Assisted living facility · Town and Country, MO
American House Town & Country
1020 Woods Mill Road, Town and Country, MO 63017-0603 · licensed for 95 residents · operated by Asr 1020 Woods Mill Lessee
Sources: Missouri DHSS LTC Directory and Show Me Long Term Care.
The latest inspection, in plain English
Missouri inspectors' most recent visit on file was on Apr 10, 2026 (complaint investigation). They cited 1 requirement that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class II/III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 9 citations in total.
Inspection history
Show all findings
Apr 10, 2026 · Complaint Investigation
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| The facility shall develop and implement written policies and procedures that prohibit mistreatment, neglect, and abuse of any resident and misappropriation of resident property and funds, and develop and implement policies that require a report to be made to the department for any resident or to both the department and the Department of Mental Health for any vulnerable person whom the administrator or employee has reasonable cause to believe has been abused or neglected. | II/III | 7/6/2026 |
Jan 22, 2026 · Complaint Investigation / State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| Only activities necessary to the administration of the facility shall be contained in any building used as a long-term care facility except as follows: (A) Related activities may be conducted in buildings subject to prior written approval of these activities by the Department of Health and Senior Services (hereinafter-the department). Examples of these activities are Home Health Agencies, physician ' s office, pharmacy, ambulance service, child day care and food service for the elderly in the community; | II/III | 4/9/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (G) Develops an individualized service plan (ISP), which means the planning document prepared by an assisted living facility which outlines a resident ' s needs and preferences, services to be provided, and goals expected by the resident or the resident ' s legal representative in partnership with the facility; | II | 4/9/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (H) Reviews the ISP with the resident, or legal representative of the resident, at least annually or when there is a significant change in the resident ' s condition which may require a change in services; | II | 4/9/2026 |
| Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a procedure to inquire of the resident or resident ' s guardian of the resident ' s departure, of the resident ' s estimated length of absence from the facility, and of the resident ' s whereabouts while on voluntary leave. | I/II | 4/9/2026 |
| The administrator shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are administered by personnel at least eighteen (18) years of age, in accordance with physicians ' instructions using acceptable nursing techniques. The facility shall employ a licensed nurse eight (8) hours per week for every thirty (30) residents to monitor each resident ' s condition and medication. Administration of medication shall mean delivering to a resident his or her prescription medication either in the original pharmacy container, o | I/II | 4/9/2026 |
| Medications that are not in current use shall be disposed of as follows: (E) Medications may be returned to the pharmacy that dispensed the medications pursuant to 20 CSR 2220-3.040 or returned pursuant to the Prescription Drug Repository Program, 19 CSR 20-50.020. All other medications, including all controlled substances and all expired or otherwise unusable medications, shall be destroyed within thirty (30) days as follows: 1. Medications shall be destroyed within the facility by a pharmacist and a licensed nurse or by two (2) licensed nurses or when two (2) licensed nurses are not availabl | II/III | 4/9/2026 |
| Poisonous or toxic materials consist of the following categories: insecticides and rodenticides; disinfectants, sanitizer and related cleaning or drying agents; and caustics, acids, polishes and other chemicals. Each of these three (3) categories set forth shall be stored and physically located separate from each other. All poisonous or toxic materials shall be stored in locked cabinets or in a similar physically separate place used for no other purpose which is not accessible to residents. | II | 4/9/2026 |
Sep 23, 2025 · Complaint Investigation
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a procedure to inquire of the resident or resident ' s guardian of the resident ' s departure, of the resident ' s estimated length of absence from the facility, and of the resident ' s whereabouts while on voluntary leave. | I/II | 12/5/2025 |
From Missouri's Show Me Long Term Care site, in the state's own wording.
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Questions about American House Town & Country
Answers computed from Missouri state data for this facility.
What kind of facility is American House Town & Country?
American House Town & Country is licensed by the Missouri Department of Health and Senior Services as a assisted living facility for up to 95 residents. LIMITED LIABILITY COMPANY
How did American House Town & Country do on its last state inspection?
Missouri inspectors' most recent visit on file was on Apr 10, 2026 (complaint investigation). They cited 1 requirement that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class II/III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 9 citations in total.
Does American House Town & Country offer memory care?
Yes. The state directory lists an Alzheimer's special care unit with 34 beds.
Does American House Town & Country have a Medicare star rating?
No. Medicare rates nursing homes only. Assisted living and residential care in Missouri are licensed and inspected by the state, so we show the state's inspection findings instead.
Other assisted living near Town and Country
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- ALAbbey Senior HealthO’Fallon · capacity 10
- ALAberdeen HeightsKirkwood · capacity 36
- RCAkins Health CareSt. Louis · capacity 20
- ALAmerican House Wildwood VillageWildwood · capacity 94 · memory care unit
- ALAssisted Living at Charless VillageSt. Louis · capacity 18
All 113 St. Louis-area assisted living facilities · Memory care · St. Louis guide
Inspection findings reflect conditions on the inspection date and may since have been corrected.