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Assisted Living in Missouri

29th

OVERALL STATE RANK

Overview of assisted living in Missouri

Assisted living in Missouri provides long-term residential living in a community setting, with care services tailored to meet the varied needs of residents. Assisted living communities offer a variety of activities for seniors but also provide support with activities of daily living such as dressing, bathing, and eating. The median cost of assisted living in Missouri is $4,600 per month or $55,200 annually, according to A Place for Mom’s internal data on assisted living facilities in Missouri.[01]

While the story for how Missouri came to be known as the “Show-Me” state is debated, the borders are the only limits to all there is to see and do. Mark Twain State Park is just one example of the serene woodlands, lakes, and rivers that provide a quiet place for Missourians to commune with nature. For a deep dive into culture, Missouri’s cities are the stage for the state’s unique contributions to music, history, and of course, barbecue.

A PLACE FOR MOM

Assisted living state rankings report

29th

Overall state ranking out of 50

State scorecard

How we determine rankings

Our 2023 state ranking for assisted living uses A Place for Mom’s proprietary data collected from our community partners. First, we sorted through our metrics and grouped them into three pillars that are key in a quality assisted living experience. We weighted these pillars differently based on insights from our senior living experts. Then, we used these categories and their weighting to determine how each state ranks.

Read our full methodology

Top ranked Missouri cities for assisted living overall

Top-rated Assisted Living facilities in Missouri

19
19 Photos available
16
16 Floor plans available

Turners Rock Senior Living Community

3911 E State Hwy D, Springfield, MO 65809
9.9
Review Score
16 reviews
Starting at
$X,XXX/mo
Becky - I'm a loved one of a resident or client

What our family likes the most about Turners Rock Senior Living is their staff and their great management. The staff have a caring attitude, and they have quick response times. The meals that are prepared...

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3
3 Photos available

Our Lady of Mercy Country Home

2115 Maturana Dr, Liberty, MO 64068
9.8
Review Score
26 reviews
Starting at
$X,XXX/mo
Jackie A - I'm a loved one of a resident or client

My sister has been a resident of Our Lady Of Mercy Country Home for many years. It is truly a great place to live. Very peaceful, tranquil , secure place to live. The staff are all wonderful caring, friendly...

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10
10 Photos available
4
4 Floor plans available

Cedarhurst of Farmington

200 Maple Valley Dr, Farmington, MO 63640
9.8
Review Score
30 reviews
Starting at
$X,XXX/mo
Kelly R - I'm a loved one of a resident or client

The staff is good and provides great care but frequently overwhelmed due to workload. The activities try to engage all. Food quality varies by day and usually good. I do not regret choosing Cedarhurst.

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Top-rated Assisted Living facilities in St. Louis

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4
4 Photos available

Altenheim St. Louis

5408 S Broadway, Saint Louis, MO 63111
8.7
Review Score
21 reviews
GL. - I'm a loved one of a resident or client

The n/a's are for what I am not directly involved with at the community. However, the director [name removed] is very easy to work with and he is also very approachable. Based on the experience we have had...

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15
15 Photos available
3
3 Floor plans available

The Plaza at Wildwood Senior Living

251 Plaza Dr, Wildwood, MO 63040
9.7
Review Score
31 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

Overall, it was such a friendly place and the staff truly LOVED my mom. One issue was that residents were not able to lock their doors. Other residents would come in at all hours of the day and night as...

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13
13 Photos available
5
5 Floor plans available

Keystone Place at Richland Creek

1050 Fountain Lakes Dr, O'Fallon, IL 62269
9.7
Review Score
14 reviews
Starting at
$X,XXX/mo
anonymous - I'm a loved one of a resident or client

So happy with Keystone!! It is the best independent living, assisted living, and memory I have seen in the area. The facility is just beautiful, and there is so much to do. But it is the quality of the...

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Top-rated Assisted Living facilities in Kansas City

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25
25 Photos available
8
8 Floor plans available

Senior Star at Wexford Place

6500 North Cosby Avenue, Kansas City, MO 64151
9.7
Review Score
99 reviews
Starting at
$X,XXX/mo
Sara - I'm a loved one of a resident or client

The staff are wonderful and friendly. They will help with anything you need. Housekeeping was great and the people were very nice. I only communicated by email through my husband because I was out of the...

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8
8 Photos available
3
3 Floor plans available

The Burlington Creek Senior Living

6311 N Cosby Ave, Kansas City, MO 64151
9.5
Review Score
37 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

I think things are going well but there is a little improvement I would like to see in all categories. Thank you. I am happy with our choice. I'd say things were going well. I am optimistic that my loved...

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9
9 Photos available

The Madison Senior Living

14001 Madison Ave., Kansas City, MO 64145
9.5
Review Score
20 reviews
Starting at
$X,XXX/mo
YT - I'm a loved one of a resident or client

We picked based on cost and having all levels of care available. Right now my dad is in independent living, but if he needs more care we can keep him at the Madison. I would recommend to others.

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Top-rated Assisted Living facilities in St. Charles

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12
12 Photos available

The Boulevard of St. Charles Senior Living

3330 Ehlmann Rd, Saint Charles, MO 63301
9.5
Review Score
49 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

We did visit other places however, the Boulevard is tucked away in a quiet location. It is very clean and organized and everyone always friendly both from the staff to the other tenants. The Boulevard has...

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6
6 Photos available

Lake St. Charles Retirement Community

45 Honey Locust Ln, Saint Charles, MO 63303
9.2
Review Score
19 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

What our family likes the most about Lake St. Charles is the caring staff. Great environment. Cleanliness and welcoming atmosphere. While my mom doesn't participate in a lot of activities, I appreciate the...

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10
10 Photos available
9
9 Floor plans available

Cedarhurst of St. Charles

1800 First Capitol Dr, Saint Charles, MO 63301
8.4
Review Score
32 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

The direct care staff are great and caring. Communication, support during move in process, establishing care plan was horrible. It feels like it's let's get the dotted line and payment set up. Once they are...

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Top-rated Assisted Living facilities in O'Fallon

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23
23 Photos available
2
2 Floor plans available

Garden Villas of O'Fallon

7092 S Outer 364 Rd, O'Fallon, MO 63368
9.6
Review Score
90 reviews
Starting at
$X,XXX/mo
Tracy F - I'm a loved one of a resident or client

I am the daughter of a newer resident at Garden Villas of O’Fallon. Of course there is reluctance with any change in lifestyle but my mother was welcomed with open arms from the date of the tour. The staff...

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9
9 Photos available

Assisted Living at The Meadowlands

135 Meadowlands Estates Lane, O'Fallon, MO 63366
8.9
Review Score
58 reviews
Starting at
$X,XXX/mo
Anonymous - I'm a loved one of a resident or client

Everyone in Memory Care was wonderful with my dad and showed compassion with his passing. Food sensitivity awareness could have been higher, as well as the cleanliness of his room, albeit a hard task to keep...

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14
14 Photos available
3
3 Floor plans available

Twin Oaks Estate

707 Emge Road, O'Fallon, MO 63366
8.0
Review Score
25 reviews
Bonni - I'm a loved one of a resident or client

My mother is currently a resident at Twin Oaks Estate and the experience has been great. The staff at Twin Oaks is amazing. Smiles and calm everywhere. The food is terrific, too! I would recommend this...

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Cost of assisted living in Missouri

The cost of living in Missouri is lower than the national average and is reflected in the median cost of assisted living for the state: approximately $2,400 to $6,800 per month. This range is an estimate based on A Place for Mom’s proprietary data that evaluates what families actually paid at partnering assisted living facilities in Missouri.

Assisted living prices can vary and are affected by several factors including location, services, and amenities offered, as well as the specific care needs of an individual. Communities located near a larger cities, like St. Louis or Kansas City, are likely to be more expensive. Luxury amenities and specialized services can also add to monthly costs.

Other factors that can affect the cost of assisted living may include:

  • Room size and design
  • Admission fees
  • Pet fees
  • On-site educational classes
  • Chef-prepared meals

Many families pay for assisted living room and board fees using a combination of private pay methods, including personal savings and retirement funds. However, families may use Medicare, Medicaid, private health insurance, or veteran’s benefits to cover medical services and some personal care.

Compare costs of Missouri vs. the national average

Average monthly costs

Missouri

$3,801/mo

US National average

$4,574/mo

Compare costs of assisted living vs. nearby states

Average monthly costs

Missouri

$3,801/mo

Illinois

$5,059/mo

Arkansas

$4,010/mo

Kansas

$4,923/mo

Iowa

$4,254/mo

Compare costs of assisted living in Missouri vs. nearby cities

Average monthly costs

Missouri

$3,801/mo

St. Louis, MO

$4,732/mo

Compare costs of assisted living vs. other senior care types in Missouri

Average monthly costs

Let our care assessment guide you

Our free tool provides options, advice, and next steps based on your unique situation.

Paying for assisted living in Missouri

There are numerous ways to pay for senior care in Missouri, and it’s common for families to blend a variety of payment methods. Keep in mind that early planning often provides families with more payment options. The following section has information on several resources, including private pay, public insurance such as Medicaid, private insurance options, and veterans benefits.

“Private pay” is a term that describes using your own personal funds to pay for something. Personal funds used to pay assisted living costs may include money from the sale of a home, a savings account, pension payments or a retirement account. Many of the families we refer to assisted living use a combination of personal funds to pay, including the following common options.

Families in Missouri can generate income to pay for assisted living by selling a house.

Another tool seniors in Missouri can use to pay for assisted living is a reverse mortgage, which is a loan that turns a borrower’s home equity into funds to pay for long-term care expenses.

In Missouri some seniors may be able to use the funds in a health savings account to cover some expenses associated with assisted living.

Seniors with life insurance policies may be able to use benefits to pay for long term care in Missouri. A “long-term care rider,” offered by some insurance providers, allows the use of funds from a policy to cover long-term care costs while the policyholder is still alive.

In Missouri, long-term care insurance may cover a range care costs. A policy may cover support with daily activities, home health care, nursing home care, or care in a group living facility. Long-term care insurance policies vary, so it’s important to understand the details of your loved one’s policy.

Some seniors in Missouri may qualify for Social Security benefits for assisted living through the Supplemental Nursing Care program. The program can help qualified seniors pay for care in an assisted living community.[02]

Assisted living requirements and regulations in Missouri

Assisted living facilities (ALFs) in Missouri are licensed by the Missouri Department of Health and Senior Services (DHSS). The department defines ALFs as a facility that provides 24-hour care and protective oversight to three or more residents. Facilities must provide room and board plus the following services:[08]

  • Assistance with activities of daily living such as bathing and dressing
  • Assistance with instrumental activities of daily living such as cooking and cleaning
  • Medication management
  • Health care supervision

Missouri state law requires that assisted living communities are inspected twice per year. Department of Health and Senior Services reviews previous reports before an inspection and conducts unannounced visits. Throughout the inspection process, surveyors make observations; conduct interviews with residents, family members, and staff; and review documentation.

Facilities are evaluated on the following criteria:[09]

  • Quality of care
  • Resident quality of life
  • Quality of facility services
  • Dietary services
  • Fire safety

For families who want to check Missouri assisted living licenses and records can use the Show Me Long Term Care in Missouri look up tool. The following tips can help make the process a little smoother:

  • Enter a county, city or ZIP code to begin your search.
  • Click a name of a community to be directed to its provider page.
  • Inspections reports, complaint investigations, and other records are available at the bottom of the provider page.
  • The inspections and complaint record listings are clickable, allowing you to read details about the inspections and complaints.

Let our care assessment guide you

Our free tool provides options, advice, and next steps based on your unique situation.

Ease of access to Missouri assisted living records

We developed a system to rate each state on how easy — or difficult — it is to find important assisted living records and reports, and we compiled tips to help you in your search.

States with the most transparent records allow you to look up important information about each assisted living facility online, including inspections, complaints, survey results, violations, capacity, and whether the facility accepts Medicaid.

Access to Missouri assisted living records: Exceptional

Public access to assisted living records and reports for the state of Missouri is exceptional. Key findings that informed this rating include:

  • Assisted living records in Missouri are highly transparent, having met all but one of the transparency criteria.
  • The frequency of required inspections in Missouri is tied for highest in the nation.

How we arrived at our Missouri rating

We developed a standard methodology for state data collection and evaluation, and we based our rating primarily on the objective, state-specific accessibility criteria outlined in these questions:

1. Are licensed assisted living communities listed online in any form? Yes

2. If Yes to #1, is the information updated frequently? Yes

3. If Yes to #1, is the list of licensed communities searchable? Yes

4. Does the state post inspections, complaints, survey results, or violations online? Yes

5. If Yes to #4, is the information updated frequently (within 90 days)? Yes

6. If Yes to #2 and #4, is the enforcement information included in the same place as licensed communities? No

7. If Yes to #4 and No to #6, are violations and inspections searchable at all? No

8. Is information about special licensing for care shown? Yes or N/A

9. Is capacity shown? Yes

10. Are payment types shown (e.g., Medicaid, private pay)? Yes

11. Is the administrator/contact name shown? Yes

12. Can the state fine a facility? Yes

13. What is the frequency of inspections? [Every 12 months]

14. Does the website include pricing of facilities? No

References

  1. A Place for Mom. (2023). A Place for Mom proprietary data.

  2. Missouri Department of Social Services. Supplemental nursing care manual.

  3. Missouri Foundation for Health. (2023). Missouri Medicaid Basics.

  4. Missouri Department of Social Services. Aged and disabled waiver.

  5. Missouri Department of Social Services. (2023, June). Medicare savings program.

  6. Missouri Department of Social Services. MORx, general questions.

  7. Missouri Department of Health and Senior Services. Nursing homes inspections.

Top cities in Missouri for assisted living

8.1
O'Fallon, MO
20 facilities
8.0
St. Charles, MO
25 facilities
7.6
St. Louis, MO
43 facilities
7.4
Kansas City, MO
36 facilities
6.8
Springfield, MO
21 facilities
6.8
Columbia, MO
12 facilities

Find assisted living in other states

Find Assisted Living in Missouri cities

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.