Best Assisted Living in O'Fallon, MO

Why trust this guide? Our editorial team analyzed 2 assisted living communities in O'fallon, 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 O'fallon, MO our team has analyzed — not a count of every assisted living provider in O'fallon, MO.
2 homes
Other senior care options in O'fallon:

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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-ranked to lowest-ranked based on our 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. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
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.
The Meadowlands
AL
MC
RC
O'fallon
-Yes
28
Facility 28
MO AVG 42
Rank #171 / 259
Studio / Suite / 1 Bed
17
Facility 17
MO AVG 13
Rank #32 / 91
A+
Angels On Duty
AL
HC
NH
PC
O'fallon (O’fallon)
-No
65
Facility 65
MO AVG 42
Rank #48 / 259
-
23
Facility 23
MO AVG 13
Rank #23 / 91
-

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other MO assisted living community we track that reports that metric, not just the 2 on this page. See how we rank facilities

The Meadowlands

135 Meadowland Estates Ln, O'fallon, MO 63366
Overview of The Meadowlands

An esteemed senior living community set in the tranquil neighborhood of Meadowlands Estates Lane, O’Fallon, MO, offers assisted living, memory care, and short-term stays. Experience relaxation and security at its finest with the cozy and well-designed residences of The Meadowlands in a wide array of studio, one-bedroom, and two-bedroom floor plans. With a compassionate and highly skilled team, seniors ease their worries and reach their full potential.

Create lasting memories and meet people with the same interests through energizing programs and exciting events. Committed to improving residents’ well-being, the community serves healthy and tasty meals catering to dietary requirements and preferences. The Meadowlands is a safe place for seniors to spend a glorious retirement with its beautiful landscapes.

Contact The Meadowlands

Overview of Angels on Duty

Angels on Duty provides home care, nursing care, and palliative care in O’Fallon, MO. Home care brings healthcare services to a resident’s home, while nursing care provides clinical support there. Palliative care focuses on comfort and symptom management. Medication assistance and specialized care for Alzheimer’s disease and diabetes may make the program a fit for someone who needs help managing health needs at home.

Angels on Duty has served the community since 2004, with Angels on Duty™ as its signature program. Support is available around the clock through 24 hour staffing. The organization also provides care at home for residents who need ongoing nursing involvement or palliative support without relocating to a facility.

Contact Angels On Duty

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in O'fallon at a glance

Avg Walk Score: 47/ 100The average Walk Score across facilities in O'fallon, MO. 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: The average licensed bed capacity across facilities in O'fallon, MO. Individual facilities can vary widely from this average.
National Average: 90
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Frequently Asked Questions about Assisted Living in O'Fallon, MO

What is the average cost of assisted living in O'Fallon, MO?

The average monthly cost of assisted living in O'Fallon, MO is approximately $4,800. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in O'Fallon, MO?

Assisted living in O'Fallon, MO typically ranges from $4,300–$6,900 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in O'Fallon, MO?

Assisted living facilities in O'Fallon, MO typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

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.