible residents, and private pay means paying directly. Sharon Wooten serves as the administrator.

Contact Estates of Hidden Lake

Ashbrook

500 Ashbrook Dr, Farmington, MO 63640
Overview of Ashbrook

Discover a relaxing environment for senior living and healing at Ashbrook, a dependable senior living community in Farmington, MO, offering assisted living, respite care, hospice care, and rehabilitation. The community offers homey, and senior friendly accommodations, ranging from studios to one-bedroom apartments. Proving its commitment to quality and safety of its residents, the community is proudly recognized as Best Assisted Living community by the U.S. News and World Report.

Plenty of opportunities for socializing and enjoyment are provided by an array of interesting activities and amenities. With access to a range of therapy services, including physical, occupational, and speech therapy as well as delicious, nutritious meals, residents are guaranteed to maintain a healthy and strong body fit for a vibrant lifestyle. At Ashbrook, residents can comfortably age in place without moving into another community for a different type of care.

Contact Ashbrook

Overview of Bristol Manor of Salisbury

Dedicated to helping residents maintain their independence for as long as possible, Bristol Manor of Salisbury is a thriving senior living community in Salisbury, MO. The community offers assisted living services, such as personalized care plans, medication management, and round-the-clock supervision. Large and cozy accommodations are provided with spacious closets, private bathrooms, and individual climate controls for a comfortable living environment.

Helping residents enjoy a vibrant and dynamic living experience, the community also provides a wide variety of activities to keep them engaged and stimulated. Residents are also offered nutritious and delicious meals tailored to their individual dietary needs and preferences for an enjoyable dining experience. At Bristol Manor, residents can enjoy peace and quiet while having access to fun and vibrant opportunities.

Contact Bristol Manor of Salisbury

Overview of St. Francis Park Senior Living

Experience unparalleled comfort and care at St. Francis Park Senior Living, an intimate senior living community in Kennett, MO, offering independent living, assisted living, respite care, rehabilitation, and hospice care. Residents here are provided with round-the-clock licensed support and access to an array of rehabilitative services should they need it, guaranteeing all of their needs are met. Choose from bright and cozy studios and one-bedroom apartments equipped with all the comforts of home, from a refrigerator and microwave to a generously sized private bath.

The community proves its excellence in Residents can freely spend their precious time however they want with most of the chores handled and a wide array of activities, events, and programs provided. Residents also enjoy restaurant-style dining featuring delicious and nutritious meals that are catered to their unique preferences and dietary needs. The community also welcomes pets, fostering a sense of companionship and improving residents’ mood and mental health.

Contact St. Francis Park Senior Living

Overview of Highland Crest Senior Living

Highland Crest Senior Living provides assisted living and memory care in Kirksville, MO. Assisted living includes help with daily tasks such as dressing, bathing, and medication, while memory care offers a secured setting with supervision for someone at risk of wandering.

Having both care levels can suit a resident whose needs may grow over time, allowing a change in care type without leaving the community. The community has 42 beds, with studio layouts that give one resident a single private living space, and residents may bring a pet when they move in. Kathern Buck serves as the administrator, and Kirksville Residential operates the community.

Contact Highland Crest Senior Living

Overview of Mill Creek Village Senior Living

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

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

Contact Mill Creek Village Senior Living

Overview of Cedarhurst of Tesson Heights

Cedarhurst of Tesson Heights is a three-story, 108-bed community in St. Louis County that offers both independent and assisted living, run by Cedarhurst of Tesson Heights Operator, LLC and administered by Thomas Hornstein. It sits at 12335 W Bend Dr, in a car-dependent stretch of St. Louis (Walk Score 23), so getting around mostly means driving, not walking.

The community runs at 59 percent occupancy, below capacity but not unusual for a building this size. Staff are on site around the clock, and residents can tap into rehabilitation services, respite care, and nursing support as their needs shift. That range matters here, since the building houses two different levels of care under one address.

Day to day, meals come through full-service, all-day dining, and a transportation program handles the trips residents would otherwise need a car or a family member for. Outside, landscaped courtyards give people a place to sit that isn’t a hallway or a dining room, and pets are welcome, which isn’t nothing for someone leaving a house they’ve lived in for decades.

The pricing splits cleanly: $2,675 a month for independent living, $4,600 for assisted living. That gap is the real story here; it’s a community built to hold someone through a transition, from living mostly on their own to needing daily hands-on care, without forcing a move across town when their needs change.

Starting Price $2,975/Month

Contact Cedarhurst of Tesson Heights

Overview of Cedarhurst of Des Peres

Cedarhurst of Des Peres provides assisted living and memory care in Des Peres, MO. Assisted living includes help with daily tasks while a resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.

The two care levels may suit a resident whose needs grow over time, allowing a move between levels without leaving the community. The community has 76 beds, with starting prices of $4,700 per month for assisted living and $6,200 per month for memory care.

The memory care rate reflects the secured setting and supervision that level of care requires. Respite care offers short stays for a family caregiver who needs time away, while rehab supports a temporary recovery period.

Residents can use scheduled transportation for trips beyond the community. A salon, movie theater, landscaped courtyards, and physical therapy services are also available, and pets are allowed so a resident can continue living with a pet.

Cassandra Brown serves as administrator, and Ch West County Management Mo operates the community.

Starting Price $4,700/Month

Contact Cedarhurst of Des Peres

Overview of Ashbury Heights of Jefferson City

Located in the heart of Missouri, Ashbury Heights exudes excellence in residential care, redefining the notion of comfort and well-being. The dedicated and professional staff form a tight-knit community that truly feels like home for every resident. Within these welcoming walls, an array of carefully curated services awaits, painting a picture of unparalleled comfort.

Savor the delight of savory meal services that cater to discerning tastes, while the meticulous housekeeping and laundry services attend to every detail. The administration of medications is seamlessly handled by certified staff available around the clock, ensuring peace of mind. Each resident enjoys the sanctuary of a private room with an attached bath, offering a personal retreat within the warm embrace of Ashbury Heights. Beyond the exceptional care, this community extends a helping hand with financial assistance, making quality residential care an attainable reality.

Contact Ashbury Heights of Jefferson City

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.