2024 Senior Living Report

Senior Living in Missouri

Best and worst places for senior living in Missouri.

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Missouri

State Scorecard

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Overall

Health Care

Senior Living & Housing

Transportation

Quality Of Life

Affordability

Home to two major cities and a low cost of living, Missouri is a great place for seniors to retire. More than one million senior citizens live in the Show Me State, and many enjoy top-quality health care from the nationally ranked Barnes Jewish Hospital in St. Louis. Seniors can further their education by getting tuition waivers at the University of Missouri and Missouri State. Cultural opportunities abound such as St. Louis’ free Contemporary Art Museum and Kansas City’s American Jazz Museum, which offers a senior discount. Seniors enjoy transportation savings on St. Louis’ MetroLink and Kansas City’s RideKC, and sports fans will love exploring the Negro Leagues Museum and getting discounted baseball admission through the Springfield Cardinals’ Knothole Gang.

To help seniors discover the most senior-friendly locations around the country, Caring.com conducted a new study, “The Best and Worst Places for Senior Living.” The Caring Senior Living Report analyzes and ranks 300 cities and 50 states on the quality of senior living in that area. The cities were graded using 46 metrics across five categories: Health Care, Senior Living & Housing, Affordability, Quality of life, and Transportation.

Quick Facts in Missouri

Area

69,707 sq mi

GDP

$304 billion

Median Income

$29,438

College Educated

37%

Population

6,113,532

Age Diversity

85%

National Rankings in Missouri

In order to find the states that are most friendly to seniors and offer the highest quality of life, Caring.com’s 2022 Senior Living Report graded every state in the U.S. across five different categories, using 46 individual metrics. Below you can see how Missouri compared to the rest of the nation.

Overall Overall

Overall

Health Care Health Care

Health Care

Senior Living & Housing Senior Living & Housing

Senior Living & Housing

Transportation Transportation

Transportation

Quality Of Life Quality Of Life

Quality Of Life

Affordability Affordability

Affordability

Overall Overall

Overall

Health Care Health Care

Health Care

Senior Living & Housing Senior Living & Housing

Senior Living & Housing

Transportation Transportation

Transportation

Quality Of Life Quality Of Life

Quality Of Life

Affordability Affordability

Affordability

28th /50

in Overall Rankings

Primary Care Physicians For Every 100,000 People
71 for every 100,000 people
U.S. Average: 77
Around the National Average
Patient satisfaction
72.3% of patients are satisfied
U.S. Average: 72.26%
Around the National Average
Housing costs
$964 per month
U.S. Average: $1,171
Around the National Average
Crime rate
335 crimes per 10,000 people
U.S. Average: 282
Around the National Average
Drinking water quality
1.3% of people are exposed to violations
U.S. Average: 2.96%
Around the National Average
Regional air quality
3 unhealthy air quality days per year
U.S. Average: 7
Around the National Average
Traffic congestion
17 hours per person per year
U.S. Average: 19
Around the National Average
Crash rate
15 fatal crashes per 100,000 people per year
U.S. Average: 13
Around the National Average
42nd /50

in Health Care Rankings

Primary Care Physicians For Every 100,000 People
71 for every 100,000 people
U.S. Average: 77
Around the National Average
Dentists For Every 100,000 People
54 for every 100,000 people
U.S. Average: 63
Around the National Average
Mental Health Professionals For Every 100,000 People
160 for every 100,000 people
U.S. Average: 217
Around the National Average
Other Providers For Every 100,000 People
71 for every 100,000 people
U.S. Average: 82
Around the National Average
Health care professional shortage areas
11 index (from 0 to 25)
U.S. Average: 7
Around the National Average
Preventable hospitalization rate
55 preventable hospitalizations per 1,000 patients
U.S. Average: 48
Around the National Average
Patient satisfaction
72.3% of patients are satisfied
U.S. Average: 72.26%
Around the National Average
Smoking prevalence
20.9% of people smoke regularly
U.S. Average: 18.41%
Around the National Average
Obesity prevalence
34.1% of people are obese
U.S. Average: 31.99%
Around the National Average
Access to exercise opportunities
76.9% of people have access
U.S. Average: 81.53%
Around the National Average
Covid cases
23,660 cases per 100,000 people
U.S. Average: 25,708
Around the National Average
Covid fatality ratio
1.42% of covid cases were fatal
U.S. Average: 1.16%
Around the National Average
Vaccinated against COVID-19
56.4% of adults are vaccinated
U.S. Average: 65.22%
Around the National Average

State expansion of the Family and Medical Leave Act

28th /50

in Senior Living & Housing Rankings

Age diversity
0.85
U.S. Average: 0.84
Around the National Average
Zero-step entrances
46.9% of units
U.S. Average: 49.76%
Around the National Average
Availability of multi-family housing
21.7% of units are multi-family
U.S. Average: 27.26%
Around the National Average
Availability of subsidized housing
225 units per 10,000 people
U.S. Average: 214
Around the National Average

State and local TOD programs

State utility disconnection policies

State energy efficiency scorecard

State manufactured housing protections

26th /50

in Transportation Rankings

Frequency of local transit service
2 buses and trains per hour
U.S. Average: 4
Around the National Average
ADA-accessible stations and vehicles
82.9% of stations and vehicles are accessible
U.S. Average: 82.23%
Around the National Average
Walk trips
0.71 trips per household per day
U.S. Average: 0.75
Around the National Average
Traffic congestion
17 hours per person per year
U.S. Average: 19
Around the National Average
Household transportation costs
$15,633 per year
U.S. Average: $15,667
Around the National Average
Speed limits
30 miles per hour
U.S. Average: 30
Around the National Average
Crash rate
15 fatal crashes per 100,000 people per year
U.S. Average: 13
Around the National Average

State and local Complete Streets policies

State human services transportation coordination

State volunteer driver policies

30th /50

in Quality Of Life Rankings

Opportunity for civic involvement
10 organizations per 10,000 people
U.S. Average: 8
Around the National Average
Social involvement index
1.00 index (from 0 to 2)
U.S. Average: 1.01
Around the National Average
Access to grocery stores and farmers’ markets
0.50 stores and markets within a half-mile
U.S. Average: 1.38
Around the National Average
Access to parks
1.30 parks within a half-mile
U.S. Average: 1.50
Around the National Average
Access to libraries
0.10 libraries within a half-mile
U.S. Average: 0.11
Around the National Average
Access to jobs by transit
18,497 jobs accessible within a 45-minute transit commute
U.S. Average: 45,203
Around the National Average
Access to jobs by auto
54,540 jobs accessible within a 45-minute automobile commute
U.S. Average: 61,034
Around the National Average
Diversity of destinations
0.55 diversity of jobs within a mile (from 0 to 1)
U.S. Average: 0.55
Around the National Average
Activity density
2,883 jobs and people per sq. mi.
U.S. Average: 4,840
Around the National Average
Crime rate
335 crimes per 10,000 people
U.S. Average: 282
Around the National Average
Vacancy rate
11% of units are vacant
U.S. Average: 10.9%
Around the National Average
Broadband cost and speed
69.6% of residents have high-speed, low-cost service
U.S. Average: 68.04%
Around the National Average
Cultural, arts, and entertainment institutions
0.10 institutions per 10,000 people
U.S. Average: 0.18
Around the National Average
Drinking water quality
1.3% of people are exposed to violations
U.S. Average: 2.96%
Around the National Average
Regional air quality
3 unhealthy air quality days per year
U.S. Average: 7
Around the National Average
Near-roadway pollution
7.05% of people are exposed
U.S. Average: 7.94%
Around the National Average
Local industrial pollution
1.19 index from 0 to 311,000
U.S. Average: 1.55
Around the National Average

State and local plans to create age-friendly communities

State barriers to community broadband

Local LGBT anti-discrimination laws

State and Local Smoke-Free Laws

Local multi-hazard mitigation plans

Local government creditworthiness

State and local inclusive design laws

13th /50

in Affordability Rankings

Housing costs
$964 per month
U.S. Average: $1,171
Around the National Average
Housing cost burden
15.7% of income spent on housing
U.S. Average: 17.34%
Around the National Average
Income inequality
0.45 inequality (from 0 to 1)
U.S. Average: 0.45
Around the National Average
Jobs per worker
0.77 jobs per person
U.S. Average: 0.77
Around the National Average

State minimum wage increase

State and local housing trust funds

State foreclosure prevention and protection

Senior Living Options in Missouri

$1,102
Average Cost of Continuing Care Retirement Communities (23 communities)

$21,962 U.S. Average

Around the National Average
$6,480
Average Cost of Nursing Homes (537 communities)

$29,968 U.S. Average

Around the National Average
$3,498
Average Cost of Assisted Living (493 communities)

$4,000 U.S. Average

Around the National Average
$0
Average Cost of Adult Day Care (79 communities)

$4,461 U.S. Average

Around the National Average
$2,462
Average Cost of Independent Living (115 communities)

$3,139 U.S. Average

Around the National Average
$5,134
Average Cost of Memory Care (97 communities)

$5,813 U.S. Average

Around the National Average

Key Findings in Missouri

Overall

Health Care

Senior Living & Housing

Transportation

Quality Of Life

Affordability

Overall

Caring.com’s team of researchers spent countless hours researching 46 different factors that are key indicators for older adults overall health, happiness, and quality of life. After completing our research, we put each metric on a scale and graded each state in the nation. Read more about the metrics we used to grade your state by clicking on each category.

Health Care

For the Health Care category, our team of researchers looked at seven main metrics. These metrics cover a variety of data points related to health care, such as how many primary care physicians, dentists, mental health professionals and other physicians there are in the state per 100,000 people. Other metrics we looked at include the rate of patient satisfaction and preventable hospitalization.

Senior Living & Housing

To get an accurate picture of how affordable and available suitable housing is for seniors in every state, our team of researchers considered six key metrics. To get an accurate picture of housing prices for seniors, the comparative cost of housing in the state was adjusted to take into account the average income in the state. Additionally, we factored in the availability of subsidized housing, multi-family homes and homes with no-step entrances.

Transportation

Our Transportation category is used to examine how senior-friendly the transportation system in each state is. We researched a variety of metrics to make this determination, including data points such as crash rates, household transportation costs and the frequency and availability of local transit services.

Quality Of Life

With 18 individual metrics, our Quality of Life category is the broadest topic we covered. In it, we measure how much access seniors have to activities and services that enrich their lives, such as libraries, parks, grocery stores and farmers markets. Other wellness indicators are also examined, including obesity prevalence, water quality, air quality and amount of pollution.

Affordability

The final group of metrics we researched focuses on the income opportunities and earning potential for older adults in the state. Overall, we looked at three metrics that covered topics such as the rate of income inequality in the area, and how many jobs per worker are available.

Why did we choose these metrics?

To learn more about our process, read about why each facet of our methodology is important, and what role it plays in determining the overall opportunity that seniors have to enjoy a healthy and happy lifestyle. While we did include the obvious factors, such as affordability and health care available, we expanded the usefulness of our report by taking a deep dive into more nuanced indicators, such as the availability of museums and parks, the quality of the transportation system, and the amount of air and water pollution.

Select a category on the right to learn more.

  1. Health Care
  2. Senior Living & Housing
  3. Transportation
  4. Quality Of Life
  5. Affordability
Health Care

The quality and availability of health care are of primary importance to many demographics, but they are especially vital for older adults. When it comes to the overall quality of living in an area, health care places a huge role in determining how happy and healthy seniors are. This metric was given the second-highest weight and makes up about one-fourth of the overall score.

View the full methodology

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Senior Living & Housing

With housing shortages becoming more common around the nation, a valid reason for older adults to move is the availability of quality, accessible housing that will meet their needs both now and in the future. This category made up about 15% of the final score. The four metrics in this group rate how available suitable housing is for seniors in a given area.

View the full methodology

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Transportation

Many seniors are unable to drive – either due to the cost of vehicles or because of disabilities/medical concerns. Since many are not able to afford private transportation (such as taxis or ridesharing services), the availability of public transportation to get to and from activities, employment, errands and doctor visits is a key indicator in overall quality of life.

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Quality Of Life

As our broadest category, Quality of Life measures numerous factors that contribute to the access and opportunity seniors have for an active, vibrant life. Not only is it important for older adults to have access to enriching activities such as museums and libraries, it’s also vital for them to live in an environment free from an overabundance of things like air and water pollution.

View the full methodology

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Affordability

Our experts and the seniors we surveyed agree – affordability is a key factor in determining where older adults choose to retire. Because of how important it is to seniors, this group of metrics makes up one-third of the final score. This category measures both the cost of housing, as well as the availability of jobs for seniors that need to supplement their retirement savings and social security.

View the full methodology

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