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Compare Assisted Living around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| The Manor at Elfindale |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Springfield (Fassnight) | 100
Facility
100
MO AVG
97
Rank
#177 / 454 | No |
51
Facility
51
MO AVG
45
Rank
#241 / 563 | Private Rooms | Vsl Springfield Manor, LLC | 35
Facility
35
MO AVG
11
Rank
#17 / 209 | A+ |
| Sunrise of Des Peres |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 | Yes |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Studio / 1 Bed / 2 Bed | Sjv 1 Des Peres Opco, LLC | 18
Facility
18
MO AVG
11
Rank
#54 / 209 | A+ |
| Brookdale West County |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Ballwin | 98
Facility
98
MO AVG
97
Rank
#189 / 454 | No |
56
Facility
56
MO AVG
45
Rank
#181 / 563 | Unit Type | Vb Ballwin Sh, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 209 | A+ |
| The Madison Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Kansas City (Martin City) | 66
Facility
66
MO AVG
97
Rank
#320 / 454 | Yes |
32
Facility
32
MO AVG
45
Rank
#376 / 563 | Studio / 1 Bed | Swkc Senior Community LLC | 6
Facility
6
MO AVG
11
Rank
#89 / 209 | A+ |
| Brookdale Creve Coeur |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | St. Louis (New Ballas Place) | 46
Facility
46
MO AVG
97
Rank
#405 / 454 | Yes |
64
Facility
64
MO AVG
45
Rank
#135 / 563 | Studio / 1 Bed / 2 Bed | Brookdale Living Communities Of Missouri-Cc, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 209 | A+ |
| NorthPark Village Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Ozark | 52
Facility
52
MO AVG
97
Rank
#384 / 454 | Yes |
18
Facility
18
MO AVG
45
Rank
#460 / 563 | Studio / 1 Bed / 2 Bed | Ozark Residential, LLC | 42
Facility
42
MO AVG
11
Rank
#12 / 209 | - |
| Bradford Court |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ADC Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Nixa | 50
Facility
50
MO AVG
97
Rank
#390 / 454 | Yes |
65
Facility
65
MO AVG
45
Rank
#124 / 563 | Studio / 1 Bed | Nixa Residential, LLC | 23
Facility
23
MO AVG
11
Rank
#43 / 209 | A+ |
| Capetown Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Cape Girardeau | 53
Facility
53
MO AVG
97
Rank
#382 / 454 | Yes |
7
Facility
7
MO AVG
45
Rank
#518 / 563 | Studio / Suite / 2 Bed | Capetown Residential LLC | 17
Facility
17
MO AVG
11
Rank
#58 / 209 | A+ |
| Armour Oaks Senior Living Community |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 | Yes |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Studio / 1 Bed / 2 Bed / 3 Bed | Mo Women's Christian Assoc Of Kansas City | 7
Facility
7
MO AVG
11
Rank
#85 / 209 | A+ |
| Brookdale Wornall Place |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kansas City (Country Lane Estates) | 68
Facility
68
MO AVG
97
Rank
#314 / 454 | Yes |
30
Facility
30
MO AVG
45
Rank
#386 / 563 | 1 Bed / 2 Bed | Blc Kansas City-Gc, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 209 | A+ |
| New Perspective Senior Living | Weldon Spring |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 170
Facility
170
MO AVG
97
Rank
#35 / 454 | Yes |
13
Facility
13
MO AVG
45
Rank
#486 / 563 | Studio / 1 Bed / 2 Bed | Weldon Springs Ops LLC | 18
Facility
18
MO AVG
11
Rank
#54 / 209 | A+ |
| The Jefferson City Nursing and Rehabilitation Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Jefferson City | 120
Facility
120
MO AVG
97
Rank
#89 / 454 | No |
33
Facility
33
MO AVG
45
Rank
#369 / 563 | 1 Bed | - | 21
Facility
21
MO AVG
11
Rank
#51 / 209 | A+ |
| Ashland Villa |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ADC Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Ashland | 72
Facility
72
MO AVG
97
Rank
#293 / 454 | Yes |
42
Facility
42
MO AVG
45
Rank
#315 / 563 | Studio / Alcove / Suite | Ashland Villa, LLC | 27
Facility
27
MO AVG
11
Rank
#34 / 209 | A+ |
| Lakewood Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ADC Adult Day Care Structured weekday daytime programming for seniors who live at home but need supervision, health monitoring, or social engagement. More affordable than full residential care and a key resource for working family caregivers.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Springfield | 67
Facility
67
MO AVG
97
Rank
#317 / 454 | Yes |
44
Facility
44
MO AVG
45
Rank
#307 / 563 | Studio / 1 Bed | Lakewood Residential Care, LLC | 23
Facility
23
MO AVG
11
Rank
#43 / 209 | A+ |
| The Castlewood Senior Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Nixa | 66
Facility
66
MO AVG
97
Rank
#320 / 454 | Yes |
4
Facility
4
MO AVG
45
Rank
#530 / 563 | Studio / 1 Bed | Nixa Senior Community LLC | 11
Facility
11
MO AVG
11
Rank
#75 / 209 | A+ |
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Overview of Garden View Care Center of O’fallon
Garden View Care Center of O’Fallon is a nursing home in O’Fallon, MO, offering a wide range of care options, including memory care, hospice care, rehabilitation, respite care, and skilled nursing. Featuring hotel-like amenities in a supportive environment, the community ensures older adults can live the best of their later years comfortably. Chef-prepared meals, 24-hour care, housekeeping, and spa services are also provided, so residents have a maintenance-free lifestyle. The community also strives to provide the best possible care tailored to residents’ unique needs and preferences, ensuring they can recover with ease.
Gardening, book clubs, and pet therapy are just some of the activities that aim to help residents stay active and have fun. Peaceful outdoors and cozy common areas also ensure residents can rest and connect with their surroundings. Set along the highway in O’Fallon, the community guarantees accessibility and convenience. As one of the trusted options for senior living in Missouri, this nursing home provides exceptional standards of care to help older adults live to their potential.
Overview of Abbey Senior Health
Abbey Senior Health is a continuing care retirement community (CCRC) in O’Fallon, MO, offering independent living, assisted living, rehabilitation, and skilled nursing. With its nurturing and home-like environment, the community ensures older adults are well-cared for in retirement. Residents can also maintain their independence with ease, as exceptional services, including 24-hour care, well-balanced meals, and recreational opportunities, are provided. The community also works closely with residents to get to know their needs and habits, ensuring they can recover with ease.
Walking clubs, birthday parties, and art classes are just some of the activities that residents can participate in to stay active and maintain their holistic well-being. Lively gathering areas and accessible amenities ensure residents can rest and move around comfortably. With its ideal setting near restaurants, O’Fallon Municipal Center, and banks, residents have easy access to necessities and leisure. As one of the best choices for senior living in Missouri, this CCRC ensures older adults can age gracefully.
Camelot Nursing & Rehab Center is a highly rated nursing home in Farmington, MO, offering memory care, hospice care, rehabilitation, and skilled nursing. The community continuously promotes a supportive and welcoming environment dedicated to older adults’ comfort and healing. Residents also receive high-quality services, including nutritious meals, therapies, and 24-hour care, to help them focus on recovery and rehabilitation. Focusing on residents’ holistic wellness, personalized care plans are also provided.
Light exercises, social events, and recreational activities enhance residents’ living experiences and encourage them to stay active. State-of-the-art rehabilitation equipment and accessible rooms also ensure residents can rest without hassles. Residents also have quick access to their necessities and leisure, with restaurants, shops, and a pharmacy nearby. This nursing home strives to help older adults live to their potential, making it one of the trusted options for senior living in Missouri.
Delmar Gardens of Creve Coeur is an assisted living community in Saint Louis, MO, offering independent living and personal care. With its warm and welcoming environment, the community ensures older adults can feel at home during their stay. Residents can also maintain their independence with ease, with weekly housekeeping, maintenance services, and daily gourmet dining. The community also works closely with residents to provide high-quality care dedicated to their needs and habits.
Outings, fitness exercises, and themed events provide residents with more opportunities to interact with friends and gain meaningful experiences. Parking spaces and cozy living spaces ensure residents can rest without hassles. Residents also experience a stress-free retirement with its ideal location near Westgate Lake, restaurants, shops, and bus stops. This assisted living community is a good option for senior living in Missouri, especially with its high standards of care and clean setting.
Overview of Garden View Care Center of Chesterfield
Garden View Care Center of Chesterfield is a nursing home in Chesterfield, MO, offering comprehensive care options, including assisted living, memory care, respite care, hospice care, and skilled nursing. Promoting a nurturing and inviting environment, the community ensures older adults are well-cared for. Exceptional services, including 24-hour care, restaurant-style dining, and therapies, are also provided to improve residents’ quality of life. The community also develops individualized care plans to meet residents’ unique needs and preferences, ensuring they can recover with ease.
Arts and crafts, fitness programs, and events encourage residents to make friends and focus on their well-being. Raised garden beds and paved walking paths also ensure residents can relax and move around safely. Set in the tree-lined neighborhood of Chesterfield, near Faust Historic Village, the community guarantees accessibility. This nursing home has high standards of care and a clean setting, making it a great choice for senior living in Missouri.
Overview of Cedarhurst of Springfield
Cedarhurst of Springfield is a senior living community in Springfield, IL, offering independent living, assisted living, and memory care services. The community features all-day dining, engaging activities, and personalized care plans to enhance residents' quality of life. With a focus on comfort and community, Cedarhurst provides a welcoming environment for seniors.
Overview of The Wellington Senior Living
The Wellington Senior Living is a senior living community located in Liberty, Missouri. It offers independent living, assisted living, and memory care services. Residents enjoy a vibrant lifestyle with various amenities and activities.
Overview of Villas of Jackson LLC The
The Villas of Jackson LLC is an 84-bed assisted living community at 670 Broadridge Drive in Jackson, Cape Girardeau County, Missouri, operated by The Villas of Jackson LLC and administered by Carl Knott. The facility offers assisted living, independent living, and memory care services with 24-hour staffing, emergency call systems, and on-campus rehabilitation and respite care services.
The community’s physical environment includes private residences with multiple floor plan options, deluxe room layouts, and stylish furnishings. Common spaces encompass an enclosed courtyard, wellness and exercise room, library and computer room, and dining areas offering restaurant-style lunch and dinner service daily. A full-time activity director coordinates on-site and off-site activities and events. Utilities are included in all units, housekeeping is provided, and pets are permitted.
Local transportation is available for residents.
The walk score of 68 supports moderate local walkability, with reasonable access to nearby hospitals, pharmacies, shopping, and dining options. The facility’s location at the city center provides proximity to essential community services.
The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, maintains inspection records; families should request The Villas of Jackson LLC’s complete compliance history directly from the facility or the state licensing body.
Specific pricing information and current room availability require direct contact with the facility.
The facility’s amenity profile and activity programming suggest operational attention to daily lifestyle and social engagement.
Families should request information about staffing, inspection results, quality outcomes, pricing, and substantiated complaints or regulatory actions.
Overview of Preferred Family Healthcare, INC
Based at 900 East Laharpe in Kirksville, Adair County, Missouri, Preferred Family Healthcare Inc houses 57 residents and serves as one site within a multi-state healthcare organization operating nearly 100 locations. With more than 40 years in operation, the organization focuses on integrated care combining mental health, behavioral health, and addiction recovery services with residential support. Mr Walter (Vince) Winn directs operations at this location.
The service array distinguishes this facility from traditional senior living environments. Residents access addiction recovery programs, employment services, integrated health coordination, supported living arrangements, mental and behavioral health treatment, crisis response services, Dayspring Community Services, trauma-focused cognitive behavioral therapy, and Health Home Services. The residential care classification reflects this behavioral and mental health specialization rather than a medical or skilled nursing orientation.
Kirksville’s city center location yields a walk score of 77, making the facility very walkable. Most daily errands are feasible on foot, and essential services sit within short walking distance. Healthcare facilities, pharmacies, shops, restaurants, and banks cluster nearby without requiring vehicle transportation for routine needs.
The facility’s regulatory classification under the residential care framework differs substantially from traditional skilled nursing homes; this reflects service intensity rather than quality but does mean different state oversight mechanisms apply.
The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys. Direct inquiry with the facility or the state agency will yield compliance records.
Prospective residents should ask about specific programs, monthly costs and payment terms, and eligibility for state financial assistance based on income, age, and disability status.
Overview of Sunnyview Nursing Home & Apartments
Sunnyview Nursing Home & Apartments is a 28-bed skilled nursing facility in Trenton, Grundy County, Missouri, administrated by Penny Buswell and privately owned. The facility serves Medicare, Medicaid, and private-pay residents with an average length of stay of 341 days and current occupancy of 33.9%.
Sunnyview offers skilled nursing care, short-term rehabilitation, and therapeutic services including physical, occupational, and speech pathology. The facility maintains on-site nurse aide training, mental health services, and an active resident council.
Nursing staffing exceeds Missouri state benchmarks in most categories. Total nursing care averages 4 hours 28 minutes per resident per day, 18% above state average and ranking 47th among 276 Missouri facilities. Licensed Practical Nurse hours of 53 minutes per day exceed state average by 29%, and Certified Nursing Aide hours of 2 hours 52 minutes per day are 24% above benchmark. Registered nurse coverage of 21 minutes per day is 25% below state average, and weekend registered nurse presence of 12 minutes per day is 40% below benchmark.
Quality of care metrics reveal significant clinical challenges. Falls with major injury occur in 7.4% of long-stay residents, 84% worse than Missouri’s benchmark of 4.0%. Urinary tract infection rates of 5.9% are 115% worse than state average of 2.7%. Functional decline reaches 25.0, 29% worse than state average.
Walking ability decline affects 26.5% of residents, 28% worse than state average. Long-stay hospitalization rates of 3.26 per 1,000 days are 57% worse than state benchmark. Positive measures include pneumococcal vaccination at 99.4% and influenza vaccination at 97.8%, both significantly better than state.
Financial performance shows operational stress. The facility reported a $260,600 operating loss in fiscal 2024 against $5.2 million revenue. Payroll represents 76.8% of revenue, the 17th highest percentage statewide. Occupancy of 33.9% remains critically low.
Regulatory compliance reveals serious deficiencies. Nine inspections since 2019 identified 45 citations including 2 critical violations for abuse or neglect. Four complaint investigations between April 2023 and October 2025 documented critical failures.
April 2023 documented failure to timely report sexual abuse. A resident with Alzheimer’s disease and severe cognitive impairment reported he had been raped. August 2023 documented inappropriate sexual comments toward a resident with severe cognitive impairment. September 2024 identified environmental deficiencies.
September 2025 documented failure to update care plans following resident elopement.
October 2025 resulted in a critical citation for abuse or neglect, the facility’s second critical citation in six years. Federal penalties totaled $36,000, with $17,000 assessed in September 2025.
CMS ratings are 1/5 overall, 2/5 for health inspection, 5/5 for staffing, and 1/5 for quality measures.
Families should review the facility’s protocols for reporting abuse, environmental remediation, and fall and infection prevention measures before considering placement.
Ranking Methodology
How we rank these assisted living communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
Weighting overview
- 35%Resident Experience
- 25%Regulatory
- 15%Visual Media
- 10%Website
- 10%Stability
- 5%Environment
01
Resident & Family Experience 35%
The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.
- Includes
- Review Sentiment
- Review Volume
02
Regulatory & Safety Record 25%
State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.
- Includes
- State Inspections
- Citations/Inspection
- % Inspections w/ Citations
- Complaint Visits
- Accreditations
- BBB Rating
03
Visual Media & Transparency 15%
Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.
- Includes
- Video Tours
- Virtual Walkthroughs
- Photo Quantity
- Photo Quality
04
Website & Operator Transparency 10%
Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.
- Includes
- Website Content
- Mobile Usability
- Staff Info Available
- Owner Info Available
05
Community Stability 10%
Operational signals indicating whether a community is well-run and meeting demand.
- Includes
- Occupancy Rate
- Bed Options
06
Environment & Pricing 5%
Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.
- Includes
- Walk Score
- Pricing Transparency
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Frequently Asked Questions about Assisted Living in Missouri
What's the difference between assisted living and memory care in Missouri?
Assisted living in Missouri supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.
What's the difference between assisted living and a nursing home in Missouri?
Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Missouri Medicaid cover assisted living?
Missouri Medicaid does not directly pay room-and-board for assisted living, but most states (including Missouri) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.
What is assisted living?
Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.
How many assisted living facilities are listed on this page?
This page features 394 assisted living facilities in Missouri. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right assisted living facility in Missouri?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting assisted living facilities in Missouri?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
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