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Missouri Assisted Living Facilities

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Cost of Missouri Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Missouri is $2,525 per month.

The monthly base rate for Missouri assisted living is typically lower when compared to neighboring states. Missouri is also less expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Missouri. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States


Assisted Living Regulations

Missouri defines an assisted living facility (also called residential care facilities) as one in which 24 hour care is provided for more than three residents and includes housing, meals, supervision of health care, storage and distribution of medications, and assistance with any ADL's or IADL's.

Missouri Assisted Living Facilities Scope of Care

Missouri assisted living facilities must provide protective care for its residents 24 hours a day, assist with ADL's and IADL's, and help with medication, activities, and dietary services. Home health agencies and hospice may also provide services as needed.

Missouri Assisted Living Admission Requirements

If a potential resident needs chemical or physical restraints, is bed bound, requires more than one person to provide physical assistance, is a threat to themselves or others, requires skilled nursing care, or can no longer pay for services, then a resident cannot be admitted or will have to be discharged to another facility.

Missouri Assisted Living Care Plan Requirements

Within a week of arriving, a physician must complete a physical assessment and provide documentation of any medical orders. A community-based assessment is conducted within a week of arrival and then again as needed, or at least semi-annually. The two assessments are used to create a care plan.

Missouri Assisted Living Medication Management Requirements

Every other month, a physician, pharmacist or registered nurse must review all resident's medication regimens. Anyone giving medication must be licensed to do so. Medication must be secured and distributed in a safe and effective manner.

Missouri Assisted Living Facility Requirements

Four residents are allowed per unit, and each person must have 70 square feet of living space. One toilet is required for every six people and one tub/shower is required for every 20 residents.

Missouri Assisted Living Staffing Requirements

An assisted living facility in Missouri must have a licensed nursing home administrator, and all staff are required to have facility orientation. Assisted living facilities must have enough staff to meet the needs of the residents and must provide one licensed nurse eight hours a day for every 30 residents.

Missouri Assisted Living Medicaid Policy

Personal and advanced care services are covered under the Medicaid state plan.

Missouri Alzheimer's Unit Requirements

In a Missouri Alzheimer's unit, written disclosure is required that details all safety features, training requirements, philosophy, mission, and assessment policies, among others. All direct care staff in this unit must have specialized training.

Missouri Medicaid Coverage of Assisted Living and Related Services

The State of Missouri covers the cost of personal care through its Aged and Disabled Waiver. The waiver excludes personal care provided in a nursing home.

Missouri's Aged and Disabled Waiver pays for in-home services to Missouri residents aged 63 or over who require nursing home care but choose to receive the care at home or community instead. The participants have the option to participate in the Consumer Directed Service (CDS) Program which allows them to self-direct their personal care. They can choose to hire anyone except spouses as their personal care attendant.

The waiver is managed by Missouri Medicaid which is sometimes referred to MO HealthNet.

The Aged and Disabled Waiver Benefits

A variety of services is offered to help participants remain living in the community. Adult day care is offered during daytime hours to enable family members and caregivers to work. The waiver also makes respite care available in-home and in facilities. Chore services are included to help maintain the home in livable condition and some homemaker services such as with housekeeping, laundry and shopping are also covered.

How to apply - the waiver is open to all residents but waiting lists for services may exist. The application processing time is between 45 - 90 days. Contact the local Area Agency on Aging. Contact information is available here.

Department of Health and Senior Services, Division of Regulation and Licensure, Section for Long Term Care Regulation Phone (573) 526-8524

Web Site:

What is the best number to call to get started? 1-573-751-3425

Is there a website?

Missouri Contacts

Missouri Department of Health and Senior Services, Division of Regulation and Licensure, Section for Long Term Care Regulation

Phone: (573) 526-8524

Matt Younger
Phone: (573) 526-8524

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Missouri Department of Health and Senior Services

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