Assisted living in Rolla, MO
5 licensed communities, listed alphabetically — Missouri publishes no bulk inspection record, so nothing here is ranked by one.
We don’t publish this state’s inspection record yet — so nothing below is ranked by it.
Assisted living is licensed by the state, not Medicare, and Missouri Dept. of Health & Senior Services doesn’t release its inspection and complaint records as a bulk file we can ingest. Several states in this position still let you look up one community at a time on their own site — so the record may well exist; we just don’t have it. We will not invent one: no community below is marked clean, because we have nothing to clear it with. To check a specific community, ask Missouri DHSS ↗ for its inspection and complaint history, or call your Long-Term Care Ombudsman ↗ — a free, independent advocate.
What’s actually in Rolla
These 5 licences are not all the same kind of place:
- 4 Assisted living
- 1 Residential care
They range from 9 to 65 licensed beds (median 28).
2 of the 5 carry a memory-care or secured dementia designation in the state’s record.
What it costs around here
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
† Memory care is our estimate, not survey data: CareScout does not survey memory care, so we take the assisted-living median for the state and add $1,200/month — the typical secured-dementia-unit premium. It is a planning figure with no state-level detail behind it, and real memory-care pricing varies far more than that. Treat it as a starting point and ask the community for its own memory-care rate.
Estimated cost range · regional
In Missouri, assisted living typically runs about $4,300–$6,500/month.
This is a regional estimate modeled from published survey data (the CareScout/Genworth state median, ±20%) — not this community’s actual price, which it sets privately. Ask the community for its current all-in monthly rate and what each care level adds.
Paying with Medicaid
Missouri Medicaid helps pay for assisted living only in limited circumstances — through a waiver, and not everywhere in the state or for everyone who qualifies.
The Missouri waivers that can pay for it:
- Aged & Disabled Waiver (ADW) — covers in-home / adult day health / respite
- Structured Family Caregiving Waiver — covers adult foster care / dementia in-home
In Missouri: apply or check eligibility ↗ or call 855-373-4636.
A waiver pays for care, not for rent. Even where the state covers assisted-living services, room and board is still the resident’s to pay. Full eligibility limits — income, assets, the look-back — are on our Missouri Medicaid page.
Nearby towns in this state
Assisted living is a local decision, but the right community is often one town over — and a 20-minute difference in drive time decides how often anyone actually visits, which is the single thing that most affects how a resident does.
- Saint James — 1 community, about 9 mi away
- Cuba — 4 communities, about 23 mi away
- Steelville — 1 community, about 24 mi away
- Salem — 1 community, about 26 mi away
- Owensville — 2 communities, about 34 mi away
- Bourbon — 1 community, about 37 mi away
- Westphalia — 1 community, about 37 mi away
- Sullivan — 2 communities, about 41 mi away