Other senior care options in Missouri:

Best Assisted Living in Missouri

Why trust this guide? Our editorial team analyzed 285 assisted living communities in Missouri using Missouri Dept. of Health and Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MO
Reviewed by
Last updated
Jul 2026
We analyzed
285 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: 45/ 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: 97The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Missouri

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

Brookdale Creve Coeur
AL
IL
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 / 209
A+
Brookdale Wornall Place
AL
IL
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 / 209
A+
Brookdale West County
AL
IL
MC
NH
SNF
Ballwin
98
Facility 98
MO AVG 97
Rank #189 / 454
No
56
Facility 56
MO AVG 45
Rank #181 / 563
Unit TypeVb Ballwin Sh, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
The Manor at Elfindale
AL
NH
Springfield (Fassnight)
100
Facility 100
MO AVG 97
Rank #177 / 454
No
51
Facility 51
MO AVG 45
Rank #241 / 563
Private RoomsVsl Springfield Manor, LLC
35
Facility 35
MO AVG 11
Rank #17 / 209
A+
The Madison Senior Living
AL
IL
MC
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 #89 / 209
A+
Bradford Court
AL
ADC
HOS
RC
Nixa
50
Facility 50
MO AVG 97
Rank #390 / 454
Yes
65
Facility 65
MO AVG 45
Rank #124 / 563
Studio / 1 BedNixa Residential, LLC
23
Facility 23
MO AVG 11
Rank #43 / 209
A+
Gardens Senior Living Community
AL
IL
MC
Springfield (Mark Twain)
148
Facility 148
MO AVG 97
Rank #59 / 454
Yes
47
Facility 47
MO AVG 45
Rank #275 / 563
Studio / 1 Bed / 2 BedBslc II
30
Facility 30
MO AVG 11
Rank #24 / 209
A+
Breeze Park – Lutheran Senior Services
AL
IL
MC
NH
Weldon Spring
50
Facility 50
MO AVG 97
Rank #390 / 454
No
2
Facility 2
MO AVG 45
Rank #545 / 563
1 Bed / 2 Bed-
18
Facility 18
MO AVG 11
Rank #54 / 209
A+
Capetown Senior Living
AL
ADC
HC
HOS
IL
MC
RC
Cape Girardeau
53
Facility 53
MO AVG 97
Rank #382 / 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 / 209
A+
New Perspective Senior Living | Weldon Spring
AL
IL
MC
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 BedWeldon Springs Ops LLC
18
Facility 18
MO AVG 11
Rank #54 / 209
A+
NorthPark Village Senior Living
AL
ADC
HOS
IL
RC
Ozark
52
Facility 52
MO AVG 97
Rank #384 / 454
Yes
18
Facility 18
MO AVG 45
Rank #460 / 563
Studio / 1 Bed / 2 BedOzark Residential, LLC
42
Facility 42
MO AVG 11
Rank #12 / 209
-
The Jefferson City Nursing and Rehabilitation Center
AL
NH
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+
Lakewood Senior Living
AL
ADC
HC
HOS
MC
RC
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
24
Facility 24
MO AVG 11
Rank #43 / 209
A+
The Castlewood Senior Living
AL
IL
MC
Nixa
66
Facility 66
MO AVG 97
Rank #320 / 454
Yes
4
Facility 4
MO AVG 45
Rank #530 / 563
Studio / 1 BedNixa Senior Community LLC
11
Facility 11
MO AVG 11
Rank #75 / 209
A+
Armour Oaks Senior Living Community
AL
IL
NH
SNF
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 / 209
A+
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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 Sugar Creek Senior Living

Experience the retirement you’ve dreamed of with the reliable senior living community of Sugar Creek Senior Living by Americare located in the quiet lands of Professional Parkway, Troy, MO, that offers assisted living, adult day club, memory care, respite care, hospice care, and rehabilitation. With a wide range of cozy and elegant studio floor plans, seniors enjoy unmatched comfort and convenience. A compassionate and highly trained team lends extra hands for residents to have more time to create meaningful things and lead an inspired lifestyle.

Explore new interests and rekindle past hobbies with engaging activities and enjoyable programs. The community also utilizes a holistic approach to ensure every aspect of residents’ well-being is taken care of. Delight with healthy and tasty meals for dietary satisfaction. Sugar Creek Senior Living strives to provide a safe place for seniors to make the most of their best years while receiving the utmost care and support they deserve.

Contact Sugar Creek Senior Living

Overview of Spencer Place

Refresh in the charming neighborhood of Spencer Road, Saint Peters, MO, with the venerable senior living community of Spencer Place Senior Living by Americare providing assisted living, adult day club, respite care, hospice care, and rehabilitation. Enjoy unmatched comfort and safety with meticulously designed and spacious residences in varied studio and one-bedroom floor plans. The community strives to provide a helping hand in daily chores and maintenance for seniors to optimize their freedom and lead meaningful lives.

The community promotes a lively and warm environment, paving the way for seniors to create lasting moments and interact with their surroundings. Focusing on seven dimensions of wellness, Spencer Place ensures residents receive holistic care and support. Eat well and feel great with delicious and healthy meals that cater to tastes and dietary needs. Spencer Place is a safe place for seniors aiming to make the most out of their best years.

Contact Spencer Place

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 Cedarhurst of Blue Springs

Cedarhurst of Blue Springs is one of the assisted living and memory care communities that has created a wonderful experience in fully supporting all residents. They boast a dedicated team of care staff who celebrate each unique individual by ensuring complete care and attention to the residents. Cedarhurst provides a home where every individual, from staff to residents, can build new connections and create new memories in their new home.

The residential assisted living home offers a wide range of services to make residents feel at home, including weekly housekeeping, laundry and linen, transportation, and a recreation room for fun activities. There is also an on-site full-service salon where residents can pamper themselves and feel their best. Outdoor spaces and paths provide a serene and peaceful environment for relaxation and reflection.

Contact Cedarhurst of Blue Springs

Overview of Medicalodges Butler

Medicalodges Butler is a 105-bed skilled nursing facility at 103 East Nursery, Butler, Bates County, Missouri, operated by Medicalodges, Inc. and administered by Misty Brooks. The facility provides skilled nursing care, short-term rehabilitation, long-term care, and dementia and memory care services for Medicare and private-pay residents.

Emergency department visit rates stand at 36.2% of short-stay residents, 170% worse than the average of 13.4%. Falls with major injury during stay affect 2.5% of short-stay residents, 225% worse than the average of 0.8%. Re-hospitalization occurs in 28.8% of short-stay residents discharged, 14% worse than average. Ability to care for self at discharge is achieved in 42.9% of residents, 20% worse than the average of 53.7%.

Hospitalization rates are 1.69/1,000 resident days, 19% better than the Missouri average. Successful return to home or community for short-stay residents is 56.3%, 11% better than average.

Registered Nurses provide 36 minutes/resident/day, 29% above the Missouri average of 28 minutes, representing meaningful clinical strength. Licensed Practical Nurses provide 45 minutes/resident/day, 10% above average. Certified Nursing Aides provide 2 hours 27 minutes/resident/day, 6% above average. Total nursing care reaches 4 hours 19 minutes/resident/day, 14% above the average of 3 hours 48 minutes, ranking 60th among 256 Missouri facilities.

Weekend nursing maintains 3 hours 16 minutes/resident/day, 7% above average. Weekend RN coverage is 18 minutes/resident/day, 10% below the average of 20 minutes.

Long-stay falls with major injury occur in 7.8% of residents, 92% worse than the Missouri average of 4.0%. High-risk long-stay residents with pressure ulcers affect only 1.5%, 70% better than the average of 5.0%. Pneumococcal vaccination reaches 100% of long-stay residents, 17% better than average. Influenza vaccination reaches 96.8%, 7% better than average.

Long-stay emergency department visits are 2.01/1,000 resident days, 14% better than average.

Since 2019, the facility has received 4 health inspections from the Missouri Department of Health and Senior Services, Division of Regulation and Licensure with 12 total citations, substantially below the average of 36.5. All citations are moderate severity; the facility has zero critical or serious violations.

The July 2022 health inspection revealed deficiencies in food safety practices and water-borne pathogen prevention. The March 2024 health inspection cited nutrition, environmental, and resident rights issues. The June 2025 complaint investigation found a pharmacy citation. The trajectory of citations/inspection has remained low and stable.

CMS rates the facility 4 stars overall, placing it 52.1% above the Missouri average. Health Inspection is rated 4/5, 37.9% above average. Staffing is rated 4/5, 85.2% above average. Quality Measures are rated 2/5, 28.3% below average.

Occupancy is 66.3%, ranking 166th out of 262 Missouri facilities and slightly below average. Current census includes 54.3% Medicaid, 8.6% Medicare, and 37.1% private pay or other residents.

Average length of stay is 422 days.

No civil money penalties were reported in the past three years.

Medicalodges Butler offers 24-hour nursing staff, rehabilitation services, and on-site state-approved nurse aide training. Resident amenities include dining accommodations, activities programming, and an active resident council where residents meet regularly to discuss facility policies and quality of life.

Families enrolling short-stay residents for rehabilitation should request detailed explanations of the elevated emergency department visit rates and falls injury rates.

Contact Medicalodges Butler

Overview of Rock Point Nursing Center

Rock Point Nursing Center is an 86-bed skilled nursing facility in Birch Tree, Missouri. It’s operated by Rock Point Nursing Center LLC in Shannon County. The facility operates with limited availability and strong local demand at 81 percent occupancy which is well above Missouri’s 66.6 percent average. Accepted are Medicare, Medicaid, and private pay, with 66 of 70 current residents on Medicaid, oriented toward long-term skilled nursing care in rural Ozarks.

CMS grades the facility 3 stars, 14.1 percent above Missouri average. The health inspection sub-rating is the defining positive: 72.4 percent above state average across 3 inspections since 2021. All deficiencies recorded were low severity, averaging 6 per year against a 5.5 Missouri average, with no fines and immediate jeopardy findings. Staffing runs below state average and is the primary drag on the overall rating. Nurse hours run at 3h 4m per resident daily, 19 percent below Missouri average.

On-site programs include a state-approved nurse aide training program and an active resident council.

Rock Point Nursing Center is built for long-term Medicaid residents requiring ongoing skilled nursing care in Shannon County.

Contact Rock Point Nursing Center

Overview of Gasconade Manor Nursing Home

Located in Owensville, Missouri, Gasconade Manor Nursing Home is a skilled nursing facility operated by Gasconade Manor Nursing Home District and administered by Alexus Strothkamp. The home accepts Medicare, Medicaid, and private pay, offering multiple options for families to cover short-term rehabilitation and ongoing nursing care. The facility’s 79 private rooms have an occupancy rate of 77%. It serves rehabilitation residents and those who need longer-term care, and most stay for an average of 145 days.

Rehabilitation services and aquatic therapies are central parts of the home’s care program. It is paired with clinical support and lifestyle amenities that help residents through recovery and daily living. Daily nurse staffing averages 4 hours and 8 minutes per resident. Nurse aide support provides about 3 hours per day. This anchors hands-on personal care as a core part of the setting.

Aside from therapy spaces, residents have access to a pool and two outdoor courtyards. Several private rooms also include dine-in kitchenettes, so residents have more flexibility and independence when it comes to meals.

State inspections identified recurring issues related to operational compliance, including documentation practices, infection control protocols, medication management, and food safety procedures. These findings relate to the daily systems and operational processes. Families touring the home can observe how the home approaches these functions during their visit.

Owensville’s Walkability Score is 59 out of 100. Some nearby errands are within walking distance, while most outings require a short drive. Families nearby will find that the location offers convenient access to the home without being in a busier urban environment.

Contact Gasconade Manor Nursing Home

Fountainbleau Lodge

2001 North Kingshighway, Cape Girardeau, MO 63701-2193
Overview of Fountainbleau Lodge

Fountainbleau Lodge is a skilled nursing community in Cape Girardeau, Missouri. Its location on North Kingshighway is moderately walkable and provides convenient access to local services and nearby transit. Fountainbleau of Cape Girardeau, Inc. operates the home under the ownership of Bilkiss Chaudhry. It accepts Medicare, Medicaid, and private pay, so families have flexibility to cover the cost of care. The 89-bed community has served the Cape Girardeau area for 40 years, reflecting a long tenure in the community.

The facility’s current occupancy rate is 34%. Residents stay an average of 199 days, including short-term rehabilitation residents and those receiving longer-term skilled care. Daily nurse staffing averages 4 hours and 31 minutes per resident. Registered nurses, licensed practical nurses, and nurse aides work throughout the day to provide hands-on care.

State inspections identified concerns related to medication security and management, staff compliance, infection control practices, food safety and sanitation, and pest management. Families touring the home should ask how these important operational areas are managed daily to ensure residents’ safety and environmental cleanliness.

The community mainly provides rehabilitation services, health and wellness programs, and transportation services to help with appointments and outings. Dining is heavily focused on nutrition and taste. There’s a Chalet Dining program and regular dining options, and residents have access to a weekly schedule of events and activities. On-site amenities include a beauty and barber shop, an enclosed courtyard for outdoor time, designated smoking areas, and monthly activities.

Contact Fountainbleau Lodge

Overview of Anthology of Wildwood

Anthology of Wildwood, located in Wildwood, MO, is a senior living community offering assisted living and memory care services. Their assisted living programs provide residents with the perfect balance of quality care and comfort of a community that feels like home. As part of their assisted living services, residents can expect to receive 24/7 staff availability for assistance with daily living activities, medication management, wellness visit by a licensed nurse, as well as assistance with coordinating with third party health care providers to ensure that the residents’ medical needs are attended to.

Additionally, this senior living community’s amenities offer a fulfilling lifestyle where boredom does not exist. Residents may enjoy gourmet meals and snacks prepared by in-house chefs and supervised by a registered dietician, fitness and wellness programs, as well as the convenience of transportation for outside appointments such as shopping and outings.

Contact Anthology of Wildwood

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 285 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.