Best Assisted Living in Missouri

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.

Joy Assisted Living for Seniors is a 74-bed assisted living facility in Springfield, Greene County, Missouri, family-owned and operated since 1995 by Joyco, Inc. Ms. Kathy McCrary serves as administrator. The facility provides personalized support for seniors with an emphasis on independence and happiness.

The community is located in downtown Springfield with a walk score of 94, indicating a walker’s paradise where daily errands do not require a car.

The facility does not accept Medicare and does not allow pets.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections for all long-term care providers in Missouri. Access to this information is foundational for assessing safety, accountability, and management competence.

Prospective residents and families should acquire detailed information on staffing, occupancy, quality outcome metrics, pricing, and the facility’s inspection and compliance record.

Benton House of Staley Hills is an 80-bed assisted living community at 11071 Maplewoods Parkway in Kansas City, Clay County, Missouri, operated by Staley SLP LLC and administered by Alyssa Gaudreau. The facility offers both assisted living and memory care with 24-hour staffing of licensed nurses and certified nursing assistants.

Location and walkability represent significant community assets. The walk score of 94 designates the facility as a walker’s paradise, where daily errands require no car and extensive shops and services are immediately accessible. Residents have proximity to hospitals, pharmacies, dining establishments, shopping, and recreational amenities within the Downtown Kansas City neighborhood. This urban positioning suits residents who value walkable, service-rich environments and proximity to healthcare facilities.

Dining includes full breakfast, lunch, and dinner service with varied menus prepared using fresh ingredients and multiple daily options. The facility provides respite care and a Help at Home program. Pets are not permitted on campus.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, maintains inspection records; families should request Benton House of Staley Hills’ complete compliance history directly from the facility or the state licensing body.

The facility’s exceptional walk score and urban location provide immediate practical advantages for residents seeking walkable neighborhoods with extensive local amenities and healthcare access.

Families should request information about staffing model and ratios, recent inspection results, quality outcome data, and any substantiated complaints or regulatory actions.

Crown Rehab and Healthcare Center is a 118-bed skilled nursing facility at 3001 East Elm in Harrisonville, Cass County, Missouri, operated by Crown Operator LLC and administered by Kayla Merriman. The facility accepts Medicare and Medicaid and provides 24-hour nursing with rehabilitation, dental, podiatry, optometry, audiology, wound care, and on-site counseling services.

Long-stay hospitalizations of 2.63 per 1,000 days run 26% worse than the Missouri average of 2.08. Long-stay ED visits at 3.09 per 1,000 days are 31% worse than the state benchmark of 2.35. Short-stay metrics show similarly elevated patterns: re-hospitalization at 29.7% (17% worse than state average 25.3%) and discharge functional ability at 37.7% (30% worse than state average 53.7%).

Registered Nurse coverage at 25 minutes daily runs 11% below the state average of 28 minutes. Licensed Practical Nurse hours at 44 minutes per day exceed the state average of 41 minutes by 7%. Certified Nurse Aide staffing at 2 hours 7 minutes per day falls 9% below the state benchmark of 2 hours 19 minutes. Weekend total nursing is 2 hours 58 minutes per day, 3% below the state average of 3 hours 3 minutes.

Weekend RN coverage is adequately maintained at 21 minutes per day, 5% above the state average of 20 minutes. Physical Therapy hours match the state average at 2 minutes per resident per day.

Falls with major injury occur at 1.0% of short-stay residents, 25% worse than the Missouri average of 0.8%. Successful return to home or community stands at 48.5%, in line with the state average of 50.6%.

The facility maintains a walk score of 53, supporting moderate local walkability.

Full-service dining provides nutritionally balanced breakfast, lunch, and dinner with individual dietary monitoring.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys; families should request Crown Rehab and Healthcare Center’s complete inspection record, deficiency history, and citation details directly from the facility or the state licensing authority.

The elevated long-stay hospitalization and ED visit rates paired with poor short-stay discharge functional ability outcomes warrant specific questions about care protocols, clinical assessment practices, and rehabilitation programming.

Families should ask about quality measure performance, weekend staffing protocols, inspection findings, and plans to address discharge functional ability gaps before admission.

Newbridge Retirement Community is a 94-bed assisted living facility at 1205 S Mount Auburn Road in Cape Girardeau, Cape Girardeau County, Missouri, operated by Armour Management LLC and administered by Ashley Heisserer-Wheeler. The facility serves residents aged 65 and older and offers independent living, assisted living, and memory care with named programs including Life at Newbridge, dedicated floorplans, and a Waterside program.

The community describes itself as resort-style senior living with luxury amenities. However, the walk score of 8 signals a significant location limitation: the facility is car-dependent, with most daily errands requiring transportation and limited nearby walkable options. Located approximately 1.9 miles from Cape Girardeau’s city center, the facility would suit residents who maintain personal transportation or rely on family or paid assistance for community access.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, maintains comprehensive inspection records; families should request Newbridge Retirement Community’s complete compliance history directly from the facility or the state licensing body.

Families should request information about staffing, inspection results, quality outcomes, amenities and pricing, and substantiated complaints or regulatory actions.

Ava Place is a 40-bed residential care community at 1101 Lyle Street in Ava, Douglas County, Missouri, administered by Shelly Stout under the operator Ava No 2, Inc. The facility provides person-centered care with 24-hour staffing, a registered nurse on site, and assistance with daily living activities.

The community centers on home-style meals and daily routines. Residents have access to housekeeping, laundry, weekly beauty salon service, and home health support. The walk score of 55 reflects moderate local walkability, with hospitals, pharmacies, and dining options within reasonable distance.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys for all long-term care providers in the state; however, Ava Place’s inspection record cannot be reviewed without direct contact with the facility or the state licensing body.

A registered doctor is listed as being on staff.

Multiple Missouri state financial assistance programs serve residents aged 65 and older or those meeting disability criteria, including Medicaid waivers, supplemental nursing care coverage, and veteran benefits.

Families interested in placement should contact Ava Place directly to discuss current census, private pay rates, insurance acceptance, and eligibility for state assistance programs.

Annie’s House INC operates as a 40-bed residential care facility in Marble Hill, Bollinger County, Missouri, serving residents ages 21 and older with mental and physical disabilities. Andrea Cook administers the community under Annie’s House INC ownership. The facility accepts both male and female residents and coordinates weekly outings and volunteer-based activity programming.

As a residential care setting rather than a traditional assisted living or skilled nursing facility, Annie’s House operates under distinct regulatory oversight. Prospective residents must demonstrate income from Social Security, SSI, or equivalent sources and maintain active insurance coverage at admission. Pets reside on the premises.

The facility’s rural location and walk score of 34 mean that access to hospitals, shopping, dining, and banking depends on external transportation or family assistance. Few local services are reachable by foot.

The facility’s designation as residential care, rather than skilled nursing, reflects a less intensive licensing category, though this distinction does not necessarily indicate lower quality; it reflects the intensity of medical services provided.

To assess regulatory compliance, families should contact the Missouri Department of Health and Senior Services, Division of Regulation and Licensure, directly or request records from the facility itself.

The facility’s admission requirements of demonstrated income and active insurance establish a baseline standard but provide limited transparency into actual monthly costs or financial assistance options beyond state programs.

The rural setting and non-disclosure of operational, staffing, and compliance data present significant evaluation challenges.

Families should ask about insurance coverage eligibility, staffing model and resident supervision, recent inspections, transportation availability, and pricing and any additional fees.

Hubble Creek is a 32-bed skilled nursing facility at 1115 K Land Drive in Jackson, Cape Girardeau County, Missouri, operated by Hubble Creek LLC and administered by Brock Thornsbrough. The facility is certified for Medicare and Medicaid and provides skilled nursing care for both long-stay and short-stay residents.

Registered Nurse coverage at 8 minutes daily is drastically below the Missouri average of 28 minutes, representing a 71% reduction in RN hours. Licensed Practical Nurse staffing at 25 minutes per day falls 39% below the state benchmark of 41 minutes. Certified Nurse Aide hours total 2 hours 4 minutes per day, 11% below the state average. Weekend coverage deteriorates sharply: total nursing hours drop 30% below state average to 2 hours 9 minutes daily, and weekend RN coverage collapses to 5 minutes per day, a 75% reduction from the state average of 20 minutes.

Long-stay residents experience hospitalization rates of 2.89 per 1,000 days, 39% worse than the Missouri average of 2.08. Long-stay ED visits of 2.14 per 1,000 days run 9% better than the state average of 2.35. Short-stay outcomes show strength in some areas and weakness in others. Falls with major injury stand at 0.0%, substantially better than the state average of 0.8%.

Discharge functional ability of 69.6% at or above expected self-care capacity exceeds the state average of 53.7% by 30%. Successful return to home or community is 43.3%, 14% worse than the state average of 50.6%.

The walk score of 68 reflects moderate local walkability with reasonable access to hospitals, pharmacies, dining, shopping, and banking facilities. The facility’s location at Jackson’s city center provides convenient proximity to essential community services.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys; families should request Hubble Creek’s complete inspection record, deficiency history, and citation details directly from the facility or the state licensing authority.

The facility’s small 32-bed census and severely compromised staffing, particularly weekend RN coverage, warrant careful direct questioning about clinical protocols, medication management oversight, and weekend emergency response procedures.

Families should request justification for reduced RN coverage, recent inspection findings, quality measure performance context, and plans to address acute hospitalization rates before admission.

The Timbers Assisted Living is a 100-bed assisted living community at 239 Karen Drive in Holts Summit, Callaway County, Missouri, operated by The Timbers Assisted Living LLC and administered by Ryan Drewel. The facility provides assisted living services with on-site nursing, rehabilitation services, and structured dining and activity programming.

The community offers restaurant-style dining with fresh daily specials, salon services, an outpatient rehabilitation program, a billiards room, and organized resident activities. Environmental services support daily operations and facility maintenance.

Location presents a significant practical constraint. The walk score of 14 designates the facility as car-dependent, where most daily errands require personal transportation or family assistance. Situated approximately 91.7 miles from the city center, the facility reflects a rural positioning with limited nearby walkable options. Residents would require external transportation or family support to access hospitals, pharmacies, shopping, dining, and banking facilities.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, maintains inspection records; families should request The Timbers Assisted Living’s complete compliance history directly from the facility or the state licensing body.

The facility’s car-dependent rural location suits residents with consistent family transportation support or those who maintain personal vehicles.

Families should request information about staffing, recent inspections, quality outcomes, pricing, transportation services, and any substantiated complaints or regulatory actions.

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

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

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

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

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

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

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

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

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

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

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

Average length of stay is 422 days.

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

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

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