Assisted Living in Missouri

Get the insights you need to find the right city.

Families looking for assisted living in Missouri (MO) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 481 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 16 percent of the population. A resident in an assisted living community in Missouri will pay $2,844 per month on average.

Average Monthly Costs

States near Missouri

$4,978.00 Kansas
$4,403.00 Illinois
$4,283.00 Tennessee
$4,203.00 Iowa
$4,200.00 Nebraska
$4,000.00 US
$3,846.00 Kentucky
$3,633.00 Oklahoma
$3,318.00 Arkansas
$3,107.00 Missouri
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Missouri as $3,107. This places Missouri on the lower end of the scale at about $900 under the national average, and about $1,000 lower than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


In-Home Care


Assisted Living

Average Monthly Costs

Cities in Missouri

$4,425.00 Kansas City
$4,370.00 Cape Girardeau
$4,343.00 Columbia
$3,873.00 Jefferson City
$3,824.00 St. Louis
$2,895.00 Rest Of State
$2,895.00 Joplin
$2,786.00 St. Joseph
$2,420.00 Springfield
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Missouri. For example, assisted living rates in areas such as Kansas City are at least $1,300 more than the state average of $3,107, but in areas like St. Joseph, you're saving on average $300. The most affordable region in Missouri for assisted living is Springfield at $2,420.

What You Should Know About Assisted Living in Missouri

Missouri licenses two types of long-term care communities, assisted living facilities and residential care facilities. These communities are designed to provide personalized care services for seniors who need assistance with the activities of daily living, including grooming, bathing, eating and mobility. ALF residents may need more care than those in an RCF, and they may also require assistance to evacuate the building in case of an emergency.

Financial Assistance for Assisted Living in Missouri

Currently, low-income seniors have two options for receiving financial assistance for assisted living in Missouri: Medicaid and SSI-G.

MO HealthNet Nursing Care Program

This Supplemental Nursing Care program offers financial assistance to help cover the cost of care associated with living in an RCF and ALF. Residents receive a cash stipend each month.

Who Is Eligible?

Currently, senior applicants can have no more than $2,000 in countable liquid assets, and their income must put them at no greater than 85 percent of the poverty line.

How to Apply

Seniors can apply for MO Healthnet and the Nursing Care Program by submitting an application to the Missouri Department of Social Services.

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Missouri

Missouri Association of Area Agencies on Aging

Missouri Association of Area Agencies on Aging, commonly shortened to MA4, serves seniors by implementing and endorsing programs that promote seniors’ physical, social and economic independence. Through MA4, seniors can receive important informational and educational resources and knowledge of local services, including meal delivery and transportation services, vaccine clinics and new legislation that may affect them.

Region 1

Senior Age

1735 South Fort Avenue, Springfield, MO 65807
(417) 862-0762

Region 2

Aging Matters (Southeast Missouri AAA)

1078 Wolverine Lane, Suite J, Cape Girardeau, MO 63701
(573) 335-3331

Region 3

Care Connection for Aging Services

106 West Young Street, PO Box 1078, Warrensburg, MO 64093
(660) 747-3107

Region 4

Northwest Missouri Area Agency on Aging

809 North 13th St. P.O. Box 265, Albany, MO 64402
(660) 726-3800

Region 5

Northeast Missouri Area Agency on Aging

815 North Osteopathy Street, Kirksville, MO 63501
(660) 665-4682

Region 6

Central Missouri Area Agency on Aging

1121 Business Loop 70 East, Suite 2A, Columbia, MO 65201
(573) 443-5823

Region 7

Mid-America Regional Council

600 Broadway, Suite 200, Kansas City, MO 64105
(816) 474-4240

Region 8

Mid-East Area Agency on Aging

14535 Manchester Road, Ballwin, MO 63011
(636) 207-0847

Region 9

Saint Louis Area Agency on Aging

1520 Market St. Room 4086, Saint Louis, MO 63103
(314) 612-5918

Region 10

Area Agency on Aging-Region X

531 East 15th Street, P.O. Box 3990 (Zip 64803), Joplin, MO 64804
(417) 781-7562

Assisted Living Laws and Regulations in Missouri

Assisted Living Service Plan Requirements

Prior to admitting a resident, an assisted living facility must complete a thorough screening that evaluates a prospective resident's goals, needs and expectations. Within five days of admission, a doctor or authorized staff member must conduct a physical assessment on behalf of the facility to document the resident's physical health and medical status and to record specific orders regarding care. This assessment is to be conducted any time the resident exhibits a change in behavior or care needs.

If a resident needs assistance with evacuating the building in the event of an emergency, an individualized evacuation plan must be developed upon admission.

Assisted Living Admission Requirements

In Missouri, assisted living facilities cannot admit seniors who have medical conditions beyond the facility's care capabilities. Seniors who require more than short-term and occasional skilled nursing care or skilled monitoring and testing of medications and treatments, have an unstable medical condition, are bedridden, need an intravenous or central line, require physical or chemical restraints, are prone to wander or are a risk to themselves or others are not candidates for assisted living.

If residents experience an illness or injury that results in them needing skilled nursing care, they may remain in the community or be admitted to the hospital for up to 45 days with a physician’s written approval.

Facilities must be able to accommodate residents who require assistance to evacuate the building in the event of an emergency. A resident who has a mental or physical impairment that could hamper the ability to evacuate safely must have an individualized evacuation plan.

Assisted Living Scope of Care

Assisted living facilities in Missouri provide 24-hour housing, supportive services, personalized assistance, supervision and health care to three or more seniors who need assistance with the activities of daily living. Facilities must provide basic housekeeping and laundry services, access to necessary health care and social services, opportunities to socialize, recreational and leisure activities, and arrangements for transportation in the event of an emergency.

Assisted Living Medicaid Policy

Seniors who qualify for the Supplemental Security Income benefit may use that to help cover the costs associated with their care. In addition, the Nursing Care Program from MO HealthNet provides extra cash that can be used for living expenses.

If seniors plan to use a benefit program to pay for their care, they should confirm that the facility they choose is able to accept that method of payment.

Assisted Living Facility Requirements

While assisted living facilities in Missouri are not required to offer apartment-style units, the units must be “home-like.” This means they are to have a common area for socializing, a kitchen and family-style dining area, a laundry area for residents, a bathroom with a sink, toilet and bathing area, and an outdoor area for dining, socializing and recreation.

Each resident should have a place where they can enjoy privacy and control over their environment. Units may be single-occupancy or house up to four residents. There must be at least one tub or shower for every 20 residents and a toilet for every four residents.

Medication Management Regulations

Residents are permitted to self-administer prescription and over-the-counter medications as long as a licensed health care professional approves. Every resident’s medication regimen must be reviewed by a physician, an RN or a pharmacist every two months.

Staff members who administer medications must be certified as a level I medication aide or certified medication technician, unless they are a licensed pharmacist, a nurse or a physician. If staff members are administering insulin, they must successfully complete a state-approved course for insulin administration. Only physicians and nurses may administer non-insulin injections.

Staffing Requirements

In Missouri, every assisted living facility must have an administrator. The administrator is responsible for ensuring that the facility operates according to state guidelines and that residents are monitored at all times.

Facilities should also have a licensed nurse on staff. The minimum number of hours for which the nurse must be employed is dependent upon how many beds the facility has. Facilities with:

  • 3-30 residents should have a nurse on duty for eight hours a week
  • 31-60 residents should have a nurse on duty 16 hours a week
  • 61-90 residents must have a nurse employed for at least 24 hours a week
  • more than 90 residents must have a full-time nurse who is on site and on duty 40 hours a week

There is also to be direct care staff members who supervise and assist residents.

Facilities must be under the supervision of a physician who understands the facility's emergency medical procedures and is kept up to date on residents' medication regimens.

Missouri has minimum staffing ratios to ensure that residents receive adequate care at all hours. During daytime hours, the minimum staffing ratio is one qualified staff member for every 15 residents. There should be one qualified staff member for every 20 residents during the evening and one qualified awake staff member for every 25 residents during nighttime hours.

Staff Training Requirements

Every staff member must receive at least one hour of training that addresses fire safety. Every new hire must go through orientation, which should outline responsibilities and duties, as well as information about resident’s rights, reporting abuse and preserving residents’ dignity. All staff must receive at least two hours of training on transfer assistance, instruction on person-centered care philosophy and techniques for promoting residents’ privacy and independence.

Staff members are also required to have 24 hours of additional training that pertains to assessing residents’ cognitive abilities and their ability to carry out activities of daily living.

Background Checks for ALR Staff in Missouri

Missouri requires that assisted living facilities run criminal background checks and an employee disqualification list check on every prospective employee or volunteer. This includes professional services staff, such as maintenance workers, who are not responsible for direct resident care but may come into contact with residents over the course of their duties. Any prospective employee who plead guilty or was found guilty of a crime can have no contact with residents unless the Department of Health and Human Services has provided a good cause waiver.

Requirements for Reporting Abuse

The staff members of assisted living communities are mandated reporters, meaning that if they witness elder abuse, mistreatment or neglect, they are legally required to report it. Incidents of abuse must be reported to the facility’s administrator, who then must report it to the Missouri Department of Health and Senior Services.

Assisted Living Facilities in Missouri



Top-Rated Caring Stars Winners in Missouri’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


The Fremont Senior Living

Springfield, MO $$$$

8 reviews


Senior Star at Villa Ventura

Kansas City, MO $$

6 reviews


The Gardens at Barry Road

Kansas City, MO $$

20 reviews


Brookdale Creve Coeur

Creve Coeur, MO $$$$

14 reviews


The Boulevard Senior Living

St. Charles, MO $$

11 reviews


Autumn View Gardens - St. Louis

Saint Louis, MO $

12 reviews


Westview at Ellisville Assisted Living & Memory Care

Ellisville, MO Cost Levels

20 reviews


Victorian Place of Hermann

Hermann, MO Cost Levels

5 reviews


Close to Paradise Senior Care

Springfield, MO $$$$

8 reviews


Autumn View Gardens - Ellisville

Ellisville, MO $

11 reviews