Page 2 of Best Assisted Living in Missouri

Why trust this guide? Our editorial team analyzed 261 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.
261 homes
Other senior care options in Missouri:
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: 46/ 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: 96The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90

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 to lowest based on our ranking 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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. 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.
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.
StoneBridge Senior Living Oak Tree
AL
MC
NH
Jefferson City
42
Facility 42
MO AVG 96
Rank #409 / 450
Yes
27
Facility 27
MO AVG 46
Rank #412 / 545
Studio / 1 Bed / 2 BedEldercare Of Mid-Missouri Viii, Inc--
Garden View Care Center at Dougherty Ferry
AL
HOS
MC
NH
RC
SNF
Valley Park
120
Facility 120
MO AVG 96
Rank #87 / 450
No
42
Facility 42
MO AVG 46
Rank #312 / 545
Skilled Nursing Facility (120)Garden View Care Center Of St Louis, Inc
1
Facility 1
MO AVG 10
Rank #115 / 226
-
Daybreak Nursing Center
AL
HOS
NH
PC
RC
SNF
Sikeston
70
Facility 70
MO AVG 96
Rank #302 / 450
No
73
Facility 73
MO AVG 46
Rank #70 / 545
Skilled Nursing Facility (70)Daybreak Nursing Center, LLC
4
Facility 4
MO AVG 10
Rank #93 / 226
A+
New Haven Care Center
AL
HOS
NH
RC
SNF
New Haven
106
Facility 106
MO AVG 96
Rank #160 / 450
No
31
Facility 31
MO AVG 46
Rank #381 / 545
Skilled Nursing Facility (90), Assisted Living Facility (16)New Haven Care Center, Inc
1
Facility 1
MO AVG 10
Rank #115 / 226
-
Spencer Place
AL
ADC
HC
HOS
RC
St Peters (Saint Peters)
74
Facility 74
MO AVG 96
Rank #282 / 450
Yes
44
Facility 44
MO AVG 46
Rank #304 / 545
Studio / 1 BedSt Peters Residential, LLC--
Medicalodges Butler
AL
ADC
HC
HOS
MC
NH
PC
RESC
RC
SNF
Nursery Butler
105
Facility 105
MO AVG 96
Rank #162 / 450
No
53
Facility 53
MO AVG 46
Rank #216 / 545
Skilled Nursing Facility (105)Medicalodges, Inc--
Elsberry Missouri Health Care Center
AL
NH
SNF
B Elsberry
68
Facility 68
MO AVG 96
Rank #311 / 450
No
47
Facility 47
MO AVG 46
Rank #274 / 545
Skilled Nursing Facility (56), ALF** (12)Elsberry Missouri Health Care Center, Inc
1
Facility 1
MO AVG 10
Rank #115 / 226
-
Gasconade Manor Nursing Home
AL
HOS
NH
RC
SNF
Owensville
79
Facility 79
MO AVG 96
Rank #273 / 450
No
59
Facility 59
MO AVG 46
Rank #163 / 545
Skilled Nursing Facility (79)Gasconade Manor Nursing Home District
1
Facility 1
MO AVG 10
Rank #115 / 226
-
McKnight Place
AL
MC
NH
SNF
St. Louis (University City)
-No
52
Facility 52
MO AVG 46
Rank #231 / 545
--
32
Facility 32
MO AVG 10
Rank #19 / 226
A+
Garden View Care Center of Chesterfield
AL
HOS
MC
NH
RC
SNF
Chesterfield (Lucas Pond)
52
Facility 52
MO AVG 96
Rank #380 / 450
No
19
Facility 19
MO AVG 46
Rank #453 / 545
Private / Shared Rooms---

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 261 on this page.

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Overview of StoneBridge Senior Living Oak Tree

Situated within the serene beauty of Jefferson City, StoneBridge Senior Living Oak Tree (Formerly Oak Tree – ALF) graces seven acres of picturesque land, offering a tranquil and welcoming community. Embracing an all-inclusive approach, this haven ensures worry-free living for residents through a dedicated and compassionate team. With personalized attention that comes from well-trained professionals, seniors are provided with exceptional care that caters to their unique needs.

The floorplans at StoneBridge Senior Living Oak Tree are designed to accommodate various preferences, offering studios as well as one and two-bedroom options. The community flourishes with vibrant outdoor spaces that blend seamlessly with cozy and inviting interiors, providing residents with places to unwind. Whether it’s the charming outdoor areas or the clean and comfortable living spaces, every corner fosters relaxation and enjoyment. The senior-friendly bathrooms and a variety of common areas further enhance the quality of life for residents, creating an environment that nourishes the soul.

Contact StoneBridge Senior Living Oak Tree

Maranatha Village, Inc

233 East Norton Rd, Springfield, MO 65803-3633
Overview of Maranatha Village
Maranatha Village is a retirement and assisted living campus located in Springfield, Missouri. It offers a range of services including independent living, assisted living, rehabilitation, and long-term care. The facility has been serving seniors since 1973.

Contact Maranatha Village, Inc

Overview of Garden View Care Center at Dougherty Ferry

The 120-bed nursing home at Garden View Care Center at Dougherty Ferry is located on Big Bend Road in Valley Park, Missouri, under owner Courtney Nieves and administrator Alisa Santangelo. Administrative staff process payments across several standard coverage programs, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility sits in a car-dependent layout where family members can walk to a few select spots but will generally find a vehicle practical for most errands.

Stays at this property average roughly 97 days, an operational timeline that reflects an everyday focus on temporary post-hospital therapy alongside conventional long-term residential placements. To oversee routine medical care and physical needs, the 24-hour staffing schedule organizes an average of seven hours of total nursing care per resident each day. This shared workload is split among registered nurses, licensed practical nurses, and nurse aides across all shifts.

Records from the Missouri Department of Health and Senior Services track the building’s historical regulatory performance. State compliance records confirm that the administrative team runs its daily operations and nursing documentation within regional guidelines, which keeps the home’s long-term cumulative citations-per-inspection rate at zero.

Prospective residents can access focused physical rehabilitation loops, temporary respite care, and a specialized Assisted Living Plus option. The everyday calendar coordinates these medical structures with restaurant-style dining selections tailored to standard therapeutic parameters.

Contact Garden View Care Center at Dougherty Ferry

Overview of Daybreak Nursing Center

Under Nancy Driskill’s administration and owned by Dalen Hutchinson, Daybreak Nursing Center is a skilled nursing home in Sikeston, Missouri. The home operated by Daybreak Nursing Center, Llc, accepts Medicare, Medicaid, and private pay, opening multiple pathways for short-term rehabilitation and ongoing nursing care. Found in a highly walkable neighborhood (Walk Score 73), the 70-bed facility on H Road is accessible on foot for daily errands, and visiting family will find the area easy to navigate. Operating for three years, it has a 94 percent occupancy rate and an average stay length of about 164 days. This reflects a mix of post-acute patients and occupants requiring longer-term skilled nursing care.

Staffing levels average 2 hours 52 minutes of total nursing care per resident day, with registered nurses providing 19 minutes daily, nurse aides 2 hours 7 minutes, and LPN/LVNs 39 minutes. That distribution of diligent and licensed support mirrors a resource-intensive approach to daily care delivery. The home serves an array of clinical needs spanning post-surgery care, hospital sitting, respite care, and daily assistance. Staff also provide companionship and nursing-assisted living services. Such programs make the community a practical choice for families needing short-term recovery support or longer-term skilled care for residents with complex medical needs.

Facility state inspections have focused on supervision protocols, medication management, environmental safety, food handling, and sanitation practices. Families touring may want to ask how the center works to uphold safety standards in these areas and what quality checks the team has implemented.

The neighborhood’s walkability and the mix of care options make Daybreak Nursing Center worth considering for people needing skilled nursing services in Sikeston.

Contact Daybreak Nursing Center

Overview of New Haven Care Center

New Haven Care Center is a nonprofit nursing home in New Haven, Missouri, with 106 beds. It is operated by New Haven Care Center, Inc., under administrator Charles Tritch. Community-owned and operating for more than 40 years, the facility provides long-term care, short-term rehabilitation, and outpatient rehabilitation to residents in Franklin County. It accepts Medicare, Medicaid, and private pay.

CMS gives the facility a 3-star overall rating. Nursing staffing averages 4 hours and 0 minutes per resident per day, modestly above Missouri’s average of 3 hours and 48 minutes, a meaningful margin for residents with daily care needs. Four of the facility’s six quality measures fall below state averages, a signal worth weighing for long-stay placements.

Since 2022, New Haven Care Center has undergone three inspections, averaging 5 deficiencies per year, close to Missouri’s average of 5.5, roughly in line with peers. The annual inspection in 2023 cited personal hygiene care, mechanical lift safety, and infection control. A March 2025 focused inspection later identified deficiencies in medication administration, including insulin handling and oxygen orders. Neither inspection resulted in fines or enforcement actions.

The facility’s programs include therapy services, pain management, podiatry, optometry, and dental services. It also operates its own hospice program, New Haven Hospice, and provides memory care and respite care, with 24-hour staffing.

New Haven Care Center suits residents seeking long-term skilled nursing or short-term post-acute rehabilitation in a community-based, nonprofit setting in Franklin County, particularly those who may need in-house hospice access and end-of-life care in the same facility.

Contact New Haven Care Center

Overview of Spencer Place

Refresh in the charming neighborhood of Spencer Road, Saint Peters, MO, with the venerable senior living community of Spencer Place Senior Living by Americare providing assisted living, adult day club, respite care, hospice care, and rehabilitation. Enjoy unmatched comfort and safety with meticulously designed and spacious residences in varied studio and one-bedroom floor plans. The community strives to provide a helping hand in daily chores and maintenance for seniors to optimize their freedom and lead meaningful lives.

The community promotes a lively and warm environment, paving the way for seniors to create lasting moments and interact with their surroundings. Focusing on seven dimensions of wellness, Spencer Place ensures residents receive holistic care and support. Eat well and feel great with delicious and healthy meals that cater to tastes and dietary needs. Spencer Place is a safe place for seniors aiming to make the most out of their best years.

Contact Spencer Place

Overview of Medicalodges Butler

Medicalodges Butler is a 105-bed skilled nursing facility at 103 East Nursery, Butler, Bates County, Missouri, operated by Medicalodges, Inc. and administered by Misty Brooks. The facility provides skilled nursing care, short-term rehabilitation, long-term care, and dementia and memory care services for Medicare and private-pay residents.

Emergency department visit rates stand at 36.2% of short-stay residents, 170% worse than the average of 13.4%. Falls with major injury during stay affect 2.5% of short-stay residents, 225% worse than the average of 0.8%. Re-hospitalization occurs in 28.8% of short-stay residents discharged, 14% worse than average. Ability to care for self at discharge is achieved in 42.9% of residents, 20% worse than the average of 53.7%.

Hospitalization rates are 1.69/1,000 resident days, 19% better than the Missouri average. Successful return to home or community for short-stay residents is 56.3%, 11% better than average.

Registered Nurses provide 36 minutes/resident/day, 29% above the Missouri average of 28 minutes, representing meaningful clinical strength. Licensed Practical Nurses provide 45 minutes/resident/day, 10% above average. Certified Nursing Aides provide 2 hours 27 minutes/resident/day, 6% above average. Total nursing care reaches 4 hours 19 minutes/resident/day, 14% above the average of 3 hours 48 minutes, ranking 60th among 256 Missouri facilities.

Weekend nursing maintains 3 hours 16 minutes/resident/day, 7% above average. Weekend RN coverage is 18 minutes/resident/day, 10% below the average of 20 minutes.

Long-stay falls with major injury occur in 7.8% of residents, 92% worse than the Missouri average of 4.0%. High-risk long-stay residents with pressure ulcers affect only 1.5%, 70% better than the average of 5.0%. Pneumococcal vaccination reaches 100% of long-stay residents, 17% better than average. Influenza vaccination reaches 96.8%, 7% better than average.

Long-stay emergency department visits are 2.01/1,000 resident days, 14% better than average.

Since 2019, the facility has received 4 health inspections from the Missouri Department of Health and Senior Services, Division of Regulation and Licensure with 12 total citations, substantially below the average of 36.5. All citations are moderate severity; the facility has zero critical or serious violations.

The July 2022 health inspection revealed deficiencies in food safety practices and water-borne pathogen prevention. The March 2024 health inspection cited nutrition, environmental, and resident rights issues. The June 2025 complaint investigation found a pharmacy citation. The trajectory of citations/inspection has remained low and stable.

CMS rates the facility 4 stars overall, placing it 52.1% above the Missouri average. Health Inspection is rated 4/5, 37.9% above average. Staffing is rated 4/5, 85.2% above average. Quality Measures are rated 2/5, 28.3% below average.

Occupancy is 66.3%, ranking 166th out of 262 Missouri facilities and slightly below average. Current census includes 54.3% Medicaid, 8.6% Medicare, and 37.1% private pay or other residents.

Average length of stay is 422 days.

No civil money penalties were reported in the past three years.

Medicalodges Butler offers 24-hour nursing staff, rehabilitation services, and on-site state-approved nurse aide training. Resident amenities include dining accommodations, activities programming, and an active resident council where residents meet regularly to discuss facility policies and quality of life.

Families enrolling short-stay residents for rehabilitation should request detailed explanations of the elevated emergency department visit rates and falls injury rates.

Contact Medicalodges Butler

Overview of Elsberry Missouri Health Care Center

Located on Highway B in Elsberry, Missouri, Elsberry Missouri Health Care Center offers dual-licensed accommodations managed by administrator Christina Kuntz. Financial setups are clear through typical payment channels like Medicare, Medicaid, and private funds. With a neighborhood walkability score of 47 out of 100, the immediate area is only somewhat friendly to pedestrians, meaning family members will generally want a car to get around and run errands during visits.

Beds at the campus stay about 79 percent full, with people staying an average of 282 days. This operational track shows that the daily routine divides its time between short-term medical rehab following hospital visits and permanent residential placement. Registered nurses, practical nurses, and aides split standard daily clinical workflows, combining to provide an average of 3 hours and 30 minutes of direct hands-on nursing care per resident each day.

Oversight files from the Missouri Department of Health and Senior Services track how the building handles regulatory protocols over time. Recent evaluation sweeps noted that staff needed to make procedural adjustments regarding general care records, basic infection prevention steps, medication logging systems, and employee training profiles, which keeps the total citation rate above zero.

Families can explore the combined assisted living layout and skilled medical nursing wings to see how daily routines adjust across different care brackets. The property features a communal activity center for social events, along with routine housekeeping, laundry help, and freshly prepared daily meals managed by the building staff.

Contact Elsberry Missouri Health Care Center

Overview of Gasconade Manor Nursing Home

Located in Owensville, Missouri, Gasconade Manor Nursing Home is a skilled nursing facility operated by Gasconade Manor Nursing Home District and administered by Alexus Strothkamp. The home accepts Medicare, Medicaid, and private pay, offering multiple options for families to cover short-term rehabilitation and ongoing nursing care. The facility’s 79 private rooms have an occupancy rate of 77%. It serves rehabilitation residents and those who need longer-term care, and most stay for an average of 145 days.

Rehabilitation services and aquatic therapies are central parts of the home’s care program. It is paired with clinical support and lifestyle amenities that help residents through recovery and daily living. Daily nurse staffing averages 4 hours and 8 minutes per resident. Nurse aide support provides about 3 hours per day. This anchors hands-on personal care as a core part of the setting.

Aside from therapy spaces, residents have access to a pool and two outdoor courtyards. Several private rooms also include dine-in kitchenettes, so residents have more flexibility and independence when it comes to meals.

State inspections identified recurring issues related to operational compliance, including documentation practices, infection control protocols, medication management, and food safety procedures. These findings relate to the daily systems and operational processes. Families touring the home can observe how the home approaches these functions during their visit.

Owensville’s Walkability Score is 59 out of 100. Some nearby errands are within walking distance, while most outings require a short drive. Families nearby will find that the location offers convenient access to the home without being in a busier urban environment.

Contact Gasconade Manor Nursing Home

Overview of McKnight Place

McKnight Place in St. Louis, Missouri is a wonderful place for seniors to call home. In this community, you can experience a life free of worries about daily upkeep and maintenance. The community offers a variety of on-site care services including assisted living, memory care, skilled nursing, and short-term rehabilitation. Moreover, the community has a team of compassionate and skilled physical therapists, occupational therapists, and wellness coordinators who work closely with residents to enhance mobility, boost independence, and promote a fulfilling and joyful lifestyle.         
With weekly housekeeping, laundry services, and transportation, residents can enjoy their golden years with ease. The community’s outdoor courtyard and garden provide a peaceful space to relax, and the on-site salon and barbershop help residents look and feel their best. At McKnight Place, seniors can enjoy independence and a strong sense of community, knowing that their well-being is a top priority. It’s the perfect place for seniors to thrive and make the most of every day. In this home, residents can achieve a vibrant quality of life and enjoy the freedom to pursue their passions and interests without any hindrance.

Contact McKnight Place

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.
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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 261 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.