Page 4 of Best Assisted Living in Missouri

Why trust this guide? Our editorial team analyzed 268 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
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every assisted living provider in Missouri.
268 homes
Other senior care options in Missouri:

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-ranked to lowest-ranked based on our 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.
Luxe Life Senior Living
AL
IL
MC
RC
Blue Springs
187
Facility 187
MO AVG 88
Rank #14 / 217
No
68
Facility 68
MO AVG 42
Rank #35 / 259
Skilled Nursing Facility (130), ALF** (57)Ignite Medical Resort St Mary's LLC
2
Facility 2
MO AVG 12
Rank #46 / 93
Gasconade Manor Nursing Home
AL
HOS
NH
RC
SNF
Owensville
79
Facility 79
MO AVG 88
Rank #103 / 217
No
59
Facility 59
MO AVG 42
Rank #65 / 259
Skilled Nursing Facility (79)Gasconade Manor Nursing Home District
1
Facility 1
MO AVG 12
Rank #52 / 93
The Bishop Spencer Place, Inc
AL
IL
MC
NH
RC
SNF
Kansas City
118
Facility 118
MO AVG 88
Rank #42 / 217
Yes
94
Facility 94
MO AVG 42
Rank #2 / 259
Skilled Nursing Facility (57), ALF** (61)The Bishop Spencer Place, Inc
30
Facility 30
MO AVG 12
Rank #14 / 93
The Castlewood Senior Living
AL
IL
MC
Nixa
66
Facility 66
MO AVG 88
Rank #135 / 217
Yes
4
Facility 4
MO AVG 42
Rank #249 / 259
Studio / 1 BedNixa Senior Community LLC
11
Facility 11
MO AVG 12
Rank #35 / 93
Oak Ridge Assisted Living
AL
MC
Richmond
55
Facility 55
MO AVG 88
Rank #156 / 217
No
64
Facility 64
MO AVG 42
Rank #55 / 259
ALF** (55)Senior Citizens Nursing Home District Of Ray County
1
Facility 1
MO AVG 12
Rank #52 / 93
Independence Court
AL
IL
MC
NH
SNF
Perryville
208
Facility 208
MO AVG 88
Rank #9 / 217
No
69
Facility 69
MO AVG 42
Rank #32 / 259
Skilled Nursing Facility (133), Residential Care Facility (75)Independence Health System, Inc
1
Facility 1
MO AVG 12
Rank #52 / 93
St Louis Hills Assisted Living and Memory Care
AL
MC
Saint Louis
181
Facility 181
MO AVG 88
Rank #16 / 217
Yes
92
Facility 92
MO AVG 42
Rank #11 / 259
ALF** (181)Auerbach-Stl Senior Opco LLC
1
Facility 1
MO AVG 12
Rank #52 / 93
Oakdale Care Center
AL
NH
RESC
SNF
Poplar Bluff
166
Facility 166
MO AVG 88
Rank #19 / 217
No
67
Facility 67
MO AVG 42
Rank #40 / 259
Skilled Nursing Facility (70), Residential Care Facility (36), Assisted Living Facility (60)Palladian Senior Care Of Poplar Bluff, LLC
2
Facility 2
MO AVG 12
Rank #52 / 93
Morningside Center
AL
NH
SNF
Chillicothe
91
Facility 91
MO AVG 88
Rank #77 / 217
No
71
Facility 71
MO AVG 42
Rank #29 / 259
Skilled Nursing Facility (60), Assisted Living Facility (31)Livingston County Nursing Home District
1
Facility 1
MO AVG 12
Rank #52 / 93
Parkside Manor
AL
MC
NH
RC
Columbia
120
Facility 120
MO AVG 88
Rank #36 / 217
No
98
Facility 98
MO AVG 42
Rank #1 / 259
Skilled Nursing Facility (120)N & R Of Columbia, LLC1

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other MO assisted living community we track that reports that metric, not just the 268 on this page. See how we rank facilities

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Overview of Joy Assisted Living for Seniors

Joy Assisted Living for Seniors provides assisted living in Springfield, MO. Residents can receive help with bathing, dressing, and medication while continuing to manage their day-to-day lives as independently as possible. The home may suit someone who needs this practical support in a residential setting.

There are 74 beds. The community opened in 1995 and remains family-owned and operated, with Kathy McCrary serving as administrator and Joyco operating the community. A Walk Score of 94 makes the area a walker’s paradise, so daily errands do not require a car. For someone who no longer drives, that supports independent access to nearby errands.

Contact Joy Assisted Living for Seniors

Overview of Luxe Life Senior Living

Someone can arrive at Luxe Life Senior Living needing very little and stay through needing quite a lot. The Blue Springs, Missouri, campus starts with independent living, which is private living with community services attached and nobody organizing a resident’s afternoon. Assisted living adds the specific help: dressing, bathing, medication, and not much else. Memory care operates in a secured setting with supervision for a resident at risk of wandering.

Respite covers the short stay. A caregiver books a week because a wedding falls in June or because their own recovery needs that time, and the stay ends on a date everyone knew before it started.

Moving between those levels here does not mean moving out. That spares a resident the part nobody talks about, which is losing the people they eat lunch with because their care needs changed and the building could not follow.

One hundred eighty-seven beds put this among the larger communities, with the staffing depth and fuller programming that scale supports. Dining is handled on site, and a wellness center, a salon and spa, and a concierge round out what residents can use without leaving. Rehabilitation services are available for recovery work.

A walk score of 68 places the area in the somewhat walkable band, so a few errands finish on foot while the rest need a ride. Mindy Eddleman serves as the administrator, and Ignite Medical Resort St Marys operates the community.

Contact Luxe Life Senior Living

Overview of Gasconade Manor Nursing Home

Gasconade Manor Nursing Home in Owensville, Missouri, delivers assisted living, skilled nursing care, respite stays, and short-term rehabilitation within a 79-bed setting. Assisted living support covers daily personal needs such as bathing, dressing, and medication administration. Dedicated rehabilitation programs assist individuals recovering from injury, illness, or prior hospital stays, while respite services give regular family caregivers temporary breaks.

Managed by administrator Alexus Strothkamp and operator Gasconade Manor Nursing Home District, the community accepts Medicare, Medicaid, and private payment. Outdoor features include two courtyards, alongside an Aquatics & Therapies program that incorporates a pool for physical therapy activities. Situated in a area with a 59 walk score, the campus permits nearby errands on foot for residents capable of walking independently.

Prospective residents exploring short-term rehab or long-term nursing care can reach Gasconade Manor Nursing Home to verify current open beds, inquire about admission criteria, or set up a guided visit.

Contact Gasconade Manor Nursing Home

Overview of The Bishop Spencer Place

In Kansas City, MO, The Bishop Spencer Place is licensed for assisted living, memory care, respite care, nursing home care, independent living, and skilled nursing. Assisted living is help with the named tasks and nothing past them: dressing, bathing, medication, in a private apartment. Independent living drops the daily care and keeps the community services, so nobody sets the agenda but the resident. Memory care is supervision that does not lapse once the building goes quiet for the night.

Licensed clinical staffing covers every hour of the day. Short respite stays often work as a trial run, testing whether a permanent move would hold while keeping a way back out. A person whose needs grow can reach the next level here without leaving.

118 beds make the community, and the nursing time stands at 5 hours and 58 minutes for every resident across a full day. Rehabilitation services are available to a resident recovering, and to one working to hold onto what they still have. Pets are allowed at move-in.

Most families arrive on Medicare and finish on Medicaid, and private pay works here as well. Tina Capeder holds the administrator role. A Walk Score of 94 out of 100 earns the neighborhood a walker’s paradise title. Daily errands do not need a car, and a resident who no longer drives can still handle them alone.

Contact The Bishop Spencer Place, Inc

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.

Starting Price $3,940/Month

Contact The Castlewood Senior Living

Overview of Oak Ridge Assisted Living

Memory care and assisted living are what Oak Ridge Assisted Living offers in Richmond, MO. Bathing, dressing, and medication are the tasks assisted living picks up on the resident’s behalf. Round-the-clock staffing is named too, which means somebody asking for help at an odd hour is asking a person already on duty.

A Dedicated Alzheimer’s Unit is named among the services, and that designation is the secured, supervised version of memory care. It exists because dementia can turn wandering into a risk, and a risk is what the setting addresses.

Fifty beds carry both of those levels, and the room types are studio and one-bedroom. A studio keeps everything in one space, while a one-bedroom pulls the sleeping area away from the rest.

Medicaid is the only payer accepted here, and it counts for a household whose own money runs out before the stay does. The area comes out somewhat walkable at a 64 Walk Score, so somebody without a car keeps many destinations within reach on foot.

Samantha Ralston runs the administration, and Senior Citizens Nursing Home District of Ray Co. is the operator behind it. A person whose daily needs run to personal care, or whose wandering has made a secure setting necessary, is who these two levels were put together for.

Contact Oak Ridge Assisted Living

Independence Court

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

Independence Court is a nursing home in Perryville, MO, offering skilled nursing, memory care, assisted living, and independent living. Independent living provides private living with community services and no daily care. Assisted living adds help with tasks such as dressing, bathing, and medication.

Memory care provides a secured setting with supervision for someone at risk of wandering, while skilled nursing provides licensed nursing care on site around the clock. The range of care levels may suit a resident whose needs grow over time, since moving to another level can avoid leaving the community or starting over socially.

The home has 208 beds, making it a larger community with more residents, staff, and usually more programming than a smaller setting. Its Walk Score is 69 / 100, meaning the area is somewhat walkable and some errands can be done on foot. A resident who no longer drives may still handle certain nearby errands independently.

Rehabilitation services provide therapy as part of a resident’s care. Available transportation helps residents reach destinations beyond walking distance. An ombudsman program gives residents a resource for raising concerns about long-term care rights or services, and religious services support residents who wish to include worship in their routine.

Independence Court is operated by Independence Health System, and Dana Korando serves as administrator. The home may be a good fit for a resident whose needs may grow over time and who may benefit from having multiple care levels within one community.

Contact Independence Court

Overview of St Louis Hills Assisted Living and Memory Care

St Louis Hills Assisted Living and Memory Care provides assisted living and memory care in Saint Louis, MO. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident maintains a private living space; memory care provides a secured setting with supervision for someone who may be at risk of wandering. The community may be a good fit for a resident whose needs could grow over time, since the two care levels allow a move within the same community.

The community has 181 beds. Assisted living starts at $3,799, while memory care starts at $4,999, giving families separate starting points for budgeting according to the care setting. Short-term stays and respite care provide a temporary care option when a usual caregiver needs to travel or recover.

An experienced chef prepares well-balanced, nutritious meals, giving residents chef-prepared dining within the community. A secure outdoor courtyard provides a designated setting for time outside, and the pet-friendly policy allows a resident to continue living with a pet. Family resources and support groups are also available for families involved in a resident’s care.

A Walk Score of 92 places the area in a walker’s paradise, where daily errands do not require a car, so a resident who no longer drives can still get out independently. Valerie Parker serves as the administrator, and the community is operated by Auerbach-Stl Senior Opco.

Starting Price $2,599/Month

Contact St Louis Hills Assisted Living and Memory Care

Overview of Oakdale Care Center

Oakdale Care Center holds three designations at one Poplar Bluff address: skilled nursing, residential care, and assisted living. A resident whose needs increase does not have to change buildings for each step.

Bathing is the usual reason a family starts asking about assisted living. It becomes the thing a whole morning gets planned around, and assisted living hands it to staff, with dressing and medications.

Skilled nursing means nothing about a Tuesday at midnight changes who is on the floor. Nursing time holds at 2 hours and 32 minutes per resident per day; an average drawn across 166 beds. Advanced therapy and rehabilitation services are available where therapy is part of a resident’s care.

Three payment routes work here: Medicare, Medicaid, and private funds. Walk score for the area is 67, which puts it in the somewhat walkable range. Such a number means more to a residential care resident who still goes out alone than to anyone in the nursing wing. Misty Ulmer administers the center for Palladian Senior Care of Poplar Bluff.

Contact Oakdale Care Center

Morningside Center

1700 Morningside Dr, Chillicothe, MO 64601-1545
Overview of Morningside Center

Morningside Center provides senior housing choices in Chillicothe, Missouri, through assisted living, skilled nursing, and general nursing home care. The setup allows residents to receive personal help with routine tasks like dressing and medication routines, alongside clinical support for higher care needs. Physical recovery options exist on site via the Skilled Rehab program.

Livingston County Nursing Home District runs the 91-bed location under administrator Harri Melte. Staffing reports show average daily nurse time of 4 hours and 36 minutes per resident. Setting aside driving needs, the neighborhood features a 71 walk score, placing daily errands within walking distance.

Prospective residents can reach out to the administrative team at Morningside Center to review enrollment details, tour the grounds, and discuss coverage through Medicare, Medicaid, or private funding.

Contact Morningside Center

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
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Assisted Living in Missouri at a glance

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: 42/ 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: 88The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90
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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 268 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.