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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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Overview of The Castlewood Senior Living

Located in the charming family neighborhood in Nixa, Missouri, The Castlewood Senior Living is a pet-friendly senior living community that offers Independent Living, Assisted Living, and Memory Care. Live boldly with an extra hand to help you with various chores, including housekeeping, laundry, transportation, pet care, and maintenance. The community ensures its residents live comfortably with their wide array of cozy residences designed to accommodate seniors’ needs and tastes.

Proving its commitment to providing exceptional care and welcoming environment for senior living, the community has been recognized as Best Assisted Living community by the U.S. News and World Report. Living is more fun and engaging with plenty of interesting activities and enrichment programs conducted both on-site and off-site. With most of the chores handled, residents have more time to explore the community’s plethora of amenities, such as a swimming pool, fitness center, library, movie theater, and beautifully maintained grounds that are perfect for basking in the sun.

Contact The Castlewood Senior Living

Overview of Ravenwood Senior Living

In Ravenwood Senior Living is a haven of peace and tranquility, residents are invited to savor the joys of life to the fullest in private or semi-private suites that offer a perfect blend of comfort and privacy. The community takes a proactive approach towards ensuring their physical and emotional health. From assisted living to memory care, rehabilitation to respite care, adult day club to hospice care, every individual is catered to with exceptional care, tailored to meet their specific needs.

The home goes beyond providing healthcare; it offers a range of unique activities and therapies to promote holistic wellness. Residents can indulge in pet therapies, a delightful activity that brings a smile to their faces. Bingo is another beloved pastime that fosters social connections, while exercises keep both body and mind in top shape. The Bible study sessions provide spiritual nourishment, offering a space to reflect and grow in faith. At Ravenwood Senior Living, residents are more than just occupants; they are part of a vibrant community that nurtures the soul and uplifts the spirit. With a compassionate team of professionals available round-the-clock, every resident can rest assured that they are in good hands. 

Contact Ravenwood Senior Living

Overview of Lakewood Senior Living

The Lakewood Senior Living community is an exquisite haven of luxury and comfort that promises its residents the ultimate senior living experience. This magnificent abode offers a diverse array of living options, including independent living, assisted living, and memory care, thereby ensuring that every individual can enjoy life to the fullest while receiving the necessary support. With nutritious meals, utilities, house maintenance services, and a 24-hour staff always at the ready, residents can indulge in carefree living and revel in the joys of every moment.

From spacious areas to beautifully landscaped grounds, every inch of this stunning abode is designed to foster a sense of tranquility and inner peace. The food served here is beyond compare, featuring a delectable southern taste charm that is sure to awaken the palate. The bistro is also the perfect place to socialize and connect with like-minded individuals while indulging in some scrumptious cuisine. Other amenities include their state-of-the-art fitness center, arts and crafts center, the garden beds, the physical therapy room equipped with top-of-the-line equipment, and the outdoor fireplace where seniors can unwind and bask in the warmth of the fire, while soaking in the beauty of their surroundings.

Contact Lakewood Senior Living

Overview of The Township Senior Living

Nestled in the heart of Battlefield, Missouri, The Township Senior Living is a dynamic and contemporary community dedicated to serving the diverse needs of seniors. Offering a continuum of care that includes independent living, assisted living, and memory care, this community empowers residents to transition seamlessly through various stages of life while enjoying a vibrant lifestyle. Conveniently situated, The Township Senior Living stands as a beacon of compassionate care and fulfillment for older adults in Battlefield. The commitment to providing a nurturing environment is complemented by a dedication to safety, value, and exceptional hospitality, earning the community recognition as a premier destination for senior living.

The Township Senior Living is committed to fostering an engaging environment where residents can embrace a fulfilling lifestyle. From a plethora of enriching activities to serene surroundings, residents find a true sense of belonging. The community features 83 independent living apartments, ranging from cozy studios to spacious two-bedroom units, all housed within a charming lodge-style building. Each apartment is equipped with modern amenities including a fully functional kitchen and an in-unit washer and dryer, fostering convenience and comfort. For those in need of hands-on personal care, the assisted living section offers 46 private apartments. Residents here receive personalized attention and support, ensuring their well-being and comfort. These living spaces are complemented by a range of amenities, including community common areas, a commercial kitchen, a salon, and a fitness center, enhancing the overall experience for all residents and nurturing a strong sense of community and connection.

Contact The Township Senior Living

Overview of Troy Manor

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.

Contact Troy Manor

Heritage Care Center

4401 North Hanley Rd, Saint Louis, MO 63134-2710
Overview of Heritage Care Center

Heritage Senior Living is a senior living community located in Blue Bell, PA. It offers a range of services including independent living, assisted living, memory care, home care, and respite care. The community is dedicated to creating a culture of support and compassion for residents and their families.

Contact Heritage Care Center

Belleview Care Center

1616 Weisenborn Rd, Saint Joseph, MO 64507-2527
Overview of Belleview Care Center

Belleview Care Center is a well-regarded nursing home in St. Joseph, MO, offering assisted living, memory care, rehabilitation, and skilled nursing. Featuring secure and thoughtfully furnished rooms in a clean and nurturing setting, the community ensures older adults can feel at home. Exceptional services, including 24-hour care, chef-prepared meals, and weekly housekeeping, are also provided to help residents maintain their independence. Through personalized care plans, the community ensures residents can recover and return to their routines with ease.

Pet therapy, fun gatherings, and light exercises encourage residents to explore new interests and have fun. Spacious common areas and top-notch rehabilitation equipment also ensure residents can rest and freely connect with their surroundings. Ideally situated near banks and fast-food chains, the community guarantees accessibility and convenience. This nursing home is a good option for senior living in Missouri, especially with its dedicated services and top-notch amenities.

Contact Belleview Care Center

Overview of Maplebrook Senior Living

Offering high quality and innovative services, Maplebrook Senior Living is a trusted senior living community in Farmington, MO, that provides assisted living, respite care, memory care, and rehabilitation services. Residents can choose from an array of studio and one-bedroom floor plans for a comfortable residence that aligns with their lifestyle and needs. The community ensures residents’ care needs are met with a dedicated and professional care team that offers round the clock care and assistance.

With access to comprehensive therapy services, a wide array of health & wellness programs, and carefully curated meals, residents are guaranteed to recover or maintain their strength and overall well-being. The community also offers a fully equipped wellness center complete with a NU-Step bike and weight station to help residents stay healthy and active. From well-designed accommodations to professional care services, residents have what they need to continue living a lifestyle they desire.

Contact Maplebrook Senior Living

Overview of The Boulevard Senior Living of Wentzville

Live an exciting lifestyle in a community of like-minded people at The Boulevard Senior Living of Wentzville in Wentzville, MO, a trusted senior living community that offers independent living, assisted living, and memory care. Relax in comfort with elegantly designed accommodations and convenient access to services like housekeeping, maintenance, transportation, and concierge services. A team of diligent personnel and carers provide outstanding support and care that enable residents to live an enriched lifestyle.

The community inspires residents to live a full, connected life with a wide range of amenities, engaging events and entertainment that promote social, physical, and mental well-being. Whether you want to get lost in a novel at the library, watch your favorite movie at the movie theater, or take a refreshing walk with friends through meticulously maintained grounds, you are free to spend your time however it suits you. Common hassles of daily living are handled to give residents more time to enjoy all the fine things the community has to offer.

Contact The Boulevard Senior Living of Wentzville

Mission Ridge

4349 S Kansas Ave, Springfield, MO 65810
Overview of Mission Ridge

Mission Ridge is a brand-new senior living community located in the Southwest area of Springfield, Missouri. The community offers quality senior living, featuring independent retirement living, assisted living, and memory care. Mission Ridge’s spacious private apartments and stunning amenities provide residents with a vibrant and comfortable living experience.

The community is conveniently situated near casual and fine dining options, medical facilities, and popular local attractions, such as the Dickerson Park Zoo, Discovery Center of Springfield, and the Springfield Art Museum. Mission Ridge creates inviting environments for residents and their family members, with spacious, well-appointed common spaces and a variety of apartment floor plans to choose from. The community’s Anytime Dining program and Active Living calendar provide residents with the flexibility and opportunities to live a fulfilling, independent lifestyle, with the support and care they need, whether it’s through assisted living or specialized memory care services.

Contact Mission Ridge

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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