Best Assisted Living in Missouri

Overview of Ignite Medical Resort St Peters

Ignite Medical Resort St. Peters is a 91-bed skilled nursing facility at 5101 Executive Centre Parkway, Saint Peters, St. Charles County, Missouri, operated by Ignite St. Peters LLC under the administration of Andrew Lane.

The facility accepts both Medicaid and Medicare, maintains 24-hour staffing, and positions itself as a luxury rehabilitation center with private rooms, a full-service spa, Starbucks café, on-site restaurant with chef-prepared cuisine, on-site chapel, and concierge services. The walk score is 45, indicating somewhat walkable location where a few services are reachable on foot but most trips require transportation.

The facility’s CMS Certification Number and Missouri License Number both display as “0” in available records. Before considering admission, families must verify directly with the Centers for Medicare & Medicaid Services and Missouri Department of Health and Senior Services that the facility holds current and valid Medicare and Medicaid certifications. This verification step is essential.

Ignite Medical Resort specializes in orthopedic rehabilitation, stroke recovery, cardiac care, pulmonary rehabilitation, infection management, and renal disease treatment including in-house dialysis. These specialized programs indicate clinical capacity to manage complex medical conditions and post-acute rehabilitation needs. Without benchmarked staffing information and quality data, families cannot independently assess whether the facility’s clinical resources adequately support the specialized rehabilitation services offered or how the facility’s outcomes compare to peer institutions.

The facility emphasizes lifestyle and recreational elements alongside medical care, with dining options including outdoor courtyard patio and fire pit settings. Religious services are provided.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits. The facility reports no federal penalties in the past three years, which is a positive indicator of regulatory compliance during that period.

Families should verify current Medicare-Medicaid certifications, and request staffing hours per resident per day, CMS ratings, and quality outcome measures for specialized programs

Overview of Harton Senior Living

Harton Senior Living is a 36-bed residential care facility at 1054 South Highway 47, Warrenton, Warren County, Missouri, administered by Miranda Pottebaum and operated by Harlynn, Inc. The facility carries a clean inspection record with zero reported deficiencies or violations, a result that exceeds the Missouri state average of seven routine and focused inspections. No citations, penalties, fines, or enforcement actions appear in state or federal records.

The facility is located at or near Warrenton’s city center in a moderately walkable area with a Walk Score of 56. As a residential care facility rather than a skilled nursing facility, it provides assistance with daily activities in a congregate setting. This classification subjects it to different state regulatory oversight and inspection frequency than nursing homes.

Families evaluating Harton Senior Living should contact the facility directly to verify staff qualifications, resident services, care protocols, and any specialized programming before placement.

Overview of Medicalodges Nevada

Medicalodges Nevada is a 100-bed skilled nursing facility at 1210 West Ashland Street, Nevada, Missouri, Vernon County. Kayla Shuey is the administrator; Medicalodges, Inc., operates the facility under the ownership of Susan Houser. The facility is 100% employee-owned and primarily serves short-stay rehabilitation residents, though it also accepts long-term private pay and Medicaid admissions.

The facility carries a 2-star CMS overall rating. Health Inspection performance is 24% below Missouri average, and Staffing is 31% below state average. Quality Measures, however, are rated 85.2% above state average. Current occupancy is 39.8%, with 45 residents occupying 100 beds and an average stay of 188 days, indicating a predominantly short-stay rehabilitation model.

Financially, the facility is operating at a loss of $533.3 thousand against $3.2 million in revenue, a margin of -16.9%, with payroll consuming 63.5% of gross revenue.

Nursing staffing is a mixed picture. Weekend RN coverage is actually 5% above state average at 21 minutes per resident per day, and LPN staffing is a genuine strength at 1 hour 3 minutes per day (54% above state average of 41 minutes). Certified Nursing Aides average 2 hours 50 minutes per resident per day, 22% above state average. Total nursing care reaches 5 hours 10 minutes per resident per day, 36% above state average.

However, weekday RN hours are 26 minutes per resident per day, 7% below state average of 28 minutes. Weekend nursing total of 3 hours 32 minutes per day runs 16% above state average, suggesting weekend staffing is actually adequate despite concerns about daytime RN presence.

Quality outcomes reveal conflicting patterns. Long-stay residents experience hospitalizations at 1.96 per 1,000 days (6% better than state) and emergency department visits at 1.24 per 1,000 days (47% better than state)—notably low. Yet walking ability declined in 25.7% of long-stay residents, 25% worse than state average. Weight loss affects 8.9% (60% worse than state average of 5.6%), pressure ulcers occur in 6.1% of high-risk residents (21% worse than state), and bowel or bladder incontinence affects 22.1% of low-risk residents (22% worse than state).

On the positive side, depressive symptoms appear in only 5.9% (54% better than state), urinary tract infections are 1.4% (50% better than state), and falls with major injury are 2.0% (51% better than state). Vaccination rates are 86.9% for pneumococcal and 92.5% for influenza, both in line with state benchmarks.

Inspections from August 2019 through August 2025 include eight health surveys and complaint investigations with 27 total citations, all of moderate severity, and zero critical or serious citations. This is 3.38 citations per inspection versus Missouri average of 5.67 (41% better). However, the inspection record reveals a recurring pattern of deficiencies across multiple years. August 2019 found inadequate activities programming and improper side rail assessments.

June 2022 cited infection control gaps and staffing documentation. June 2024 health inspection identified 16 deficiencies covering medication management, pharmacy oversight, nursing documentation, and administrator licensing. A concurrent complaint investigation the same month cited 8 additional deficiencies. Subsequent complaint investigations in September 2023, December 2024, April 2025, and August 2025 repeatedly address administrator licensing compliance and infection prevention.

The administrator’s license expired and was not renewed in a timely manner, constituting a governance failure that has triggered multiple complaint reviews.

The facility’s low occupancy (39.8%) and operating loss of $533.3 thousand suggest financial strain, though payroll as a percentage of revenue is reasonable at 63.5%. The facility is moderately walkable (Walk Score 59) and offers Medicare rehabilitation, Medicaid long-term care, and private pay services with access to Missouri financial assistance programs.

Families evaluating Medicalodges Nevada should ask directly about corrective actions taken following the April 2025 infection control citation and verify current administrator license status.

Advance Assisted Living is a 44-bed assisted living facility at 252 Payton Place in Advance, Stoddard County, Missouri, administered by Debbie Newman and operated by Advance Missouri Health Care, LLC. The facility maintains a clean regulatory record with zero citations. Advance Assisted Living operates as an assisted living facility offering assistance with daily activities in a congregate living setting rather than skilled nursing or intensive medical care.

The facility is located at or near Advance’s city center in a somewhat walkable area with a Walk Score of 49, allowing residents to accomplish some nearby errands on foot, though most activities require transportation.

Families evaluating Advance Assisted Living should contact the facility to request information regarding staffing levels and qualifications, care services, amenity offerings, and payment types accepted before enrollment.

Central Gardens INC is an 83-bed residential care facility at 302 North Elm Street, Dexter, Stoddard County, Missouri. Kimberley Polen administers the facility, operated by Central Gardens, Inc.

The facility maintains a clean inspection record with zero reported state inspections and zero documented deficiencies or violations. No citations, penalties, or enforcement actions appear in available records. This aligns with typical regulatory patterns for residential care facilities under Missouri state oversight.

No state or federal operational data is available regarding staff-to-resident ratios, nursing certifications, occupancy rates, or resident census. Amenities, specialized services, and activity offerings are not detailed in available sources.

The facility operates as a residential care facility rather than a skilled nursing facility, providing residential care and assistance with daily living activities in a congregate setting. It is located at or near Dexter city center in a moderately walkable area with Walk Score 55. Located within the larger city center, some errands are walkable while others require transportation.

The facility has disclosed minimal information about operational structure or service offerings. Families evaluating Central Gardens INC should contact the facility directly to request details about staffing levels and credentials, nursing program scope, care services, activity programming, and payment types accepted.

Overview of Big Bend Retreat

Big Bend Retreat is a 10-bed intermediate care facility at 620 North Emmerson, Slater, Saline County, Missouri. Emily Hahn administers the facility, operated by Big Bend Retreat, Inc. The facility emphasizes personalized care in a small, intimate residential setting.

The facility maintains a clean inspection record with zero reported state inspections and zero documented deficiencies or violations. No citations, penalties, or enforcement actions appear in state records. This aligns with typical regulatory patterns for very small rural intermediate care facilities.

Big Bend Retreat provides 24-hour staffing with residential care, adult daycare, and respite care services. Home-style meals are prepared daily for residents. No state or federal operational data is available regarding staff-to-resident ratios, occupancy rates, or clinical outcomes. Administrative hours are listed as Monday through Friday 8:00 AM to 4:00 PM, though 24-hour staffing is claimed.

As an intermediate care facility, Big Bend Retreat operates under a different regulatory framework than skilled nursing facilities, providing personalized residential care with supporting services for a small census. Located at or near Slater city center, the facility is in a low-walkability area with Walk Score 33. Most errands require transportation.

The facility’s small 10-bed capacity may allow for intimate staff-resident relationships. Services emphasize respite care and adult daycare flexibility for temporary or part-time stays.

Families evaluating Big Bend Retreat should contact directly for details about staffing credentials, admission requirements, care scope, and current availability.

Overview of Kingsland Walk Senior Living

Kingsland Walk Senior Living is a 70-bed assisted living facility with memory care at 868 Kingsland Avenue, University City, Saint Louis County, Missouri. Ms Cynthia Woods administers the facility, operated by Kingsland Walk Senior Living, LLC.

The facility maintains a clean inspection record with zero reported state inspections and zero documented deficiencies or violations. No citations, penalties, or enforcement actions appear in available records. Kingsland Walk earned recognition as 2022-23 Best Assisted Living by U.S. News and World Report, providing external quality validation.

The facility offers both assisted living and memory care tracks. Amenities include Kingsland Café for dining, housekeeping services, events and entertainment programming, personal care assistance, concierge service, transportation services, and designated community living spaces. The 70-bed capacity enables organized activity and social programming.

Located in University City with convenient access to dining and shopping, Kingsland Walk occupies a moderately walkable urban setting with Walk Score 67. Some errands are walkable; others require transportation. The location contrasts with rural and suburban assisted living facilities, positioning the community within a more established urban neighborhood with local services.

Families should request details regarding staff qualifications, memory care services, care protocols, activity programming, occupancy rates, and payment options and insurance acceptance.

Overview of Friendship Village Assisted Living & Memory Care

Friendship Village Assisted Living & Memory Care is an 84-bed community at 12777 Pointe Drive, Saint Louis County, Missouri, operated by Friendship Village of South County under the administration of Ms. Nicole Summers.

The facility provides assisted living, memory care, skilled nursing, and rehabilitation services in a continuum-of-care model, allowing residents to remain on campus as care needs evolve. The facility maintains 24-hour staffing, offers hospice services, and has a walk score of 0, reflecting extreme car-dependence with virtually no nearby walkable options.

The facility offers assisted living support for residents with activities-of-daily-living assistance, memory care programming for residents with dementia and cognitive decline, skilled nursing for post-acute care, and short-term rehabilitation services. Respite care is available.

Amenities include fitness areas, a private library, movie theater, secure community environment, spiritual activities, adventure opportunities, and religious services. The continuum-of-care model within a single campus facilitates level-of-care transitions without relocating residents.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits, making the facility accessible to residents with government assistance.

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable communities. This unusually sparse inspection history requires explanation. Current licensing status and any available regulatory documentation should be reviewed before placement.

Families should verify staffing credentials, CMS ratings, licenses and inspection reports from the Missouri Department of Health and Senior Services, and emergency response protocols.

Overview of Wexford Place Assisted Living and Memory Support by Senior Star

Wexford Place Assisted Living and Memory Support by Senior Star is a 98-bed senior living community at 6460 North Cosby Avenue, Kansas City, Platte County, Missouri, operated by Gemini KC Land, LLC under the administration of Donna Rohr. The facility provides independent living, assisted living, and memory care services. The neighborhood is exceptionally walkable with a walk score of 94, representing a walker’s paradise where daily errands do not require a car.

Dining is positioned as a central community offering. Meals are prepared daily in a restaurant-style setting by a long-tenured chef-led team. The facility indicates flexibility in dining accommodations to support resident preferences and dietary needs. Physical amenities include a salon and barber shop, outdoor spaces, and structured activities and engagement programming.

Respite care services are available. Pets are allowed.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.

The facility’s regulatory history shows zero total inspections recorded, compared to a Missouri state average of seven for comparable assisted living communities. This unusually sparse inspection history requires explanation.

Before considering placement, families should request staffing documentation, memory care protocols, and current licensing records from Missouri Department of Health and Senior Services.

Overview of Parc Provence

Parc Provence is a 140-bed skilled nursing facility specialized in memory care at 605 Coeur de Ville Drive, Creve Coeur, Saint Louis County, Missouri. RN Kathy Kelley administers the facility, operated by Parc Provence Management, LLC. Operating for more than 20 years, the facility serves residents with Alzheimer’s disease and other memory-related conditions.

The facility maintains a clean inspection record with zero documented deficiencies or violations. Parc Provence earned Headliner 2024 recognition as Best Memory Care for 2023-2024, providing external quality validation.

As a skilled nursing facility, the community maintains 24-hour staffing. The facility offers specialized programming for multiple dementia and cognitive conditions, including Alzheimer’s Disease Care, Dementia Care and Support, Frontotemporal Dementia Care, Lewy Body Dementia Care, Vascular Dementia Care, Parkinson’s Disease memory care, Mild Cognitive Impairment care, Creutzfeldt-Jakob Disease care, and Post-stroke Cognitive Care. This breadth of specialization indicates a multi-track approach to memory impairment across disease etiologies.

At 140 beds, Parc Provence is substantially larger than regional peer memory care communities, positioning it to manage multiple program tracks and care intensity levels within a single facility. The 20-year operating history indicates established management structure and market stability.

Located in suburban Saint Louis County with Walk Score 5, the facility is car-dependent. Most errands require a car; few nearby services are walkable.

Families should ask about staff-to-resident ratios, nursing hours per resident, therapeutic protocols for different dementia types, behavioral management training, occupancy, and payment and insurance options.