Page 5 of Best Assisted Living in Missouri

Why trust this guide? Our editorial team analyzed 261 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.
261 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: 46/ 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: 96The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90

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.

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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative 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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Smiley Manor
AL
RESC
RC
St. Louis (Walnut Park East)
20
Facility 20
MO AVG 96
Rank #442 / 450
No
49
Facility 49
MO AVG 46
Rank #253 / 545
-Smiley Manor, LLC
14
Facility 14
MO AVG 10
Rank #66 / 226
A+
Abbey Senior Health
AL
HOS
IL
NH
PC
RC
SNF
O'fallon
65
Facility 65
MO AVG 96
Rank #327 / 450
No
65
Facility 65
MO AVG 46
Rank #124 / 545
Skilled Nursing Facility (55), ALF** (10)Mount Carmel Communities - O'fallon, LLC--
Garden View Care Center
AL
HOS
MC
NH
RC
SNF
Chesterfield (Villas At Chesterfield Pointe)
-No
6
Facility 6
MO AVG 46
Rank #518 / 545
--
28
Facility 28
MO AVG 10
Rank #27 / 226
-
The Grand Royale
AL
IL
RC
Gladstone
77
Facility 77
MO AVG 96
Rank #277 / 450
Yes
63
Facility 63
MO AVG 46
Rank #141 / 545
Private Rooms / Semi-Private RoomsGgcc, LLC--
Delmar Gardens of Creve Coeur
AL
NH
IL
Creve Coeur
148
Facility 148
MO AVG 96
Rank #58 / 450
No
26
Facility 26
MO AVG 46
Rank #416 / 545
Private / Shared RoomsDelmar Gardens Of Creve Coeur Operating, LLC--
Delmar Gardens of Chesterfield
AL
IL
MC
NH
RC
SNF
Chesterfield (Walnut Hill Plaza)
237
Facility 237
MO AVG 96
Rank #5 / 450
No
36
Facility 36
MO AVG 46
Rank #347 / 545
ApartmentsDelmar Gardens Of Chesterfield Operating, LLC--
McCrite Plaza at Briarcliff
AL
HC
HOS
IL
MC
NH
SNF
Kansas City
164
Facility 164
MO AVG 96
Rank #38 / 450
No
22
Facility 22
MO AVG 46
Rank #440 / 545
1 Bed / 2 BedMccrite Plaza At Briarcliff, LLC--
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 46
Rank #154 / 545
Studio / 1 Bed / 2 BedSt Peters Mo Senior Living Leaseco LLC--
Tiffany Springs Senior Living
AL
IL
MC
Kansas City (Coves North)
97
Facility 97
MO AVG 96
Rank #195 / 450
Yes
30
Facility 30
MO AVG 46
Rank #384 / 545
1 Bed / 2 BedTiffany Springs Senior Care Community, LLC--
Armour Oaks Senior Living Community
AL
IL
NH
SNF
Kansas City (Waldo Homes)
38
Facility 38
MO AVG 96
Rank #420 / 450
Yes
73
Facility 73
MO AVG 46
Rank #70 / 545
Studio / 1 Bed / 2 Bed / 3 BedMo Women's Christian Assoc Of Kansas City
7
Facility 7
MO AVG 10
Rank #85 / 226
A+

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 261 on this page.

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Overview of Oakdale Care Center

Oakdale Care Center is a newly opened residential nursing facility in Poplar Bluff, Missouri, operated by Palladian Senior Care. Owner Jeff Newman and administrator Misty Ulmer lead a community that serves a range of care needs, including assisted living, residential care, and therapy services. Medicare, Medicaid, and private pay are accepted, so families have multiple options to access care.

The 166-bed facility is built for scale to accommodate short-term rehabilitation residents and those seeking longer-term care. Most stay an average of 163 days. The community is moderately walkable, with a score of 67. Visiting families and residents can easily navigate nearby errands on foot.

Nursing and care staffing averages approximately 2 hours and 29 minutes of direct care per resident each day. Care is provided by registered nurses, licensed practical nurses, and nurse aides. This staffing structure supports residents with their routine care needs around the clock.

When the facility was inspected, inspectors identified issues related to medication management, infection control practices, and resident assessment procedures. These are common areas of focus for regulatory oversight. Residents and families evaluating the facility can take a tour and ask how the center addresses these protocols daily.

Oakdale is a newly opened facility, so it’s in its growth phase and building its resident base. Families visiting the facility should check the physical plant, meet staff, and understand how the center approaches care planning and daily operations in its early years.

Contact Oakdale Care Center

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 Abbey Senior Health

Abbey Senior Health is a 10-bed continuing care retirement community at 206 North Main Street, O’Fallon, Saint Charles County, Missouri, operated by Mount Carmel Communities-O’Fallon, LLC under the administration of C Christopher Brown. The facility provides independent living, assisted living, skilled nursing, and short-term rehabilitation services with a minimum age requirement of 55 for residents. The facility received U.S. News and World Report recognition as a Best Nursing Home in 2026.

The walk score is 65, indicating moderate walkability where some errands do not require a car.

Registered nurses provide 48 minutes per resident per day, representing a 71% increase above Missouri’s state average of 28 minutes. Licensed practical nurses provide 1 hour 1 minute per day, 49% above state average. Certified nursing aides provide 2 hours 45 minutes per day, 19% above state average. Weekend nursing totals 3 hours 49 minutes per day, 25% above state average, with weekend RN presence at 28 minutes per day, which is 40% above the state average.

Physical therapists provide 6 minutes per day, representing a 200% increase above the state average of 2 minutes.

Quality outcomes for long-stay residents demonstrate considerable strength. Long-stay hospitalizations average 1.48 per 1,000 days, representing a 29% improvement over Missouri’s state average of 2.08. Emergency department visits for long-stay residents average 0.33 per 1,000 days, 86% better than state average of 2.35.

Short-stay rehabilitation outcomes are mixed. Successful return to home or community is 56.9%, 12% better than the state average. Re-hospitalization rates are 27.2%, 8% worse than state average. Falls with major injury occur at 2.9% of short-stay residents, representing a concerning 271% increase over Missouri’s average of 0.8%.

Ability to care for self at discharge is 48.6%, 9% worse than state average.

Abbey Senior Health emphasizes faith-based programming with Catholic Mass, Communion, Chapel access, Reconciliation, Prayer, and Bible Study. Social and recreational amenities include food and drink tastings, happy hours, guest events, movie nights, birthday parties, sports watch parties, spa treatments, walking club, exercise classes, library, and art classes. Meals are offered on an optional purchase basis.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven. This unusually sparse inspection history requires explanation. Current licensing status and any available regulatory documentation should be reviewed.

Families should request fall prevention protocols and admission assessment procedures, and licenses and inspection reports from Missouri Department of Health and Senior Services.

Contact Abbey Senior Health

Garden View Care Center

1025 Chesterfield Pointe Pkwy, Chesterfield, MO 63017
Overview of Garden View Care Center

Garden View Care Center, located in Chesterfield, MO, is a healthcare facility offering a wide range of services; from skilled nursing, memory care, assisted living, rehabilitation services, respite care, and hospice care. Their skilled nursing services, also offered in long-term care, provides residents with 24/7 skilled nursing care by trained individuals such as registered nurses (RNs) and physical, speech, and occupational therapists.
Additionally, they also provide residents other medical services according to their needs including wound care, terminal illness care, rehabilitation, and stroke recovery care. Long-term care residents also enjoy a variety of amenities designed to create a more comfortable stay. Their farm to table menu is chef prepared and provides the perfect balance of deliciousness and nutrition. Furthermore, personal laundry services are also offered, as an added convenience, ensuring that the residents need only to focus on getting better.

Contact Garden View Care Center

The Grand Royale

2900 Ne Kendallwood Pkwy, Gladstone, MO 64119
Overview of The Grand Royale

Discover the perfect place for seniors in Gladstone, where life at The Grand Royale is nothing short of vibrant. Here, compassion, respect, and purpose are fostered within a close-knit community that also offers exceptional assisted living facilities for seniors. With senior living services available 24 hours a day, residents can rest assured that their needs are met, providing them with the support and care they deserve to fully embrace all the joys of this remarkable community.

Indulge in the well-appointed dining room, where exquisite meals are savored and shared. Immerse yourself in a cinematic experience at the state-of-the-art movie theater or engage in friendly competition at the inviting billiards parlor. Enhance your well-being at the beauty bar, where pampering and rejuvenation take center stage. The possibilities are endless, ensuring that every day is filled with excitement and fulfillment for both independent living and assisted living residents. Stay connected with Wi-Fi and cable services, and revel in the comfort of weekly housekeeping. Engage in scheduled activities that promote socialization and exploration, allowing you to discover new passions and forge lasting connections. With exceptional assisted living facilities, tailored care and assistance are provided to seniors, ensuring their comfort and well-being.

Contact The Grand Royale

Overview of Delmar Gardens of Creve Coeur

Delmar Gardens of Creve Coeur is an assisted living community in Saint Louis, MO, offering independent living and personal care. With its warm and welcoming environment, the community ensures older adults can feel at home during their stay. Residents can also maintain their independence with ease, with weekly housekeeping, maintenance services, and daily gourmet dining. The community also works closely with residents to provide high-quality care dedicated to their needs and habits.

Outings, fitness exercises, and themed events provide residents with more opportunities to interact with friends and gain meaningful experiences. Parking spaces and cozy living spaces ensure residents can rest without hassles. Residents also experience a stress-free retirement with its ideal location near Westgate Lake, restaurants, shops, and bus stops. This assisted living community is a good option for senior living in Missouri, especially with its high standards of care and clean setting.

Contact Delmar Gardens of Creve Coeur

Overview of Delmar Gardens of Chesterfield

Delmar Gardens of Chesterfield is a nursing home in Chesterfield, MO, offering memory care, rehabilitation, and skilled nursing. Fostering comfort and healing, the community has thoughtfully furnished amenities in a supportive and home-like environment. Residents can also experience maintenance-free living with 24-hour care, dietitian-planned meals, and therapies. Through personalized care plans, residents receive the utmost attention and care tailored to their unique needs and habits.

Social events, sensory-stimulating activities, and dance classes help enhance residents’ cognition and maintain their holistic well-being. A dining room, a spacious activity room, and a beauty salon are among the state-of-the-art amenities dedicated to residents’ relaxation and wellness. Situated along Blues Highway, near bus stops in the quiet neighborhood of Chesterfield, the community guarantees accessibility. This nursing home is a great choice for senior living in Missouri, especially with its comprehensive care options.

Contact Delmar Gardens of Chesterfield

Overview of McCrite Plaza at Briarcliff

McCrite Plaza at Briarcliff is a luxurious retirement community in Kansas City, MO, that offers comprehensive care options, including independent living, assisted living, memory care, and rehabilitation services. With its warm and home-like environment, older adults can keep their peace of mind in retirement. Housekeeping services, nutritious meals, and recreational programs are also provided, so residents can maintain their independence with ease. As a family-owned community, this home ensures residents are well taken care of in retirement through its personalized care plans.

Off-site excursions, educational programs, and live entertainment allow residents to learn and have fun. A movie theater, a wellness center, and a bistro are among the state-of-the-art amenities that residents can use for leisure and wellness. Nestled near the Missouri River, with restaurants, grocery stores, and shops in the area, the community has breathtaking views and quick access to its needs and leisure. With a wide range of services and thoughtfully designed amenities, this retirement community is undeniably one of the best options for senior living in Missouri.

Contact McCrite Plaza at Briarcliff

Clarendale of St. Peters

10 Dubray Dr, St Peters, MO 63376
Overview of Clarendale of St. Peters

Experience a resort-style living with Clarendale of St. Peters located in St. Peters, MO. This senior living community offers independent living, assisted living, and memory care services. Spacious and cozy accommodations ranging from one-bedroom to two-bedroom are available for its residents. With its competent and dedicated team, this community fosters an active adult living or a maintenance-free lifestyle to further enhance independence.

True to its goal to be a community like no other, residents can enjoy a wide array of exceptional amenities and services including nursing services, around-the-clock associates to ensure safety of residents, wellness and spa and many more. Build meaningful connections within the beautifully made shared spaces of this community. Attend in diverse social activities and other life enrichment programs. At Clarendale of St. Peters, seniors can enjoy a living experience worth remembering.

Contact Clarendale of St. Peters

Overview of Tiffany Springs Senior Living

The warm hospitality and distinct charm of Tiffany Springs Senior Living Community is truly a worthwhile experience. Enveloped by the bustling Midwest metro of Kansas, this community offers an eclectic mix of modern city living and a retreat-like atmosphere. Residents can choose from a span of living options, including independent living, assisted living, memory care, rehabilitation, and extended stay. With 40 beautifully appointed apartment choices featuring upscale finishes, every element is carefully curated to ensure comfort and style.

From the serene outdoor courtyard for strolls to the private dining room for intimate gatherings, there are spaces to relax and connect with loved ones. The fitness gym and yoga studio offer opportunities for rejuvenating workouts, and private coaching sessions are available for personalized guidance. The healing gardens, pool and jacuzzi, and on-site chapel, are just a selection of the conveniences the home renders. Most importantly, safety and security are of utmost importance at Tiffany Springs, with an emergency response system and 24-hour security to ensure residents’ peace of mind. A consulting medical director is available for expert guidance on health matters as well, and a concierge is on hand to assist with any needs. 

Contact Tiffany Springs 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
No paid rankings Communities cannot pay to influence placement.
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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 261 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.