Page 4 of Best Assisted Living in Missouri

Why trust this guide? Our editorial team analyzed 261 assisted living communities in MO using MO Dept. of Health & Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MO
Reviewed by
Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every assisted living provider in Missouri.
261 homes
Other senior care options in Missouri:
Avg Monthly Cost: $5,469The average monthly cost across facilities in Missouri. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 46/ 100The average Walk Score across facilities in Missouri. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 96The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Missouri

Info below is compiled from the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
St Louis Hills Assisted Living and Memory Care
AL
MC
Saint Louis
181
Facility 181
MO AVG 96
Rank #25 / 450
Yes
92
Facility 92
MO AVG 46
Rank #23 / 545
ALF** (181)Auerbach-Stl Senior Opco, LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Joy Assisted Living for Seniors
AL
Springfield
74
Facility 74
MO AVG 96
Rank #282 / 450
No
94
Facility 94
MO AVG 46
Rank #5 / 545
Assisted Living Facility (74)Joyco Incorporated
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Fountains of West County Al, LLC the
AL
IL
MC
Ellisville
80
Facility 80
MO AVG 96
Rank #267 / 450
No
67
Facility 67
MO AVG 46
Rank #102 / 545
ALF** (80)Fountains Of West County Al, LLC (The)
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Independence Court
AL
IL
MC
NH
SNF
Perryville
208
Facility 208
MO AVG 96
Rank #12 / 450
No
69
Facility 69
MO AVG 46
Rank #87 / 545
Skilled Nursing Facility (133), Residential Care Facility (75)Independence Health System, Inc
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Brookdale Wornall Place
AL
IL
Kansas City (Country Lane Estates)
68
Facility 68
MO AVG 96
Rank #311 / 450
Yes
30
Facility 30
MO AVG 46
Rank #384 / 545
1 Bed / 2 BedBlc Kansas City-Gc, LLC
48
Facility 48
MO AVG 10
Rank #3 / 227
A+
Gasconade Manor Nursing Home
AL
HOS
NH
RC
SNF
Owensville
79
Facility 79
MO AVG 96
Rank #273 / 450
No
59
Facility 59
MO AVG 46
Rank #163 / 545
Skilled Nursing Facility (79)Gasconade Manor Nursing Home District
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Oakdale Care Center
AL
NH
RESC
SNF
Poplar Bluff
166
Facility 166
MO AVG 96
Rank #37 / 450
No
67
Facility 67
MO AVG 46
Rank #102 / 545
Skilled Nursing Facility (70), Residential Care Facility (36), Assisted Living Facility (60)Palladian Senior Care Of Poplar Bluff LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Armour Oaks Senior Living Community
AL
IL
NH
SNF
Kansas City (Waldo Homes)
38
Facility 38
MO AVG 96
Rank #420 / 450
Yes
73
Facility 73
MO AVG 46
Rank #70 / 545
Studio / 1 Bed / 2 Bed / 3 BedMo Women's Christian Assoc Of Kansas City
7
Facility 7
MO AVG 10
Rank #85 / 227
A+
Oak Ridge Assisted Living
AL
MC
Richmond
55
Facility 55
MO AVG 96
Rank #375 / 450
No
64
Facility 64
MO AVG 46
Rank #135 / 545
ALF** (55)Senior Citizens Nursing Home District Of Ray Co
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Morningside Center
AL
NH
SNF
Chillicothe
91
Facility 91
MO AVG 96
Rank #219 / 450
No
71
Facility 71
MO AVG 46
Rank #80 / 545
Skilled Nursing Facility (60), Assisted Living Facility (31)Livingston County Nursing Home District
1
Facility 1
MO AVG 10
Rank #116 / 227
-

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 261 on this page.

Rows per page:
View all Nearby Homes
1...345...26
Overview of The Castlewood Senior Living

Located in the charming family neighborhood in Nixa, Missouri, The Castlewood Senior Living is a pet-friendly senior living community that offers Independent Living, Assisted Living, and Memory Care. Live boldly with an extra hand to help you with various chores, including housekeeping, laundry, transportation, pet care, and maintenance. The community ensures its residents live comfortably with their wide array of cozy residences designed to accommodate seniors’ needs and tastes.

Proving its commitment to providing exceptional care and welcoming environment for senior living, the community has been recognized as Best Assisted Living community by the U.S. News and World Report. Living is more fun and engaging with plenty of interesting activities and enrichment programs conducted both on-site and off-site. With most of the chores handled, residents have more time to explore the community’s plethora of amenities, such as a swimming pool, fitness center, library, movie theater, and beautifully maintained grounds that are perfect for basking in the sun.

Contact The Castlewood Senior Living

Overview of St Louis Hills Assisted Living and Memory Care

St. Louis Hills Assisted Living and Memory Care is a 181-bed assisted living and memory care community at 6543 Chippewa Street, Saint Louis City, Saint Louis County, Missouri, operated by Auerbach-STL Senior Opco LLC under the administration of Thomas Nold. The facility maintains 24-hour staffing, offers both studio and one-bedroom floor plans, and serves residents in a highly walkable urban location with a walk score of 92. Assisted living care starts at $3,799 per month and memory care at $4,999 per month.

Pets are permitted.

Memory care services are a primary focus.

A chef prepares meals, with all-day dining available between 7 AM and 6 PM. Rehabilitation services are listed but without detail on protocols or staff qualifications.

Short-term stays and respite care are available, which can serve families needing temporary relief or residents in transition. Family resources and support groups are offered. The facility’s large capacity and floor plan options suggest diverse programming and activity opportunities typical of mid-to-large communities.

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

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

Families should request staffing ratios, memory care protocols, current licenses, and inspection records from Missouri Department of Health and Senior Services before admission.

Contact St Louis Hills Assisted Living and Memory Care

Overview of Joy Assisted Living for Seniors

Kathy McCrary serves as administrator for Joy Assisted Living for Seniors, a 74-bed community located at 2030 West Mount Vernon Street in Springfield, Missouri. Family-owned and operated by Joyco Incorporated since 1995, this Greene County facility emphasizes an affordable, home-style approach that balances baseline daily physical support with individual resident independence.

The residential model features a 24-hour on-duty care staff providing medication monitoring, dietary coordination, and localized assistance with personal hygiene routines. Accommodations span private suites along with shared floor plans built around a centralized indoor atrium and secured outdoor garden areas.

West Springfield’s area is highly car-dependent, meaning that most routine medical travel, off-campus family outings, and standard errands necessitate a short drive. Regular health and safety compliance reviews are overseen by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure, ensuring adherence to statewide long-term care operational standards.

Prospective families researching affordable regional care models can contact the Springfield business office to confirm active suite vacancies and current baseline pricing structures.

Contact Joy Assisted Living for Seniors

Overview of Fountains of West County Al, LLC The
The Fountains of West County offers Independent Living, Assisted Living, and Memory Care services. Located in Ellisville, Missouri, it provides a supportive community for seniors with various living arrangements. Residents can enjoy a range of amenities and activities designed to enhance their quality of life.

Contact Fountains of West County Al, LLC the

Independence Court

121 Independence Dr, Perryville, MO 63775-1496
Overview of Independence Court

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.

Contact Independence Court

Overview of Brookdale Wornall Place

Located in the heart of Kansas City, Missouri, Brookdale Wornall Place is an exceptional independent living facility that offers unparalleled services and meets assisted living guidelines. Positioned with strategic convenience, residents are just a short drive away from the St. Joseph Health Center and enjoy easy access to local shops and restaurants. With staff available 24 hours a day, peace of mind is guaranteed in this remarkable senior living community.

From the tranquil chapel to the serene courtyard and garden, every space is thoughtfully designed to foster a sense of peace and tranquility. Dive into the world of literature in the inviting library or stay active and fit in the well-equipped fitness center and pool. Unleash your creativity in the arts and crafts studio, or embark on leisurely walks along the scenic paths. Postal services ensure convenience and connectivity, bringing everything seniors need within their reach.

Contact Brookdale Wornall Place

Overview of Gasconade Manor Nursing Home

Located in Owensville, Missouri, Gasconade Manor Nursing Home is a skilled nursing facility operated by Gasconade Manor Nursing Home District and administered by Alexus Strothkamp. The home accepts Medicare, Medicaid, and private pay, offering multiple options for families to cover short-term rehabilitation and ongoing nursing care. The facility’s 79 private rooms have an occupancy rate of 77%. It serves rehabilitation residents and those who need longer-term care, and most stay for an average of 145 days.

Rehabilitation services and aquatic therapies are central parts of the home’s care program. It is paired with clinical support and lifestyle amenities that help residents through recovery and daily living. Daily nurse staffing averages 4 hours and 8 minutes per resident. Nurse aide support provides about 3 hours per day. This anchors hands-on personal care as a core part of the setting.

Aside from therapy spaces, residents have access to a pool and two outdoor courtyards. Several private rooms also include dine-in kitchenettes, so residents have more flexibility and independence when it comes to meals.

State inspections identified recurring issues related to operational compliance, including documentation practices, infection control protocols, medication management, and food safety procedures. These findings relate to the daily systems and operational processes. Families touring the home can observe how the home approaches these functions during their visit.

Owensville’s Walkability Score is 59 out of 100. Some nearby errands are within walking distance, while most outings require a short drive. Families nearby will find that the location offers convenient access to the home without being in a busier urban environment.

Contact Gasconade Manor Nursing Home

Overview of Oakdale Care Center

Oakdale Care Center is a newly opened residential nursing facility in Poplar Bluff, Missouri, operated by Palladian Senior Care. Owner Jeff Newman and administrator Misty Ulmer lead a community that serves a range of care needs, including assisted living, residential care, and therapy services. Medicare, Medicaid, and private pay are accepted, so families have multiple options to access care.

The 166-bed facility is built for scale to accommodate short-term rehabilitation residents and those seeking longer-term care. Most stay an average of 163 days. The community is moderately walkable, with a score of 67. Visiting families and residents can easily navigate nearby errands on foot.

Nursing and care staffing averages approximately 2 hours and 29 minutes of direct care per resident each day. Care is provided by registered nurses, licensed practical nurses, and nurse aides. This staffing structure supports residents with their routine care needs around the clock.

When the facility was inspected, inspectors identified issues related to medication management, infection control practices, and resident assessment procedures. These are common areas of focus for regulatory oversight. Residents and families evaluating the facility can take a tour and ask how the center addresses these protocols daily.

Oakdale is a newly opened facility, so it’s in its growth phase and building its resident base. Families visiting the facility should check the physical plant, meet staff, and understand how the center approaches care planning and daily operations in its early years.

Contact Oakdale Care Center

Overview of Armour Oaks Senior Living Community

At Armour Oaks Senior Living Community, inclusivity is at the heart of their values. They celebrate diversity and welcome individuals of all races, genders, abilities, and religious beliefs. Their commitment to inclusivity extends to every aspect of the home, from staff and residents to policies and practices. They offer services, such as assisted living, independent living, and nursing care. The accommodations are designed to suit different preferences, with one- to two-bedroom apartments and two to three bedroom townhomes for those who desire more space and independence. The home embraces diversity and is Medicaid accepted, ensuring seniors have access to the care they deserve.

The community lives by an all-inclusive space. They have complete utilities, allowing seniors to focus on spending their day how they like it. Common areas abound, including fitness rooms for staying active, verandas for taking in the beauty of nature, and party rooms for socializing and making cherished memories. In addition to the physical amenities, they also offer chaplain services, providing comfort, guidance, and support to seniors in their sunset years. Indeed, there is nothing better than living in a home that promotes inclusivity and diversity, and celebrates the unique qualities of every individual.

Contact Armour Oaks Senior Living Community

Overview of Oak Ridge Assisted Living

Oak Ridge Assisted Living is a 55-bed assisted living and memory care community at 403 Crispin Street, Richmond, Ray County, Missouri, operated by the Senior Citizens Nursing Home District of Ray County under the administration of Samanth Ralston. The facility maintains 24-hour staffing and operates continuously. Walk score is 64, indicating moderate walkability where some daily errands do not require a car.

The facility states that 24-hour staffing is maintained.

Memory care services are offered. Amenities and activity programming are referenced broadly as “Happenings at Oak Ridge,” though specific offerings, frequency, and programming content are not provided.

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

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

Families should request staffing documentation, memory care protocols, dining details, and current licensing records from Missouri Department of Health and Senior Services.

Contact Oak Ridge Assisted Living

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
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction
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 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 261 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.