Best Memory Care in Missouri

Troy Manor is a 150-bed skilled nursing facility and assisted living community that has operated for 31 years under a mixed-care model. The property handles a blend of long-term care and short-term rehabilitation, resulting in an average resident stay of 188 days. Admissions lean heavily toward Medicaid-dependent individuals, who account for 82% of the total census. Business records indicate notable financial and operational strain, highlighted by a declining 65% occupancy rate and a net operating loss of $1.1 million.

Official health department and licensing databases show severe, long-standing compliance issues alongside substantial staffing shortages. Over the past seven years, regulators have documented 71 total deficiencies, creating an annual average of 10.1 citations that doubles the Missouri state baseline. The facility has compiled four critical and four serious citations since 2019, including a May 2025 substantiated complaint regarding the verbal abuse of a resident and a failure to notify state authorities.

Past inspection cycles also flagged a major 97-day medication mix-up in 2023 that resulted in a resident hospitalization, as well as recurring issues with infection control, pressure ulcer management, and elopement protocols. These challenges have led to $208,000 in total federal financial fines and two separate government payment blocks that temporarily suspended admissions. Daily staffing numbers track well below average, with registered nurse hours running 61% below the state norm and certified nursing aide hours trailing by 37%.

Older adults evaluating regional long-term skilled nursing or assisted living options can review these public tracking archives to analyze the provider’s operational history. Since the state documentation confirms significant historical financial penalties, multiple admission freezes, and thin front-line staffing volumes alongside persistent clinical care deficiencies, the files show a care environment facing heavy administrative and safety challenges.

Overview of St Andrew’s at Francis Place

St. Andrew’s at Francis Place is a 106-bed skilled nursing facility at 400 Summerville Boulevard in Eureka, Missouri. It’s operated by St. Andrews Resources for Seniors System, a church-affiliated non-profit in St. Louis County. Accepted are Medicare, Medicaid, and private pay, with an average stay length of 341 days and only 1 of 73 current residents on Medicare, oriented strongly toward long-term care. The facility operates near capacity at 95 percent occupancy, far above Missouri’s 66.6 percent average, ranking among the most in-demand skilled nursing communities statewide.

CMS rates the facility 3 stars, 14.1 percent above Missouri average, with staffing as the clearest strength at 38.9 percent above state average. Nurse hours reach 3h 54m per resident daily. Over 9 inspections since 2020, the facility recorded 33 total citations, 16 of them from complaint investigations, including 1 critical finding. One $78,000 federal fine was assessed, last issued in 2023, with no payment denials.

Amenities feature spa areas, a contemplative chapel, nature walks, and private and companion rooms. Respite care and memory care programming are confirmed services alongside skilled rehabilitation.

St. Andrew’s at Francis Place suits residents in the Eureka area of St. Louis County seeking long-term skilled nursing or memory care in a church-affiliated, non-profit setting.

Located at 415 Sidney St in Saint James, Missouri, St James Living Center is a nursing home with 90 beds. The facility is operated by N & R Of St James, LLC, under the administration of Anita Carroll. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.

Residents stay for an average of 102 days, including post-acute rehabilitation stays alongside longer-term placements. The facility’s current occupancy rate is 48%. Clinically, St James focuses on rehabilitation services. There’s 24-hour staffing and a doctor on-site, as it is an active rehabilitation setting for patients recovering from surgery, an acute illness, or a hospital stay.

Total nurse staffing averages 4 hours per resident each day. They are supported by registered nurses, nurse aides, and licensed practical nurses working across the schedule.

The neighborhood has a Walkability Score of 65 out of 100, which means some errands can be done on foot while most trips require a short drive. This may suit families who want easier access when visiting or running nearby errands.

The Department of Health and Senior Services regularly examines care processes at St James. It has focused on areas such as care documentation, physician communication and incident response, resident supervision and safety measures, medication handling and security, and related clinical protocols. These examinations help ensure the home maintains standards in resident care and administrative operations.

Residents can choose meals through a complete dining program made from their individual preferences. Transportation, housekeeping, laundry services, 24-hour medical care, and a dedicated special care unit are also available. Together, these services make it easier for residents and families by reducing some of the daily tasks they might otherwise need to do on their own.

Operated by Carroll House, Inc., Carroll House is a skilled nursing home in Carrollton, Missouri. It is set on Grand Street in a residential setting with moderate walkability. The home provides nursing care and rehabilitation and accepts Medicaid, Medicare, and private pay, which gives families flexibility in how they cover care.

The 63-bed community has a modest footprint, with a current occupancy rate of 89%. Residents stay an average of 143 days, including rehabilitation residents and those needing longer-term nursing care. Daily nurse staffing is substantial, with total care averaging 4 hours and 10 minutes per resident each day. That level of hands-on attention is the backbone of the facility’s focus on daily living support.

The home can accommodate residents with Alzheimer’s disease or related memory impairments, with a dedicated special care unit for those needs. Beyond memory care, the facility has rehabilitation services and has a doctor on staff, which can reduce the need for off-site medical appointments. Daily support includes 24-hour staffing, van transportation for appointments and outings, and complete dining services tailored to residents’ preferences.

Amenities include a beauty salon, barber services, and housekeeping. Religious services are available because the home is committed to spiritual care, which may appeal to residents and families who value the same thing.

State inspections by the Department of Health and Senior Services identified issues related to resident safety and protection, timely incident reporting, care processes, infection control practices, staff training, kitchen safety, and resident dignity. These findings are areas that need attention as part of the facility’s ongoing management.

The facility offers a home-like environment with semi-private and private room options. Many families will find it reassuring when searching for a place that balances medical oversight with residential comfort.

Operated by N & R of Fulton, Inc, Fulton Nursing & Rehab is a skilled nursing home in Fulton, Missouri. Its location on Bluff Street is in a moderately walkable area with a Walk Score of 63. The facility provides short-term rehabilitation after surgery or hospitalization, as well as ongoing skilled nursing care. The 100-bed community has an occupancy rate of 68%, where residents stay an average of 139 days.

The home is clinically focused on rehabilitation services. There’s a physician on staff, and 24-hour nursing care is available. Total nurse staffing averages 4 hours and 33 minutes per resident each day. It is broken down with registered nurse coverage of 18 minutes, nursing aide support of 2 hours and 3 minutes, and LPN or LVN time of 29 minutes daily. This staffing mix can oversee post-acute care and long-term residents.

The facility offers medical and support services, including IV therapy and pharmaceutical services. There’s a dedicated Alzheimer’s special care unit for residents with memory care needs. Van transportation for residents and visiting family. Other services include religious services, housekeeping, and laundry services that support day-to-day living. Amenities include a beauty and barber shop.

Residents receive meals through a complete in-house dining program. Menus are built around individual preferences and nutritional needs, so there’s variety in meals and snacks. The home’s combination of a rehabilitation focus and on-site medical capabilities makes it a great choice for patients recovering from acute care who need structured nursing support during that transition.

State inspections identified concerns in areas including documentation of care plans for residents with behavioral support needs, consistency in infection control and isolation practices, and reliable scheduling of nurse presence. These findings show areas that need attention. Families touring the facility can ask how these areas are managed and how it approaches these priorities.

Ellington #1, Inc and owner Patricia Craig run Brent B Tinnin Manor, a 60-bed nursing home located on South Main Street in Ellington, Missouri. The community accommodates typical payment channels, processing bills through Medicare, Medicaid, and private pay. Walking around the local neighborhood is moderately convenient, as the location scores a 45 out of 100 on the walkability scale, meaning some basic errands can be handled on foot while longer trips require a vehicle.

At present, 40 residents live at the property, which works out to a 67 percent occupancy rate during its first year of business. People stay here for an average of 293 days, a length of time that indicates the daily routine is split between short-term medical rehab and multi-month residential stays. To keep up with daily clinical tasks and mobility needs, the nursing team provides an average of 2 hours and 54 minutes of daily care per resident, dividing duties among registered nurses, practical nurses, and aides.

Official evaluation summaries show that recent surveys cited specific compliance issues concerning resident fund security, employee training records, infection control standards, vaccine documentation, and abuse reporting rules, meaning the home’s long-term cumulative citations-per-inspection rate is not zero.

Families can check out the campus setup to see how the local clinical team manages physical rehabilitation and daily recovery targets. The building is designed to handle routine medical checkups and long-term care needs in a centralized environment.

New Madrid No 1, Inc., and administrator Carter Pennington handle operations at Cotton Point Living Center, a 98-bed nursing home situated at 609 South Railroad Street in Matthews, Missouri. Financial billing is sorted through traditional avenues, clearing payments via Medicare, Medicaid, and private pay. For visitors, the surrounding landscape is highly car-dependent, carrying a walkability score of 10 out of 100, which means family members will need a vehicle for almost all trips to the campus.

Operational records indicate a 61 percent occupancy rate alongside an average length of stay of 247 days. This operational timeline reflects a routine balanced between short-term post-hospital therapy tracks and multi-month residential placements. Daily physical care and medical needs are monitored by an around-the-clock staffing framework providing an average of 3 hours and 46 minutes of total nursing care per resident each day, with registered nurses, practical nurses, and aides covering standard unit rotations.

Official survey summaries indicate that inspectors flagged specific procedural corrections regarding general building operations and compliance guidelines, meaning the property’s long-term cumulative citations-per-inspection rate is above zero.

Families can evaluate how the campus integrates short-term physical rehabilitation loops and permanent skilled nursing care. The facility provides standard services, including a dedicated male memory care unit, freshly prepared daily meals, and common social spaces.

The 115-bed skilled care facility at Amberwood Estates Nursing and Rehabilitation is situated on Bermuda Drive in Normandy, Missouri, under the direction of administrator Arthur Williams Jr and Island Hc Operations Llc. Financial billing is handled across multiple standard options, including Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility sits in a car-dependent neighborhood with a walkability score of 12 out of 100, meaning family members will need a vehicle for visits and local errands.

Records reveal that the property maintains a 69 percent occupancy rate with an average length of stay of 838 days, pointing to a daily caseload centered heavily on multi-year residential care alongside standard post-hospital therapy tracks. Routine medical care and physical oversight are structured around a 24-hour shift schedule that averages 1 hour and 43 minutes of total nursing care per resident each day. This workload is distributed among registered nurses, licensed practical nurses, and nurse aides who handle physical checks and medication monitoring.

Files from public health departments document how the facility manages its ongoing licensing evaluations. Recent state inspection survey records show that the facility has logged specific compliance deficiencies concerning standard infection control protocols, resident rights protections, quality of life standards, and nurse staffing availability, meaning the home’s total cumulative citations-per-inspection rate is not zero and families should review these corrections directly with the administration.

Older adults can access a clinical setup configured for cardiac recovery, stroke rehabilitation, orthopedic care, wound management, respiratory therapy with tracheostomy support, and IV medication administration. The campus features private or semi-private accommodations with cable television and building-wide Wi-Fi, alongside an on-site beauty salon and barber shop, a chapel, and an outdoor courtyard.

Appleton City Manor is a 60-bed care community situated on North Ohio Street in Appleton City, Missouri, overseen by operator Glen Reed under Appleton City Manor, LLC and administrator Delma Hearting. Billing setups support typical financial avenues, clearing transactions through Medicare, Medicaid, and private pay. For visitors planning trips, the property rests in a quiet, car-dependent setting where family members will depend on a vehicle for almost all errands and transportation to the campus.

Operational summaries report a 52 percent occupancy rate alongside an average length of stay of 227 days, indicating a population that heavily emphasizes long-term skilled care beside conventional short-term post-hospital therapy. To maintain hands-on physical monitoring, the 24-hour shift schedule logs an average of 6 hours and 10 minutes of total nursing care per resident each day. This staffing layout utilizes registered nurses, licensed practical nurses, and nurse aides who supervise clinical checkpoints across all units.

Documentation shows that recent survey processes noted standard regulatory citations concerning physical plant maintenance and medication administration records, meaning the building’s total cumulative citations-per-inspection rate is above zero.

Prospective residents can access focused physical therapy tracks, expert wound care, and specialized hospice or temporary respite loops. The daily routine blends these clinical services with activities, beauty and barber salon setups, a secured-exit environment, and home-cooked meal options under culinary direction.

Overview of New Mark Rehab and Healthcare Center

New Mark Operator LLC and administrator Devan Bestgen oversee the day-to-day operations at New Mark Rehab and Healthcare Center, located at 11221 North Nashua Drive in Kansas City, Missouri. The administrative desk processes accounts through traditional payment paths, working with private funds, Medicaid, and Medicare. Family members checking the local grid will find a highly pedestrian-friendly neighborhood scoring 94 out of 100 for walkability, which means you can complete simple errands or walk to nearby spots without needing a car.

Records show that the 199-bed facility stays around 81 percent full, with resident stays averaging about 131 days. This regular operating timeline points to a schedule that balances temporary post-hospital rehab tracks with extended residential care placements. To monitor active medical treatments, the 24-hour shift layout delivers an average of 3 hours and 8 minutes of total nursing care per resident each day, split up among registered nurses, licensed practical nurses, and nurse aides.

Regular review documents from the Department of Health and Senior Services note that inspectors have examined routine resident care protocols, staff supervision habits, and everyday safety operations, keeping the building’s overall citation rate above zero.

Prospective individuals can explore the physical therapy rooms, short-term recovery setups, and shared dining halls. The everyday program emphasizes structured meal choices alongside an open snack bar where residents and guests can grab a bite between breakfast, lunch, and dinner.