Page 9 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. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
Ava Place
AL
RESC
Ava
40
Facility 40
MO AVG 96
Rank #415 / 450
No
55
Facility 55
MO AVG 46
Rank #188 / 545
Residential Care Facility (40)Ava No 2, Inc
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Aberdeen Heights
AL
HOS
IL
MC
NH
SNF
Kirkwood
91
Facility 91
MO AVG 96
Rank #219 / 450
Yes
89
Facility 89
MO AVG 46
Rank #29 / 545
Skilled Nursing Facility (38), ICF (17), ALF** (36)Ashfield Active Living & Wellness Communities, Inc--
Fountainbleau Lodge
AL
NH
SNF
Cape Girardeau
89
Facility 89
MO AVG 96
Rank #243 / 450
No
66
Facility 66
MO AVG 46
Rank #113 / 545
Skilled Nursing Facility (33), Assisted Living Facility (56)Fountainbleau Of Cape Girardeau, Inc
40
Facility 40
MO AVG 10
Rank #12 / 227
A+
The Ozarks Methodist Manor
AL
IL
MC
NH
RESC
SNF
College Marionville
154
Facility 154
MO AVG 96
Rank #46 / 450
No
28
Facility 28
MO AVG 46
Rank #401 / 545
Skilled Nursing Facility (78), Residential Care Facility (76)Ozarks Methodist Manor (The)-A+
Four Seasons Assisted Living
AL
RC
Moscow Mills
53
Facility 53
MO AVG 96
Rank #378 / 450
No
41
Facility 41
MO AVG 46
Rank #319 / 545
Residential Care Facility (23), Assisted Living Facility (30)Four Seasons Care Corporation
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Autumn View Gardens at Schuetz Road
AL
MC
Saint Louis
110
Facility 110
MO AVG 96
Rank #155 / 450
Yes
16
Facility 16
MO AVG 46
Rank #464 / 545
ALF** (110)Bethesda Foundation--
The Fremont Senior Living
AL
IL
MC
Springfield
72
Facility 72
MO AVG 96
Rank #290 / 450
Yes
61
Facility 61
MO AVG 46
Rank #154 / 545
-Vop Fremont LLC-A+
Newbridge Retirement Community
AL
IL
MC
Cape Girardeau
94
Facility 94
MO AVG 96
Rank #209 / 450
No
8
Facility 8
MO AVG 46
Rank #510 / 545
ALF** (94)Armour Management LLC--
The Timbers Assisted Living
AL
MC
NH
Holts Summit
100
Facility 100
MO AVG 96
Rank #175 / 450
No
14
Facility 14
MO AVG 46
Rank #479 / 545
ALF** (100)The Timbers Assisted Living LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Carnegie Village
AL
NH
IL
MC
RC
Belton
85
Facility 85
MO AVG 96
Rank #255 / 450
No
55
Facility 55
MO AVG 46
Rank #188 / 545
Studio / 1 BedCarnegie Village Senior Living Community LLC--

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 The Parkway Senior Living

An elegant and luxurious home that steeps excellence, The Parkway Senior Living has raised the standard of senior living. Their dedicated team of professional staff strives to provide care that is nothing short of extraordinary. The resident-centered community aims to provide quality service for its assisted living and memory care seniors– leading to a purposeful life experienced during their golden years.

The Parkway offers comprehensive amenities and services that help make the lives of its residents hassle-free. They boast their specialized memory care program that focuses on the cognitive ability of seniors with Alzheimer’s or dementia. Services and amenities are provided with full attention at any time of day, such as ADLs, medication management, chef-prepared meals, scheduled activities, and 24/7 care.

Contact The Parkway Senior Living

Overview of Ava Place

Ava Place is a 40-bed residential care community at 1101 Lyle Street in Ava, Douglas County, Missouri, administered by Shelly Stout under the operator Ava No 2, Inc. The facility provides person-centered care with 24-hour staffing, a registered nurse on site, and assistance with daily living activities.

The community centers on home-style meals and daily routines. Residents have access to housekeeping, laundry, weekly beauty salon service, and home health support. The walk score of 55 reflects moderate local walkability, with hospitals, pharmacies, and dining options within reasonable distance.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys for all long-term care providers in the state; however, Ava Place’s inspection record cannot be reviewed without direct contact with the facility or the state licensing body.

A registered doctor is listed as being on staff.

Multiple Missouri state financial assistance programs serve residents aged 65 and older or those meeting disability criteria, including Medicaid waivers, supplemental nursing care coverage, and veteran benefits.

Families interested in placement should contact Ava Place directly to discuss current census, private pay rates, insurance acceptance, and eligibility for state assistance programs.

Contact Ava Place

Overview of Aberdeen Heights

Aberdeen Heights is a 91-bed skilled nursing and rehabilitation facility under administrator Anthony Altobella at 505 Couch Ave in Kirkwood, Missouri. Operated by Ashfield Active Living and Wellness Communities, Inc, it takes Medicare, Medicaid, and private pay, which gives families several routes to afford short-term rehabilitation and ongoing nursing care. The highly walkable neighborhood has a score of 89, making it easy for visiting family to reach nearby amenities and services on foot.

The facility spotlights rehabilitation and respite services, with an average resident stay of 106 days, reflecting its focus on post-acute care and recovery. Daily nursing support is significant, averaging 5 hours 11 minutes per resident, with registered nurses providing an average of 59 minutes of direct care per resident day. Nurse aides contribute 3 hours 19 minutes per day, anchored by LPN/LVN care. This staffing pattern supports hands-on support across therapy, medication management, and daily activities. Dining here features a three-course meal service with changing entrées, side dishes, and desserts, alongside healthy dining options. The community offers occupants activities via clubs and committees, along with dining room and café amenities that bolster social engagement and daily life.

Resident safety procedures, medication management, infection control practices, and the accessibility of care equipment have been the state inspections’ focus. Such themes mirror areas that are regularly monitored to ensure resident welfare and quality protocols.

Contact Aberdeen Heights

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 The Ozarks Methodist Manor

Administrator Wayne Rainey oversees the daily services at The Ozarks Methodist Manor, a 154-bed nursing home situated at 205 South College Avenue in Marionville, Missouri. Families managing payment options can clear accounts through conventional insurance channels like Medicaid, Medicare, and private pay. Given the small-town, rural setup, the area has a walkability score of 28 out of 100, which tells visitors they will need a car for virtually all travel and local errands when visiting the campus.

Beds remain about 39 percent occupied, and residents stay for an average of 199 days. This length of stay indicates that the medical team splits its time between permanent residential care and short-term post-hospital rehab. Daily physical needs are handled via a 24-hour staffing framework that averages 4 hours and 1 minute of total nursing care per resident each day, with registered nurses, practical nurses, and nurse aides sharing the shift schedule.

Recent inspection surveys flagged several areas that required correction, specifically regarding infection prevention steps, updated care plan documents, daily staffing level adjustments, and timely reporting rules for serious incidents, which keeps the total citation rate above zero.

Prospective residents can explore an internal layout that features a dedicated health center, a special care memory unit, and dedicated rehabilitation therapy spaces. The community coordinates these clinical tracks with organized group outings, standard daily meals, and shared indoor lounges.

Contact The Ozarks Methodist Manor

Overview of Four Seasons Assisted Living

Four Seasons Assisted Living is a 30-bed assisted living facility at 230 Railroad Street, Moscow Mills, Missouri, operated by Four Seasons Care Corporation and administrated by Ms. Barbara Howard. The facility provides long-term, short-term, and respite care with emphasis on individualized attention and personalized care within a supportive community setting.

Operational strengths are present but limited in detail. Twenty-four-hour staffing is available, with a licensed RN on call 24/7, indicating on-site clinical oversight capability. Rehabilitation services and respite care are programmed components. Dietary services provide three meals daily plus snacks, drinks, and a hydration cart.

Medicaid is accepted. Pre-screen assessment is required for apartment placement, and pets are not allowed. The requirement for pre-screen assessment warrants inquiry into admission criteria and care level determinations.

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.

The walk score of 41 reflects somewhat walkable surroundings; a few services are reachable on foot, though most trips require transportation. The facility is located 79.4 miles from Moscow Mills’s city center, placing it in a rural or semi-rural setting. Proximity to regional healthcare resources and available transportation options are relevant considerations for families evaluating placement.

Families should ask about RN on-call duties, weekend details, rehabilitation programming details, Medicare acceptance, occupancy, licensing, and inspections from Four Seasons Assisted Living.

Contact Four Seasons Assisted Living

Overview of Autumn View Gardens at Schuetz Road
Autumn View Gardens is a senior living community located in Creve Coeur, MO. It offers assisted living and memory care services in a faith-based environment. The community focuses on fulfilling the physical, spiritual, and emotional needs of its residents.

Contact Autumn View Gardens at Schuetz Road

Overview of The Fremont Senior Living

Fremont Senior Living offers seniors the opportunity to bask in the bliss of home ownership, without the burden of responsibilities. With a dedication to providing an extension of the home, the community boasts an unwavering commitment to helping every resident achieve their goals, whether they be in independent living, assisted living, or memory care. They feature spacious 1, 2, and 3-bedroom homes, thoughtfully designed to offer a tranquil and welcoming ambiance. Residents can take advantage of housekeeping services, transportation, and the ever-helpful concierge.

The home also offers an array of activities, from invigorating exercise classes to delightful shopping excursions, all of which promote a sense of vitality and purpose. The amenities include private dining, inviting lounges, a fully stocked library, a crafting center, and a 24-hour bistro, among other offerings. Dining at the Winfrey Restaurant is an experience unto itself, with daily specials and an impressive range of mouth-watering delicacies. With an unmatched level of service, top-tier amenities, and a steadfast dedication to compassionate care, Fremont Senior Living is a haven of serenity, where seniors can revel in the beauty of worry-free living. 

Contact The Fremont Senior Living

Newbridge Retirement Community

1205 S Mount Auburn Rd, Cape Girardeau, MO 63703-6581
Overview of Newbridge Retirement Community

Ashley Heisserer Wheeler administers Newbridge Retirement Community, a 94-bed senior living facility located at 1205 South Mount Auburn Road in Cape Girardeau, Missouri. Operated by Armour Management LLC, this Cape Girardeau County campus serves seniors age 65 and older through an integrated residential model that features private independent living, standard assisted living apartments, and a distinct memory care wing. The campus experiences strong localized demand, maintaining an estimated 95 percent occupancy rate that reflects a highly stable regional operation.

The specialized memory care framework divides its secure unit into two separate households specifically engineered to foster cognitive engagement and autonomy for adults dealing with Alzheimer’s disease or related dementias. Each household operates self-contained nursing stations, dining areas, and private common lounges while integrating daily lifestyle activities under the Life at Newbridge and Waterside programs.

The property maintains a strict no-pets policy, requiring incoming residents to transition without companion animals. The surrounding commercial sector is highly car-dependent, carrying a walkability score of 8 out of 100, which indicates that family visits, medical transport, and local errands require a vehicle.

Prospective families investigating comprehensive retirement options can reach out to the Cape Girardeau business office to verify active apartment vacancies and explore specialized memory program schedules.

Contact Newbridge Retirement Community

Overview of The Timbers Assisted Living

The Timbers Assisted Living is a 100-bed assisted living community at 239 Karen Drive in Holts Summit, Callaway County, Missouri, operated by The Timbers Assisted Living LLC and administered by Ryan Drewel. The facility provides assisted living services with on-site nursing, rehabilitation services, and structured dining and activity programming.

The community offers restaurant-style dining with fresh daily specials, salon services, an outpatient rehabilitation program, a billiards room, and organized resident activities. Environmental services support daily operations and facility maintenance.

Location presents a significant practical constraint. The walk score of 14 designates the facility as car-dependent, where most daily errands require personal transportation or family assistance. Situated approximately 91.7 miles from the city center, the facility reflects a rural positioning with limited nearby walkable options. Residents would require external transportation or family support to access hospitals, pharmacies, shopping, dining, and banking facilities.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, maintains inspection records; families should request The Timbers Assisted Living’s complete compliance history directly from the facility or the state licensing body.

The facility’s car-dependent rural location suits residents with consistent family transportation support or those who maintain personal vehicles.

Families should request information about staffing, recent inspections, quality outcomes, pricing, transportation services, and any substantiated complaints or regulatory actions.

Contact The Timbers Assisted 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
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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.