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Compare Assisted Living around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| The Manor at Elfindale |
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.
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). | Springfield (Fassnight) | 100
Facility
100
MO AVG
97
Rank
#177 / 454 | No |
51
Facility
51
MO AVG
45
Rank
#241 / 563 | Private Rooms | Vsl Springfield Manor, LLC | 35
Facility
35
MO AVG
11
Rank
#17 / 209 | A+ |
| Sunrise of Des Peres |
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.
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). | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 | Yes |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Studio / 1 Bed / 2 Bed | Sjv 1 Des Peres Opco, LLC | 18
Facility
18
MO AVG
11
Rank
#54 / 209 | 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
#189 / 454 | No |
56
Facility
56
MO AVG
45
Rank
#181 / 563 | Unit Type | Vb Ballwin Sh, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 209 | A+ |
| The Madison 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.
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. | 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 Bed | Swkc Senior Community LLC | 6
Facility
6
MO AVG
11
Rank
#89 / 209 | A+ |
| The Grande At 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.
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. | Creve Coeur | 58
Facility
58
MO AVG
97
Rank
#375 / 454 | No |
32
Facility
32
MO AVG
45
Rank
#376 / 563 | Studio | Kauhale Creve Coeur, LLC | 10
Facility
10
MO AVG
11
Rank
#78 / 209 | - |
| 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 Suite | Sonata Barathaven LLC | 16
Facility
16
MO AVG
11
Rank
#64 / 209 | 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 Bed | Brookdale Living Communities Of Missouri-Cc, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 209 | A+ |
| NorthPark Village 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.
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. | Ozark | 52
Facility
52
MO AVG
97
Rank
#384 / 454 | Yes |
18
Facility
18
MO AVG
45
Rank
#460 / 563 | Studio / 1 Bed / 2 Bed | Ozark Residential, LLC | 41
Facility
41
MO AVG
11
Rank
#12 / 209 | - |
| 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
#390 / 454 | Yes |
65
Facility
65
MO AVG
45
Rank
#124 / 563 | Studio / 1 Bed | Nixa Residential, LLC | 23
Facility
23
MO AVG
11
Rank
#43 / 209 | 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
#382 / 454 | Yes |
7
Facility
7
MO AVG
45
Rank
#518 / 563 | Studio / Suite / 2 Bed | Capetown Residential LLC | 17
Facility
17
MO AVG
11
Rank
#58 / 209 | A+ |
| Armour Oaks Senior Living Community |
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.
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).
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 Bed | Mo Women's Christian Assoc Of Kansas City | 7
Facility
7
MO AVG
11
Rank
#85 / 209 | A+ |
| Brookdale Wornall Place |
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 (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 Bed | Blc Kansas City-Gc, LLC | 48
Facility
48
MO AVG
11
Rank
#4 / 209 | 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
#35 / 454 | Yes |
13
Facility
13
MO AVG
45
Rank
#486 / 563 | Studio / 1 Bed / 2 Bed | Weldon Springs Ops LLC | 18
Facility
18
MO AVG
11
Rank
#54 / 209 | A+ |
| The Jefferson City Nursing and Rehabilitation Center |
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.
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). | 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+ |
| 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
#293 / 454 | Yes |
42
Facility
42
MO AVG
45
Rank
#315 / 563 | Studio / Alcove / Suite | Ashland Villa, LLC | 27
Facility
27
MO AVG
11
Rank
#34 / 209 | A+ |
The Rockwood is an independent living facility that exceeds all expectations in meeting the unique requirements of seniors in St. Louis. Built in 1928 and recently renovated, this remarkable residence offers one and two-bedroom senior apartment homes with hardwood floors, featuring charming oversized Murphy bed closet doors. The Rockwood’s thoughtfully designed floor plans cater to the diverse needs and preferences of its residents, ensuring comfort and convenience in every living space.
Embracing a rich history dating back to 1896, The Rockwood showcases a unique blend of traditional charm and modern amenities. In addition to exceptional services such as housekeeping, laundry, and utilities, the staff goes above and beyond to cater to the needs of residents. The attentive team is dedicated to providing personalized care and assistance, ensuring that every resident feels supported and valued. The state-of-the-art emergency response system, individually controlled heating and air conditioning, and advanced smoke detectors provide a secure environment for residents. The team believes that peace of mind is essential for a fulfilling lifestyle, and the community is designed to offer just that.
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 471 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.
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