Missouri · RAL Market Report

Best places to open an assisted living home in Missouri

Name: Missouri assisted living market data
Creator: RAL Market Scout

The top markets for residential assisted living in Missouri, ranked by demand versus supply — plus the cities where the homes are.

Updated July 2026

The top markets for assisted living in Missouri right now are St. Louis city, Jefferson, Boone counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 600 licensed assisted living homes serving 452,018 residents aged 75+, at a median cost of about $5,400/mo.

Licensed homes

600

state roster

Population 75+

452,018

ACS

Median AL cost

$5,400/mo

below the national median

Bed supply

44.0/1k

moderate supply

Top 10 markets for assisted living in Missouri

RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.

St. Louis city County — opportunity 7.8/10 (Strong); 15,883 seniors 75+, growing -2.1%, with 22 licensed homes.
Jefferson County — opportunity 7.7/10 (Strong); 13,765 seniors 75+, growing 13.0%, with 13 licensed homes.
Boone County — opportunity 7.6/10 (Strong); 9,813 seniors 75+, growing 16.7%, with 12 licensed homes.
Christian County — opportunity 7.5/10 (Strong); 6,168 seniors 75+, growing 18.6%, with 14 licensed homes.
Platte County — opportunity 7.5/10 (Strong); 6,892 seniors 75+, growing 25.0%, with 13 licensed homes.
Clay County — opportunity 7.4/10 (Strong); 15,930 seniors 75+, growing 19.1%, with 14 licensed homes.
Jackson County — opportunity 7.3/10 (Strong); 45,825 seniors 75+, growing 6.7%, with 40 licensed homes.
St. Charles County — opportunity 7.3/10 (Strong); 28,479 seniors 75+, growing 19.8%, with 29 licensed homes.
Cole County — opportunity 7.2/10 (Strong); 5,637 seniors 75+, growing 11.6%, with 11 licensed homes.
Camden County — opportunity 7.2/10 (Strong); 5,017 seniors 75+, growing 7.4%, with 5 licensed homes.

All Missouri counties by market opportunity

County	Pop 75+	Demand	Homes	Market	Band
St. Louis city	15,883	3.3	22	7.8	Strong
Jefferson	13,765	5.1	13	7.7	Strong
Boone	9,813	4.9	12	7.6	Strong
Christian	6,168	5.5	14	7.5	Strong
Platte	6,892	6.2	13	7.5	Strong
Clay	15,930	5.7	14	7.4	Strong
Jackson	45,825	4.6	40	7.3	Strong
St. Charles	28,479	6.3	29	7.3	Strong
Cole	5,637	5.1	11	7.2	Strong
Camden	5,017	4.9	5	7.2	Strong
Buchanan	5,823	2.4	7	7.2	Strong
Jasper	8,114	3.6	11	7.2	Strong
Taney	5,461	5.8	3	7.2	Strong
Franklin	8,160	4.9	19	7.2	Strong
Cape Girardeau	6,227	4.6	11	7.1	Strong
St. Louis	79,470	5.4	64	7.1	Strong
Greene	22,393	5.4	24	7.0	Moderate
Cass	8,392	5.3	6	6.9	Moderate
St. Francois	4,814	3.7	26	6.8	Moderate
Stone	4,060	5.2	2	6.7	Moderate
Newton	4,793	5.6	8	6.7	Moderate
Callaway	3,151	3.9	7	6.6	Moderate
Barry	3,098	3.1	7	6.5	Moderate
Lincoln	3,394	4.3	9	6.5	Moderate
Johnson	2,875	3.1	6	6.4	Moderate
Crawford	1,942	2.8	6	6.4	Moderate
McDonald	1,478	3.7	0	6.3	Moderate
Ray	1,836	2.7	1	6.3	Moderate
Butler	3,345	2.8	10	6.1	Moderate
Phelps	3,291	4.6	6	6.1	Moderate
Morgan	2,132	5.0	2	6.1	Moderate
Audrain	1,890	2.1	6	6.0	Moderate
Warren	2,643	4.6	3	6.0	Moderate
Webster	2,532	2.7	1	6.0	Moderate
Dunklin	2,150	3.3	5	6.0	Moderate
Laclede	2,752	3.1	6	5.9	Moderate
Benton	2,572	5.6	5	5.9	Moderate
Lafayette	2,712	3.8	5	5.9	Moderate
Pettis	3,146	3.7	6	5.9	Moderate
Miller	2,054	3.4	3	5.9	Moderate
Lawrence	3,020	3.3	3	5.9	Moderate
Washington	1,589	4.0	3	5.9	Moderate
Scott	2,960	3.9	5	5.9	Moderate
Madison	1,016	2.7	2	5.9	Moderate
Henry	2,148	4.2	4	5.9	Moderate
Randolph	1,834	2.7	5	5.9	Moderate
Polk	2,620	3.3	5	5.8	Moderate
Howell	3,448	3.6	6	5.8	Moderate
Macon	1,501	3.4	2	5.7	Moderate
Pemiscot	1,072	2.7	0	5.7	Moderate
Marion	2,231	2.4	6	5.6	Moderate
Cedar	1,519	4.0	1	5.6	Moderate
Dallas	1,428	3.0	3	5.5	Moderate
Wright	1,532	2.4	1	5.5	Moderate
Ste. Genevieve	1,575	5.3	4	5.5	Moderate
Douglas	1,221	3.6	1	5.5	Moderate
Adair	1,696	2.3	3	5.5	Moderate
Wayne	1,159	3.1	1	5.5	Moderate
Saline	1,742	2.4	6	5.4	Moderate
Vernon	1,738	2.7	4	5.4	Moderate
Dent	1,366	3.8	1	5.4	Moderate
Linn	1,073	2.8	1	5.3	Moderate
Texas	2,326	3.2	2	5.3	Moderate
Stoddard	2,617	3.8	5	5.3	Moderate
New Madrid	1,276	3.3	0	5.3	Moderate
Perry	1,600	3.4	2	5.3	Moderate
Gasconade	1,443	3.2	4	5.2	Moderate
Cooper	1,387	3.3	3	5.2	Moderate
Bates	1,293	3.0	1	5.2	Moderate
Pulaski	2,110	3.6	0	5.2	Moderate
Clinton	1,707	4.3	0	5.2	Moderate
St. Clair	1,088	3.4	1	5.1	Moderate
Ozark	1,052	3.0	0	5.1	Moderate
Andrew	1,552	3.4	2	5.0	Moderate
Pike	1,469	3.3	3	5.0	Moderate
Barton	1,096	4.4	2	4.8	Moderate
Nodaway	1,675	4.6	4	4.8	Moderate
Livingston	1,372	3.1	5	4.6	Moderate
Hickory	1,244	2.9	0	4.5	Moderate
Moniteau	1,088	2.8	3	4.3	Thin
Grundy	1,093	4.0	2	4.0	Thin
Reynolds	625	3.4	0	—	—
Clark	615	2.4	0	—	—
Osage	981	2.8	2	—	—
Iron	874	3.8	4	—	—
Harrison	855	4.1	2	—	—
Putnam	503	3.4	1	—	—
Carroll	838	3.4	1	—	—
Atchison	618	3.6	0	—	—
Sullivan	535	2.2	2	—	—
Gentry	493	2.2	2	—	—
Scotland	430	3.8	0	—	—
DeKalb	985	3.5	3	—	—
Carter	442	2.4	1	—	—
Bollinger	896	2.4	6	—	—
Ralls	990	5.0	0	—	—
Lewis	871	3.7	1	—	—
Chariton	866	4.3	2	—	—
Oregon	859	3.6	1	—	—
Ripley	901	2.2	2	—	—
Mississippi	943	2.3	0	—	—
Daviess	757	4.9	0	—	—
Shannon	672	2.7	2	—	—
Monroe	940	3.7	2	—	—
Maries	799	4.1	0	—	—
Shelby	586	3.8	1	—	—
Holt	510	3.8	0	—	—
Caldwell	752	2.1	1	—	—
Worth	231	3.4	1	—	—
Montgomery	949	2.8	2	—	—
Mercer	330	2.4	1	—	—
Howard	808	3.8	2	—	—
Dade	762	3.7	1	—	—
Knox	358	2.4	1	—	—
Schuyler	359	2.1	0	—	—

Top cities for assisted living in Missouri

Where the homes actually are. Each linked city has its own page with local supply and market context.

City	County	Homes	Beds	Avg size
Saint Louis	SAINT LOUIS COUNTY	51	3,071	60.2
Kansas City	PLATTE	31	2,041	65.8
Springfield	GREENE	20	1,254	62.7
Farmington	SAINT FRANCOIS	18	588	32.7
Poplar Bluff	BUTLER	10	286	28.6
Jefferson City	COLE	10	378	37.8
Cape Girardeau	CAPE GIRARDEAU	9	564	62.7
Ozark	CHRISTIAN	9	287	31.9
Saint Joseph	BUCHANAN	9	405	45.0
Columbia	BOONE	8	482	60.3
Washington	FRANKLIN	8	303	37.9
Chesterfield	SAINT LOUIS COUNTY	7	458	65.4
Saint Charles	SAINT CHARLES	7	622	88.9
Saint Peters	SAINT CHARLES	7	551	78.7
Independence	JACKSON	6	277	46.2
Lee's Summit	JACKSON	6	479	79.8
Sedalia	PETTIS	6	297	49.5
Blue Springs	JACKSON	6	355	59.2
Joplin	NEWTON	6	323	53.8
Lebanon	LACLEDE	6	320	53.3

Frequently asked questions

What are the top markets for assisted living in Missouri?

The strongest Missouri markets on RAL Market Scout's opportunity scoring are St. Louis city, Jefferson, Boone, Christian, Platte counties — based on 75+ demand and projected senior growth versus current bed supply.

Which Missouri city has the most assisted living homes?

Saint Louis has the most, with 51 licensed assisted living homes (about 3,071 beds).

How much does assisted living cost in Missouri?

The median assisted living cost in Missouri is about $5,400 per month — below the national median.

How many assisted living homes are in Missouri?

Missouri has approximately 600 licensed assisted living homes serving 452,018 residents aged 75 and older.

See the full Missouri picture

RAL Market Scout scores every county and ZIP in Missouri on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.

Run a Market Report Site Intelligence report

Sources: Licensed-home and city counts from Missouri state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.