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Best Senior Care in Missouri

Reviewed by Dr. Jordan Weiss
Updated Dec 2025

Sources: CMS Centers for Medicare and Medicaid Services, and Missouri Department of Health, Office of Aging and Long Term Care.

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Watch this Video to see Missouri's Top-rated Senior Communities

Missouri is best recognized for its natural beauty, delightful cuisine, and iconic landmarks, including the Ozark Mountains and Gateway Arch. Low cost of living and convenient travel access allows residents and visitors to experience the best of the state’s offerings while staying on a budget. The state also provides a variety of senior care, ranging from independent living to skilled nursing, ensuring older adults can find the right care for their unique needs in retirement. Here, Social Security income is also exempted from state taxes and plenty of age-friendly services are also provided, making it an attractive retirement destination.

Compare Senior Care around Missouri

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
No
51
Private Rooms
Vsl Springfield Manor Llc
34
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.

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).

Kansas City (Coves North)
80
Yes
58
Studio / 1 Bed
Tiffany Slp, 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
81
Yes
48
Private Room / Semi-Private Room
St Clair Nursing, Llc
28
A+
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.

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).

Farmington
84
Yes
16
Studio / 1 Bed / 2 Bed
Cedarhurst 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
89
Yes
11
Studio / 1 Bed / 2 Bed
Cedarhurst Of Blue Springs Operator, 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)
97
Yes
30
1 Bed / 2 Bed
Tiffany 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
85
No
55
Studio / 1 Bed
Carnegie 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
Yes
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.

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).

Raymore
95
Yes
19
Studio / 1 Bed
Raymore 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
76
No
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
98
No
56
Unit Type
Vb Ballwin Sh, Llc
48
A+
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
147
Yes
50
Studio / 1 Bed / 2 Bed
Sjv 1 Des Peres Opco Llc
45
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
105
Yes
63
Private Rooms / Semi-Private Rooms
Ggcc, 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
Yes
27
Studio / 1 Bed
Columbia 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
No
5
Studio / 1 Bed
Centerpoint Slp, Llc
-
-
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View all Nearby Homes
Steelville Senior Living is a care community located in Steelville, Missouri. It offers assisted living, skilled nursing, and memory care services, providing personalized support through every stage of aging. Residents enjoy a welcoming atmosphere with home-cooked meals and engaging activities.
Overview of Steelville Senior Living
Steelville Senior Living is a care community located in Steelville, Missouri. It offers assisted living, skilled nursing, and memory care services, providing personalized support through every stage of aging. Residents enjoy a welcoming atmosphere with home-cooked meals and engaging activities.
Contact Steelville Senior Living
Clearview Nursing Center is located in Sikeston, MO, providing comprehensive long-term care services under physician supervision. The facility offers a wide range of services including skilled nursing care, rehabilitation services, and complete dining services. Residents benefit from a culture change approach that respects their choices and preferences.
Overview of Clearview Nursing Center
Clearview Nursing Center is located in Sikeston, MO, providing comprehensive long-term care services under physician supervision. The facility offers a wide range of services including skilled nursing care, rehabilitation services, and complete dining services. Residents benefit from a culture change approach that respects their choices and preferences.
Contact Clearview Nursing Center
Delmar Gardens of O’Fallon is a senior living community in O'Fallon, MO. It offers a range of services including skilled nursing care, rehabilitation, memory care, and independent living. The facility is known for its commitment to providing compassionate care and a vibrant community atmosphere.
Overview of Delmar Gardens of O’fallon
Delmar Gardens of O’Fallon is a senior living community in O'Fallon, MO. It offers a range of services including skilled nursing care, rehabilitation, memory care, and independent living. The facility is known for its commitment to providing compassionate care and a vibrant community atmosphere.
Contact Delmar Gardens of O’fallon
Garden View Care Center is a senior living facility located in St. Louis, Missouri. It offers a range of services including skilled nursing, memory care, rehabilitation, and hospice care. The center has been serving the community for over 35 years, providing compassionate care tailored to individual needs.
Overview of Garden View Care Center at Dougherty Ferry
Garden View Care Center is a senior living facility located in St. Louis, Missouri. It offers a range of services including skilled nursing, memory care, rehabilitation, and hospice care. The center has been serving the community for over 35 years, providing compassionate care tailored to individual needs.
Contact Garden View Care Center at Dougherty Ferry
Brent B. Tinnin Manor is a skilled nursing facility located in Ellington, Missouri. It offers a variety of therapies and care services to help residents regain their independence. Skilled nurses, therapists, and licensed care professionals are available to guide residents through personalized therapy.
Overview of Brent B Tinnin Manor
Brent B. Tinnin Manor is a skilled nursing facility located in Ellington, Missouri. It offers a variety of therapies and care services to help residents regain their independence. Skilled nurses, therapists, and licensed care professionals are available to guide residents through personalized therapy.
Contact Brent B Tinnin Manor
Richland Care Center is a skilled nursing facility located in Richland, Missouri. It offers a range of services including skilled nursing care, rehabilitation therapy, and respite care. The center is committed to providing quality, compassionate care in a supportive environment.
Overview of Richland Care Center, INC
Richland Care Center is a skilled nursing facility located in Richland, Missouri. It offers a range of services including skilled nursing care, rehabilitation therapy, and respite care. The center is committed to providing quality, compassionate care in a supportive environment.
Contact Richland Care Center, Inc
Cotton Point Living Center offers both long-term care in a warm, home-like setting and short-term rehabilitation services designated to help individuals regain strength and independence before returning home. Nestled in a peaceful, country setting, Cotton Point is truly a little slice of quiet living, where comfort, compassion, and quality care make every stay feel like home, whether it's for a short stay or a longer stay.
Overview of Cotton Point Living Center
Cotton Point Living Center offers both long-term care in a warm, home-like setting and short-term rehabilitation services designated to help individuals regain strength and independence before returning home. Nestled in a peaceful, country setting, Cotton Point is truly a little slice of quiet living, where comfort, compassion, and quality care make every stay feel like home, whether it's for a short stay or a longer stay.
Contact Cotton Point Living Center
California Care Center is a long-term care facility located in California, MO. It provides a wide range of services including professional medical care, rehabilitation services, and complete dining services. The center is committed to ensuring the highest practicable physical, mental, and psychosocial well-being of its residents.
Overview of California Care Center
California Care Center is a long-term care facility located in California, MO. It provides a wide range of services including professional medical care, rehabilitation services, and complete dining services. The center is committed to ensuring the highest practicable physical, mental, and psychosocial well-being of its residents.
Contact California Care Center
Miller County Care and Rehabilitation Center is an 86-bed skilled nursing facility located in the beautiful Ozark rural countryside just outside of Tuscumbia, MO. The facility offers a rehabilitation unit, outpatient and inpatient therapy, and an Alzheimer’s & Dementia Special Care Unit. It is committed to providing professional care in a loving, home-like atmosphere.
Overview of Miller County Care and Rehabilitation Center
Miller County Care and Rehabilitation Center is an 86-bed skilled nursing facility located in the beautiful Ozark rural countryside just outside of Tuscumbia, MO. The facility offers a rehabilitation unit, outpatient and inpatient therapy, and an Alzheimer’s & Dementia Special Care Unit. It is committed to providing professional care in a loving, home-like atmosphere.
Contact Miller County Care and Rehabilitation Center
Beth Haven Nursing Home is a long-term care and retirement community located in Hannibal, Missouri. It offers skilled nursing, assisted living, independent apartments, and rehabilitation therapy. The facility is dedicated to meeting the individual needs of its residents and providing a supportive environment.
Overview of Beth Haven Nursing Home
Beth Haven Nursing Home is a long-term care and retirement community located in Hannibal, Missouri. It offers skilled nursing, assisted living, independent apartments, and rehabilitation therapy. The facility is dedicated to meeting the individual needs of its residents and providing a supportive environment.
Contact Beth Haven Nursing Home

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.