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Best Senior Care in Missouri

Reviewed by Dr. Jordan Weiss
Updated Apr 2026

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

Explore home photos

Video Tour: Top-rated senior care facilities in Missouri.

Watch this Video to see Missouri's Top-rated Senior Communities

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)
100No 51 Private RoomsVsl Springfield Manor, Llc34A+
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)
80Yes 58 Studio / 1 BedAhr Kansas City Mo Alf Trs Sub Ii, Llc--
St. Clair Nursing Center
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.

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).

St Clair
81Yes 48 Private Room / Semi-Private RoomSt Clair Nursing, Llc28A+
Cedarhurst of Farmington
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.

Farmington
84Yes 16 Studio / 1 Bed / 2 BedCedarhurst Of Farmington Operator Llc--
Cedarhurst 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.

Blue Springs
89Yes 11 Studio / 1 Bed / 2 BedCedarhurst Of Blue Springs Real Estate, Llc--
Tiffany Springs 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.

Kansas City (Coves North)
97Yes 30 1 Bed / 2 BedTiffany Springs Senior Care Community, Llc--
Carnegie Village
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)
85No 55 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
74Yes 48 -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
95Yes 19 Studio / 1 BedRaymore Slp, 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)
76No 28 -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
98No 56 Unit TypeVb Ballwin Sh, Llc48A+
Sunrise 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.

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.

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).

Des Peres
147Yes 50 Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, Llc45A-
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
105Yes 63 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
72Yes 27 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
95No 5 Studio / 1 BedCenterpoint Slp, Llc--
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StoneBridge De Soto is a senior living community located in De Soto, Missouri. It offers a range of lifestyle choices including Assisted Living, Rehabilitation, and Skilled Nursing Care. The community is dedicated to providing personalized care and a vibrant living environment for its residents.
Overview of Stonebridge Desoto
StoneBridge De Soto is a senior living community located in De Soto, Missouri. It offers a range of lifestyle choices including Assisted Living, Rehabilitation, and Skilled Nursing Care. The community is dedicated to providing personalized care and a vibrant living environment for its residents.

Contact Stonebridge Desoto

Ignite Medical Resort St Peters

5101 EXECUTIVE CENTRE PARKWAY, SAINT PETERS, MO 63376-3463
Ignite Medical Resort St Peters is a luxury rehabilitation facility located in St. Peters, MO. It offers advanced physical therapy and rehabilitation services in a resort-style environment. The facility features private rooms, a full-service spa, and a restaurant with chef-driven cuisine.
Overview of Ignite Medical Resort St Peters
Ignite Medical Resort St Peters is a luxury rehabilitation facility located in St. Peters, MO. It offers advanced physical therapy and rehabilitation services in a resort-style environment. The facility features private rooms, a full-service spa, and a restaurant with chef-driven cuisine.

Contact Ignite Medical Resort St Peters

Harton Senior Living is a retirement community located in Warrenton, MO, just outside of St. Charles County. It offers personalized senior care in a homelike setting, focusing on the individual needs of each resident. The facility aims to provide a supportive environment that encourages independence and socialization.
Overview of Harton Senior Living
Harton Senior Living is a retirement community located in Warrenton, MO, just outside of St. Charles County. It offers personalized senior care in a homelike setting, focusing on the individual needs of each resident. The facility aims to provide a supportive environment that encourages independence and socialization.

Contact Harton Senior Living

Medicalodges Nevada is a skilled nursing and rehabilitation community serving the short-term and long-term care needs of residents of Nevada, Missouri and surrounding communities. The highly skilled staff assist residents in achieving their highest possible level of physical, emotional, and social well-being. Medicalodges Nevada is uniquely 100% employee owned, ensuring a personal investment in quality care.
Overview of Medicalodges Nevada
Medicalodges Nevada is a skilled nursing and rehabilitation community serving the short-term and long-term care needs of residents of Nevada, Missouri and surrounding communities. The highly skilled staff assist residents in achieving their highest possible level of physical, emotional, and social well-being. Medicalodges Nevada is uniquely 100% employee owned, ensuring a personal investment in quality care.

Contact Medicalodges Nevada

Advance Assisted Living is dedicated to enhancing the quality of life for its residents. The facility focuses on providing a supportive and caring environment. More information about specific services and programs is available on the website.
Overview of Advance Assisted Living
Advance Assisted Living is dedicated to enhancing the quality of life for its residents. The facility focuses on providing a supportive and caring environment. More information about specific services and programs is available on the website.

Contact Advance Assisted Living

Central Gardens INC is a senior residential care facility in Dexter, Missouri. It offers various services including nursing and activity programs. The facility is dedicated to providing quality care for its residents.
Overview of Central Gardens INC
Central Gardens INC is a senior residential care facility in Dexter, Missouri. It offers various services including nursing and activity programs. The facility is dedicated to providing quality care for its residents.

Contact Central Gardens Inc

Big Bend Retreat is a nursing home located in Slater, MO. It offers personalized care, adult daycare, and respite care services. The facility provides a comfortable environment with home-style meals and activities for residents.
Overview of Big Bend Retreat
Big Bend Retreat is a nursing home located in Slater, MO. It offers personalized care, adult daycare, and respite care services. The facility provides a comfortable environment with home-style meals and activities for residents.

Contact Big Bend Retreat

Kingsland Walk Senior Living

868 KINGSLAND AVENUE, UNIVERSITY CITY, MO 63130-3181
Kingsland Walk Senior Living in University City, MO offers Assisted Living and Memory Care with a variety of services and a range of floor plan options. Amenities include Kingsland Café, concierge service, housekeeping, events and entertainment, personal care, transportation services, and comfortable community living spaces. Located in the heart of University City, it provides convenient access to vibrant dining and shopping.
Overview of Kingsland Walk Senior Living
Kingsland Walk Senior Living in University City, MO offers Assisted Living and Memory Care with a variety of services and a range of floor plan options. Amenities include Kingsland Café, concierge service, housekeeping, events and entertainment, personal care, transportation services, and comfortable community living spaces. Located in the heart of University City, it provides convenient access to vibrant dining and shopping.

Contact Kingsland Walk Senior Living

Avalon Memory Care

5342 BUTLER HILL ROAD, SAINT LOUIS, MO 63128-4152
Avalon Memory Care specializes in providing safe and secure care for individuals with Alzheimer’s and dementia. The facility focuses on a compassionate and holistic approach tailored to individual needs, ensuring residents achieve their full quality of life potential. Avalon Memory Care is dedicated to creating a home-like environment for those with memory-related conditions.
Overview of Avalon Memory Care
Avalon Memory Care specializes in providing safe and secure care for individuals with Alzheimer’s and dementia. The facility focuses on a compassionate and holistic approach tailored to individual needs, ensuring residents achieve their full quality of life potential. Avalon Memory Care is dedicated to creating a home-like environment for those with memory-related conditions.

Contact Avalon Memory Care

Maple Grove Wellness and Rehabilitation is located in Fenton, MO. It provides skilled nursing care and rehabilitation services, including physical, occupational, and speech therapy. The facility focuses on helping patients regain independence and offers a range of health care services.
Overview of Maple Grove Wellness & Rehabilitation
Maple Grove Wellness and Rehabilitation is located in Fenton, MO. It provides skilled nursing care and rehabilitation services, including physical, occupational, and speech therapy. The facility focuses on helping patients regain independence and offers a range of health care services.

Contact Maple Grove Wellness &Amp; Rehabilitation

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.