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Best Assisted Living in Missouri

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
We analyzed 523 homes in Missouri

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

Explore home photos

Video Tour: Top-rated Assisted Living facilities in Missouri.

Watch this Video to see Missouri's Top-rated Senior Communities
Other Senior care options:

Compare Assisted Living around Missouri

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The Manor at Elfindale
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).

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.

Springfield (Fassnight)
100
No
51
Private Rooms
Vsl Springfield Manor Llc
34
A+
Benton House of Tiffany Springs
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).

Kansas City (Coves North)
80
Yes
58
Studio / 1 Bed
Tiffany Slp, Llc
-
-
Cedarhurst of Farmington
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).

Farmington
84
Yes
16
Studio / 1 Bed / 2 Bed
Cedarhurst Of Farmington Operator, Llc
-
-
Cedarhurst of Blue Springs
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.

Blue Springs
89
Yes
11
Studio / 1 Bed / 2 Bed
Cedarhurst Of Blue Springs Operator, Llc
-
-
Tiffany Springs 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 (Coves North)
97
Yes
30
1 Bed / 2 Bed
Tiffany Springs Senior Care Community, Llc
-
-
Carnegie Village
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.

Belton
85
No
55
Studio / 1 Bed
Carnegie Village Senior Living Community Llc
-
-
The Boulevard Senior Living of Saint Peters
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.

St Peters
74
Yes
48
-
St Peters Senior Housing Propco Kp6 Llc
-
-
Benton House of Raymore
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).

Raymore
95
Yes
19
Studio / 1 Bed
Raymore Slp, Llc
-
-
Cedarhurst 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.

Des Peres
76
No
28
-
Ch West County Management Mo, Llc
-
-
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
No
56
Unit Type
Vb Ballwin Sh, Llc
48
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
147
Yes
50
Studio / 1 Bed / 2 Bed
Sjv 1 Des Peres Opco Llc
45
A-
The Grand Royale
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).

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.

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.

Gladstone
105
Yes
63
Private Rooms / Semi-Private Rooms
Ggcc, Llc
-
-
The Westbury 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.

Columbia
72
Yes
27
Studio / 1 Bed
Columbia Senior Living, Llc
-
-
Benton House of Blue Springs
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.

Blue Springs
95
No
5
Studio / 1 Bed
Centerpoint Slp, Llc
-
-
Sunterra Springs 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).

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.

N

Nursing

Independence
38
No
30
-
Sunterra Independence Oc, Llc
-
-
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View all Nearby Homes
Ellisville Rehabilitation and Nursing is a skilled nursing facility located in Ellisville, MO. It offers long-term care, short-term rehabilitation, and memory support in a warm, home-like environment. The facility is known for its high standards of resident satisfaction and quality care.
Overview of Ellisville Rehabilitation and Nursing
Ellisville Rehabilitation and Nursing is a skilled nursing facility located in Ellisville, MO. It offers long-term care, short-term rehabilitation, and memory support in a warm, home-like environment. The facility is known for its high standards of resident satisfaction and quality care.

Contact Ellisville Rehabilitation and Nursing

Autumn Ridge Residences

300 AUTUMN RIDGE DR, HERCULANEUM, MO 63048-1506
Autumn Ridge Residences is a senior living community located in Herculaneum, Missouri. It offers independent living and residential care services, providing a carefree lifestyle for seniors. The community features a variety of activities and amenities to enhance the quality of life for its residents.
Overview of Autumn Ridge Residences
Autumn Ridge Residences is a senior living community located in Herculaneum, Missouri. It offers independent living and residential care services, providing a carefree lifestyle for seniors. The community features a variety of activities and amenities to enhance the quality of life for its residents.

Contact Autumn Ridge Residences

St Agnes Home

10341 MANCHESTER RD, KIRKWOOD, MO 63122-1520
St. Agnes Home is a senior living community in Kirkwood, MO. It offers assisted living, enhanced care, and a care center for seniors. The facility emphasizes a spiritual dimension and provides a variety of activities and services to support residents' well-being.
Overview of St Agnes Home
St. Agnes Home is a senior living community in Kirkwood, MO. It offers assisted living, enhanced care, and a care center for seniors. The facility emphasizes a spiritual dimension and provides a variety of activities and services to support residents' well-being.

Contact St Agnes Home

StoneBridge De Soto is a senior living community located in De Soto, Missouri. It offers a range of lifestyle choices including Assisted Living, Rehabilitation, and Skilled Nursing Care. The community is dedicated to providing personalized care and a vibrant living environment for its residents.
Overview of Stonebridge Desoto
StoneBridge De Soto is a senior living community located in De Soto, Missouri. It offers a range of lifestyle choices including Assisted Living, Rehabilitation, and Skilled Nursing Care. The community is dedicated to providing personalized care and a vibrant living environment for its residents.

Contact Stonebridge Desoto

Ignite Medical Resort St Peters

5101 EXECUTIVE CENTRE PARKWAY, SAINT PETERS, MO 63376-3463
Ignite Medical Resort St Peters is a luxury rehabilitation facility located in St. Peters, MO. It offers advanced physical therapy and rehabilitation services in a resort-style environment. The facility features private rooms, a full-service spa, and a restaurant with chef-driven cuisine.
Overview of Ignite Medical Resort St Peters
Ignite Medical Resort St Peters is a luxury rehabilitation facility located in St. Peters, MO. It offers advanced physical therapy and rehabilitation services in a resort-style environment. The facility features private rooms, a full-service spa, and a restaurant with chef-driven cuisine.

Contact Ignite Medical Resort St Peters

Harton Senior Living is a retirement community located in Warrenton, MO, just outside of St. Charles County. It offers personalized senior care in a homelike setting, focusing on the individual needs of each resident. The facility aims to provide a supportive environment that encourages independence and socialization.
Overview of Harton Senior Living
Harton Senior Living is a retirement community located in Warrenton, MO, just outside of St. Charles County. It offers personalized senior care in a homelike setting, focusing on the individual needs of each resident. The facility aims to provide a supportive environment that encourages independence and socialization.

Contact Harton Senior Living

Medicalodges Nevada is a skilled nursing and rehabilitation community serving the short-term and long-term care needs of residents of Nevada, Missouri and surrounding communities. The highly skilled staff assist residents in achieving their highest possible level of physical, emotional, and social well-being. Medicalodges Nevada is uniquely 100% employee owned, ensuring a personal investment in quality care.
Overview of Medicalodges Nevada
Medicalodges Nevada is a skilled nursing and rehabilitation community serving the short-term and long-term care needs of residents of Nevada, Missouri and surrounding communities. The highly skilled staff assist residents in achieving their highest possible level of physical, emotional, and social well-being. Medicalodges Nevada is uniquely 100% employee owned, ensuring a personal investment in quality care.

Contact Medicalodges Nevada

Advance Assisted Living is dedicated to enhancing the quality of life for its residents. The facility focuses on providing a supportive and caring environment. More information about specific services and programs is available on the website.
Overview of Advance Assisted Living
Advance Assisted Living is dedicated to enhancing the quality of life for its residents. The facility focuses on providing a supportive and caring environment. More information about specific services and programs is available on the website.

Contact Advance Assisted Living

Central Gardens INC is a senior residential care facility in Dexter, Missouri. It offers various services including nursing and activity programs. The facility is dedicated to providing quality care for its residents.
Overview of Central Gardens INC
Central Gardens INC is a senior residential care facility in Dexter, Missouri. It offers various services including nursing and activity programs. The facility is dedicated to providing quality care for its residents.

Contact Central Gardens Inc

Big Bend Retreat is a nursing home located in Slater, MO. It offers personalized care, adult daycare, and respite care services. The facility provides a comfortable environment with home-style meals and activities for residents.
Overview of Big Bend Retreat
Big Bend Retreat is a nursing home located in Slater, MO. It offers personalized care, adult daycare, and respite care services. The facility provides a comfortable environment with home-style meals and activities for residents.

Contact Big Bend Retreat

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence. Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.

An additional 45% of the score comes from a combination of transparency and operational quality signals, including:

  • Photos, videos, and virtual tours (visual transparency)
  • Website quality and digital trust indicators
  • Occupancy levels and number of units (community scale & stability)

These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.

Balancing Additional Factors

The final 15% of the score comes from supportive context data, including: walkability and local accessibility, estimated property value, and pricing information.

These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.

The result is a fair, clear, and data-driven ranking system for families researching senior living options.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.