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Other Senior care options in Missouri:

Best Assisted Living in Missouri

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 525 homes in Missouri

Sources: CMS Centers for Medicare and Medicaid Services, and Missouri Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Missouri.

Watch this Video to see Missouri's Top-rated Senior Communities

Compare Assisted Living around Missouri

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

Click column headers to sort
The Manor at Elfindale
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Springfield (Fassnight)
100
Facility 100
MO AVG 97
Rank #179 / 454
No
51
Facility 51
MO AVG 45
Rank #241 / 563
Private RoomsVsl Springfield Manor, LLC
34
Facility 34
MO AVG 11
Rank #17 / 200
A+
Sunrise of Des Peres
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Des Peres
102
Facility 102
MO AVG 97
Rank #172 / 454
Yes
50
Facility 50
MO AVG 45
Rank #244 / 563
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
45
Facility 45
MO AVG 11
Rank #9 / 200
A-
Brookdale West County
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Ballwin
98
Facility 98
MO AVG 97
Rank #192 / 454
No
56
Facility 56
MO AVG 45
Rank #181 / 563
Unit TypeVb Ballwin Sh, LLC
48
Facility 48
MO AVG 11
Rank #4 / 200
A+
The Madison Senior Living
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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 #88 / 200
A+
The Grande At Creve Coeur
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Creve Coeur
58
Facility 58
MO AVG 97
Rank #377 / 454
No
32
Facility 32
MO AVG 45
Rank #376 / 563
StudioKauhale Creve Coeur, LLC
10
Facility 10
MO AVG 11
Rank #78 / 200
-
Barathaven Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dardenne Prairie (Barathaven)
66
Facility 66
MO AVG 97
Rank #320 / 454
Yes
4
Facility 4
MO AVG 45
Rank #530 / 563
Private / Shared SuiteSonata Barathaven LLC
16
Facility 16
MO AVG 11
Rank #62 / 200
A+
Brookdale Creve Coeur
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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 / 200
A+
Bradford Court
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Nixa
50
Facility 50
MO AVG 97
Rank #391 / 454
Yes
65
Facility 65
MO AVG 45
Rank #124 / 563
Studio / 1 BedNixa Residential, LLC
23
Facility 23
MO AVG 11
Rank #44 / 200
A+
Capetown Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Cape Girardeau
53
Facility 53
MO AVG 97
Rank #384 / 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 / 200
A+
Armour Oaks Senior Living Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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 / 200
A+
Brookdale Wornall Place
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

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 / 200
A+
New Perspective Senior Living | Weldon Spring
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Weldon Spring
170
Facility 170
MO AVG 97
Rank #36 / 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 #55 / 200
A+
The Jefferson City Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Jefferson City
120
Facility 120
MO AVG 97
Rank #90 / 454
No
33
Facility 33
MO AVG 45
Rank #369 / 563
1 Bed-
21
Facility 21
MO AVG 11
Rank #52 / 200
A+
Ashland Villa
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Ashland
72
Facility 72
MO AVG 97
Rank #294 / 454
Yes
42
Facility 42
MO AVG 45
Rank #315 / 563
Studio / Alcove / SuiteAshland Villa, LLC
27
Facility 27
MO AVG 11
Rank #35 / 200
A+
Lakewood Senior Living
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

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
23
Facility 23
MO AVG 11
Rank #44 / 200
A+
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California Care Center

1106 South Oak, Route 3, California, MO 65018-1462
Overview of California Care Center
California Care Center is a long-term care facility located in California, MO. It provides a wide range of services including professional medical care, rehabilitation services, and complete dining services. The center is committed to ensuring the highest practicable physical, mental, and psychosocial well-being of its residents.

Contact California Care Center

Overview of Miller County Care and Rehabilitation Center
Miller County Care and Rehabilitation Center is an 86-bed skilled nursing facility located in the beautiful Ozark rural countryside just outside of Tuscumbia, MO. The facility offers a rehabilitation unit, outpatient and inpatient therapy, and an Alzheimer’s & Dementia Special Care Unit. It is committed to providing professional care in a loving, home-like atmosphere.

Contact Miller County Care and Rehabilitation Center

Overview of Beth Haven Nursing Home
Beth Haven Nursing Home is a long-term care and retirement community located in Hannibal, Missouri. It offers skilled nursing, assisted living, independent apartments, and rehabilitation therapy. The facility is dedicated to meeting the individual needs of its residents and providing a supportive environment.

Contact Beth Haven Nursing Home

Overview of Claru Deville Nursing Center
ClaRu DeVille Nursing Center provides comprehensive and quality long-term care under physician supervision. The facility offers skilled nursing care, rehabilitation services, and an Alzheimer’s special care unit. Residents can enjoy a homelike environment with personalized care and dining options.

Contact Claru Deville Nursing Center

Overview of Nhc Healthcare, Maryland Heights
NHC HealthCare Maryland Heights is a skilled nursing facility that offers a continuum of care including rehabilitation and long-term care. The center is dedicated to providing personalized care in a comfortable environment, helping patients achieve their health and wellness goals. With a focus on dignity and independence, NHC HealthCare Maryland Heights is committed to supporting residents throughout their recovery journey.

Contact Nhc Healthcare, Maryland Heights

Overview of Livingston Manor Care Center
Livingston Manor Care Center is a skilled nursing facility located in Chillicothe, MO. It offers nursing services, rehabilitation, and specialized care for dementia patients. The center provides a home-like atmosphere with a focus on enhancing health and quality of life.

Contact Livingston Manor Care Center

Morningside Center

1700 Morningside Dr, Chillicothe, MO 64601-1545
Overview of Morningside Center
Morningside Center is a nursing home and assisted living facility located in Chillicothe, Missouri. It offers skilled nursing services, assisted living apartments, and rehabilitation services. The center is committed to providing dignity and respect to its residents.

Contact Morningside Center

Avenir at Mark Twain

11988 Mark Twain Ln, Bridgeton, MO 63044-2825
Overview of Avenir at Mark Twain
Avenir at Mark Twain is a skilled nursing and rehabilitation facility located in Bridgeton, Missouri. It offers a range of services including long-term care, respite care, and specialized wound care. The community focuses on providing a warm, homelike environment with personalized support and a variety of daily activities.

Contact Avenir at Mark Twain

Overview of Elsberry Missouri Health Care Center
Elsberry Missouri Health Care Center is a nonprofit facility dedicated to providing comprehensive nursing care and services that address the physical, psychological, social, and spiritual needs of residents. The facility includes a 56-bed skilled nursing facility and a brand-new assisted living facility. It offers a home-like environment in a calm, relaxing atmosphere with beautiful views.

Contact Elsberry Missouri Health Care Center

Delmar Gardens West

13550 South Outer 40 Rd, Town And Country, MO 63017-5812
Overview of Delmar Gardens West
Delmar Gardens West is a skilled nursing and rehabilitation center located in Town and Country, Missouri. It offers a range of services including independent living, assisted living, memory care, and short-term rehabilitation. The facility is known for its compassionate care and commitment to the well-being of its residents.

Contact Delmar Gardens West

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 14 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.