What assisted living is called in Missouri, what it costs, how Medicaid can help, how to check a community’s license and inspections, and who to call if something goes wrong. Every fact links to the official source.
The median cost of assisted living in Missouri is $5,400 a month, below the national median of $6,200 (CareScout Cost of Care Survey 2025, collected July to November 2025). Prices vary with the apartment, the level of care and the community, so ask each one for its current rate sheet, including care-level fees.
Plan with our free tools: how long will the money last? and home care or assisted living?
Medicare does not pay for assisted living. Families pay from savings and income, long-term care insurance, or benefits such as VA Aid and Attendance (estimate it). Who actually pays for long-term care.
Medicaid. MO HealthNet (Missouri Medicaid) can pay for personal care services for eligible residents of licensed residential care facilities and assisted living facilities, if DHSS finds they need a nursing-home level of care. Program: MO HealthNet Personal Care Program (state plan personal care).2 Medicaid does not pay rent or meals in assisted living in any state, and not every community accepts it, so ask each one.
Supplemental Nursing Care (SNC). A state cash program for aged, blind or disabled adults living in assisted living or residential care whose income is below the facility's cost. It pays up to $292 a month toward assisted living fees ($156 for residential care), plus $50 a month for personal needs. You must be eligible for MO HealthNet.6
Look up a license. Show Me Long Term Care lets you search licensed long-term care facilities, including assisted living and residential care, by county, city or ZIP code. Search Missouri’s records.7
Inspection reports. Show Me Long Term Care posts inspection and complaint results for assisted living and residential care facilities, about 30 days after follow-up visits. Facilities must also post their latest results on site. If you can't get them from the facility, you can request the records from the state with a form.7
Always visit in person, at a mealtime or in the evening if you can. Bring the tour scorecard and the 8 tour questions.
Complaints about care or conditions. Report suspected abuse, neglect or exploitation to the Adult Abuse and Neglect Hotline or online. If the person lives in a long-term care facility, DHSS Division of Regulation and Licensure staff investigate. Call 1-800-392-0210 or file online.4
Abuse, neglect or exploitation. Call 1-800-392-0210. How to report.4 If someone is in danger, call 911.
The long-term care ombudsman is a free advocate for residents of assisted living and nursing homes: they help resolve problems with a community, including move-out notices. Call 800-309-3282 or find your local ombudsman.3
Assisted living by city
Memory care by city
Every community and county in Missouri
MO HealthNet (Missouri Medicaid) can pay for personal care services for eligible residents of licensed residential care facilities and assisted living facilities, if DHSS finds they need a nursing-home level of care. Medicaid does not pay rent or meals in assisted living.
The median is $5,400 a month (CareScout Cost of Care Survey 2025), compared with $6,200 nationally.
Missouri Department of Health and Senior Services (DHSS), Division of Regulation and Licensure, Long Term Care Regulation.
Report suspected abuse, neglect or exploitation to the Adult Abuse and Neglect Hotline or online. If the person lives in a long-term care facility, DHSS Division of Regulation and Licensure staff investigate. Phone: 1-800-392-0210.
Show Me Long Term Care lets you search licensed long-term care facilities, including assisted living and residential care, by county, city or ZIP code.
Facts checked against these official sources on September 28, 2026. Rules and programs change; confirm with the agency before making a decision. General information, not legal or financial advice.
A Lilisity advisor will send current prices for communities that fit your needs and budget. Free, no obligation.
Or call (833) 612-4732