Assisted living in Columbia, MO
13 state-licensed assisted living and residential care facilities in Boone County, with room for 642 residents. 8 had no citations at their most recent Missouri inspection; the local average was 1.3.
Sources: Missouri DHSS LTC Directory and Show Me Long Term Care. Bars show facilities by town.
Highlights
Clean latest inspection
No citations at the most recent state visit.
- ALBaptist Homes of AshlandAshland · capacity 40 · inspected Aug 13, 2026
- ALAshland Villa Assisted LivingAshland · capacity 72 · inspected Jun 4, 2026
- ALColony Pointe Assisted LivingColumbia · capacity 59 · inspected Apr 15, 2026
- ALThe Westbury Senior LivingColumbia · capacity 72 · inspected Dec 31, 2025
- ALMill Creek Village Assisted LivingColumbia · capacity 59 · inspected Nov 4, 2025
Most citations at latest inspection
Worth asking about before you visit.
All 13 assisted living and residential care facilities
Medicare ratings do not apply to assisted living. AL is assisted living, RC is residential care.
- ALAshland Villa Assisted LivingAssisted living facility · Ashland · 72 capacityLast inspection: Jun 4, 2026
- ALBaptist Homes of AshlandAssisted living facility · Ashland · 40 capacityLast inspection: Aug 13, 2026
- RCBluegrass TerraceResidential care facility · Ashland · 16 capacityLast inspection: Oct 7, 2025
- ALBluff Creek Terrace Assisted LivingAssisted living facility · Columbia · 48 capacityLast inspection: May 20, 2026Memory care unit
- RCBristol Manor of CentraliaResidential care facility · Centralia · 12 capacityLast inspection: Sep 23, 2025
- ALCedarhurst of ColumbiaAssisted living facility · Columbia · 127 capacityLast inspection: Jan 22, 2026Memory care unit
- ALColony Pointe Assisted LivingAssisted living facility · Columbia · 59 capacityLast inspection: Apr 15, 2026Memory care unit
- RCHarambee HouseResidential care facility · Columbia · 15 capacityLast inspection: Mar 10, 2026
- ALLake George Assisted LivingAssisted living facility · Columbia · 10 capacityLast inspection: Oct 31, 2025
- ALLenoir ManorAssisted living facility · Columbia · 92 capacityLast inspection: Oct 2, 2025Memory care unit
- ALMill Creek Village Assisted LivingAssisted living facility · Columbia · 59 capacityLast inspection: Nov 4, 2025Memory care unit
- RCSturgeon Residential CareResidential care facility · Sturgeon · 20 capacityLast inspection: Oct 29, 2025
- ALThe Westbury Senior LivingAssisted living facility · Columbia · 72 capacityLast inspection: Dec 31, 2025Memory care unit
Numbers are Medicare ratings; AL and RC mark assisted living and residential care. Map data © OpenStreetMap contributors.
What assisted living costs
National medians, CareScout 2025 Cost of Care Survey. We have not verified Columbia-area figures, so we don't show local prices.
How to choose
Read the latest inspection on each facility page, then visit at a mealtime. Ask what's included in the monthly price, how prices rise as care needs grow, and whether the facility can keep a resident whose needs increase.
Columbia assisted living questions
Answers computed from Missouri state data.
How many assisted living facilities are in the Columbia area?
Missouri licenses 13 assisted living and residential care facilities in Boone County: 9 assisted living facilities and 4 residential care facilities, with room for 642 residents in total. 6 list an Alzheimer's special care unit.
What's the difference between assisted living and residential care in Missouri?
Missouri licenses both. Residential care facilities (RCF) provide 24-hour shelter, board and protective oversight, which can include managing medications, and residents must be able to reach safety on their own in an emergency. Assisted living facilities (ALF) also help with daily activities like bathing, dressing, eating and walking, provide health care supervision under a licensed physician, and must have a licensed nursing home administrator. An ALF may accept residents who need minimal help to evacuate; those marked ALF** may admit residents who need more, if they meet extra staffing and evacuation-plan rules.
How often are Columbia assisted living facilities inspected?
Missouri law requires the Department of Health and Senior Services to inspect every licensed facility at least once a year, unannounced, and it also investigates complaints. 13 of the 13 local facilities have a state inspection on file from the past 12 months.
How many Columbia-area facilities had a clean last inspection?
8 of 13 facilities with reports on file had no citations at their most recent inspection. The local average was 1.3 citations.
Does Medicare pay for assisted living?
No. Medicare does not pay for room and board in assisted living. Most residents pay privately, sometimes with long-term care insurance or veterans benefits. Missouri residents on MO HealthNet who live in a licensed residential care or assisted living facility may qualify for the Supplemental Nursing Care program, which pays the facility a monthly cash amount ($156 for residential care, $292 for assisted living) and leaves the resident a $50 personal allowance.
More in the Columbia area: City guide · Nursing homes · Assisted living · Memory care · Medicaid · Rehab