Senior Living in Monroe County, Illinois
Assisted living, memory care & independent living in Monroe County
6 communities licensed by the state of Illinois. Listed alphabetically; Lilisity publishes no score or ranking for communities that have not earned an award.
| Community | City | Care types | Licensed capacity | Operator |
|---|---|---|---|---|
| Cedarhurst of Waterloo | Waterloo | Assisted Living | 56 | — |
| Cedarhurst of Waterloo MC | Waterloo | Assisted Living · Memory Care | 30 | — |
| Garden Place Columbia | Columbia | Assisted Living | 46 | — |
| Garden Place Waterloo | Waterloo | Assisted Living | 20 | — |
| Magnolia Terrace | Waterloo | Assisted Living | — | — |
| Reflections at Garden Place | Columbia | Assisted Living · Memory Care | 19 | — |
Also in Monroe County, from public records: 2 income-restricted senior apartments
Costs: assisted living in Illinois costs a median of $6,219 a month (CareScout 2025). Nursing home costs in Illinois: CareScout medians and the private-pay rates nursing homes publish.
Income-restricted senior apartments in Monroe County
2 buildings from public records. Rent is set by income, there are age and income limits, and there is often a wait list. Apply through the property manager.
| Building | City | Apartments | Managed by |
|---|---|---|---|
| Bella Vista Senior | Waterloo | 32 | Sansone Group/Ddr |
| Valmeyer Senior Apartments | Valmeyer | 24 | Terra Properties |
Nursing homes in Monroe County
2 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Accolade Healthcare of Waterloo | Waterloo | ★★★★☆ | 144 | Government - County |
| Nexus at Columbia | Columbia | ★☆☆☆☆ | 119 | For profit - Limited Liability company |
What will senior living cost, and how will we pay?
Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help.

Free guide · 16 pages
Paying for Senior Living
Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.