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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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Providing high-quality care and assistance, Harmony In-home Healthcare Inc. located in St.Louis, MO offers in-home care and Consumer Directed Services (CDS). The in-home care provider strives to deliver top-notch care and assistance to seniors and their families. Harmony In-home Healthcare Inc. proves its top-tier care assistance and reliability with over 10 years of experience.

Harmony In-home Healthcare Inc. promotes a safe and comfortable environment with a team of compassionate, dedicated, and highly skilled caregivers. The in-home care provider ensures that families are at ease and seniors are well cared for. Moreover, Harmony In-home Healthcare Inc. communicates well with the seniors and their families to provide a better and more personal care experience.

 

Overview of Harmony In-home Healthcare INC.

Providing high-quality care and assistance, Harmony In-home Healthcare Inc. located in St.Louis, MO offers in-home care and Consumer Directed Services (CDS). The in-home care provider strives to deliver top-notch care and assistance to seniors and their families. Harmony In-home Healthcare Inc. proves its top-tier care assistance and reliability with over 10 years of experience.

Harmony In-home Healthcare Inc. promotes a safe and comfortable environment with a team of compassionate, dedicated, and highly skilled caregivers. The in-home care provider ensures that families are at ease and seniors are well cared for. Moreover, Harmony In-home Healthcare Inc. communicates well with the seniors and their families to provide a better and more personal care experience.

 

Contact Harmony In-home Healthcare Inc.

With the seniors’ welfare in mind, Cunningham’s In-home Health Services located in St. Louis, MO provides a spectrum of care services including companionship, personal care, meal preparation, light housekeeping, respite care, and mobility assistance. Committed to delivering the highest quality care, Cunningham’s In-home Health Services ensures that the needs and interests of the seniors are well taken care of with care plans tailored to them.

Providing two decades of high-quality care and assistance, Cunningham’s In-home Health Services is a trusted in-home care provider in the community. With a team of kind and dedicated professionals, the in-home care provider strives to support the holistic wellness of the seniors in the comforts of their homes.

Overview of Cunningham’s In-home Health Services

With the seniors’ welfare in mind, Cunningham’s In-home Health Services located in St. Louis, MO provides a spectrum of care services including companionship, personal care, meal preparation, light housekeeping, respite care, and mobility assistance. Committed to delivering the highest quality care, Cunningham’s In-home Health Services ensures that the needs and interests of the seniors are well taken care of with care plans tailored to them.

Providing two decades of high-quality care and assistance, Cunningham’s In-home Health Services is a trusted in-home care provider in the community. With a team of kind and dedicated professionals, the in-home care provider strives to support the holistic wellness of the seniors in the comforts of their homes.

Contact Cunningham’s In-home Health Services

Based in St. Louis, MO, Cater to Your Needs Home Health Care strives to enhance seniors’ quality of life, offering in-home care, 24/7 care, Alzheimer’s and dementia care, and personal care. The home care provider provides assistance to seniors to ensure they live comfortably and safely at their residences. Cater to Your Needs Home Health Care delivers personalized care plans, collaborating with seniors to ensure their specific needs and preferences are taken care of.

Cater to Your Needs Home Health Care promotes respect and independence, ensuring its caregivers provide enough space for seniors to live freely and with dignity. Forging meaningful bonds and connections with the seniors, the home health care provider values their boundaries and privacy. Empowering individuals in need to live confidently and independently, the homecare provider commits to providing ways for them to reach their full potential.

Overview of Cater to Your Needs Home Health Care, LLC

Based in St. Louis, MO, Cater to Your Needs Home Health Care strives to enhance seniors’ quality of life, offering in-home care, 24/7 care, Alzheimer’s and dementia care, and personal care. The home care provider provides assistance to seniors to ensure they live comfortably and safely at their residences. Cater to Your Needs Home Health Care delivers personalized care plans, collaborating with seniors to ensure their specific needs and preferences are taken care of.

Cater to Your Needs Home Health Care promotes respect and independence, ensuring its caregivers provide enough space for seniors to live freely and with dignity. Forging meaningful bonds and connections with the seniors, the home health care provider values their boundaries and privacy. Empowering individuals in need to live confidently and independently, the homecare provider commits to providing ways for them to reach their full potential.

Contact Cater to Your Needs Home Health Care, LLC

The Rockwood

330 W Lockwood Ave, Webster Groves, MO 63119

The Rockwood is an independent living facility that exceeds all expectations in meeting the unique requirements of seniors in St. Louis. Built in 1928 and recently renovated, this remarkable residence offers one and two-bedroom senior apartment homes with hardwood floors, featuring charming oversized Murphy bed closet doors. The Rockwood’s thoughtfully designed floor plans cater to the diverse needs and preferences of its residents, ensuring comfort and convenience in every living space.

Embracing a rich history dating back to 1896, The Rockwood showcases a unique blend of traditional charm and modern amenities. In addition to exceptional services such as housekeeping, laundry, and utilities, the staff goes above and beyond to cater to the needs of residents. The attentive team is dedicated to providing personalized care and assistance, ensuring that every resident feels supported and valued. The state-of-the-art emergency response system, individually controlled heating and air conditioning, and advanced smoke detectors provide a secure environment for residents. The team believes that peace of mind is essential for a fulfilling lifestyle, and the community is designed to offer just that.

Overview of The Rockwood

The Rockwood is an independent living facility that exceeds all expectations in meeting the unique requirements of seniors in St. Louis. Built in 1928 and recently renovated, this remarkable residence offers one and two-bedroom senior apartment homes with hardwood floors, featuring charming oversized Murphy bed closet doors. The Rockwood’s thoughtfully designed floor plans cater to the diverse needs and preferences of its residents, ensuring comfort and convenience in every living space.

Embracing a rich history dating back to 1896, The Rockwood showcases a unique blend of traditional charm and modern amenities. In addition to exceptional services such as housekeeping, laundry, and utilities, the staff goes above and beyond to cater to the needs of residents. The attentive team is dedicated to providing personalized care and assistance, ensuring that every resident feels supported and valued. The state-of-the-art emergency response system, individually controlled heating and air conditioning, and advanced smoke detectors provide a secure environment for residents. The team believes that peace of mind is essential for a fulfilling lifestyle, and the community is designed to offer just that.

What does this home offer?

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Housing Options: 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact The Rockwood

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.

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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.