How many residential care facilities are there in Missouri?

Our Missouri directory lists 239 licensed residential care facilities across 141 cities. The largest concentrations are in Saint Louis City County, Saint Francois County, Jackson County.

What is a residential care facility in Missouri?

"Residential Care Facility" is the Missouri licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Licensed homes range from small residential settings to larger communities. Missouri also licenses homes under the term "assisted living facility".

How much does assisted living cost in Missouri?

The median assisted living rate in Missouri is $5,400 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.

Who licenses residential care facilities in Missouri?

Missouri Department of Health and Senior Services (DHSS), Section for Long-Term Care Regulation licenses and inspects every residential care facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Does Medicaid pay for residential care facilities in Missouri?

Missouri Medicaid does not pay for assisted living; a state cash supplement helps some residents cover residential care costs. Eligibility rules vary, so confirm current terms with the state before you count on coverage.

Residential Care Facilities in Missouri

Missouri Residential Care Facilities Directory

239 licensed residential care facilities across 141 cities.

Missouri licenses Residential Care Facilities and Assisted Living Facilities through the Department of Health and Senior Services, Section for Long Term Care Regulation. The state has more than 200 small residential care homes, with the highest concentrations in the St. Louis and Kansas City metro areas.

See what care costs here, or learn how residential care facilities work.

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Cities in Missouri

141 cities

Missouri care costs at a glance

Median monthly figures for Missouri. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.

Type of care	Median per month
Assisted living Monthly median, one resident	$5,400
In-home care Non-medical caregiver, 44 hours a week	$6,292
Nursing home Semi-private room	$6,741

Home care median is CareScout's non-medical caregiver rate at 44 hours per week.

Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.

Full cost breakdown for Missouri residential care facilities →

Talk through your shortlist with an advisor

A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.

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What small care homes are called in Missouri

Licensing term: residential care facility (RCF)
Related license type: assisted living facility
Size and capacity: Licensed homes range from small residential settings to larger communities.
Licensed and inspected by: Missouri Department of Health and Senior Services (DHSS), Section for Long-Term Care Regulation

Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Search the Missouri license database → What "Residential care facility" means →

Does Medicaid pay in Missouri?

Missouri Medicaid does not pay for assisted living; a state cash supplement helps some residents cover residential care costs.

How Medicaid covers residential care →

Common questions about residential care facilities in Missouri

How many residential care facilities are there in Missouri?: Our Missouri directory lists 239 licensed residential care facilities across 141 cities. The largest concentrations are in Saint Louis City County, Saint Francois County, Jackson County.
What is a residential care facility in Missouri?: "Residential Care Facility" is the Missouri licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Licensed homes range from small residential settings to larger communities. Missouri also licenses homes under the term "assisted living facility".
How much does assisted living cost in Missouri?: The median assisted living rate in Missouri is $5,400 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
Who licenses residential care facilities in Missouri?: Missouri Department of Health and Senior Services (DHSS), Section for Long-Term Care Regulation licenses and inspects every residential care facility in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay for residential care facilities in Missouri?: Missouri Medicaid does not pay for assisted living; a state cash supplement helps some residents cover residential care costs. Eligibility rules vary, so confirm current terms with the state before you count on coverage.

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Largest Missouri city directories

Neighboring states

Estimate monthly costs → What residential care facilities are → All state directories →