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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.
| Heisinger Bluffs | AL IL MC NH RC SNF | Jefferson City | 111
Facility
111
MO AVG
96
Rank
#154 / 450 | No |
32
Facility
32
MO AVG
45
Rank
#376 / 563 | 1 Bed / 2 Bed / 3 Bed | Heisinger Bluffs Opco LLC | - | - |
| Linden Woods Village | AL IL NH SNF | Gladstone | 40
Facility
40
MO AVG
96
Rank
#415 / 450 | Yes |
53
Facility
53
MO AVG
45
Rank
#217 / 563 | - | Ccrc Of Gladstone LLC | - | - |
| Laclede Groves | AL IL MC NH | St. Louis | 251
Facility
251
MO AVG
96
Rank
#3 / 450 | No |
35
Facility
35
MO AVG
45
Rank
#356 / 563 | - | - | - | - |
| Golden Age Living Center | AL NH | Stover | 61
Facility
61
MO AVG
96
Rank
#338 / 450 | No |
38
Facility
38
MO AVG
45
Rank
#343 / 563 | Skilled Nursing Facility (61) | Golden Age Nursing Home District #1 | 1
Facility
1
MO AVG
11
Rank
#111 / 220 | - |
| Brookdale West County | AL IL MC NH SNF | Ballwin | 98
Facility
98
MO AVG
96
Rank
#187 / 450 | Yes |
56
Facility
56
MO AVG
45
Rank
#181 / 563 | Unit Type | Vb Ballwin Sh, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 220 | A+ |
| Aberdeen Heights | AL HOS IL MC NH SNF | Kirkwood | 91
Facility
91
MO AVG
96
Rank
#219 / 450 | Yes |
89
Facility
89
MO AVG
45
Rank
#29 / 563 | Skilled Nursing Facility (38), ICF (17), ALF** (36) | Ashfield Active Living & Wellness Communities, Inc | - | - |
| Camelot Nursing & Rehab Center | AL NH SNF | Farmington (Sleepy Hollow Run) | 97
Facility
97
MO AVG
96
Rank
#195 / 450 | No |
55
Facility
55
MO AVG
45
Rank
#189 / 563 | Shared Rooms | - | - | - |
| Medicalodges Neosho | AL ADC HC HOS MC NH PC RC SNF | Neosho (Downtown Neosho) | 114
Facility
114
MO AVG
96
Rank
#149 / 450 | No |
55
Facility
55
MO AVG
45
Rank
#189 / 563 | Skilled Nursing Facility (114) | Medicalodges, Inc | - | - |
| The Manor at Elfindale | AL NH | Springfield (Fassnight) | 100
Facility
100
MO AVG
96
Rank
#175 / 450 | No |
51
Facility
51
MO AVG
45
Rank
#241 / 563 | Private Rooms | Vsl Springfield Manor, LLC | 35
Facility
35
MO AVG
11
Rank
#17 / 220 | A+ |
| John Knox Village | AL HC HOS IL MC NH RC SNF | Lee's Summit | 408
Facility
408
MO AVG
96
Rank
#1 / 450 | Yes |
58
Facility
58
MO AVG
45
Rank
#170 / 563 | Apartment / Cottage / 1 Bed / 2 Bed | John Knox Village | - | A+ |
| Brookdale Creve Coeur | AL IL | St. Louis (New Ballas Place) | 46
Facility
46
MO AVG
96
Rank
#401 / 450 | 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 / 220 | A+ |
| Farmington Presbyterian Manor | AL IL MC NH SNF | Farmington | 90
Facility
90
MO AVG
96
Rank
#225 / 450 | Yes |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | - | Presbyterian Manors, Inc | 11
Facility
11
MO AVG
11
Rank
#75 / 220 | A+ |
| Clarendale of St. Peters | AL IL MC | St Peters (Bellemeade Estates) | 110
Facility
110
MO AVG
96
Rank
#155 / 450 | Yes |
61
Facility
61
MO AVG
45
Rank
#154 / 563 | Studio / 1 Bed / 2 Bed | St Peters Mo Senior Living Leaseco LLC | - | - |
| StoneBridge Senior Living Oak Tree | AL MC NH | Jefferson City | 42
Facility
42
MO AVG
96
Rank
#409 / 450 | Yes |
27
Facility
27
MO AVG
45
Rank
#414 / 563 | Studio / 1 Bed / 2 Bed | Eldercare Of Mid-Missouri Viii, Inc | - | - |
| 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
45
Rank
#386 / 563 | 1 Bed / 2 Bed | Blc Kansas City-Gc, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 220 | A+ |
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.
Refresh in the charming neighborhood of Spencer Road, Saint Peters, MO, with the venerable senior living community of Spencer Place Senior Living by Americare providing assisted living, adult day club, respite care, hospice care, and rehabilitation. Enjoy unmatched comfort and safety with meticulously designed and spacious residences in varied studio and one-bedroom floor plans. The community strives to provide a helping hand in daily chores and maintenance for seniors to optimize their freedom and lead meaningful lives.
The community promotes a lively and warm environment, paving the way for seniors to create lasting moments and interact with their surroundings. Focusing on seven dimensions of wellness, Spencer Place ensures residents receive holistic care and support. Eat well and feel great with delicious and healthy meals that cater to tastes and dietary needs. Spencer Place is a safe place for seniors aiming to make the most out of their best years.
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.
An elegant and luxurious home that steeps excellence, The Parkway Senior Living has raised the standard of senior living. Their dedicated team of professional staff strives to provide care that is nothing short of extraordinary. The resident-centered community aims to provide quality service for its assisted living and memory care seniors– leading to a purposeful life experienced during their golden years.
The Parkway offers comprehensive amenities and services that help make the lives of its residents hassle-free. They boast their specialized memory care program that focuses on the cognitive ability of seniors with Alzheimer’s or dementia. Services and amenities are provided with full attention at any time of day, such as ADLs, medication management, chef-prepared meals, scheduled activities, and 24/7 care.
The numbers alone tell part of the story: 148 beds, three layout options, multiple decades of operation, and a care menu that spans assisted living, memory care, short-term rehab, and respite, all in a single-story building on Springfield’s west side. Gardens Senior Living Community, operated by BSLC II and run day-to-day by administrator Heather Brown, is built for range. That breadth is the defining feature.
The on-site service list is substantial. Pharmacy, therapy, podiatry, and medication management are all available without leaving the building, and licensed nurses and CNAs are on-site around the clock. For families weighing how long a placement will hold as needs shift, that infrastructure matters. The Garden Homes program is a named offering within the community, and religious services are available on-site, which will be relevant for residents and families for whom faith life is part of daily routine.
Restaurant-style dining, a fitness center, chapel, library, computer center, Jacuzzi spa, and salon fill out the amenity picture. The neighborhood at 1302 W Sunset St in the Mark Twain area has a Walk Score of 47, meaning most trips out will need a car or transportation coordination. Studio, one-bedroom, and two-bedroom units are available, so housing options scale with circumstance.
Gardens is a practical match for older adults who need substantive on-site medical support across a range of care levels, and for families who want a faith-oriented community large enough to accommodate changing needs without requiring a move.
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.
Country Meadows delivers an 87-bed skilled care layout on Gidley Avenue in Park Hills, Missouri, overseen by owner Kimberly Thomas and Country Meadows Nursing & Rehab, LLC. Resident billing accounts are routed through traditional avenues like Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the neighborhood holds a walkability score of 50 out of 100, indicating a suburban grid where visiting family can manage occasional tasks on foot, though a car remains useful for most travel.
Data sheets highlight that the building operates at a 78 percent occupancy rate and has an average length of stay of 64 days, confirming a routine focused on short-term post-hospital therapy rather than permanent placements. Daily clinical needs and movement routines are monitored through a continuous 24-hour shift schedule that averages 3 hours and 50 minutes of total nursing care per resident each day. This shared workload is split among registered nurses, licensed practical nurses, and nurse aides who handle direct physical support and medication tracking.
Recent inspection surveys identified specific procedural corrections related to fire safety barrier maintenance, dietary storage conditions, and medication administration timing, indicating that the facility’s cumulative citations-per-inspection rate is not zero and that these parameters remain part of routine state reviews.
Individuals can participate in personalized physical recovery tracks, assisted living adjustments, and general personal care services. The campus features an on-site fitness room, grooming salon, open computer terminal with free Wi-Fi, and a calendar of organized social events. The kitchen staff coordinates these daily programs with chef-prepared dining options based on community feedback, alongside regular laundry care, housekeeping, and open family visiting hours.
Anthology of Clayton combines assisted living and memory care services, with the former essentially called assisted living. Anthology proudly excels in providing a lifestyle that is centered around activities while altogether promoting independence. The luxurious community aims to gain a lifestyle that promotes holistic wellness for every resident. The senior living community gives off a friendly and resort-like atmosphere, there’s always something appropriate for everyone. Anthology of Clayton ensures a vibrant and inclusive social community for seniors so as to help nurture each senior’s individuality.
Families can rest easy knowing that the senior living community is part of the renowned and elegant Anthology of Clayton; one can guarantee only the highest quality of service. With that, some may need assistance with daily activities such as bathing, dressing, medication management, and physical therapy. Community amenities include five-star dining offering a 4-course dinner; a fully equipped fitness center also offering fitness and wellness classes; and a list of engaging recreational programs and activities.
Anthology of Wildwood, located in Wildwood, MO, is a senior living community offering assisted living and memory care services. Their assisted living programs provide residents with the perfect balance of quality care and comfort of a community that feels like home. As part of their assisted living services, residents can expect to receive 24/7 staff availability for assistance with daily living activities, medication management, wellness visit by a licensed nurse, as well as assistance with coordinating with third party health care providers to ensure that the residents’ medical needs are attended to.
Additionally, this senior living community’s amenities offer a fulfilling lifestyle where boredom does not exist. Residents may enjoy gourmet meals and snacks prepared by in-house chefs and supervised by a registered dietician, fitness and wellness programs, as well as the convenience of transportation for outside appointments such as shopping and outings.
Spend your best years with the distinguished senior living community of Benton House of Tiffany Springs set in the harmonious neighborhood of Northwest 88th Street, Kansas City, MO, providing assisted living, memory care, and adult day programs. With its special memory care neighborhood, individuals with Alzheimer’s and related dementia can rest assured of keeping their dignity while doing the things they love. The community goes above and beyond to take care of residents’ needs and aspirations with a team of responsible and highly qualified professionals available around the clock.
With carefully curated activities and enriching programs, the community encourages seniors to maintain an active and well-engaged lifestyle. Have a joyous time with friends over delightful and healthy meals catering to dietary needs and tastes. Dedicated to enhancing seniors’ quality of life, Benton House of Tiffany Springs provides purposely built spaces and excellent senior care services.
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 263 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.



















