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Best Senior Care in Missouri

Reviewed by Dr. Jordan Weiss
Updated May 2026

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

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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.

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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
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
79Yes 48 Private Room / Semi-Private RoomSt Clair Nursing, LLC28A+
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
84Yes 16 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
89Yes 11 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)
97Yes 30 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)
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
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
102Yes 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
77Yes 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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Overview of Ellisville Rehabilitation and Nursing
Ellisville Rehabilitation and Nursing is a skilled nursing facility located in Ellisville, MO. It offers long-term care, short-term rehabilitation, and memory support in a warm, home-like environment. The facility is known for its high standards of resident satisfaction and quality care.

Contact Ellisville Rehabilitation and Nursing

Autumn Ridge Residences

300 Autumn Ridge Dr, Herculaneum, MO 63048-1506
Overview of Autumn Ridge Residences
Autumn Ridge Residences is a senior living community located in Herculaneum, Missouri. It offers independent living and residential care services, providing a carefree lifestyle for seniors. The community features a variety of activities and amenities to enhance the quality of life for its residents.

Contact Autumn Ridge Residences

St Agnes Home

10341 Manchester Rd, Kirkwood, MO 63122-1520
Overview of St Agnes Home
St. Agnes Home is a senior living community in Kirkwood, MO. It offers assisted living, enhanced care, and a care center for seniors. The facility emphasizes a spiritual dimension and provides a variety of activities and services to support residents' well-being.

Contact St Agnes Home

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
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

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

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

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

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

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

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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