Other senior care options in Missouri:

Best Assisted Living in Missouri

Why trust this guide? Our editorial team analyzed 285 assisted living communities in Missouri using Missouri Dept. of Health and Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MO
Reviewed by
Last updated
Jul 2026
We analyzed
285 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: 45/ 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: 97The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

Brookdale Creve Coeur
AL
IL
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 BedBrookdale Living Communities Of Missouri-Cc, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
Brookdale Wornall Place
AL
IL
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 BedBlc Kansas City-Gc, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
Brookdale West County
AL
IL
MC
NH
SNF
Ballwin
98
Facility 98
MO AVG 97
Rank #189 / 454
No
56
Facility 56
MO AVG 45
Rank #181 / 563
Unit TypeVb Ballwin Sh, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
The Manor at Elfindale
AL
NH
Springfield (Fassnight)
100
Facility 100
MO AVG 97
Rank #177 / 454
No
51
Facility 51
MO AVG 45
Rank #241 / 563
Private RoomsVsl Springfield Manor, LLC
35
Facility 35
MO AVG 11
Rank #17 / 209
A+
The Madison Senior Living
AL
IL
MC
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 BedSwkc Senior Community LLC
6
Facility 6
MO AVG 11
Rank #89 / 209
A+
Bradford Court
AL
ADC
HOS
RC
Nixa
50
Facility 50
MO AVG 97
Rank #390 / 454
Yes
65
Facility 65
MO AVG 45
Rank #124 / 563
Studio / 1 BedNixa Residential, LLC
23
Facility 23
MO AVG 11
Rank #43 / 209
A+
Gardens Senior Living Community
AL
IL
MC
Springfield (Mark Twain)
148
Facility 148
MO AVG 97
Rank #59 / 454
Yes
47
Facility 47
MO AVG 45
Rank #275 / 563
Studio / 1 Bed / 2 BedBslc II
30
Facility 30
MO AVG 11
Rank #24 / 209
A+
Breeze Park – Lutheran Senior Services
AL
IL
MC
NH
Weldon Spring
50
Facility 50
MO AVG 97
Rank #390 / 454
No
2
Facility 2
MO AVG 45
Rank #545 / 563
1 Bed / 2 Bed-
18
Facility 18
MO AVG 11
Rank #54 / 209
A+
Capetown Senior Living
AL
ADC
HC
HOS
IL
MC
RC
Cape Girardeau
53
Facility 53
MO AVG 97
Rank #382 / 454
Yes
7
Facility 7
MO AVG 45
Rank #518 / 563
Studio / Suite / 2 BedCapetown Residential LLC
17
Facility 17
MO AVG 11
Rank #58 / 209
A+
New Perspective Senior Living | Weldon Spring
AL
IL
MC
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 BedWeldon Springs Ops LLC
18
Facility 18
MO AVG 11
Rank #54 / 209
A+
NorthPark Village Senior Living
AL
ADC
HOS
IL
RC
Ozark
52
Facility 52
MO AVG 97
Rank #384 / 454
Yes
18
Facility 18
MO AVG 45
Rank #460 / 563
Studio / 1 Bed / 2 BedOzark Residential, LLC
42
Facility 42
MO AVG 11
Rank #12 / 209
-
The Jefferson City Nursing and Rehabilitation Center
AL
NH
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+
Lakewood Senior Living
AL
ADC
HC
HOS
MC
RC
Springfield
67
Facility 67
MO AVG 97
Rank #317 / 454
Yes
44
Facility 44
MO AVG 45
Rank #307 / 563
Studio / 1 BedLakewood Residential Care, LLC
24
Facility 24
MO AVG 11
Rank #43 / 209
A+
The Castlewood Senior Living
AL
IL
MC
Nixa
66
Facility 66
MO AVG 97
Rank #320 / 454
Yes
4
Facility 4
MO AVG 45
Rank #530 / 563
Studio / 1 BedNixa Senior Community LLC
11
Facility 11
MO AVG 11
Rank #75 / 209
A+
Armour Oaks Senior Living Community
AL
IL
NH
SNF
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 BedMo Women's Christian Assoc Of Kansas City
7
Facility 7
MO AVG 11
Rank #85 / 209
A+
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Overview of The Fremont Senior Living

Fremont Senior Living offers seniors the opportunity to bask in the bliss of home ownership, without the burden of responsibilities. With a dedication to providing an extension of the home, the community boasts an unwavering commitment to helping every resident achieve their goals, whether they be in independent living, assisted living, or memory care. They feature spacious 1, 2, and 3-bedroom homes, thoughtfully designed to offer a tranquil and welcoming ambiance. Residents can take advantage of housekeeping services, transportation, and the ever-helpful concierge.

The home also offers an array of activities, from invigorating exercise classes to delightful shopping excursions, all of which promote a sense of vitality and purpose. The amenities include private dining, inviting lounges, a fully stocked library, a crafting center, and a 24-hour bistro, among other offerings. Dining at the Winfrey Restaurant is an experience unto itself, with daily specials and an impressive range of mouth-watering delicacies. With an unmatched level of service, top-tier amenities, and a steadfast dedication to compassionate care, Fremont Senior Living is a haven of serenity, where seniors can revel in the beauty of worry-free living. 

Contact The Fremont Senior Living

Overview of Smiley Manor

Smiley Manor occupies a residential address at 5415 Thekla Ave in St. Louis, Missouri, 5.3 miles from the city center. The community is a 20-bed residential care facility offering assisted living, residential care, and respite care, administered by Naton Smith under Smiley Manor, LLC. It has operated for 14 years. The neighborhood sits at a Walk Score of 49, so most outings require a car or arranged transport.

Occupancy is 18 of 20 beds, a 90% fill rate. For a 20-bed community, that’s a meaningful signal of consistent local demand.

Licensed nurses and CNAs staff the building around the clock. Included services cover meals, medication management, housekeeping, and laundry. A physician visits monthly on-site, and the community arranges transportation to residents’ preferred doctors as needed. Shopping trips are available, and residents who want to attend church on Sundays have transportation arranged for that too.

Two details stand out as genuinely distinctive. First, personal interpreters for Swahili and Sign Language are available, which is a concrete, practical support for residents and families who use either of those languages. Second, the community operates Medical and Psychiatric programs, which suggests a capacity to support residents with more complex or behavioral health needs alongside standard assisted living care.

Short-term respite placement is also offered for families managing a transition or caregiver break.

Smiley Manor is a small, consistently occupied residential care setting in St. Louis with staffed medical support, language accessibility, and a scope of services that extends to behavioral health, suited to older adults who need attentive daily care in an intimate environment.

Contact Smiley Manor

Overview of Good Shepherd Care Community

Experience a worry-free retirement at Good Shepherd Care Community, a distinguished community in Concordia, MO, offering independent living, assisted living, memory care, and short- and long-term care. A compassionate and well-trained team provides the highest quality of care tailored to their unique needs to ensure their comfort and safety. Residents can keep their peace of mind with housekeeping and other services.

Promoting an active and vibrant lifestyle, a thoughtfully curated calendar of fun recreational activities and enriching programs is conducted. Delectable and healthy meals are also served to satisfy residents’ dietary needs and preferences. Music and pet therapy are also provided to improve residents’ living experiences. With its comprehensive care options and extensive amenities, residents can live to their potential in their golden years.

Contact Good Shepherd Care Community

Overview of The Haven

Situated just over a mile from downtown Kennett, The Haven operates as a 64-bed assisted living facility at 614 South Bypass in Dunklin County, Missouri. The community is operated by Crosstree Healthcare LLC with Ms. Tracy G Cole serving as administrator. The single-story building is located in an area with a walk score of 32, placing it in territory where some errands are accomplishable on foot but the majority of travel requires a vehicle.

The Haven provides 24-hour staffing with individualized care plans designed to support residents’ specific needs. The community maintains an active calendar of recreational programs and activities intended to sustain resident engagement and wellness.

The facility addresses activities of daily living assistance including medication management, bathing, dressing, and meal preparation. Housekeeping and laundry services remove routine maintenance burdens, and on-site transportation accommodates resident appointments and outings. The dining program prepares meals responsive to dietary preferences and health requirements.

The assisted living model emphasizes personal care support within a shared residential environment rather than skilled nursing or intensive medical care. Common spaces and social programming foster resident interaction and community connection. The setting balances independence with the availability of daily assistance across essential personal care functions.

Licensed under Missouri’s Department of Health and Senior Services, The Haven serves Kennett-area residents transitioning to community-based living with structured daily support. Prospective residents can contact the facility to inquire about current availability and tour the community.

The Haven suits adults seeking assistance with personal care and daily living in an assisted living residential community.

Contact The Haven

Overview of The Boulevard Senior Living of Saint Peters

Situated in St. Peters, MO, The Boulevard Senior Living of Saint Peters is a trusted senior living community that offers a range of senior living options, including independent living, assisted living, and memory care. Empowering seniors to live a fulfilling and connected life, the community offers quality services, a wide range of amenities, engaging, resident-led events, and entertainment. Everyday is stress-free with maintenance and housekeeping, concierge services, transportation, and pet care provided by the community’s attentive team.

Live your days your way with a range of activities and amenities that are thoughtfully designed for residents’ enjoyment and needs. From restaurant dining, engaging events and entertainment, to exercise classes, local trips and shopping, and more, there’s never a scarcity of things to enjoy. Amenities such as a pool, wellness center, private dining, lounges, country demonstration kitchen, crafting center, and libraries, provide more opportunities for relaxation, connecting with friends, or exploration.

Contact The Boulevard Senior Living of Saint Peters

Overview of Primrose Retirement Community of Jefferson City

Primrose Retirement Community is a haven of comfort and care, offering a comprehensive range of services in Jefferson City for independent living and assisted living residents. The community’s residents are welcomed into an environment of luxury reminiscent of a charming townhome. The accommodations boast spacious apartments, but the dedicated and compassionate team members genuinely set Primrose apart, ensuring that residents receive nothing less than the highest standard of service.

The emphasis on individual preferences and the strong camaraderie make this retirement community truly special. With a maintenance-free lifestyle, residents can relish the joy of worry-free living, focusing on what truly matters. The round-the-clock care and modern amenities ensure that residents are well taken care of in every aspect, providing a sense of security and peace of mind. In the heart of Primrose Retirement Community, residents discover a place to live and a premier haven that puts them first.

Contact Primrose Retirement Community of Jefferson City

Overview of The Princeton Senior Living

The Princeton Senior Living, located in Lee’s Summit, Missouri, provides a comprehensive range of services, including independent living, assisted living for seniors, and memory care. Renowned for their award-winning service and care, the community has earned the trust of families seeking a supportive environment for their loved ones. With a pet-friendly policy and a commitment to elevating everyday living, The Princeton offers a variety of amenities, ensuring seniors find fulfillment in their daily lives.

Their well-rounded services and amenities include a pool, wellness center, lounges, private dining, crafting center, libraries, and more. The community’s in-house maintenance and housekeeping services are noteworthy, contributing to a comfortable living experience. The Princeton Senior Living goes beyond the basics by providing entertainment options, creating a vibrant environment where seniors can engage and enjoy a range of activities. In this welcoming community, assisted living homes are designed to offer a comfortable and fulfilling lifestyle for seniors, ensuring they never run out of enjoyable things to do.

Contact The Princeton Senior Living

Overview of Autumn View Gardens

The Autumn View Gardens is an assisted living and memory care community that thrives because of the level of independence and growth given to seniors. The retirement community creates an open space for seniors to live life on their own terms and continue to feel inspired by purposeful living. The dedicated team of staff is committed to ensuring that residents are receiving the best care possible while creating an environment with endless possibilities waiting to be explored. For over 60 years, Autumn View Gardens have been ensuring that residents foster a sense of community. 
Autumn View Gardens proudly practices its philosophical approach to senior living, which is offering tailored care based on the needs and decisions of its residents. Services include licensed nurse supervision, medication management, a 24-hour emergency call system, and pharmacy services; other physical services include rehabilitation, podiatry, and respite stays. 

Contact Autumn View Gardens

Overview of Cape Albeon Lakeside Retirement Living

Cape Albeon is an organization that truly cares about its seniors. Rooted in faith, they go above and beyond to provide exceptional assisted living apartments, memory care options, and short-term respite care services to seniors from both Missouri and Illinois. The staff is dedicated to making every resident feel loved, respected, and valued. They work closely with each individual to create a customized care plan that meets their unique needs and preferences. The community offers a wide range of services, including medication management, on-site therapy, and transportation services, to ensure that residents have everything they need right at their fingertips. The staff is also committed to providing access to off-site healthcare providers whenever necessary.
With gorgeous lakeside views, secure outdoor walking paths, and well-lit dining rooms, the community is a true oasis. Residents can participate in a variety of recreational and social events and take advantage of fitness programs tailored to their abilities. For those who love pets, Cape Albeon offers pet-friendly accommodations for eligible residents. The on-site beauty salon/barbershop and outdoor pergola and garden area provide a relaxing and rejuvenating environment for residents to unwind and enjoy life to the fullest.

Contact Cape Albeon Lakeside Retirement Living

Overview of La Bonne Maison Senior Living

Experience the warmth and personalized care of La Bonne Maison Senior Living, situated in Sikeston, MO, where outstanding support blends with a vibrant and compassionate atmosphere to provide a truly fulfilling living experience. This community offers a full range of services, including assisted and independent living, ensuring that each resident receives tailored support to meet their unique needs. The devoted team creates a joyful and uplifting environment, with cozy, well-designed studios and two-bedroom apartments available in various floor plans to suit individual preferences.

With a variety of amenities, including art classes, residents can foster a strong sense of community and connection. Thoughtfully planned activities promote emotional, mental, and physical well-being, enhancing the overall quality of life. Every day at La Bonne Maison Senior Living is designed to offer joy and meaningful experiences for all.

Contact La Bonne Maison Senior 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
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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 285 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.