Columbia has 8 state-licensed assisted living communities: 6 larger communities and 2 small residential homes (16 or fewer residents). The median cost of assisted living in Missouri is $5,400 a month (CareScout 2025), against $6,200 nationally.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
Both are licensed by Missouri as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. Missouri words these licenses as “Assisted Living Facility (evacuation assistance)” (7), “Residential Care Facility (former RCF II standard)” (1).
Every assisted living community Missouri licenses in Columbia, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
8 shown
| Community | Size | Price |
|---|---|---|
| Cedarhurst of Columbiamemory care2333 Chapel Hill Rd | Large127 residents | Get pricing |
| Lenoir Manormemory care3850 Cartwright Lane | Large92 residents | Get pricing |
| Westbury Senior Living thememory care550 Stone Valley Parkway | Large72 residents | Get pricing |
| Colony Pointe Assisted Livingmemory care1510 Chapel Hill Rd | Large59 residents | Get pricing |
| Mill Creek Village Assisted Livingmemory care1990 W Southampton Dr | Large59 residents | Get pricing |
| Bluff Creek Terrace Assisted Livingmemory care3104 Bluff Creek Dr | Mid-size48 residents | Get pricing |
| Harambee House, INC703 North Eighth St | Small home15 residents | Get pricing |
| Lake George Assisted Living5000 E Richland Rd | Small home10 residents | Get pricing |
The median cost of assisted living in Missouri is $5,400 a month ($64,800 a year), below the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
Missouri publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: data.mo.gov. Ask the community for its most recent inspection report too; they have to keep it.
Missouri licenses 8 assisted living communities in Columbia as of September 2026: 6 larger communities and 2 small residential homes of 16 or fewer residents, with about 482 licensed spots in all.
The median cost of assisted living in Missouri is $5,400 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet, or ask a Lilisity advisor for current prices.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. Missouri's Medicaid agency or your local Area Agency on Aging can tell you what's available.
Missouri publishes its licensing records at data.mo.gov. You can also ask any community for its most recent state inspection report.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
