Page 6 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. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Capetown Senior Living
AL
ADC
HC
HOS
IL
MC
RC
Cape Girardeau
53
Facility 53
MO AVG 96
Rank #378 / 450
Yes
7
Facility 7
MO AVG 46
Rank #515 / 545
Studio / Suite / 2 BedCapetown Residential LLC
17
Facility 17
MO AVG 10
Rank #58 / 227
A+
Advance Assisted Living
AL
Advance
44
Facility 44
MO AVG 96
Rank #404 / 450
No
49
Facility 49
MO AVG 46
Rank #253 / 545
Assisted Living Facility (44)Advance Missouri Health Care, LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Voyage Residential Care
AL
Malden
96
Facility 96
MO AVG 96
Rank #199 / 450
No
37
Facility 37
MO AVG 46
Rank #344 / 545
Residential Care Facility (96)Crosstree Healthcare The Ranch LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
John Knox Village
AL
HC
HOS
IL
MC
NH
RC
SNF
Lee's Summit
408
Facility 408
MO AVG 96
Rank #1 / 450
Yes
58
Facility 58
MO AVG 46
Rank #169 / 545
Apartment / Cottage / 1 Bed / 2 BedJohn Knox Village-A+
New Haven Care Center
AL
HOS
NH
RC
SNF
New Haven
106
Facility 106
MO AVG 96
Rank #160 / 450
No
31
Facility 31
MO AVG 46
Rank #381 / 545
Skilled Nursing Facility (90), Assisted Living Facility (16)New Haven Care Center, Inc
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Hill Crest Manor
AL
HOS
NH
RESC
RC
SNF
Colby Hamilton
114
Facility 114
MO AVG 96
Rank #149 / 450
No
53
Facility 53
MO AVG 46
Rank #216 / 545
Skilled Nursing Facility (90), Residential Care Facility (24)Hamilton #1, Inc
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Stonebridge Desoto
AL
NH
SNF
De Soto
136
Facility 136
MO AVG 96
Rank #69 / 450
No
50
Facility 50
MO AVG 46
Rank #243 / 545
Skilled Nursing Facility (56), ALF** (80)Eldercare Of Mid-Missouri IV, Inc
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Annie’s House Inc
AL
RESC
Marble Hill
40
Facility 40
MO AVG 96
Rank #415 / 450
No
34
Facility 34
MO AVG 46
Rank #358 / 545
Residential Care Facility (40)Annie's House, Inc
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Beehive Homes of Grain Valley
AL
MC
RC
Grain Valley
32
Facility 32
MO AVG 96
Rank #431 / 450
No
57
Facility 57
MO AVG 46
Rank #176 / 545
ALF** (32)Blue Maple LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
American House Wildwood Village
AL
IL
MC
RC
Wildwood
94
Facility 94
MO AVG 96
Rank #209 / 450
Yes
22
Facility 22
MO AVG 46
Rank #440 / 545
ALF** (94)Asr 251 Plaza Lessee, LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-

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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Raintree Village

1501 S W Arborwalk Blvd, Lee's Summit, MO 64082-4101
Overview of Raintree Village

Raintree Village is a 40-bed assisted living and independent living community at 1501 SW Arborwalk Boulevard, Lee’s Summit, Jackson County, Missouri, operated by CCRC of Lee’s Summit LLC, a voluntary non-profit community sponsored by a church. Cody Hughes serves as administrator. The facility is part of a continuing care retirement community and offers independent living, assisted living, and short-term rehabilitation.

Staffing is a clear strength. Registered nurse coverage stands at 1 hour 36 minutes per resident per day, substantially exceeding the Missouri state average of 28 minutes by 243 percent. Licensed practical nurse staffing is 1 hour 11 minutes per resident per day, 73 percent above the state average of 41 minutes. Certified nurse aide hours reach 3 hours 7 minutes per resident per day, 35 percent above the Missouri benchmark of 2 hours 19 minutes.

Weekend total nursing hours are 5 hours 2 minutes per resident per day, 65 percent above the state average of 3 hours 3 minutes, with weekend registered nurse coverage at 55 minutes per resident per day (175 percent above the state average of 20 minutes).

Physical therapist hours are notably elevated at 16 minutes per resident per day, 701 percent above the Missouri state average of 2 minutes, reflecting substantial rehabilitation capacity for post-acute and short-stay residents. The facility operates an active resident council.

Independent living is priced at $3,695 per month; assisted living is $5,990 per month. Current resident census is 10 residents, all private pay.

The facility is located in a highly walkable area (walk score 85), with most daily errands accessible on foot.

No civil money penalties or payment denials were reported in the past three years. Raintree Village’s staffing metrics, particularly elevated weekend and physical therapy hours, are substantially above state benchmarks and distinguish the facility.

Families should request inspection and compliance records, quality outcome data (hospitalizations, ED visits, falls, readmission rates), and clarification of admission criteria and care transitions.

Contact Raintree Village

Capetown Senior Living

2857 Cape La Croix Rd, Cape Girardeau, MO 63701
Overview of Capetown Senior Living

Settling in the idyllic Cape Lacroix Road, Cape Girardeau, MO, is the esteemed senior living community of Capetown Senior Living by Americare that offers assisted living, independent living, memory care, respite, hospice, adult day club, home health care, and rehabilitation. The community strives to provide an accessible and cozy residence for seniors, featuring studio and two-bedroom floor plans designed for comfort and safety. With its commitment to enhancing seniors’ quality of life, Capetown Senior Living delivers top-notch care and support from a qualified and highly skilled team.

Live the retirement of your dreams while exploring new endeavors through enjoyable activities and fun programs. Have wonderful interactions over delightful and healthy meals for an unforgettable dining experience. Capetown Senior Living is regarded as the Best Assisted Living by US News and World Report from 2023 to 2024 as proof of its unrivaled quality.

Contact Capetown Senior Living

Overview of Advance Assisted Living

Advance Assisted Living is a 44-bed community located at 252 Payton Place in Advance, Missouri. Managed by administrator Debra Newman and operated by Advance Missouri Health Care, LLC, the Stoddard County facility opened recently, providing local families with a modern choice for senior housing.

The community operates at roughly 86 percent occupancy, indicating steady local utilization. Its daily environment balances regular personal care with a focus on helping residents maintain their independence. The immediate area around the facility has a walkability score of 49 out of 100, meaning a few small errands can be handled on foot, though standard medical transport, family visits, and major shopping trips generally require a vehicle.

Families and prospective representatives searching for assisted living solutions in the Advance area can contact the business office directly to discuss available spaces and set up a time to view the property.

Contact Advance Assisted Living

Overview of Voyage Residential Care

Located in Malden, Missouri, Voyage Residential Care is a 96-bed facility operated by Crosstree Healthcare Voyage LLC and administered by Leann Haynes. The community’s current occupancy rate is 60%. Residents stay an average of 106 days, including short-term rehabilitation and longer-term care residents. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care.

The facility’s clinical focus spans rehabilitation and palliative services. There’s 24-hour on-site staffing and a dedicated rehabilitation program that serves residents recovering from injury or surgery, as well as those requiring ongoing medical support. For those with serious illness, the facility offers palliative and hospice care, so residents can stay in one place through end-of-life transitions. The facility offers personalized care plans, 24/7 medical support, and nutrition and dietary services tailored to residents’ needs.

Residents’ daily lives include activities and social engagement. The facility is in a residential area of Malden with a Walk Score of 37, so some nearby services and errands can be reached on foot. However, most trips will require a vehicle. That quieter neighborhood setting may appeal to families and residents looking for a more residential feel. However, its proximity to services is more limited than in more walkable locations.

Families looking for rehabilitation, ongoing medical care, or end-of-life support may find Voyage a great option with services that address a range of care needs.

Contact Voyage Residential Care

Overview of John Knox Village

Burrowed in Jackson County, Lee’s Summit, MO, John Knox Village is a wonderful senior living community that offers a wide array of senior living options to cater to residents’ varying needs. The community provides assisted living, skilled nursing, rehabilitation, memory care, and hospice care. Believing that each person deserves dignity, comfort and respect, the community provides its residents with a team of dedicated caregivers focused on providing compassionate care that helps them live their lives to the fullest.

The community is a spacious 120-apartment neighborhood with a wide variety of options and amenities to keep residents enjoy the life they want in the comfort of their snug and sophisticated accommodations. Residents also benefit from 24-hour nursing care, which ensures their care needs are met accordingly. Home maintenance services are also offered so residents can focus instead on lifelong learning opportunities, vibrant entertainment and wellness programs.

Contact John Knox Village

Overview of New Haven Care Center

New Haven Care Center is a nonprofit nursing home in New Haven, Missouri, with 106 beds. It is operated by New Haven Care Center, Inc., under administrator Charles Tritch. Community-owned and operating for more than 40 years, the facility provides long-term care, short-term rehabilitation, and outpatient rehabilitation to residents in Franklin County. It accepts Medicare, Medicaid, and private pay.

CMS gives the facility a 3-star overall rating. Nursing staffing averages 4 hours and 0 minutes per resident per day, modestly above Missouri’s average of 3 hours and 48 minutes, a meaningful margin for residents with daily care needs. Four of the facility’s six quality measures fall below state averages, a signal worth weighing for long-stay placements.

Since 2022, New Haven Care Center has undergone three inspections, averaging 5 deficiencies per year, close to Missouri’s average of 5.5, roughly in line with peers. The annual inspection in 2023 cited personal hygiene care, mechanical lift safety, and infection control. A March 2025 focused inspection later identified deficiencies in medication administration, including insulin handling and oxygen orders. Neither inspection resulted in fines or enforcement actions.

The facility’s programs include therapy services, pain management, podiatry, optometry, and dental services. It also operates its own hospice program, New Haven Hospice, and provides memory care and respite care, with 24-hour staffing.

New Haven Care Center suits residents seeking long-term skilled nursing or short-term post-acute rehabilitation in a community-based, nonprofit setting in Franklin County, particularly those who may need in-house hospice access and end-of-life care in the same facility.

Contact New Haven Care Center

Overview of Hill Crest Manor

Hill Crest Manor is a nursing home in Hamilton, Missouri. It is operated by Hamilton #1, Inc. It is owned by Muhammad Amin and administered by Tyler O’Neal. The facility is on South Colby, a moderately walkable area for errands and nearby services. The facility is a relatively new property, having opened just one year ago.

The 114-bed home has a current occupancy rate of 47%, with residents staying an average of 179 days. Medicare, Medicaid, and private pay are accepted, providing several ways for families to arrange short-term rehabilitation and ongoing nursing care. Rehabilitation services are a key part of the facility’s clinical focus.

Nurse staffing averages 3 hours and 8 minutes per resident each day. Residents are cared for by registered nurses, nursing aides, and licensed practical nurses. This level of hands-on support is the foundation of daily care delivery.

State inspections documented concerns related to resident safety, dignity, and privacy; medication management practices; equipment safety; food service; adequate supervision; and staff conduct toward residents. These findings require ongoing attention and corrective action in daily operations and care practices.

Families considering Hill Crest Manor should ask about these inspection findings during a tour. This will help clarify how the home addresses regulatory concerns and improves its practices.

Contact Hill Crest Manor

Overview of Stonebridge Desoto

Stonebridge Desoto is an 80-bed skilled nursing facility at 1550 Villas Drive, De Soto, Missouri, operated by Eldercare Of Mid-Missouri IV, Inc. and administrated by Angela Moore. The facility provides assisted living, rehabilitation, skilled nursing care, short-term rehabilitation, and senior rehabilitation services with Medicare and Medicaid certification. The community received recognition as Missouri’s Best 2021.

It maintains 24-hour staffing with comprehensive clinical services including rehabilitation, physical therapy, occupational therapy, and speech therapy alongside palliative and hospice care.

Staffing composition shows significant variation from Missouri benchmarks. Registered Nurse coverage is 32 minutes per resident daily, running 14% above the state average of 28 minutes, suggesting adequate clinical leadership. However, Licensed Practical Nurse hours average 23 minutes per day, substantially below the state average of 41 minutes; a 44% shortfall that signals reduced hands-on clinical care delivery. Nurse Aide staffing is 2 hours 34 minutes per day, 11% above the state average, providing stronger direct assistance capacity.

Weekend nursing totals 3 hours 15 minutes per day, 7% above the state benchmark, with weekend RN coverage at 25 minutes; 25% above state average. Physical Therapist hours are minimal at 1 minute per day, 50% below the state benchmark of 2 minutes, a notable limitation for rehabilitation-focused care.

Quality outcome data raise substantive concerns. Emergency department visits for short-stay residents are 17.2%, 28% worse than the Missouri average of 13.4%; a marked elevation suggesting either higher-acuity admissions or gaps in preventive care management. Re-hospitalization is 26.5%, 5% worse than the state average of 25.3%. Successful return to home or community is 39.4%, 22% worse than the Missouri average of 50.6%, indicating lower discharge readiness outcomes.

Falls with major injury are 0.0%, a genuine strength relative to the state average of 0.8%. The facility’s overall quality measure rating is significantly below average, indicating systematic performance gaps across multiple care domains.

The walk score of 50 reflects moderately walkable surroundings with some pedestrian-accessible amenities.

Clinical services include in-house X-ray and laboratory, IV therapy, nutrition therapy, medication management, pain and wound management, and palliative care. On-site amenities encompass a beauty and barber shop, housekeeping, dining with special meal options, and recreational programming.

The facility’s zero inspection finding is anomalous given extensive CMS quality measure reporting and requires clarification regarding inspection history and regulatory standing. Missouri residents qualify for multiple assistance programs including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance.

Families should ask for an explanation of quality measure performance deficiencies and elevated ED utilization and re-hospitalization rates, corrective action plans, occupancy, and inspection history.

Contact Stonebridge Desoto

Annie’s House Inc

25228 Buzzard Drive, Marble Hill, MO 63764-9408
Overview of Annie’s House

Annie’s House operates as a 40-bed residential care facility in Marble Hill, Bollinger County, Missouri, serving residents ages 21 and older with mental and physical disabilities. Andrea Cook administers the community under Annie’s House ownership. The facility accepts both male and female residents and coordinates weekly outings and volunteer-based activity programming.

As a residential care setting rather than a traditional assisted living or skilled nursing facility, Annie’s House operates under distinct regulatory oversight. Prospective residents must demonstrate income from Social Security, SSI, or equivalent sources and maintain active insurance coverage at admission. Pets reside on the premises.

The facility’s rural location and walk score of 34 mean that access to hospitals, shopping, dining, and banking depends on external transportation or family assistance. Few local services are reachable by foot.

The facility’s designation as residential care, rather than skilled nursing, reflects a less intensive licensing category, though this distinction does not necessarily indicate lower quality; it reflects the intensity of medical services provided.

To assess regulatory compliance, families should contact the Missouri Department of Health and Senior Services, Division of Regulation and Licensure, directly or request records from the facility itself.

The facility’s admission requirements of demonstrated income and active insurance establish a baseline standard but provide limited transparency into actual monthly costs or financial assistance options beyond state programs.

The rural setting and non-disclosure of operational, staffing, and compliance data present significant evaluation challenges.

Families should ask about insurance coverage eligibility, staffing model and resident supervision, recent inspections, transportation availability, and pricing and any additional fees.

Contact Annie’s House Inc

Overview of Beehive Homes of Grain Valley

Beehive Homes of Grain Valley is a 32-bed assisted living and memory care community in Grain Valley, Jackson County, Missouri, operated by Blue Maple LLC with Cal Hutson as administrator. The facility provides memory care and assisted living services emphasizing personalized care in a home-like setting.

The community maintains 24-hour staffing alongside rehabilitation services, respite care, and short-term rehabilitation options. Emergency call systems and safety features are standard. Amenities include home-cooked, dietitian-approved meals, daily housekeeping and laundry services, telephone access, public WiFi, bed linens and towels, and life enrichment activities in smoke-free units.

Monthly pricing ranges from $5,900 to $7,800 depending on the level of care and floor plan selected.

The facility is located in a moderately walkable area (walk score 57) where some errands can be accomplished on foot.

Families should ask about quality measures, occupancy, memory care training certifications, and the facility’s programs for residents transitioning between assisted living and memory care levels.

Contact Beehive Homes of Grain Valley

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.