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Best Senior Care in Missouri

Reviewed by
Last updated
Jun 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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Candlelight Lodge

1406 Business Loop 70 W, Columbia, MO 65202
Overview of Candlelight Lodge

Situated in the charming town of Columbia, Missouri, Candlelight Lodge is dedicated to providing exceptional care and support for seniors through a unique blend of memory care living and assisted senior living services. With 24-hour certified on-site nursing staff at the heart of this community, residents can take comfort in knowing that their well-being is a top priority, around the clock. This warm and inviting environment, spread across three cozy homes, creates a true sense of belonging, where residents can embrace a fulfilling lifestyle while receiving the care they need.

Daily transportation services, housekeeping, and a robust calendar of planned activities and outings ensure that each day is filled with opportunities for connection and enjoyment. With an emergency medical alert system in place, safety is paramount, allowing residents and their families to have peace of mind. At Candlelight Lodge, residents don’t just find a place to call home. They discover a welcoming community that truly understands and meets their unique needs.

Contact Candlelight Lodge

Overview of Spring Valley Health and Rehabilitation Center

Spring Valley Health and Rehabilitation Center operates a 194-bed nursing facility at 2915 South Fremont Avenue in Springfield’s Greene County. The facility is administered by Holly Anderson under ownership by MC Fremont Healthcare, LLC. It accommodates Medicare, Medicaid, and private-pay residents and maintains an occupancy rate of 80%, notably above the Missouri state average of 66.6%.

Spring Valley carries a 2-star overall CMS rating. The health inspection rating is 1 star, placing the facility 65.5% below the Missouri average. Its deficiency record since 2018 totals 78 citations; 123% above the typical Missouri nursing home.

Inspections conducted in August and November 2025 identified medication documentation errors, tube feeding care deficiencies, and environmental sanitation failures. A medication error rate of 20% was documented in the August 2025 investigation. The facility’s record includes two substantiated abuse-related deficiencies: failure to timely report a sexual abuse allegation in January 2024 and failure to timely report and investigate a physical abuse allegation in January 2025.

Total adjusted nursing hours average 2 hours 4 minutes per resident daily; 45% below the Missouri standard and the lowest-ranked measure among 276 state facilities. Registered nurse coverage runs 20 minutes per day (29% below average), licensed practical nurse coverage 35 minutes (15% below average), and certified nurse aide hours 1 hour 52 minutes (20% below average).

The facility’s payroll represents 38.5% of revenue, ranked among the lowest one percent statewide.

The facility scored 5 stars for quality measures, 79.2% above state average. Long-stay residents show lower hospitalization and emergency department utilization rates than peers. Yet 78.2% of long-stay residents are documented with depressive symptoms; 509% worse than the state average. Vaccination rates for influenza and pneumococcal coverage fall below state benchmarks.

The facility operates memory care and hospice services and accepts short-stay rehabilitation and long-term care residents on a mixed medical acuity model.

Contact Spring Valley Health and Rehabilitation Center

Gentle Hands Home Care

6439, #127, 6439 Plymouth Ave #127, St. Louis, MO 63133
Overview of Gentle Hands Home Care

Live life to the fullest within the comforts of home with Gentle Hands Home Care in Plymouth Ave, St. Louis, MO, providing in-home care, veteran care, and personal care. Going above and beyond expectation, the home care provider features a wide range of assistance including medication reminders, memory care, bathing, grooming, and meal preparation. Experience top-notch care without the fear of leaving the premises of home.

Gentle Hands Home Care fosters an independent and caring environment, conversing with the seniors and their families to devise a care plan that perfectly matches their needs and preferences. With a compassionate and well-trained team, the homecare provider ensures the comfort and safety of the seniors.

Contact Gentle Hands Home Care

Overview of Ashbury Heights of Jefferson City

Located in the heart of Missouri, Ashbury Heights exudes excellence in residential care, redefining the notion of comfort and well-being. The dedicated and professional staff form a tight-knit community that truly feels like home for every resident. Within these welcoming walls, an array of carefully curated services awaits, painting a picture of unparalleled comfort.

Savor the delight of savory meal services that cater to discerning tastes, while the meticulous housekeeping and laundry services attend to every detail. The administration of medications is seamlessly handled by certified staff available around the clock, ensuring peace of mind. Each resident enjoys the sanctuary of a private room with an attached bath, offering a personal retreat within the warm embrace of Ashbury Heights. Beyond the exceptional care, this community extends a helping hand with financial assistance, making quality residential care an attainable reality.

Contact Ashbury Heights of Jefferson City

Live Your Best Life

1325 S Highland Ct, Marshall, MO 65340
Overview of Live Your Best Life

Live Your Best Life is an esteemed community in Marshall, MO, offering assisted living and respite care. Residents can ease their worries with a kind and highly skilled team providing exceptional care for their unique needs. Housekeeping and laundry are also provided, so residents enjoy a maintenance-free lifestyle.

Fun recreational activities and enriching programs are conducted to keep residents active and socially connected. Three delicious and healthy dining options are served to satisfy residents’ dietary needs and preferences. Medication management, health monitoring, and transportation services are also available for residents’ convenience and safety. The community is ideal for those needing assistance to live comfortably in retirement, especially with its dedicated services and nurturing environment.

Contact Live Your Best Life

Overview of Holiday Briarcrest Estates

Holiday Briarcrest Estates, a thriving senior living community with the guarantee of personalized care, is tucked away near Ballwin, Missouri. In addition to the convenience of close-by dining options, retail stores, and quiet Queeny Park, residents can take pleasure in independent living. Holiday Briarcrest Estates is a caring community where everyday tasks are handled to free up more time for hobbies, social events, and relaxing times.

Holiday Briarcrest Estates is dedicated to fostering an engaged senior lifestyle where residents can explore new activities and enjoy companionship. Every element of the experience within the community, from the freshly made meals to the cozy communal spaces with hot drinks and fresh fruit, is intended to provide comfort and delight. Enjoy spa treatments, chill in the game or activity areas, or just spend some time in the resident kitchen. Pets are also welcome at Holiday Briarcrest Estates, fostering a resident’s need to care for another, providing them a sense of company, and bringing joy to their golden years.

Contact Holiday Briarcrest Estates

Overview of St. Andrew’s Apartments at Kirksville

Located in the quiet residential area of South Osteopathy, Kirksville, MO, is the reliable senior living community of St. Andrew’s Apartments at Kirkville offering independent living. Focusing on the needs of those 55+, the community fosters a vibrant and welcoming environment with a variety of one- and two-bedroom apartments. The Northeast Regional Medical Center is also nearby, ensuring immediate medical care when needed.

Live independently and do the things you love in the purposely designed entertainment spaces and carefully curated activities. The emergency response system is also active 24/7 to ensure residents’ safety. Here, residents have the freedom to do the things they love without the hassles of daily responsibilities.

Contact St. Andrew’s Apartments at Kirksville

Overview of Summit Villa

Located in Holts Summit, Missouri, Summit Villa stands out as an extraordinary assisted living community, warmly acknowledged through heartening reviews for its exceptional service. The dedicated staff members consistently earn praise for their attentive and compassionate care, creating an atmosphere where residents feel at home. With tasteful furnishings and meticulous cleanliness, Summit Villa radiates an inviting ambiance that puts everyone at ease.

They offer a range of specialized services, including memory care options, designed to cater to residents with specific requirements. Whether it’s assistance with daily activities or more comprehensive care, their tailored approach ensures that each resident receives the support they need to thrive. In addition to offering top-notch care, Summit Villa places a strong emphasis on promoting a sense of community and connection among residents. Their well-designed indoor and outdoor common areas provide ample opportunities for social interactions and shared moments, while amenities like the fitness center and lively game room add to the vibrant atmosphere.

Contact Summit Villa

Overview of Polaris Health and Wellness of Autumn Terrace

Greeting seniors with warmth, Alpine Breeze Health and Wellness, formerly known as Polaris Health and Wellness of Autumn Terrace, in Raytown Road, Raytown, MO is a prominent senior living community that offers short-term rehabilitation and long-term care. With its dedication to improving seniors’ quality of life, the community delivers top-tier care and assistance around the clock. A team of competent and highly trained professionals attends to seniors’ unique needs and preferences, ensuring they thrive and live their best lives.

The community accepts Medicare and Medicaid to ease the financial constraints of seniors and their families. With a vibrant and friendly environment, residents are encouraged to create lasting moments and make the most out of their best years. Alpine Breeze Health and Wellness is a good place to start your healing with its premier services.

Contact Polaris Health and Wellness of Autumn Terrace

Overview of Ascension Living Sherbrooke Village

Sherbrooke Village has built a reputation as a leading provider of exceptional care for older adults, with a focus on hospitality and a commitment to creating a seamless living experience. They prioritize the comfort and well-being of their residents above all else. From their carefully crafted wellness programs to their inviting dining options and social activities, they strive to create a warm and welcoming environment that feels like home. But it’s not just their commitment to quality care and hospitality that sets them apart. Their location in the heart of St. Louis, with easy access to all that the vibrant city has to offer, makes them a popular choice among locals as well.
The senior living community provides a wide range of essential services and amenities to ensure that residents receive the care and support they need to live comfortably and independently. Some of these services include daily meals served in the dining room, medication management, care coordination, laundry and housekeeping services, and regular wellness checks by staff members. In addition to these vital services are amenities designed to enhance the quality of life for residents. Some of these amenities include in-room dining services up to three times per month, local transportation up to four times per month, a weekly happy hour, group outings and events, a life enrichment program, and a wellness program. Routine maintenance services are provided to ensure that the community remains safe and comfortable for all residents. Registered dietitian consultation is also available to help residents maintain optimal health and well-being.

Contact Ascension Living Sherbrooke Village

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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