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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 Liberty at Shoal Creek

Liberty at Shoal Creek is a specially designed independent living community in Kansas City, MO, that has a variety of one- and two-bedroom floor plans for those 55+. The community also promotes a lively and welcoming environment, ensuring older adults can feel at home during their stay. With on-site maintenance, recreational activities, and plenty of apartment features, residents can maintain their independence with ease. Residents can also downsize without hassles, accompanied by its high-quality services and well-maintained amenities.

Light exercises, gardening, and social events allow residents to have fun and learn meaningful experiences. A swimming pool, a putting green, and a sports lounge are just some of the many amenities dedicated to residents’ leisure and wellness. Here, residents have easy access to freeways, shopping, and many dining options, with its ideal location in the neighborhood of Kansas City. As one of the trusted choices for senior living in Missouri, this independent living community ensures older adults can thrive in their later years.

Contact Liberty at Shoal Creek

Overview of Kingswood Senior Living Community

Kingswood Senior Living Community is a not-for-profit life plan community in Kansas City, MO, that offers a wide range of care options, ranging from independent living, assisted living, memory care, and respite care. Here, older adults can find a home away from home, accompanied by its warm and inviting environment. The community also ensures residents have a maintenance-free lifestyle, with restaurant-style dining, light housekeeping, and wellness programs. With a comprehensive approach to care, the community strives to maintain residents’ holistic well-being.

Fitness programs, social gatherings, and entertainment options allow residents to make friends and gain meaningful experiences. Residents are also encouraged to live actively and connect with their surroundings with its state-of-the-art amenities, including an aquatic center, serene walking trails, and secured spaces. Situated in the quiet residential area of Kansas City, near bus stops, the community ensures residents have a stress-free retirement. This retirement community has a continuum of care, allowing residents to age in place, making it a great choice for senior living in Missouri.

Contact Kingswood Senior Living Community

Overview of Mccrite Plaza at Briarcliff

Mccrite Plaza at Briarcliff is a luxurious retirement community in Kansas City, MO, that offers comprehensive care options, including independent living, assisted living, memory care, and rehabilitation services. With its warm and home-like environment, older adults can keep their peace of mind in retirement. Housekeeping services, nutritious meals, and recreational programs are also provided, so residents can maintain their independence with ease. As a family-owned community, this home ensures residents are well taken care of in retirement through its personalized care plans.

Off-site excursions, educational programs, and live entertainment allow residents to learn and have fun. A movie theater, a wellness center, and a bistro are among the state-of-the-art amenities that residents can use for leisure and wellness. Nestled near the Missouri River, with restaurants, grocery stores, and shops in the area, the community has breathtaking views and quick access to its needs and leisure. With a wide range of services and thoughtfully designed amenities, this retirement community is undeniably one of the best options for senior living in Missouri.

Contact McCrite Plaza at Briarcliff

Overview of Primrose Retirement Community of Kansas City

Primrose Retirement Community of Kansas City is an outstanding assisted and independent living community in Kansas City, MO, that offers personal care and a variety of floor plans for those 55+. Promoting a lively and home-like environment, the community strives to keep older adults comfortable and safe. With 24-hour assistance, laundry rooms, and housekeeping, residents are guaranteed a maintenance-free lifestyle. The community ensures residents can downsize without hassles, through its thoughtfully designed spaces and dedicated services.

Day trips, social events, and a variety of entertainment options provide residents with more opportunities to make friends and explore new hobbies. A beauty salon, a wellness center, and pet-friendly spaces also ensure residents can move around and interact with their surroundings. Line Creek Trail, peaceful parks, and public transportation are also available nearby, providing residents with quick access to leisure and travel. This retirement community has beautiful amenities and exceptional services, making it an ideal senior living option in Missouri.

Contact Primrose Retirement Community of Kansas City

Overview of Hawthorn Estates

Enjoy a maintenance-free lifestyle with Hawthorn Estates in Jenkins Drive, Harrisonville, MO, that focuses on independent living. Considering the needs and aspirations of adults aged 55 and older, the community features specially designed and cozy one-bedroom and two-bedroom residences that foster comfort and familiarity. The community also takes pride in a respectful and highly skilled team helping seniors live their daily lives without hassles.

With its convenient location near shopping centers, the community ensures residents can easily access their needs and desires. State-of-the-art amenities are available to ensure seniors’ comfort and safety. Hawthorn Estates goes above and beyond to provide a safe place where seniors can maximize their independence without daily hassles.

Contact Hawthorn Estates

Overview of Aspire of Moberly

Located at 700 East Urbandale Drive in rural Randolph County, Aspire of Moberly operates as a skilled nursing facility with integrated memory care services in Moberly, Missouri. The facility is privately owned under a corporate structure.

Currently census at 64 residents within a 120-bed licensed capacity, the facility admits patients across multiple payment sources: Medicare (40% of new admissions, typical 1–2 month stays), Medicaid (22% of new admissions, typical 2-year stays), and private pay (37% of new admissions, typical 5–6 month stays). Current resident population reflects 7.8% Medicare, 53.1% Medicaid, and 39.1% private pay. Occupancy of 57.3% sits notably below the state benchmark of 66.6%, with an average length of stay of 364 days indicating a predominantly long-term care population despite the short-stay rehabilitation admissions pattern.

The one-star CMS overall rating reflects substantial performance gaps across regulatory categories. Health inspections score 59.7% below Missouri averages, staffing measures run 54.3% below state norms, and quality metrics fall 24.7% below state performance.

Registered nurse staffing provides 12 minutes per resident per day, 57% below the Missouri average of 28 minutes. Weekend RN coverage drops to 11 minutes, 45% below state average. Physical therapy services represent an exception: 9 minutes per resident per day, running 350% above state benchmarks. The facility operates with 82 total staff members (79 employees, 3 contractors), including 31 certified nursing assistants, 16 medication aides, 11 licensed practical nurses, and 5 registered nurses.

Federal enforcement actions reflect $111,000 in accumulated civil money penalties over the past three years, with a recent penalty of $95,000 imposed in September 2025. A Medicare/Medicaid payment denial occurred September 18, 2024, lasting 2 days.

Long-stay residents show elevated rates of urinary tract infections (6.5%, 138% worse than state average) and pressure ulcers (6.9%, 38% worse). However, the facility reports no falls with major injury among short-stay residents (0.0%), superior depression screening outcomes (4.9%, 62% better than state average), and strong functional outcome measures. Self-care capacity at discharge reaches 81.8%, 52% better than state benchmarks.

Though it has substantial regulatory concerns, the facility fits Medicaid-funded long-term care residents and Medicare-eligible rehabilitation patients.

Contact Aspire of Moberly

Overview of Breeze Park – Lutheran Senior Services

Experience a resort-style living with Breeze Park-Lutheran Senior Services located in St. Peters, MO. This senior living community offers independent and assisted living services. Spacious and cozy accommodations ranging from one-bedroom to two-bedroom are available for its residents. With its competent and dedicated team, this community fosters an active adult living or a maintenance-free lifestyle to further enhance independence.

True to its goal to be a community like no other, residents can enjoy a wide array of exceptional amenities and services including chapel, banking services, private dining room, wellness and spa, whirlpool and many more. Build meaningful connections within the beautifully made shared spaces of this community. Attend diverse social activities and other life enrichment programs. At Breeze Park-Lutheran Senior Services, seniors can enjoy a living experience worth remembering.

Contact Breeze Park – Lutheran Senior Services

Overview of Victorian Place of Union

Residing in the serene grounds of West Main Street, Union, MO, is the unique senior living community of Victorian Place of Union Senior Living by Americare that provides assisted living, respite care, rehabilitation, adult day club, and hospice care. The community fosters a vibrant and welcoming environment for seniors to live in comfort and style with several studio floor plans. Certified as a Great Place To Work, Victorian Place of Union Senior Living provides a haven not only for residents but also for its kind and friendly team.

Enjoy your best years doing what you love with a wide array of engaging activities and enjoyable programs. Have a delightful dining experience with well-balanced dining options that cater to nutritional needs and preferences. Victorian Place of Union Senior Living is great for seniors aiming to maximize their freedom while receiving extra hands for their daily life and needs.

Contact Victorian Place of Union

Overview of The Arbors at Dunsford Court

Specializing in memory care, The Arbors at Dunsford Court by Americare is a venerable senior living community located on the tranquil grounds of Dunsford Drive, Sullivan, MO. The community also features an adult day club, respite care, and rehabilitation, to ensure seniors are well-cared for. Receive the highest quality of care and support from a team of kind and highly qualified professionals who strive to create a comfortable and safe environment for residents.

Have a relaxing time within the beautifully designed and snug accommodations of The Arbors at Dunsford Court with several studio floor plans. With its warm and quaint setting, the community ensures individuals with memory-related needs receive the utmost attention. Fun activities and engaging programs are conducted randomly to keep seniors’ minds stimulated and active. The Arbors at Dunsford Court is a haven for seniors who want to cherish every moment of their best years while keeping their dignity.

Contact The Arbors at Dunsford Court

Overview of River Mist

Set in the harmonious lands of West Maud Street, Poplar Bluff, MO, River Mist Senior Living by Americare is an extraordinary senior living community providing assisted living, adult day club, respite care, rehabilitation, and hospice care. With various stunning and spacious studio floor plans, seniors enjoy a blissful and secure retirement. The community exceeds expectations in supporting seniors in daily activities while respecting their privacy and independence.

Live your life to the fullest with enjoyable activities and exciting programs curated to highlight residents’ interests and strengths. Mingle with friends over delightful and well-balanced meals for an unforgettable dining experience. River Mist Senior Living is ideal for seniors who want to enjoy their freedom while receiving the utmost care and assistance for a worry-free retirement.

Contact River Mist

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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