Best Assisted Living in Missouri

Independence Court is a 75-bed residential care facility at 121 Independence Drive, Perryville, Perry County, Missouri, operated by Independence Health System, Inc under the administration of Dana Korando. The facility provides memory care, rehabilitation services, and skilled care. It maintains 24-hour staffing and operates continuously. The neighborhood is moderately walkable with a walk score of 69.

The facility has received CMS 5-Star Facility recognition, indicating superior quality performance according to Centers for Medicare and Medicaid Services rating criteria.

The facility indicates 24-hour staffing is maintained.

Rehabilitation services and skilled care are referenced. Religious services and ombudsman services are available.

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 residential care facilities. This unusually sparse inspection history requires explanation.

Before considering placement, families should request staffing documentation, memory care protocols, current licensing records, and clarification of the CMS 5-Star rating basis.

Shepherd’s View Assisted Living is a 39-bed assisted living facility at 100 Shepherds Lane, Alton, Missouri, operated by Shepherd’s View, Inc, and administrated by Jennifer Antel. The community provides 24-hour non-medical care, including meals, assistance with daily living activities, and transportation arrangements for residents in a moderately sized setting.

What makes this facility difficult to evaluate is the absence of publicly disclosed operational and regulatory data. Staffing composition (RN, LPN, CNA hours, including weekend coverage), current occupancy and census, quality outcome measures like hospitalizations and emergency department visit rates, CMS performance ratings, and detailed inspection history with deficiency and citation records are unavailable. This transparency gap is significant and means families cannot conduct an independent, data-informed comparison.

The facility offers rehabilitation services and designates itself as a residential care community. Amenities include kitchenettes in resident units, a beauty salon, and a shared dining room. Activities programming features crafts and exercise. The walk score of 35 reflects somewhat walkable surroundings, though residents will need transportation for most outings.

Alton’s proximity to regional healthcare resources and the facility’s own transportation arrangements are relevant considerations for families evaluating placement.

Missouri’s financial assistance landscape is robust. Residents may qualify for the Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, or Veterans Aid and Attendance. The facility accepts these programs, though specific pricing and cost-sharing details are not publicly listed.

The lack of disclosed staffing, quality metrics, and inspection records means families must obtain this information directly to evaluate whether Shepherd’s View is appropriate for their loved one.

Families should contact the facility and request staffing details, license status and expiration, inspection records, quality metrics, and staff credential verification.

Gran Villas Neosho is a 30-bed residential care facility at 420 Lyon Drive, Neosho, Missouri, operated by Medicalodges, Inc., and administrated by Carman Williams. The facility distinguishes itself as 100% employee-owned, an unusual structure that theoretically aligns staff incentives with quality outcomes and resident care. The community serves short-term and long-term residential care needs for residents in Neosho and surrounding areas.

The employee ownership model is the facility’s most distinctive feature. Beyond this structural difference, publicly available operational data are sparse. This absence of data makes independent evaluation difficult for families considering placement.

The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, suggesting either a recent opening or limited survey activity relative to similar Missouri residential care facilities. Without access to the complete inspection record, families cannot assess the facility’s regulatory history or identify any substantive compliance issues.

The walk score of 55 reflects moderately walkable surroundings; residents can accomplish some errands on foot, though most daily trips will require transportation.

Missouri offers multiple payment assistance pathways for qualifying residents, including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance. Gran Villas Neosho accepts these programs; however, specific pricing and cost-sharing details are not publicly available.

Families should contact Gran Villas Neosho to verify staffing credentials, occupancy, licensing, inspection records; and the zero-inspection finding warrants clarification.

Beehive Homes of Grain Valley is a 32-bed assisted living and memory care community in Grain Valley, Jackson County, Missouri, operated by Blue Maple LLC with Cal Hutson as administrator. The facility provides memory care and assisted living services emphasizing personalized care in a home-like setting.

The community maintains 24-hour staffing alongside rehabilitation services, respite care, and short-term rehabilitation options. Emergency call systems and safety features are standard. Amenities include home-cooked, dietitian-approved meals, daily housekeeping and laundry services, telephone access, public WiFi, bed linens and towels, and life enrichment activities in smoke-free units.

Monthly pricing ranges from $5,900 to $7,800 depending on the level of care and floor plan selected.

The facility is located in a moderately walkable area (walk score 57) where some errands can be accomplished on foot.

Families should ask about quality measures, occupancy, memory care training certifications, and the facility’s programs for residents transitioning between assisted living and memory care levels.

Seneca Healthcare Center LLC is a 30-bed residential care facility at 2400 South Cherokee Avenue, Seneca, Missouri, operated by Seneca Healthcare Center LLC and administrated by Ms. Debra Williams. The facility provides skilled nursing care and rehabilitation services and maintains Joint Commission accreditation, a significant credential indicating compliance with national standards for healthcare quality and safety.

Twenty-four-hour staffing is available, and meals are prepared by a Registered Dietician. The facility accepts both Medicare and Medicaid, broadening payment options for qualifying residents. Beyond these operational details, publicly available data are limited. The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri residential care facilities.

Without access to the complete inspection record and detailed staffing breakdown, independent evaluation of operational performance is not possible. The zero-inspection finding requires clarification regarding facility age, census history, and regulatory standing before placement.

The walk score of 50 reflects moderately walkable surroundings, though most residents will need transportation for daily needs.

Operating hours are Monday through Sunday, 8:00 AM to 8:00 PM.

Missouri residents may access multiple payment assistance programs, including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance. The facility accepts these programs; however, pricing and cost-sharing details are not publicly listed.

Families should request staffing details, occupancy status, license expiration, inspection records, any deficiencies and citations, quality metrics, and staff credentials and training.

Monroe Manor is a 119-bed skilled nursing facility at 200 South Street in Paris, Monroe County, Missouri, administered by Shari Embree and operated by Monroe County Nursing Home District. Established in 1973, it serves Medicare, Medicaid, and private-pay residents,
primarily short-term rehabilitation cases averaging 173 days in length.

Registered nurse time averages only 14 minutes per resident per day, 50% below Missouri’s standard of 28 minutes. Weekend RN coverage drops to 7 minutes per day (65% below the 20-minute state average). Licensed Practical Nurse coverage is at 47 minutes per day, 15% above state average, and Certified Nursing Aide hours match state benchmarks at 2 hours 21 minutes daily. Combined weekend nursing totals 2 hours 30 minutes per day, 18% below Missouri’s state average of 3 hours 3 minutes.

Long-stay residents experience 2.70 hospitalizations per 1,000 days (30% worse than the state average of 2.08 per 1,000). Short-stay ED visits occur in 19.3% of admissions, 44% worse than the state average of 13.4%. Falls with major injury among short-stay residents hit 1.6%, double the state average of 0.8%. High-risk residents with pressure ulcers represent 21.2% of the population, a striking 323% above Missouri’s 5.0% benchmark.

Incontinence management also lags, with 21.4% of low-risk residents experiencing bowel or bladder incontinence (18% worse than state). Pneumococcal vaccination rates (100% of long-stay residents) and depressive symptom identification (0.4%, 97% better than state) represent preventive care and emotional wellness support.

Occupancy stands at 59.5%, below the Missouri average of 66.6%, with a current census of 73 residents in a 119-bed facility. The facility reported a $5.8 million annual operating deficit of $379,000 (negative profit margin of 6.8%), though payroll consumes 79% of revenue.

A complaint investigation completed January 14, 2025 documented a critical infection control failure. Prior regulatory activity includes a November 12, 2024 complaint investigation citing care planning and resident rights deficiencies; a March 14, 2024 standard health inspection identifying deficiencies in catheter justification documentation and pharmacist consultation response requirements; and inspections in April 2022 and March 2019 on record. Across five inspections over the past six years, Monroe Manor accumulated 13 total citations (1 serious, 12 moderate, 0 critical), a rate of 2.6 citations per inspection compared to the Missouri average of 5.67. The facility incurred a single federal civil money penalty of $35,000 in March 2024 and faced no payment denial actions.

The facility provides a Skilled Care Cottage, rehabilitation services, active resident council, and on-site nurse aide training. Private bedrooms, full bathrooms, zero-entry showers, a sun porch, and spa room are available.

Medicare, Medicaid, and private-pay coverage are accepted.

CMS ratings stand at 3/5 overall (14.1% above Missouri average), 2/5 for health inspection (37.9% above state average), 3/5 for staffing (7.4% below state average), and 1/5 for quality measures (64.2% below state average).

Families evaluating Monroe Manor should press for details regarding staffing protocols specifically for behavioral residents, infection control procedures, and preventive care management.

Lee’s Summit Place is a 60-bed skilled nursing facility in Lee’s Summit, Jackson County, Missouri, operated by 3rd Street Healthcare LLC with Amy Bax as administrator. The facility provides skilled nursing care and rehabilitation services, accepting Medicare and private pay residents.

Staffing shows mixed metrics. Registered nurse coverage is 41 minutes/day, 46% above the average of 28 minutes/day, with weekend RN hours at 33 minutes/day (65% above the average of 20 minutes/day). However, total adjusted nursing care is only 2 hours 9 minutes/day; 43% below the average of 3 hours 48 minutes/day; ranking the facility 229th of 239 Missouri skilled nursing facilities. Licensed practical nurse hours are 29 minutes/day (29% below average), and certified nurse aide hours are 1 hour 53 minutes/day (19% below average).

Weekend total nursing is 2 hours 44 minutes/day, 10% below the average of 3 hours 3 minutes/day. Physical therapist hours are 5 minutes/day (150% above average).

Quality measures reveal concerns. Long-stay pressure ulcer rates are 5.8% of high-risk residents, 15% worse than average. Depressive symptoms affect 66.7% of long-stay residents, 419% worse than the average of 12.8%. Short-stay rehospitalization is 32.2% (27% worse than average), and emergency department visits for short-stay residents are 15.8% (18% worse than average).

Functional outcomes show strengths: high-risk clinical events score is 6.0 (45% better than average), and functional decline is 11.5 (41% better than average).

Occupancy is 80% (48 of 60 beds), above the Missouri average of 66.6%. Current resident payer mix is 12.5% Medicare, 70.8% Medicaid, and 16.7% private pay. The facility generated $3.0 million in gross revenue with a $131.4 thousand operating loss; payroll represents $1.1 million, or 37.7% of revenue. Walk score is 85.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections for all long-term care providers. Lee’s Summit Place received four inspections since 2022, with 29 total deficiencies (below the average of 35) but at a higher rate per inspection (7.3 deficiencies per inspection versus the average of 5). The April 7, 2025 routine inspection identified four deficiencies: failure to ensure medications were administered as ordered (one resident received Lorazepam Intensol without a physician’s order), inadequate pressure ulcer care for two residents with wounds untreated for 18 days, failure to assess and educate on self-catheterization, and inaccurate controlled substance documentation and disposal.

A concurrent complaint investigation substantiated deficiencies in pressure injury care, confirming delays in wound assessment and treatment spanning 18 days. Inspection history since 2022 shows recurring deficiencies in quality of life and clinical care (27%), infection control (17%), medication management (10%), and pharmacy services (10%). A May 2023 investigation identified failures in timely payment to vendors providing utilities and essential services.

The record demonstrates no clear improvement trend.

No civil money penalties, immediate jeopardy findings, or license actions have been reported in the past three years.

Families should request corrective action plans addressing April 2025 deficiencies, particularly pressure ulcer assessment and treatment protocols, medication administration procedures, and infection control retraining completion.

Bertrand Nursing and Rehab Center is a 60-bed skilled nursing facility at 603 West Highway 62 in Bertrand, Mississippi County, Missouri, administrated by Don Chance and privately operated. Established to focus on short-term rehabilitation and long-term care, it serves Medicare, Medicaid, and private-pay residents with an average census of 47 beds (79% occupancy) and typical stay of 185 days.

All 60 clinical and support staff are direct employees with zero contractor hours. Registered nurse time averages 24 minutes/resident/day, substantially above Missouri benchmarks. Licensed Practical Nurses contribute approximately 45 minutes daily. Certified Nursing Aides provide 2 hours 30 minutes/day, bringing total nursing care to 3 hours 39 minutes/day (just below the average of 3 hours 48 minutes).

Weekend total nursing reaches 2 hours 53 minutes/day, only 4% below Missouri’s average.

Long-stay residents show exceptional outcomes in preventing decline: functional decline scores stand at 14.1 (28% better than state average), need for increased assistance affects 14.0% (29% better than state), walking ability decline impacts 17.2% (16% better than state), and falls with major injury occur in 3.2% (22% better than state). Pressure ulcer prevention is also strong at 4.5% of high-risk residents affected (10% better than average). Conversely, weight loss in long-stay residents reaches 13.4%, more than double the average of 5.6%. Urinary tract infections occur in 3.9% of residents (44% worse than average of 2.7%).

Short-stay residents show a concerning 4.3% initiation rate for antipsychotic medications (94% worse than average of 2.2%). Vaccination rates are strong: influenza vaccination reaches 100% of long-stay residents (10% better than state), and pneumococcal coverage stands at 83.1% (near average).

Occupancy of 79% places the facility above the Missouri average of 66.6%. The facility carries payroll at 47.3% of revenue, below the 60-71% benchmark for well-operated facilities.

Regulatory compliance shows a clean recent record with no complaint investigations, enforcement actions, or penalties in the past three years. Three standard health inspections since April 2023 identified 10 total moderate citations with zero critical and zero serious violations. The most recent July 25, 2025 inspection cited deficiencies in psychotropic medication documentation, mobility rail maintenance inspections, infection control procedures during wound care, and bed equipment maintenance. All findings were classified as minimal harm or potential for actual harm affecting few residents.

Citations per inspection average 3.33, substantially better than Missouri’s average of 5.67, ranking Bertrand 31st among 261 Missouri nursing homes.

Bertrand offers short-term rehabilitation, palliative care, physical and speech therapy, occupational therapy, respiratory therapy, and dental services. An on-site nurse aide training program and active resident council support engagement. Religious services are available.

Medicare acceptance (70% of admissions), Medicaid coverage (8%), and private-pay options (21%) provide payer flexibility.

CMS assigned a 5/5 overall rating (90.1% above Missouri average), 5/5 for health inspection (72.4% above average), 5/5 for staffing (38.9% above average), and 2/5 for quality measures (28.3% below average).

Families should ask about corrective actions taken following the July 2025 medication documentation and infection control findings before placement.

Rock Island Village is a 70-bed assisted living facility at 619 East 8th Street, Eldon, Missouri, operated by Missouri Healthcare Network, LLC and administrated by Kaslyn Marriott. The facility specializes in assisted living and memory care services, with emphasis on personalized care in a supportive environment.

The community offers apartment-style units and memory care programming, and differentiated care for residents with cognitive decline. The walk score of 66 reflects moderately walkable surroundings; residents can accomplish some errands on foot, though most daily needs will require transportation. The facility is situated at the city center, providing immediate access to local amenities and services.

Beyond basic operational structure, publicly available data are sparse. This absence of operational transparency makes independent evaluation difficult for families considering placement.

The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri assisted living facilities. Without access to the complete inspection record and detailed staffing breakdown, families cannot assess regulatory history or identify any substantive compliance issues. The zero-inspection finding requires clarification regarding the facility’s age, licensure status, and operational standing before consideration for placement.

Missouri residents may access multiple payment assistance programs, including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance. The facility accepts these programs; however, pricing and cost-sharing details are not publicly listed.

Families should ask about memory care programming and staffing credentials and training details, occupancy, licensing, inspections, and quality metrics from Rock Island Village.

Rockhill Manor Assisted Living is a 154-bed assisted living community in Kansas City, Jackson County, Missouri, operated by Rockhill Manor, Inc., with Ryan Hovendick as administrator. The facility provides supported housing and comprehensive mental health services for adults with documented chronic mental illness diagnoses. Admission requires a mental illness diagnosis.

The facility maintains 24-hour staffing and security with protective oversight. Medical services include a physician on staff alongside access to nurse practitioners, psychiatrists, psychologists, podiatrists, and optometrists. Onsite x-ray and laboratory services are available. The facility accepts Medicaid and Medicare.

Services include assistance with activities of daily living, routine nursing care and supervision, three meals per day plus an evening snack, medication administration, monitoring, housekeeping, and linen service. Transportation to medical appointments is provided. A resident advocate is assigned to each resident. The facility operates a computer lab and provides regularly scheduled daily activities.

Specific programs include pharmacy services and an academy program. Additional services include rehabilitation services and respite care.

The facility is located in a highly walkable area with a walk score of 94, classified as a walker’s paradise where daily errands do not require a car.

Request detailed information on staffing breakdown and hours per resident per day by licensed and unlicensed personnel, current occupancy and average resident census, quality outcome data, specific mental health and behavioral health training for all staff, and protocols for transitions in resident care level before enrollment.