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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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Adair Village

1801 N GAINES DR, CLINTON, MO 64735-1127
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.
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
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.
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

Nazareth Living Center is a senior living community in St. Louis, Missouri. It offers a range of services including assisted living, memory care, and skilled nursing. The community focuses on providing compassionate care and a supportive environment for its residents.
Overview of Nazareth Living Center
Nazareth Living Center is a senior living community in St. Louis, Missouri. It offers a range of services including assisted living, memory care, and skilled nursing. The community focuses on providing compassionate care and a supportive environment for its residents.

Contact Nazareth Living Center

New Madrid Living Center is dedicated to providing comprehensive and quality long-term care services under physician supervision. The facility focuses on the physical, mental, and psychosocial well-being of its residents. It offers a variety of services including skilled nursing care, rehabilitation services, and resident transportation.
Overview of New Madrid Living Center
New Madrid Living Center is dedicated to providing comprehensive and quality long-term care services under physician supervision. The facility focuses on the physical, mental, and psychosocial well-being of its residents. It offers a variety of services including skilled nursing care, rehabilitation services, and resident transportation.

Contact New Madrid Living Center

New Haven Care Center is a community-owned, not-for-profit nursing home serving New Haven and surrounding communities for over 40 years. It offers long-term care, short-term rehabilitation, and outpatient rehabilitation services. The facility is dedicated to providing a high quality of life for residents and is committed to meeting the health needs of individuals and families in the community.
Overview of New Haven Care Center
New Haven Care Center is a community-owned, not-for-profit nursing home serving New Haven and surrounding communities for over 40 years. It offers long-term care, short-term rehabilitation, and outpatient rehabilitation services. The facility is dedicated to providing a high quality of life for residents and is committed to meeting the health needs of individuals and families in the community.

Contact New Haven Care Center

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.
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

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.
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

River Oaks Care Center is a skilled nursing facility in Steele, MO. It provides 24-hour care and rehabilitation services to residents. The facility is committed to meeting the physical, social, emotional, and spiritual needs of its residents.
Overview of River Oaks Care Center
River Oaks Care Center is a skilled nursing facility in Steele, MO. It provides 24-hour care and rehabilitation services to residents. The facility is committed to meeting the physical, social, emotional, and spiritual needs of its residents.

Contact River Oaks Care Center

Shady Oaks Healthcare Center is located in Thayer, MO. It provides specialized comfort and quality care focusing on person-centered care. The facility offers 24-hour nursing care, rehabilitation services, and transportation services.
Overview of Shady Oaks Healthcare Center
Shady Oaks Healthcare Center is located in Thayer, MO. It provides specialized comfort and quality care focusing on person-centered care. The facility offers 24-hour nursing care, rehabilitation services, and transportation services.

Contact Shady Oaks Healthcare Center

Granby House is a small rural facility that offers modern services. It prides itself on small-town hospitality where residents can find success in a healing, inviting environment. The facility provides 24-hour nursing care and transportation services.
Overview of Granby House
Granby House is a small rural facility that offers modern services. It prides itself on small-town hospitality where residents can find success in a healing, inviting environment. The facility provides 24-hour nursing care and transportation services.

Contact Granby House

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.