Page 19 of Best Senior Care in Missouri

Why trust this guide? Our editorial team analyzed 551 senior care communities in MO using MO Dept. of Health & Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank senior care in MO
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every senior care provider in Missouri.
551 homes
Avg Walk Score: 46/ 100The average Walk Score across facilities in Missouri. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 96The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90

Compare Senior Care around Missouri

Info below is compiled from the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. SC (Senior Care):
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Ava Place
SC
AL
RESC
Ava
40
Facility 40
MO AVG 96
Rank #415 / 450
No
55
Facility 55
MO AVG 46
Rank #188 / 545
Residential Care Facility (40)Ava No 2, Inc
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Aberdeen Heights
SC
AL
HOS
IL
MC
NH
SNF
Kirkwood
91
Facility 91
MO AVG 96
Rank #219 / 450
Yes
89
Facility 89
MO AVG 46
Rank #29 / 545
Skilled Nursing Facility (38), ICF (17), ALF** (36)Ashfield Active Living & Wellness Communities, Inc--
Fountainbleau Lodge
SC
AL
NH
SNF
Cape Girardeau
89
Facility 89
MO AVG 96
Rank #243 / 450
No
66
Facility 66
MO AVG 46
Rank #113 / 545
Skilled Nursing Facility (33), Assisted Living Facility (56)Fountainbleau Of Cape Girardeau, Inc
40
Facility 40
MO AVG 10
Rank #12 / 227
A+
McKnight Place Extended Care
SC
NH
SNF
Saint Louis
70
Facility 70
MO AVG 96
Rank #302 / 450
No
34
Facility 34
MO AVG 46
Rank #358 / 545
Skilled Nursing Facility (70)Mcknight Place Extended Care, LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Community Manor
SC
HOS
MC
NH
PC
RC
SNF
Farmington
99
Facility 99
MO AVG 96
Rank #184 / 450
No
77
Facility 77
MO AVG 46
Rank #53 / 545
Skilled Nursing Facility (99)Miss Ouri Nursing & Rehab, LLC
1
Facility 1
MO AVG 10
Rank #116 / 227
-
The Ozarks Methodist Manor
SC
AL
IL
MC
NH
RESC
SNF
College Marionville
154
Facility 154
MO AVG 96
Rank #46 / 450
No
28
Facility 28
MO AVG 46
Rank #401 / 545
Skilled Nursing Facility (78), Residential Care Facility (76)Ozarks Methodist Manor (The)-A+
Springfield Skilled Care Center
SC
IL
NH
RC
SNF
Springfield
120
Facility 120
MO AVG 96
Rank #87 / 450
No
28
Facility 28
MO AVG 46
Rank #401 / 545
-Springfield Healthcare Management, LLC-A+
Lewis & Clark Gardens
SC
HOS
NH
RC
SNF
Saint Charles
142
Facility 142
MO AVG 96
Rank #64 / 450
No
87
Facility 87
MO AVG 46
Rank #33 / 545
Skilled Nursing Facility (142)N & R Of St Charles, LLC
31
Facility 31
MO AVG 10
Rank #20 / 227
-
Four Seasons Assisted Living
SC
AL
RC
Moscow Mills
53
Facility 53
MO AVG 96
Rank #378 / 450
No
41
Facility 41
MO AVG 46
Rank #319 / 545
Residential Care Facility (23), Assisted Living Facility (30)Four Seasons Care Corporation
1
Facility 1
MO AVG 10
Rank #116 / 227
-
Autumn View Gardens at Schuetz Road
SC
AL
MC
Saint Louis
110
Facility 110
MO AVG 96
Rank #155 / 450
Yes
16
Facility 16
MO AVG 46
Rank #464 / 545
ALF** (110)Bethesda Foundation--

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 551 on this page.

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Overview of The Parkway Senior Living

An elegant and luxurious home that steeps excellence, The Parkway Senior Living has raised the standard of senior living. Their dedicated team of professional staff strives to provide care that is nothing short of extraordinary. The resident-centered community aims to provide quality service for its assisted living and memory care seniors– leading to a purposeful life experienced during their golden years.

The Parkway offers comprehensive amenities and services that help make the lives of its residents hassle-free. They boast their specialized memory care program that focuses on the cognitive ability of seniors with Alzheimer’s or dementia. Services and amenities are provided with full attention at any time of day, such as ADLs, medication management, chef-prepared meals, scheduled activities, and 24/7 care.

Contact The Parkway Senior Living

Overview of Ava Place

Ava Place is a 40-bed residential care community at 1101 Lyle Street in Ava, Douglas County, Missouri, administered by Shelly Stout under the operator Ava No 2, Inc. The facility provides person-centered care with 24-hour staffing, a registered nurse on site, and assistance with daily living activities.

The community centers on home-style meals and daily routines. Residents have access to housekeeping, laundry, weekly beauty salon service, and home health support. The walk score of 55 reflects moderate local walkability, with hospitals, pharmacies, and dining options within reasonable distance.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections and unannounced surveys for all long-term care providers in the state; however, Ava Place’s inspection record cannot be reviewed without direct contact with the facility or the state licensing body.

A registered doctor is listed as being on staff.

Multiple Missouri state financial assistance programs serve residents aged 65 and older or those meeting disability criteria, including Medicaid waivers, supplemental nursing care coverage, and veteran benefits.

Families interested in placement should contact Ava Place directly to discuss current census, private pay rates, insurance acceptance, and eligibility for state assistance programs.

Contact Ava Place

Overview of Aberdeen Heights

Aberdeen Heights is a 91-bed skilled nursing and rehabilitation facility under administrator Anthony Altobella at 505 Couch Ave in Kirkwood, Missouri. Operated by Ashfield Active Living and Wellness Communities, Inc, it takes Medicare, Medicaid, and private pay, which gives families several routes to afford short-term rehabilitation and ongoing nursing care. The highly walkable neighborhood has a score of 89, making it easy for visiting family to reach nearby amenities and services on foot.

The facility spotlights rehabilitation and respite services, with an average resident stay of 106 days, reflecting its focus on post-acute care and recovery. Daily nursing support is significant, averaging 5 hours 11 minutes per resident, with registered nurses providing an average of 59 minutes of direct care per resident day. Nurse aides contribute 3 hours 19 minutes per day, anchored by LPN/LVN care. This staffing pattern supports hands-on support across therapy, medication management, and daily activities. Dining here features a three-course meal service with changing entrées, side dishes, and desserts, alongside healthy dining options. The community offers occupants activities via clubs and committees, along with dining room and café amenities that bolster social engagement and daily life.

Resident safety procedures, medication management, infection control practices, and the accessibility of care equipment have been the state inspections’ focus. Such themes mirror areas that are regularly monitored to ensure resident welfare and quality protocols.

Contact Aberdeen Heights

Fountainbleau Lodge

2001 North Kingshighway, Cape Girardeau, MO 63701-2193
Overview of Fountainbleau Lodge

Fountainbleau Lodge is a skilled nursing community in Cape Girardeau, Missouri. Its location on North Kingshighway is moderately walkable and provides convenient access to local services and nearby transit. Fountainbleau of Cape Girardeau, Inc. operates the home under the ownership of Bilkiss Chaudhry. It accepts Medicare, Medicaid, and private pay, so families have flexibility to cover the cost of care. The 89-bed community has served the Cape Girardeau area for 40 years, reflecting a long tenure in the community.

The facility’s current occupancy rate is 34%. Residents stay an average of 199 days, including short-term rehabilitation residents and those receiving longer-term skilled care. Daily nurse staffing averages 4 hours and 31 minutes per resident. Registered nurses, licensed practical nurses, and nurse aides work throughout the day to provide hands-on care.

State inspections identified concerns related to medication security and management, staff compliance, infection control practices, food safety and sanitation, and pest management. Families touring the home should ask how these important operational areas are managed daily to ensure residents’ safety and environmental cleanliness.

The community mainly provides rehabilitation services, health and wellness programs, and transportation services to help with appointments and outings. Dining is heavily focused on nutrition and taste. There’s a Chalet Dining program and regular dining options, and residents have access to a weekly schedule of events and activities. On-site amenities include a beauty and barber shop, an enclosed courtyard for outdoor time, designated smoking areas, and monthly activities.

Contact Fountainbleau Lodge

Overview of McKnight Place Extended Care

McKnight Place Extended Care is a 70-bed skilled nursing facility at Two McKnight Place in Saint Louis, Missouri. Administered by Ms. Glenda Knittel and operated by McKnight Place Extended Care, LLC, the community holds Medicare certification. The facility was recognized as a Best Long-Term Care provider by U.S.

News & World Report in 2026 and received the STL Headliner Award for Best Skilled Nursing in 2024.

The facility provides six hours twenty-five minutes of combined nursing care per resident per day, placing it third among 256 Missouri SNFs and 69% above the Missouri average of three hours forty-eight minutes. RN coverage runs 14% above average, LPN hours are 63% above average, and CNA hours are 77% above average. Weekend staffing is 76% above average, with weekend RN hours at 95% above average. Physical therapy support is triple the average.

The facility ranked 41st of 263 Missouri SNFs for total payroll investment. Overall financial performance is stable. Occupancy exceeds the state average.

CMS awarded the facility four stars overall, four stars for Health Inspection, and four stars for Staffing. However, Quality Measures earned only one star.

Among long-stay residents, hospitalizations occur in line with the state average of 2.08. Emergency department visits run 47% better than average. Falls with major injury metrics are 70% better than average. Pressure ulcers stand at 26% worse than average.

Long-stay urinary tract infection rates are 52% better than average.

Re-hospitalization rates are 19% worse than average. The rate of successful return to home or community is 29% worse than average. Ability to care for oneself at discharge is 12% below average.

Inspection history from March 2020 through April 2025 shows five standard inspections and one complaint investigation.

The March 2020 standard inspection identified 26 deficiencies. March 2023 saw a complaint investigation resulting in eight deficiencies. October 2023 brought a standard inspection with nine deficiencies. In May 2024, a second complaint investigation cited nine deficiencies.

Most significantly, April 2025 encompassed both a standard health inspection (29 deficiencies) and a concurrent complaint investigation (eight deficiencies) on the same date.

All citations were moderate or minor, with zero critical or serious severity designations. No federal penalties or civil money penalties have been imposed in the past three years. The facility’s citation rate of 5.4 per inspection ranks 148th of 261 Missouri SNFs.

The neighborhood is somewhat walkable (Walk Score 34), and the facility lies 0.179 miles from the Saint Louis city center.

Amenities include physical, occupational, and speech therapies; on-site dentistry, podiatry, ophthalmology, and psychiatry; art and music therapy; restaurant-style dining; personal care companion services; transportation; salon; hearing aid services; catering; housekeeping; laundry; newspapers; dry cleaning; floral service; patios; walking paths; and an aviary. The facility allows pets and maintains 24-hour staffing with on-site physician services.

Families should verify corrections for the April 2025 deficiencies in medication management and kitchen sanitation, given the combined citation volume within a single survey month.

Contact McKnight Place Extended Care

Community Manor

783 Weber Road, Farmington, MO 63640-3318
Overview of Community Manor

Community Manor manages a 99-bed skilled nursing environment on Weber Road in Farmington, Missouri, under operator Missouri Nursing & Rehab, LLC and owner Missouri Nursing. Administrative systems clear accounts through standard financing streams, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility sits in a pedestrian-friendly neighborhood with a walkability score of 77 out of 100, which means visiting relatives can complete local tasks and errands entirely on foot.

Data records show a 98 percent occupancy rate paired with an average length of stay of 144 days, confirming a daily schedule balanced between short-term post-hospital therapy and extended residential care. Daily medical needs and physical assistance are monitored through an around-the-clock shift framework that averages 2 hours and 41 minutes of total nursing care per resident each day. This clinical rotation splits tasks among registered nurses, licensed practical nurses, and nurse aides who supervise continuous treatment schedules.

Public administrative charts show that recent surveys identified specific procedural dings concerning standard care processes and clinical documentation maintenance, meaning the facility’s long-term cumulative citations-per-inspection rate is above zero.

Interested individuals can evaluate the campus layout to see how the enclosed floor plan and rehabilitation gym align with physical recovery goals. The everyday program combines occupational, physical, and speech therapies with gourmet dining selections, lifestyle enrichment events, behavioral health services, and an on-site resident banking system.

Contact Community Manor

Overview of The Ozarks Methodist Manor

Administrator Wayne Rainey oversees the daily services at The Ozarks Methodist Manor, a 154-bed nursing home situated at 205 South College Avenue in Marionville, Missouri. Families managing payment options can clear accounts through conventional insurance channels like Medicaid, Medicare, and private pay. Given the small-town, rural setup, the area has a walkability score of 28 out of 100, which tells visitors they will need a car for virtually all travel and local errands when visiting the campus.

Beds remain about 39 percent occupied, and residents stay for an average of 199 days. This length of stay indicates that the medical team splits its time between permanent residential care and short-term post-hospital rehab. Daily physical needs are handled via a 24-hour staffing framework that averages 4 hours and 1 minute of total nursing care per resident each day, with registered nurses, practical nurses, and nurse aides sharing the shift schedule.

Recent inspection surveys flagged several areas that required correction, specifically regarding infection prevention steps, updated care plan documents, daily staffing level adjustments, and timely reporting rules for serious incidents, which keeps the total citation rate above zero.

Prospective residents can explore an internal layout that features a dedicated health center, a special care memory unit, and dedicated rehabilitation therapy spaces. The community coordinates these clinical tracks with organized group outings, standard daily meals, and shared indoor lounges.

Contact The Ozarks Methodist Manor

Overview of Springfield Skilled Care Center

Begin your healing journey with the outstanding senior living community of Springfield Skilled Care Center in West Grand, Springfield, MO, providing long-term care and short-term rehabilitation. The community features 120 cozy and warm accommodations for seniors to enjoy unparalleled comfort and convenience. A team of qualified and specially trained professionals cares for seniors’ special needs and aspirations.

The community accepts Medicare and Medicaid to ease financial constraints. Alzheimer’s care is also provided for individuals with memory-related needs. Experience the utmost care and support you deserve with a reliable community. Springfield Skilled Care Center is ideal for seniors aiming to make the most out of their best years with its exceptional services.

Contact Springfield Skilled Care Center

Lewis & Clark Gardens

1221 Boones Lick Rd, Saint Charles, MO 63301-2328
Overview of Lewis & Clark Gardens

Located on Boones Lick Road in Saint Charles, Missouri, Lewis & Clark Gardens is a 142-bed skilled nursing facility operated by N & R Of St Charles, LLC under the ownership of Melissa Yates, with Amanda Marsten serving as administrator. The home has been operating for 31 years and accepts Medicare, Medicaid, and private pay, giving families several options for covering rehabilitation and long-term care costs. Operating at 60% occupancy, the facility serves residents who stay an average of 135 days. The surrounding area has a Walk Score of 87, so it’s highly walkable and convenient for family visits and nearby errands.

Rehabilitation services are a major focus of the community’s care program. Residents have access to short-term rehabilitation, physical therapy, occupational therapy, physician services, and 24-hour nursing support. Behavioral health services, Alzheimer’s care, dietitian support, and hospice care are also available. Residents receive an average of 4 hours and 4 minutes of nursing care each day from registered nurses, nurse aides, and LPN/LVN staff.

State inspections conducted by the Department of Health and Senior Services have identified concerns regarding allegation reporting, investigative procedures, personal care, bathing assistance, wound care, and food service practices. Families considering the home should review recent inspection findings and ask how these areas are monitored and managed.

Residents receive meals tailored to their dietary needs and personal preferences. The facility also features a fenced courtyard, seasonal resident garden, beauty and barber services, an ice cream parlor, and a home-like environment. With more than three decades of operation and a walkable location in Saint Charles, Lewis & Clark Gardens has been an established part of the local community.

Contact Lewis & Clark Gardens

Overview of Four Seasons Assisted Living

Four Seasons Assisted Living is a 30-bed assisted living facility at 230 Railroad Street, Moscow Mills, Missouri, operated by Four Seasons Care Corporation and administrated by Ms. Barbara Howard. The facility provides long-term, short-term, and respite care with emphasis on individualized attention and personalized care within a supportive community setting.

Operational strengths are present but limited in detail. Twenty-four-hour staffing is available, with a licensed RN on call 24/7, indicating on-site clinical oversight capability. Rehabilitation services and respite care are programmed components. Dietary services provide three meals daily plus snacks, drinks, and a hydration cart.

Medicaid is accepted. Pre-screen assessment is required for apartment placement, and pets are not allowed. The requirement for pre-screen assessment warrants inquiry into admission criteria and care level determinations.

The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri assisted living facilities. Without access to the complete inspection record and detailed staffing breakdown, families cannot assess regulatory history or identify any substantive compliance issues. The zero-inspection finding requires clarification regarding the facility’s age, licensure status, and operational standing before consideration for placement.

The walk score of 41 reflects somewhat walkable surroundings; a few services are reachable on foot, though most trips require transportation. The facility is located 79.4 miles from Moscow Mills’s city center, placing it in a rural or semi-rural setting. Proximity to regional healthcare resources and available transportation options are relevant considerations for families evaluating placement.

Families should ask about RN on-call duties, weekend details, rehabilitation programming details, Medicare acceptance, occupancy, licensing, and inspections from Four Seasons Assisted Living.

Contact Four Seasons Assisted Living

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
No paid rankings Communities cannot pay to influence placement.
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