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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 Crowley Ridge Care Center
Crowley Ridge Care Center is located in Dexter, MO. It provides comprehensive long-term care services under physician supervision, focusing on the physical, mental, and psychosocial well-being of residents. The center offers skilled nursing care, rehabilitation services, and memory care.

Contact Crowley Ridge Care Center

Overview of Aberdeen Heights
Aberdeen Heights is a faith-based, not-for-profit senior living community dedicated to serving residents with a culture inspired by Christian values. It offers independent living, assisted living, memory care, long-term care, skilled nursing, and short-term rehabilitation. The community provides a welcoming environment where residents can enjoy a variety of services and amenities.

Contact Aberdeen Heights

Overview of Aegis Health and Rehabilitation
Aegis Health and Rehabilitation is located in Wildwood, MO. The facility provides exceptional hospitality, focused nursing, and therapy care in a tranquil environment. It offers personalized rehabilitation plans and a variety of activities to support residents' recovery and well-being.

Contact Aegis Health and Rehabilitation

Adair Village

1801 N Gaines Dr, Clinton, MO 64735-1127
Overview of Adair Village
Adair Village is a skilled nursing facility located in Clinton, Missouri. It offers long-term care services, therapy services, and respite care. The facility is dedicated to providing compassionate and quality care 24/7.

Contact Adair Village

Crestview Home

1313 South 25Th St, Bethany, MO 64424-2634
Overview of Crestview Home
Crestview Home is a long-term care facility located in Bethany, Missouri. It provides comprehensive and quality care under physician supervision, focusing on the physical, mental, and psychosocial well-being of residents. The facility offers skilled nursing care, rehabilitation services, and memory care.

Contact Crestview Home

Overview of Nazareth Living Center

Nazareth Living Center is a 235-bed skilled nursing and assisted living community in Saint Louis, Missouri, offering skilled nursing, assisted living, memory care, respite care, and short-term rehabilitation, with 24-hour staffing across all units. It is operated by the Sisters of St. Joseph of Carondelet St. Louis Province, a nonprofit that has run the facility since 1987.

The facility carries a 2-star overall CMS rating, driven by Health Inspection and Quality Measures scores that are both roughly 30% below the Missouri average. Across 10 inspections since 2020, the facility recorded 51 deficiencies — 46% above the state average. The March 2025 routine survey identified 17 deficiencies, including a 38.71% medication error rate and infection control failures. The July 2025 complaint investigation was substantiated for financial exploitation of a resident, wound-care failures that led to a hospital transfer, and controlled-substance record discrepancies. CMS imposed a $12,000 civil money penalty in October 2023 and a four-day payment denial in March 2025.

Total nursing hours average 4 hours per resident per day, roughly 5% above the Missouri average, though RN-specific hours are 43% below state benchmarks. The facility’s occupancy rate is 40%, compared with Missouri’s average of 66.6%, reflecting current availability across most care levels. The community is part of a continuing care retirement community campus and maintains active resident and family councils; religious services and a full calendar of social and spiritual activities are available on-site.

With a 46-day average length of stay and a payer mix that is 72% private pay, the facility is structured primarily for short-term post-acute and rehabilitative stays in Saint Louis County. However, families considering Nazareth Living Center should also carefully review its recent inspection findings, medication error history, and substantiated complaint investigations before making a placement decision

Contact Nazareth Living Center

Overview of New Madrid Living Center

New Madrid Living Center is a 112-bed skilled nursing community at 1050 Dawson Rd in New Madrid, Missouri, offering long-term care, rehabilitation services, and memory care under private ownership. Operator Kimberly Ivie oversees the facility, which accepts Medicare, Medicaid, and private pay, with 24-hour professional staffing on-site.

CMS rates the community 5 stars overall — placing it 90.1% above the Missouri average — driven in part by a Health Inspection score 72.4% above state peers. Total nurse staffing averages 4 hours and 10 minutes per resident per day, roughly 10% above the Missouri average of 3 hours and 48 minutes, with aide staffing above the state benchmark; RN and LPN staffing levels trail the state averages, which is worth noting for residents with complex clinical needs.

The facility has averaged 4 deficiencies per year over the review period, 27% below Missouri’s average of 5.5. Two substantiated complaints stand out in the record: an April 2024 investigation confirmed that a resident sustained a fractured tibia/fibula when staff bypassed the required mechanical lift and delayed reporting the injury; a September 2023 complaint was substantiated after staff failed to notify a guardian of a critical lab value, resulting in hospital admission for severe hypernatremia. No fines or Immediate Jeopardy findings appear in the available record.

The facility’s occupancy rate is 48% — well below the Missouri average of 66.6% — indicating current availability. Rehab services, a memory care program, and secured living amenities are all available on-site.

With a 152-day average length of stay and capacity across skilled nursing and memory care, New Madrid Living Center is best suited for residents seeking long-term placements in New Madrid County, including those transitioning from acute care who require ongoing skilled nursing support.

Contact New Madrid Living Center

Overview of New Haven Care Center

New Haven Care Center is a 106-bed, nonprofit nursing home in New Haven, Missouri, providing long-term care, short-term rehabilitation, and outpatient rehabilitation to residents in Franklin County. The facility is operated by New Haven Care Center, Inc., under the administration of Charles Tritch. It is community-owned, has been continuously operating for more than 40 years, and accepts Medicare, Medicaid, and private pay.

CMS rates the facility 3 stars overall. Total Nnrse staffing averages 4 hours and 0 minutes per resident per day, modestly above Missouri’s average of 3 hours and 48 minutes — a meaningful margin for residents with daily care needs. Four of six quality measures perform below the state average, a signal worth weighing for long-stay placements.

Since 2022, New Haven Care Center has had three inspections, averaging 5 deficiencies per year, compared with a Missouri average of 5.5 — roughly in line with peers. The 2023 annual inspection cited deficiencies in personal hygiene care, mechanical lift safety, and infection control. A focused inspection in March 2025 found deficiencies in medication administration, including insulin handling and oxygen orders. Neither inspection resulted in fines or enforcement action.

The facility’s on-site programs include therapy services, pain management, podiatry, optometry, and dental services. It also operates its own hospice program — New Haven Hospice — and provides memory and respite care, with 24-hour staffing.

New Haven Care Center is best suited for residents seeking long-term skilled nursing or short-term post-acute rehabilitation in a community-based, nonprofit setting in Franklin County, with in-house hospice access for those approaching end-of-life care.

Contact New Haven Care Center

Overview of Truman Lake Manor, INC
Truman Lake Manor is locally owned and operated by friends and family of the community. Its vision is to create an environment where people are loved, valued, and at peace. The mission is to enhance quality of life by nurturing individuality and independence.

Contact Truman Lake Manor, Inc

Overview of St James Living Center
St. James Living Center is a long-term care facility located in St. James, Missouri. It provides a wide range of services including 24/7 professional medical care, rehabilitation services, and specialized care for Alzheimer's patients. The center emphasizes a homelike environment and personalized care for its residents.

Contact St James Living Center

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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