Page 8 of Best Assisted Living in Missouri

Overview of St Agnes Home

St. Agnes Home is a 150-bed intermediate care facility at 10341 Manchester Road, Kirkwood, Saint Louis County, Missouri, operated by the Carmelite Sisters of the Divine Heart of Jesus of Missouri under the administration of Angela Ruppel. The facility provides assisted living, enhanced care, and skilled nursing services with faith-based programming. It is nonprofit and has a walk score of 89, indicating very high walkability in an urban residential location.

A defining operational constraint merits immediate attention: St. Agnes Home does not accept Medicaid or Medicare. This policy restricts admission exclusively to private-pay residents; those funding care through personal resources or private long-term care insurance. For families dependent on government assistance programs, the facility is not accessible regardless of clinical suitability.

This payment restriction narrows the eligible population significantly and influences family decision-making from the outset.

The facility maintains a physician on staff, operates 24-hour nursing oversight with medication administration capabilities, and provides 24-hour security and emergency response systems.

Spiritual care is central to the facility’s mission. Daily Mass and Rosary, weekly Eucharistic Adoration, and other religious devotions are provided for residents. The continuum-of-care model encompasses assisted living, enhanced care, and skilled nursing within a single campus, allowing residents to remain at the facility as care needs progress. Meals are restaurant-style, served three times daily.

On-campus amenities include barber and beauty salon, fitness and physical therapy area, in-house medical services, housekeeping, linen service, utilities included, and concierge services. The community calendar includes physical, social, educational, and spiritual programming.

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable facilities. This unusually sparse inspection history requires clarification from facility leadership. Current licensing status and any available regulatory documentation should be reviewed prior to placement. Request detailed staffing schedules and credentials, seek CMS ratings and quality outcome data, obtain current licensing documents and any inspection reports from the Missouri Department of Health and Senior Services.

Families should verify private-pay funding sources and confirm eligibility and ask about care protocols for residents with complex medical needs, fall prevention, and discharge planning.

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.

Tucked in the serene North State Highway, Ozark, MO, NorthPark Village Senior Living by Americare is an idyllic senior living community providing assisted living, independent living, respite care, adult day club, hospice care, and rehabilitation. Keep your privacy with well-built and sophisticated private and semi-private residences in various studio, one-bedroom, and two-bedroom floor plans. Regarded as US News and World Report’s Best Assisted Living from 2023 to 2024, the community continues to deliver exceptional care and assistance for seniors to live their best years the way they prefer.

Fostering a warm and friendly environment, the community ensures residents feel a sense of belonging and retain social connections. Have a delightful dining experience with well-balanced meals to cater to dietary needs and preferences. NorthPark Village is certified as a Great Place To Work, providing an ideal place for seniors and caregivers alike for a better quality of life.

Overview of Chapters Living of Joplin

Chapters Living of Joplin is a 93-bed voluntary non-profit nursing home at 201 South Northpark Lane, Joplin, Jasper County, Missouri. Rebecca Massey serves as administrator; Chapters Joplin Opco LLC provides operations. The community accommodates independent living, assisted living, and memory care alongside short-term rehabilitation. Average length of stay is 48 days.

The facility provides religious services including chapel services and Bible studies, along with activities, dining options, and common areas.

The facility occupies a highly walkable urban location (walk score 77), with most daily errands accessible on foot.

The payer mix reflects a care model balancing short-term Medicare rehabilitation with longer-term Medicaid and private-pay residents. Medicare accounts for 27 percent of new admissions (average stay 4-5 months), private pay represents 55 percent (typical stay 1 month), and Medicaid comprises 18 percent (typical stay 1-2 months).

Occupancy and financial performance warrant family attention. Current occupancy stands at 47.2 percent, down 10.5 percentage points from 57.8 percent in 2022 and markedly below state average occupancy for comparable facilities. Gross revenue in 2023 was $10.3 million against operating expenses of $11.5 million, producing a net deficit of $4.1 million and a negative profit margin of 39.9 percent. Payroll costs represent 66 percent of revenue at $6.8 million.

The sustained operating losses and declining occupancy trajectory raise questions about operational stability, service continuity, and the facility’s capacity to maintain and upgrade plant and equipment over time.

The facility reports no civil money penalties or payment denials in the past three years.

Families evaluating Chapters Living should request clarification on the causes and timeline of the occupancy decline, and current operational and financial stabilization plans.

St Joe Manor is a skilled nursing and rehabilitation facility in Bonne Terre, Missouri, operated by American Nursing & Rehab LLC, with Sharon Greco serving as the administrator. Located on Lake Drive, the facility is in a moderately walkable area with a walk score of 59. Some errands can be done on foot, while other trips require transportation. The home accepts Medicare, Medicaid, and private pay, giving families several options to cover short-term rehabilitation and longer-term care needs.

The community has 201 beds and has been serving residents for 26 years. St Joe Manor serves post-acute rehabilitation residents and those receiving ongoing skilled nursing care. Most stay for an average of 133 days, reflecting shorter rehabilitation stays and extended care. Nursing support averages 4 hours and 32 minutes per resident per day, with a registered nurse and nursing aides as part of the broader clinical team.

Inspection findings focused on the accuracy of care planning, infection control practices during resident care procedures, and medication management protocols. These are important parts of daily nursing home operations. Families touring the home can ask directly how these areas are monitored and managed to stay compliant.

Overview of Steelville Senior Living

Administrator Ashley Drewel directs operations at Steelville Senior Living, a 93-bed nursing community located on North Spring Street in Steelville, Missouri. The facility keeps the setup simple for families by working with standard payment options such as private pay, Medicaid, and Medicare. Relatives dropping by for a visit will find a somewhat walkable neighborhood grid, so you can take care of a few small errands on foot, but a vehicle is still your best bet for general travel.

The building runs at a lower occupancy rate of 44 percent since it is a relatively new addition to the area, with residents staying an average of 142 days. This operational timeline shows that the staff splits their daily routine between short-term post-hospital therapy tracks and extended residential care. To keep up with regular clinical targets, the 24-hour shift schedule delivers an average of 3 hours and 49 minutes of direct nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.

State health department inspectors keep public records of how the building aligns with regular safety and licensing codes. Past evaluation summaries have noted a few procedural areas needing some adjustment, specifically focusing on kitchen food safety protocols, clinical infection control steps, daily staffing schedules, and medication management routines, keeping the total citation rate above zero.

Prospective representatives can evaluate the on-site outpatient rehabilitation programs, therapy spaces, and independent activity rooms. The everyday routine features restaurant-style dining with menu choices planned by a dietitian, plus extras like building-wide Wi-Fi, local transportation, an internal beauty shop, and a private dining room for guests.

Overview of Cedarhurst of Lebanon Assisted Living & Memory Care

Cedarhurst of Lebanon Assisted Living & Memory Care is a 90-bed assisted living facility at 842 Lynn Street, Lebanon, Missouri, operated by Cedarhurst Of Lebanon Operator, LLC and administrated by Kimberly Douglas. The facility provides assisted living, memory care, and independent living options with 24-hour staffing and respite care services. The larger facility size (90 beds) distinguishes it from smaller communities and may offer expanded common areas and organized programming.

Operational strengths include 24-hour staffing, designated memory care units for residents with cognitive decline, and respite care availability. Dining services are chef-prepared with seasonal menus and daily specials, with flexible scheduling.

The facility is located at Lebanon’s city center with a walk score of 67, indicating moderately walkable surroundings where some errands are possible on foot. This location provides immediate access to local services and healthcare resources.

The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri assisted living facilities. Without access to the complete inspection record and detailed staffing breakdown, families cannot assess regulatory history or identify any substantive compliance issues. The zero-inspection finding requires clarification regarding the facility’s age, licensure status, and operational standing before consideration for placement.

Missouri residents may access multiple payment 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 about staffing details, occupancy, licensing, inspections, quality metrics, memory care programming scope, and payment acceptance details from Cedarhurst of Lebanon Assisted Living & Memory Care.

Overview of Hampton Manor of Wentzville

Hampton Manor of Wentzville offers exceptional senior living in Wentzville, Missouri, providing a comfortable and supportive environment for residents. Our community is designed to promote independence while offering personalized care tailored to individual needs.​

Residents enjoy private, apartment-style suites with modern amenities, including individually controlled heating and air conditioning, private bathrooms with showers and grab bars, and emergency call response systems. The community features beautifully landscaped outdoor spaces, comfortable common areas, and a variety of activity rooms to encourage social engagement and relaxation.​

Our dedicated staff is available 24/7 to assist with daily activities such as bathing, dressing, grooming, and medication management. We also offer weekly housekeeping, linen services, and suite maintenance to ensure a clean and comfortable living environment.​

Dining at Hampton Manor of Wentzville includes three delicious meals daily, with menu choices and snacks available anytime. Residents can also enjoy our on-site hair and nail salon, library, sunroom, and movie theater. Regularly scheduled activities and entertainment provide opportunities for residents to stay active and engaged.​

Our community is conveniently located near public transportation and offers ample parking for residents and visitors. We also provide religious services to support the spiritual well-being of our residents.​

At Hampton Manor of Wentzville, we are committed to creating a warm and welcoming environment where seniors can thrive. Our goal is to provide the highest quality of care and support, ensuring peace of mind for residents and their families.​

Settled in the vibrant community of Kansas City, MO, The Ashton on the Plaza is a prominent senior living community offering assisted living and memory care services. Here, residents can choose from well-appointed and cozy accommodations with several floor plans tailored to their needs. As for memory care, a thoughtfully designed specialized care program called Magnolia Trails is utilized to accommodate the immediate care and support that those with cognitive conditions like Alzheimer’s disease and dementia need.

Experience its above-and-beyond amenities and services including delicious and nutritious meals, special nutrition counseling, housekeeping and linen services, regular personal care assessments, medication administration and reminders, and escort and transfer assistance. Join in various social activities and events such as cooking classes, exercise classes, and outings. At The Ashton on the Plaza, seniors can enjoy a secure and memorable retirement.

Overview of Hubble Creek

Hubble Creek is a 32-bed skilled nursing facility at 1115 K Land Drive in Jackson, Cape Girardeau County, Missouri, operated by Hubble Creek LLC and administered by Brock Thornsbrough. The facility is certified for Medicare and Medicaid and provides skilled nursing care for both long-stay and short-stay residents.

Registered Nurse coverage at 8 minutes daily is drastically below the Missouri average of 28 minutes, representing a 71% reduction in RN hours. Licensed Practical Nurse staffing at 25 minutes per day falls 39% below the state benchmark of 41 minutes. Certified Nurse Aide hours total 2 hours 4 minutes per day, 11% below the state average. Weekend coverage deteriorates sharply: total nursing hours drop 30% below state average to 2 hours 9 minutes daily, and weekend RN coverage collapses to 5 minutes per day, a 75% reduction from the state average of 20 minutes.

Long-stay residents experience hospitalization rates of 2.89 per 1,000 days, 39% worse than the Missouri average of 2.08. Long-stay ED visits of 2.14 per 1,000 days run 9% better than the state average of 2.35. Short-stay outcomes show strength in some areas and weakness in others. Falls with major injury stand at 0.0%, substantially better than the state average of 0.8%.

Discharge functional ability of 69.6% at or above expected self-care capacity exceeds the state average of 53.7% by 30%. Successful return to home or community is 43.3%, 14% worse than the state average of 50.6%.

The walk score of 68 reflects moderate local walkability with reasonable access to hospitals, pharmacies, dining, shopping, and banking facilities. The facility’s location at Jackson’s city center provides convenient proximity to essential community services.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys; families should request Hubble Creek’s complete inspection record, deficiency history, and citation details directly from the facility or the state licensing authority.

The facility’s small 32-bed census and severely compromised staffing, particularly weekend RN coverage, warrant careful direct questioning about clinical protocols, medication management oversight, and weekend emergency response procedures.

Families should request justification for reduced RN coverage, recent inspection findings, quality measure performance context, and plans to address acute hospitalization rates before admission.