Page 41 of Best Senior Care in Missouri

Why trust this guide? Our editorial team analyzed 551 senior care communities in MO using MO Dept. of Health & Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank senior care in MO
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every senior care provider in Missouri.
551 homes
Avg Walk Score: 46/ 100The average Walk Score across facilities in Missouri. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 96The average licensed bed capacity across facilities in Missouri. Individual facilities can vary widely from this average.
National Average: 90

Compare Senior Care around Missouri

Info below is compiled from the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. SC (Senior Care):
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Bluff Creek Terrace Senior Living
SC
ADC
AL
HOS
MC
RC
Columbia
48
Facility 48
MO AVG 96
Rank #395 / 450
Yes
26
Facility 26
MO AVG 46
Rank #416 / 545
StudioColumbia Residential, LLC--
Cape Albeon Lakeside Retirement Living
SC
AL
IL
MC
Valley Park
-No
44
Facility 44
MO AVG 46
Rank #304 / 545
--
27
Facility 27
MO AVG 10
Rank #34 / 227
A+
1st Choice Home Health Care
SC
HC
HOS
RC
Florissant
-No
46
Facility 46
MO AVG 46
Rank #282 / 545
--
12
Facility 12
MO AVG 10
Rank #69 / 227
A+
Shepherd of the Hills Living Center
SC
HOS
NH
SNF
Branson
100
Facility 100
MO AVG 96
Rank #175 / 450
No
72
Facility 72
MO AVG 46
Rank #79 / 545
Skilled Nursing Facility (100)N & R Of Branson, LLC--
Jackson Creek Post Acute
SC
AL
NH
SNF
Independence
182
Facility 182
MO AVG 96
Rank #24 / 450
No
81
Facility 81
MO AVG 46
Rank #43 / 545
Skilled Nursing Facility (120), ALF** (62)Independence Community Healthcare, LLC--
Fulton Nursing &Amp; Rehab
SC
MC
NH
SNF
Fulton
100
Facility 100
MO AVG 96
Rank #175 / 450
No
63
Facility 63
MO AVG 46
Rank #141 / 545
Skilled Nursing Facility (100)N & R Of Fulton, Inc--
Avenir at Mark Twain
SC
NH
RC
SNF
Bridgeton
120
Facility 120
MO AVG 96
Rank #87 / 450
No
4
Facility 4
MO AVG 46
Rank #527 / 545
Skilled Nursing Facility (120)Nbh1 Mtopcollc--
Bluebird Wellness and Rehabilitation
SC
NH
PC
SNF
Saint Louis
188
Facility 188
MO AVG 96
Rank #20 / 450
No
44
Facility 44
MO AVG 46
Rank #304 / 545
Skilled Nursing Facility (188)Blooming Oaks Wellness & Rehabilitation LLC--
Willowcreek Wellness &Amp; Rehabilitation
SC
NH
PC
SNF
South Florissant (Old Town Florissant)
158
Facility 158
MO AVG 96
Rank #43 / 450
No
63
Facility 63
MO AVG 46
Rank #141 / 545
Skilled Nursing Facility (158)Willowcreek Wellness & Rehabilitation LLC--
Willow Brooke
SC
AL
IL
MC
RC
Union
50
Facility 50
MO AVG 96
Rank #386 / 450
Yes
20
Facility 20
MO AVG 46
Rank #448 / 545
StudioUnion Court Residential, LLC--

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 551 on this page.

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Overview of Autumn View Gardens

The Autumn View Gardens is an assisted living and memory care community that thrives because of the level of independence and growth given to seniors. The retirement community creates an open space for seniors to live life on their own terms and continue to feel inspired by purposeful living. The dedicated team of staff is committed to ensuring that residents are receiving the best care possible while creating an environment with endless possibilities waiting to be explored. For over 60 years, Autumn View Gardens have been ensuring that residents foster a sense of community. 
Autumn View Gardens proudly practices its philosophical approach to senior living, which is offering tailored care based on the needs and decisions of its residents. Services include licensed nurse supervision, medication management, a 24-hour emergency call system, and pharmacy services; other physical services include rehabilitation, podiatry, and respite stays. 

Contact Autumn View Gardens

Overview of Bluff Creek Terrace Senior Living

Treat yourself to a fully supported and comfortable retirement lifestyle at Bluff Creek Terrace Senior Living, a remarkable senior living community in Columbia, MO, offering various care options for residents’ varying and changing needs. Whether you need assisted living services, memory care, respite care or rehabilitative services, the community makes sure all of your care needs are met. With an array of conveniently designed accommodations with full, private bath, kitchenette, and individual heat and A/C, residents are guaranteed a relaxing living environment.

Most of the tiring chores are handled so residents can freely participate and engage in the community’s vibrant calendar of activities and extensive wellness programs designed to nurture their overall well-being. Dining experiences are enhanced with well-prepared meals that residents can peacefully enjoy in their private living space or savor with friends in the lovely dining room. With a dedicated care team that handles most of residents’ care needs, inviting community spaces, and vibrant daily programming, residents are guaranteed to thrive in this stunning community.

Contact Bluff Creek Terrace Senior Living

Overview of Cape Albeon Lakeside Retirement Living

Cape Albeon is an organization that truly cares about its seniors. Rooted in faith, they go above and beyond to provide exceptional assisted living apartments, memory care options, and short-term respite care services to seniors from both Missouri and Illinois. The staff is dedicated to making every resident feel loved, respected, and valued. They work closely with each individual to create a customized care plan that meets their unique needs and preferences. The community offers a wide range of services, including medication management, on-site therapy, and transportation services, to ensure that residents have everything they need right at their fingertips. The staff is also committed to providing access to off-site healthcare providers whenever necessary.
With gorgeous lakeside views, secure outdoor walking paths, and well-lit dining rooms, the community is a true oasis. Residents can participate in a variety of recreational and social events and take advantage of fitness programs tailored to their abilities. For those who love pets, Cape Albeon offers pet-friendly accommodations for eligible residents. The on-site beauty salon/barbershop and outdoor pergola and garden area provide a relaxing and rejuvenating environment for residents to unwind and enjoy life to the fullest.

Contact Cape Albeon Lakeside Retirement Living

Overview of 1st Choice Home Health Care

Located in the suburbs of St.Louis, MO, 1st Choice Home Health Care is an exceptional homecare provider that offers in-home care, Consumer Directed Services (CDS), and hospice care. Focusing on providing top-tier care and assistance to daily chores and needs of the seniors, the homecare provider ensures that seniors are comfortable and safe. Moreover, 1st Choice Home Health Care features an individualized service to keep the seniors at ease.

The in-home care provider doubles its efforts to deliver the best care and support that seniors need in the comforts of their homes. Families keep their worries at bay, and their loved ones receive the finest care and assistance from 1st Choice Home Health Care.

Contact 1st Choice Home Health Care

Overview of Shepherd of the Hills Living Center

Shepherd of the Hills Living Center is a skilled nursing home in Branson, Missouri, operated by N & R Of Branson, LLC and administered by Jeremy Osenga. The home is located on State Highway 248 in a very walkable area with a Walk Score of 72. Most daily errands can be completed on foot. The facility accepts Medicare, Medicaid, and private pay, giving families several options to cover short-term rehabilitation stays and longer-term nursing care.

The 100-bed community has an occupancy rate of 78%. Residents stay an average of 85 days, including residents in post-acute rehabilitation and those needing ongoing skilled nursing support. Daily nurse staffing averages 4 hours and 19 minutes per resident. Additional staffing is provided by registered nurses, nurse aides, and licensed practical nurses throughout the day and night to support residents’ medical and personal care needs.

Clinical services include rehabilitation, skilled nursing care, and specialized behavioral and Alzheimer’s care. Residents have access to on-site physicians, physical and occupational therapists, and dietitians. Hospice services are available for residents in their final stages of care, making it a practical setting for a range of health needs.

State inspections identified areas for improvement related to documentation, medication management protocols, and staff training. Families touring the home can ask how the home handles physician coordination, medication oversight, and grievance resolution.

Residents receive complete meal service tailored to dietary preferences and restrictions. Transportation is available for medical appointments and errands, and the home also provides housekeeping and laundry services. Rehabilitation programs support residents working toward recovery.

With professional medical care available around the clock, the facility’s nursing oversight and therapeutic services make it suitable for residents transitioning from the hospital or managing ongoing complex care needs.

Contact Shepherd of the Hills Living Center

Jackson Creek Post Acute

3980 South Jackson Dr, Independence, MO 64057-2205
Overview of Jackson Creek Post Acute

Independence Community Healthcare, LLC, and administrator Ruben Banda operate Jackson Creek Post Acute, a 182-bed skilled nursing center located at 3980 South Jackson Drive in Independence, Missouri. Billing logistics are coordinated through standard coverage pipelines, processing accounts via Medicare, Medicaid, and private funds. Relatives checking on area features will find a walkability score of 81 out of 100, indicating a highly pedestrian-friendly grid where visitors can easily complete daily errands or walk to surrounding services entirely on foot.

Operational spreadsheets show the facility maintains a 54 percent occupancy rate, with resident stays averaging 63 days. This brief timeline demonstrates a business template structured around short-term clinical recovery tracks and post-hospital medical rehabilitation rather than long-term stays. To monitor individual treatments and surgical healing timelines, the around-the-clock shift layout delivers an average of 4 hours and 3 minutes of direct nursing care per resident each day, with registered nurses, practical nurses, and aides sharing daily unit schedules.

Historical survey files indicate that past inspections flagged recurring procedural adjustments concerning dialysis care coordination, medication management habits, and basic infection control steps, meaning the building’s overall cumulative citation rate is not zero.

Interested individuals can evaluate the on-site physical rehabilitation infrastructure and the assisted living facility step-down transitional program. The internal routine couples these post-acute therapies with standard medical oversight, nutritional programs, and daily recreational activities.

Contact Jackson Creek Post Acute

Overview of Fulton Nursing & Rehab

Operated by N & R of Fulton, Inc, Fulton Nursing & Rehab is a skilled nursing home in Fulton, Missouri. Its location on Bluff Street is in a moderately walkable area with a Walk Score of 63. The facility provides short-term rehabilitation after surgery or hospitalization, as well as ongoing skilled nursing care. The 100-bed community has an occupancy rate of 68%, where residents stay an average of 139 days.

The home is clinically focused on rehabilitation services. There’s a physician on staff, and 24-hour nursing care is available. Total nurse staffing averages 4 hours and 33 minutes per resident each day. It is broken down with registered nurse coverage of 18 minutes, nursing aide support of 2 hours and 3 minutes, and LPN or LVN time of 29 minutes daily. This staffing mix can oversee post-acute care and long-term residents.

The facility offers medical and support services, including IV therapy and pharmaceutical services. There’s a dedicated Alzheimer’s special care unit for residents with memory care needs. Van transportation for residents and visiting family. Other services include religious services, housekeeping, and laundry services that support day-to-day living. Amenities include a beauty and barber shop.

Residents receive meals through a complete in-house dining program. Menus are built around individual preferences and nutritional needs, so there’s variety in meals and snacks. The home’s combination of a rehabilitation focus and on-site medical capabilities makes it a great choice for patients recovering from acute care who need structured nursing support during that transition.

State inspections identified concerns in areas including documentation of care plans for residents with behavioral support needs, consistency in infection control and isolation practices, and reliable scheduling of nurse presence. These findings show areas that need attention. Families touring the facility can ask how these areas are managed and how it approaches these priorities.

Contact Fulton Nursing &Amp; Rehab

Avenir at Mark Twain

11988 Mark Twain Ln, Bridgeton, MO 63044-2825
Overview of Avenir at Mark Twain

The 120-bed skilled nursing facility at Avenir at Mark Twain is located on Mark Twain Lane in Bridgeton, Missouri, under administrator Cory Sterling and operator Nbh1 Mtopcollc. Financial billing processes accommodate multiple coverage plans, accepting Medicare, Medicaid, and private pay options. If you are planning a visit, the local surroundings carry a walkability score of 4 out of 100, which indicates a heavily car-dependent setup where family members will require a personal vehicle for all errands and trips to the campus.

Operational logs show that the property maintains a 63 percent occupancy rate, with an average length of stay around 104 days. This operational timeline confirms a focus on temporary post-hospital therapy and subacute recovery tracks rather than multi-year residential placements. To oversee routine medical schedules and daily personal care tasks, the 24-hour staffing framework provides an average of 4 hours and 11 minutes of total nursing care per resident each day, with nurse aides supplying 3 hours and 4 minutes of direct, hands-on assistance.

State databases from public health departments maintain documented logs of the facility’s compliance history. Recent standard health and safety reviews indicate that inspectors identified specific compliance deficiencies concerning standard infection control protocols, staff training routines for nurse aides, and meal service temperatures, which means the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing regional tracking.

Older adults have access to an on-site therapy gym, indoor lounges, and designated outdoor relaxation areas. The everyday calendar coordinates physical recovery tracks and structured activities, such as exercise loops, musical sessions, and crafts, with restaurant-style dining options adapted to standard therapeutic parameters. Daily operations combine these services with full room cleaning, laundry assistance, and flexible family visiting windows.

Contact Avenir at Mark Twain

Overview of Bluebird Wellness and Rehabilitation

Bluebird Wellness and Rehabilitation is a 188-bed skilled nursing facility at 9350 Green Park Road, Saint Louis, Saint Louis County, Missouri, operated by Blooming Oaks Wellness & Rehabilitation LLC under the administration of Anita Tillery. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing coverage for residents requiring skilled care and post-acute rehabilitation services.

Staffing composition reveals significant clinical limitations. Registered nurse hours average 14 minutes per resident per day, representing a 50% reduction compared to Missouri’s state average of 28 minutes. This marked RN shortfall constrains clinical assessment capacity and responsiveness to acute changes in resident condition. Weekend RN presence deteriorates further to just 5 minutes per day; 75% below the state average of 20 minutes, creating substantial gaps in clinical oversight during evenings and weekends when administrative support is minimal.

Licensed practical nurses provide 45 minutes per day (10% above state average), delivering consistent hands-on nursing care. Certified nursing aides provide 2 hours 13 minutes per day (4% below state average). Physical therapist hours are 1 minute per day (50% below state average), severely limiting rehabilitation capacity for a facility marketed as a rehabilitation center.

Quality measures for long-stay residents show mixed outcomes. Hospitalization rates are 2.22 per 1,000 days (7% worse than Missouri average). Emergency department visits are 1.85 per 1,000 days (21% better than state average), indicating some strength in managing chronic conditions. Short-stay rehabilitation outcomes are substantially weaker.

Falls with major injury occur at 2.0% of residents; 155% worse than Missouri’s average of 0.8%, reflecting either inadequate fall prevention protocols or a higher-risk admission population. Successful return to home or community is 32.3% (36% worse than state average of 50.6%). Ability to care for self at discharge is 46.7% (13% worse than state average of 53.7%). These discharge metrics suggest residents exit the facility with lower functional capacity than patients at comparable facilities, pointing to either more acute admissions, extended institutional placement, or limited rehabilitation effectiveness.

Short-stay readmission rates are 15.9% (37% better than state average of 25.3%), a positive signal that discharged residents generally remain stable after leaving the facility. Short-stay emergency department visit rates are 14.5% (8% worse than state average of 13.4%).

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable facilities. This unusually sparse inspection history requires explanation. Families must request and review the facility’s current licensing status, actual inspection records from the Missouri Department of Health and Senior Services, and documentation of the reason for the absence of routine regulatory oversight.

Families should request information on weekend RN staffing, emergency response, fall prevention, incident tracking, rehabilitation program outcomes, and below average discharge outcome metrics.

Contact Bluebird Wellness and Rehabilitation

Overview of Willowcreek Wellness & Rehabilitation

Located in Florissant, Missouri, Willowcreek Wellness & Rehabilitation is a skilled nursing facility operated by Willowcreek Wellness LLC and administered by John McBryant. The home is on New Florissant Road South. It is in a moderately walkable neighborhood with a Walk Score of 63, so some everyday errands can be handled on foot. The facility accepts Medicare and private pay, providing families multiple ways to cover short-term rehabilitation and longer-term skilled nursing care.

The 158-bed facility is currently running at 66% occupancy. Residents stay an average of 115 days, including those in post-acute rehabilitation and those requiring ongoing skilled care. The home focuses on rehabilitation services and respite care. There’s a doctor on staff and 24-hour nursing support. Total nursing care averages roughly 2 hours and 54 minutes per resident each day, providing daily hands-on support.

Residents receive nutritionally balanced meals prepared to meet their medical and faith-based dietary needs, accommodating diverse dietary preferences. The facility also has structured programs in health care management. It supports residents’ dietary and nutritional needs, including those with complex medical conditions.

Like other nursing homes, Willowcreek undergoes regular inspections by the Missouri Department of Health and Senior Services. Inspections identified concerns in clinical care areas, including diabetes management, pain control, medication administration accuracy, and documentation practices, as well as environmental and facility maintenance matters. Families considering the home should ask about how the facility has addressed these clinical and operational areas and what steps were taken to address past findings.

Contact Willowcreek Wellness &Amp; Rehabilitation

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
No paid rankings Communities cannot pay to influence placement.
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