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Best Nursing Homes 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.

2 facilities compared · CMS & MO Dept. of Health data

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Garden View Care Center of O’Fallon
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.

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.

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.

O'fallon (Hwy 90A Commercial Park)
120
Facility 120
MO AVG 110
Rank #70 / 459
50.3%
Facility 50.3%
MO AVG 66.6%
Rank #243 / 283
-25%
5.82
Facility 5.82
MO AVG 3.74
Rank #8 / 276
-23%+56%
$12.9k
Facility $12.9k
MO AVG $76.9k
Rank #169 / 283
50
Facility 50
MO AVG 36.5
Rank #220 / 281
7.1
Facility 7.1
MO AVG 5.7
Rank #225 / 281
1
Facility 1
MO AVG 1.7
54
39
Facility 39
MO AVG 50
Rank #329 / 562
Diane Schaffner
$7.4M
Facility $7.4M
MO AVG $8.4M
Rank #115 / 286
$4.0M
Facility $4.0M
MO AVG $3.3M
Rank #118 / 286
54.3%
Facility 54.3%
MO AVG 45.6%
Rank #147 / 286
265321
Abbey Senior Health-
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

O'fallon (Eldridge)
100
Facility 100
MO AVG 110
Rank #159 / 459
-
Facility -
MO AVG 66.6%
-
-
Facility -
MO AVG 3.74
-----
-
Facility -
MO AVG $76.9k
-
Facility -
MO AVG 36.5
-
Facility -
MO AVG 5.7
-
Facility -
MO AVG 1.7
-
51
Facility 51
MO AVG 50
Rank #241 / 562
#N/A
$7.9M
Facility $7.9M
MO AVG $8.4M
Rank #103 / 286
$4.5M
Facility $4.5M
MO AVG $3.3M
Rank #97 / 286
56.8%
Facility 56.8%
MO AVG 45.6%
Rank #119 / 286
265657
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 Garden View Care Center of O’fallon

Garden View Care Center of O’Fallon is a nursing home in O’Fallon, MO, offering a wide range of care options, including memory care, hospice care, rehabilitation, respite care, and skilled nursing. Featuring hotel-like amenities in a supportive environment, the community ensures older adults can live the best of their later years comfortably. Chef-prepared meals, 24-hour care, housekeeping, and spa services are also provided, so residents have a maintenance-free lifestyle. The community also strives to provide the best possible care tailored to residents’ unique needs and preferences, ensuring they can recover with ease.

Gardening, book clubs, and pet therapy are just some of the activities that aim to help residents stay active and have fun. Peaceful outdoors and cozy common areas also ensure residents can rest and connect with their surroundings. Set along the highway in O’Fallon, the community guarantees accessibility and convenience. As one of the trusted options for senior living in Missouri, this nursing home provides exceptional standards of care to help older adults live to their potential.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Dining Services

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Beauty Services

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Social and Recreational Activities

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Rehabilitative Support

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On-site Medical Care and Health Services

Contact Garden View Care Center of O’Fallon

Overview of Abbey Senior Health

Abbey Senior Health is a continuing care retirement community (CCRC) in O’Fallon, MO, offering independent living, assisted living, rehabilitation, and skilled nursing. With its nurturing and home-like environment, the community ensures older adults are well-cared for in retirement. Residents can also maintain their independence with ease, as exceptional services, including 24-hour care, well-balanced meals, and recreational opportunities, are provided. The community also works closely with residents to get to know their needs and habits, ensuring they can recover with ease.

Walking clubs, birthday parties, and art classes are just some of the activities that residents can participate in to stay active and maintain their holistic well-being. Lively gathering areas and accessible amenities ensure residents can rest and move around comfortably. With its ideal setting near restaurants, O’Fallon Municipal Center, and banks, residents have easy access to necessities and leisure. As one of the best choices for senior living in Missouri, this CCRC ensures older adults can age gracefully.

What does this home offer?

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Room Sizes: 441 / 940 sq.ft

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Housing Options: Shared Rooms

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Building Type: 3-story

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Dining Services

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Beauty Services

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Social and Recreational Activities

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Exercise Programs

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On-site medical care and health services icon

On-site Medical Care and Health Services

Contact Abbey Senior Health

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in O’Fallon, MO

What's the difference between assisted living and a nursing home in this state?

Assisted living in this state 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 this state Medicaid cover nursing home care?

Yes — this state Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 3 nursing homes in this area. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in your area?

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 your area, 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 nursing homes in this area?

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.