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Best Assisted Living in O'Fallon, MO

Reviewed by Dr. Jordan Weiss
Updated May 2026

Sources: CMS Centers for Medicare and Medicaid Services, and New York State Department of Health, Office of Aging and Long Term Care.

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

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Spencer Place
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

St Peters (Saint Peters)
74
Facility 74
MO AVG 110
Rank #266 / 459
Yes
44
Facility 44
MO AVG 50
Rank #307 / 562
Studio / 1 BedSt Peters Residential, LLC
-
Facility -
MO AVG
-
Angels On Duty
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

O'fallon (O’fallon)
-
Facility -
MO AVG 110
No
65
Facility 65
MO AVG 50
Rank #124 / 562
--
23
Facility 23
MO AVG
Rank #44 / 93
A+
The Meadowlands
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

O'fallon
-
Facility -
MO AVG 110
Yes
28
Facility 28
MO AVG 50
Rank #403 / 562
Studio / Suite / 1 Bed-
17
Facility 17
MO AVG
Rank #58 / 93
A+
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.

What does this home offer?

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Pets Allowed

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Room Sizes: 230 / 467 sq. ft.

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Housing Options: Studio / 1 Bed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Spencer Place

Overview of Angels on Duty

Live a blissful retirement at Angels on Duty, an outstanding community in Prescott Valley, AZ, offering assisted living. Residents can keep their peace of mind with a compassionate and highly skilled team attending to their needs around the clock. Beautifully furnished and cozy accommodations are also available in a nurturing and friendly environment, so residents can feel a sense of belonging during their stay.

With a thoughtfully curated calendar of engaging activities and exciting events, residents are encouraged to live actively and maintain social connections. Mealtimes foster comfort and satisfy dietary needs with delectable and healthy dining options. Medication administration is also provided for residents’ convenience and safety. The community is ideal for those needing assistance to live comfortably in their golden years, especially with its top-notch services and state-of-the-art amenities.

Contact Angels On Duty

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.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / Suite / 1 Bed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact The Meadowlands

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 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.

How many licensed assisted living facilities are there in O'Fallon, MO?

According to state licensing records, there are approximately ~20–25 licensed assisted living facilities in O'Fallon, MO.

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.