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Best Senior Care in Missouri

Reviewed by
Last updated
May 2026
We analyzed
525 homes in Missouri

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

Compare Senior Care around Missouri

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

Click column headers to sort
The Manor at Elfindale
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.

Springfield (Fassnight)
100
Facility 100
MO AVG 97
Rank #179 / 454
No
51
Facility 51
MO AVG 45
Rank #241 / 563
Private RoomsVsl Springfield Manor, LLC
35
Facility 35
MO AVG 11
Rank #17 / 204
A+
Benton House of Tiffany Springs
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.

Kansas City (Coves North)
80
Facility 80
MO AVG 97
Rank #273 / 454
Yes
58
Facility 58
MO AVG 45
Rank #170 / 563
Studio / 1 BedAhr Kansas City Mo Alf Trs Sub II, LLC--
St. Clair Nursing Center
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).

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.

St Clair
79
Facility 79
MO AVG 97
Rank #278 / 454
Yes
48
Facility 48
MO AVG 45
Rank #262 / 563
Private Room / Semi-Private RoomSt Clair Nursing, LLC
28
Facility 28
MO AVG 11
Rank #27 / 204
A+
Cedarhurst of Farmington
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.

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.

Farmington
84
Facility 84
MO AVG 97
Rank #262 / 454
Yes
16
Facility 16
MO AVG 45
Rank #467 / 563
Studio / 1 Bed / 2 BedCedarhurst Of Farmington Operator LLC--
Cedarhurst of Blue Springs
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.

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.

Blue Springs
89
Facility 89
MO AVG 97
Rank #248 / 454
Yes
11
Facility 11
MO AVG 45
Rank #500 / 563
Studio / 1 Bed / 2 BedCedarhurst Of Blue Springs Real Estate, LLC--
Tiffany Springs Senior Living
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.

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.

Kansas City (Coves North)
97
Facility 97
MO AVG 97
Rank #200 / 454
Yes
30
Facility 30
MO AVG 45
Rank #386 / 563
1 Bed / 2 BedTiffany Springs Senior Care Community, LLC--
Carnegie Village
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.

Belton (107)
85
Facility 85
MO AVG 97
Rank #260 / 454
No
55
Facility 55
MO AVG 45
Rank #189 / 563
Studio / 1 BedCarnegie Village Senior Living Community LLC--
The Boulevard Senior Living of Saint Peters
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.

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.

St Peters
74
Facility 74
MO AVG 97
Rank #287 / 454
Yes
48
Facility 48
MO AVG 45
Rank #262 / 563
-St Peters Senior Housing Propco Kp6 LLC--
Benton House of Raymore
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.

Raymore
95
Facility 95
MO AVG 97
Rank #212 / 454
Yes
19
Facility 19
MO AVG 45
Rank #456 / 563
Studio / 1 BedAhr Raymore Mo Alf Trs Sub, LLC--
Cedarhurst of Des Peres
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.

Des Peres (Acme Heights)
76
Facility 76
MO AVG 97
Rank #284 / 454
No
28
Facility 28
MO AVG 45
Rank #403 / 563
-Ch West County Management Mo, LLC--
Brookdale West County
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.

Ballwin
98
Facility 98
MO AVG 97
Rank #192 / 454
No
56
Facility 56
MO AVG 45
Rank #181 / 563
Unit TypeVb Ballwin Sh, LLC
48
Facility 48
MO AVG 11
Rank #4 / 204
A+
Sunrise of Des Peres
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.

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.

Des Peres
102
Facility 102
MO AVG 97
Rank #172 / 454
Yes
50
Facility 50
MO AVG 45
Rank #244 / 563
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
18
Facility 18
MO AVG 11
Rank #54 / 204
A+
The Grand Royale
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.

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.

Gladstone
77
Facility 77
MO AVG 97
Rank #282 / 454
Yes
63
Facility 63
MO AVG 45
Rank #141 / 563
Private Rooms / Semi-Private RoomsGgcc, LLC--
The Westbury Senior Living
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.

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.

Columbia
72
Facility 72
MO AVG 97
Rank #294 / 454
Yes
27
Facility 27
MO AVG 45
Rank #414 / 563
Studio / 1 BedColumbia Senior Living LLC--
Benton House of Blue Springs
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.

Blue Springs
95
Facility 95
MO AVG 97
Rank #212 / 454
No
5
Facility 5
MO AVG 45
Rank #523 / 563
Studio / 1 BedAhr Blue Springs Mo Alf Trs Sub LLC--
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The Manor at Elfindale

1707 W Elfindale St, Springfield, MO 65807
Overview of The Manor at Elfindale

Experience exceptional care at The Manor at Elfindale, a dedicated community in Springfield, MO, offering memory care, rehabilitation, and skilled nursing. Those with cognitive conditions and complex healthcare needs are guaranteed the highest quality of care with a compassionate and highly trained team available around the clock. Specially designed and secured units are also provided in a nurturing and welcoming environment, so residents can feel at ease during their stay.

Stimulating activities and enriching programs are conducted to keep residents active and socially connected. Delicious and well-balanced meals are available, ensuring residents have the nutrients they need to remain healthy. The community has received several recognitions throughout the years, proving its top-notch quality.

Contact The Manor at Elfindale

Overview of Benton House of Tiffany Springs

Spend your best years with the distinguished senior living community of Benton House of Tiffany Springs set in the harmonious neighborhood of Northwest 88th Street, Kansas City, MO, providing assisted living, memory care, and adult day programs. With its special memory care neighborhood, individuals with Alzheimer’s and related dementia can rest assured of keeping their dignity while doing the things they love. The community goes above and beyond to take care of residents’ needs and aspirations with a team of responsible and highly qualified professionals available around the clock.

With carefully curated activities and enriching programs, the community encourages seniors to maintain an active and well-engaged lifestyle. Have a joyous time with friends over delightful and healthy meals catering to dietary needs and tastes. Dedicated to enhancing seniors’ quality of life, Benton House of Tiffany Springs provides purposely built spaces and excellent senior care services.

Contact Benton House of Tiffany Springs

Overview of Cedarhurst of Farmington

Experience award-winning care and assistance from the esteemed senior living community of Cedarhurst of Farmington located in the charming neighborhood of Maple Valley Drive, Farmington, MO, offering assisted living, and memory care. With cozy and elegant residences in variations of one-bedroom and two-bedroom floor plans, seniors are free to choose the accommodation according to their preferences. The community also utilizes specialized programs to ensure seniors’ special needs and aspirations are well-cared for.

A full slate of fun activities and engaging programs accompanies residents as they make the most out of their days. Seek comfort and meet dietary needs with delightful dining options served in multiple dining venues. Cedarhurst of Farmington doubles its efforts to provide a safe place for seniors where they can rest comfortably without thinking of their daily living activities.

Contact Cedarhurst of Farmington

Overview of St. Clair Nursing Center

Nestled in the peaceful grounds of Plaza Court North, Saint Clair, MO, is the esteemed senior living community of St. Clair Nursing Center Skilled Nursing by Americare, which offers skilled nursing, hospice care, home health care, and rehabilitation. Featuring private and semi-private studio accommodations, the community ensures seniors have a peaceful and safe stay on its premises. Let go of your worries with a team of dedicated and well-trained professionals caring for your special needs and aspirations.

Live an active and connected life with enjoyable activities and exciting events. Moreover, the community utilizes a holistic approach to ensure residents are taken care of in every aspect of their well-being. St. Clair Nursing Center strives to provide a haven for seniors to make the most out of their best years without worries.

Contact St. Clair Nursing Center

Overview of Cedarhurst of Blue Springs

Cedarhurst of Blue Springs is one of the assisted living and memory care communities that has created a wonderful experience in fully supporting all residents. They boast a dedicated team of care staff who celebrate each unique individual by ensuring complete care and attention to the residents. Cedarhurst provides a home where every individual, from staff to residents, can build new connections and create new memories in their new home.

The residential assisted living home offers a wide range of services to make residents feel at home, including weekly housekeeping, laundry and linen, transportation, and a recreation room for fun activities. There is also an on-site full-service salon where residents can pamper themselves and feel their best. Outdoor spaces and paths provide a serene and peaceful environment for relaxation and reflection.

Contact Cedarhurst of Blue Springs

Overview of Benton House of Raymore

Keep peace of mind and do the things you love with the renowned senior living community of Benton House of Raymore set in the peaceful Johnston Drive, Raymore, MO, offering assisted living, memory care, and adult day services. Committed to improving seniors’ well-being, the community handles housekeeping, maintenance, and other mundane activities for seniors to experience a worry-free retirement. A kind and reliable team helps residents with their daily living activities to meet their needs and preferences.

Mingle with friends and participate in fun programs for leisure and wellness. With its unique memory care neighborhood, individuals with Alzheimer’s and dementia receive the finest care and assistance for their special needs. The community also provides a wonderful working environment for its team to promote a vibrant and welcoming environment. Benton House of Raymore is regarded as the Best Memory Care by US News and World Report and Pinnacles’s Customer Experience Award in 2024, proving its exceptional quality.

Contact Benton House of Raymore

Overview of The Boulevard Senior Living of Saint Peters

Situated in St. Peters, MO, The Boulevard Senior Living of Saint Peters is a trusted senior living community that offers a range of senior living options, including independent living, assisted living, and memory care. Empowering seniors to live a fulfilling and connected life, the community offers quality services, a wide range of amenities, engaging, resident-led events, and entertainment. Everyday is stress-free with maintenance and housekeeping, concierge services, transportation, and pet care provided by the community’s attentive team.

Live your days your way with a range of activities and amenities that are thoughtfully designed for residents’ enjoyment and needs. From restaurant dining, engaging events and entertainment, to exercise classes, local trips and shopping, and more, there’s never a scarcity of things to enjoy. Amenities such as a pool, wellness center, private dining, lounges, country demonstration kitchen, crafting center, and libraries, provide more opportunities for relaxation, connecting with friends, or exploration.

Contact The Boulevard Senior Living of Saint Peters

Overview of Carnegie Village

Located at 107 Bernard Dr in Belton, Missouri, Carnegie Village operates as an 85-bed nursing home with mixed-acuity care. The privately owned facility, administered by Jessica Bradham, serves older adults requiring short-term rehabilitation through its nursing home, assisted living, independent living, and memory care tracks. Nursing staff include 18 registered nurses, 39 licensed practical nurses, and 118 certified nursing assistants, supported by 102 contracted caregivers. A staff-to-resident ratio of 3.34 to 1 runs 97 percent above the Missouri state average.

The facility’s 2-star overall CMS rating reflects inspection performance. Since 2019, the community recorded 44 deficiency citations, 48 percent above the Missouri average. A critical Quality of Care citation in March 2024 was corrected, as was a substantiated Abuse and Neglect citation in September 2024. More recent corrective actions suggest responsiveness to identified compliance gaps.

Federal penalties totaled $16,000 in 2024, 79 percent lower than the Missouri average.

Quality measures tell a mixed picture. The facility earned a 4-star rating for both staffing and quality outcomes, with strong performance on pressure ulcer and incontinence prevention. Yet falls with major injury and unintended weight loss run notably above Missouri averages. Nurse hours average 3 hours 28 minutes per resident per day, slightly below state benchmarks.

Occupancy stands at 92 percent, ranking 31st among 283 Missouri nursing homes, reflecting sustained local demand. The payer mix is weighted toward Medicare (36 percent of admissions, averaging 21-day stays) and private pay (56 percent).

Restaurant-style dining, wellness programming, and 24-hour staffing support day-to-day operations.

Carnegie Village orients toward short-term post-acute rehabilitation in a mixed-acuity setting, with strong staffing infrastructure alongside a compliance history requiring ongoing monitoring.

Contact Carnegie Village

Overview of Tiffany Springs Senior Living

The warm hospitality and distinct charm of Tiffany Springs Senior Living Community is truly a worthwhile experience. Enveloped by the bustling Midwest metro of Kansas, this community offers an eclectic mix of modern city living and a retreat-like atmosphere. Residents can choose from a span of living options, including independent living, assisted living, memory care, rehabilitation, and extended stay. With 40 beautifully appointed apartment choices featuring upscale finishes, every element is carefully curated to ensure comfort and style.

From the serene outdoor courtyard for strolls to the private dining room for intimate gatherings, there are spaces to relax and connect with loved ones. The fitness gym and yoga studio offer opportunities for rejuvenating workouts, and private coaching sessions are available for personalized guidance. The healing gardens, pool and jacuzzi, and on-site chapel, are just a selection of the conveniences the home renders. Most importantly, safety and security are of utmost importance at Tiffany Springs, with an emergency response system and 24-hour security to ensure residents’ peace of mind. A consulting medical director is available for expert guidance on health matters as well, and a concierge is on hand to assist with any needs. 

Contact Tiffany Springs Senior Living

Overview of Sunrise of Des Peres

Uplift your mood with the blissful senior living community of Sunrise of Des Peres situated on Manchester Road, Des Peres, MO, providing assisted living, memory care, short-term stay, and hospice coordination. With seniors’ well-being and safety in mind, the community features pleasant and spacious accommodations including studio, one-bedroom, two-bedroom apartments, and companion suites. Live your life as you prefer with a caring and dedicated team handling the housekeeping and other mundane activities.

The community is committed to improving seniors’ quality of life, conducting a variety of interactive activities, and fulfilling learning programs. Join your friends and engage in inspiring conversations over meals catered to your dietary requirements and preferences. Sunrise of Des Peres is ideal to spend your golden years in comfort and luxury with its well-maintained campus filled with warmth and friendly community.

Contact Sunrise of Des Peres

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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