About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Randolph County, IL

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Assisted living costs in Randolph County average about $4,805 per month. To find the best assisted living options for your needs and budget, browse through 137 communities in Randolph County. Our detailed directory has 1401 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Pinckneyville, Perryville and Sparta.

Randolph County Assisted Living Facilities | 1401 Reviews

Showing 126 communities
Last Updated: 1/8/26
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Photo of Villa Helen Marie
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of The Riverview Care Center
5 star
33%
4 star
0%
3 star
0%
2 star
0%
1 star
67%
See all reviews
Everything is going well for my brother since his move to this community. I'am satisfied with the care and everything they have done for us. He is doing very good. They have a pleasant staff, they have been...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Carondelet Retirement (Mental Health)
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Holly Hills Retirement Home
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Crawford Ranch Boarding Home
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Mattis Pointe
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Cherokee Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Loving Care Assisted Living(Mental Health)
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
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Photo of Lindell Manor
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
We operate five facilities in the St. Louis and outlying areas. We accommodate residents with either private or semi-private rooms. The lever of care we provide is residential care II. Our staff is eager to assist and the services range from personal care, medication administration to meals,...
Photo of Wilbar Boarding Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of The Oaks at Bethesda
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Bethesda Dilworth, St. Louis’ premier nursing care residence, continues to earn its reputation as an outstanding leader by providing the highest quality nursing care for St. Louis seniors. With a reputation for excellence in medical and nursing care, Bethesda Dilworth is home to over 350...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Allways Kare Residential Care
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Oasis Residential Care Fclty
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Akins Residential Care Home
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of The Central Residence
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
We operate five facilities in the St. Louis and outlying areas. We accommodate residents with either private or semi-private rooms. The lever of care we provide is residential care II. Our staff is eager to assist and the services range from personal care, medication administration to meals,...
Photo of Colonial Residential Care
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of The Voyage
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Saddler Residential Care
11 Photo available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Oasis Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Randolph County, IL

The average cost of senior living in Randolph County is $4,805 per month. Cheaper nearby regions include Prairie du Rocher, IL with an average of $4,034 per month.

Assisted living costs in Randolph County, IL, vs. nearby counties

Randolph County, IL
$4,805/mo

Assisted living costs in Randolph County, IL, vs. state and national averages

Randolph County, IL
$4,805/mo
U.S. national average
$4,716/mo

Assisted living costs in Randolph County, IL, vs. other senior living options

Assisted Living
$4,805/mo
$4,804/mo

Assisted living costs in Randolph County, IL, by floor plan type

Semi-Private
$5,279/mo
Studio
$5,238/mo
1 Bedroom
$5,058/mo
2 Bedroom
$5,930/mo

Senior living costs in Randolph County vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Randolph County, IL
Column state: Illinois
Column national: U.S.
Community typeRandolph County, ILIllinoisU.S.
Assisted Living$4,805/mo$5,399/mo$4,716/mo
Memory Care$4,804/mo$5,420/mo$4,970/mo
Independent Living$3,986/mo$4,479/mo$4,173/mo
Assisted Living
Randolph County, IL:$4,805/mo
Illinois:$5,399/mo
U.S.:$4,716/mo
Memory Care
Randolph County, IL:$4,804/mo
Illinois:$5,420/mo
U.S.:$4,970/mo
Independent Living
Randolph County, IL:$3,986/mo
Illinois:$4,479/mo
U.S.:$4,173/mo
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Table showing 5 of 3 items. Click to show less.

Assisted living costs in Randolph County, IL, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Randolph County and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Randolph County, ILIL stateNational

Assisted living cost trends in Randolph County, IL

The table below shows how monthly assisted living costs in Randolph County have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Randolph County, IL$4,221/mo$3,865/mo+9.2%
Illinois$5,633/mo$5,386/mo+4.6%
National$5,368/mo$5,120/mo+4.8%
Randolph County, IL
2024 average cost:$4,221/mo
2023 average cost:$3,865/mo
Percent change:+9.2%
Illinois
2024 average cost:$5,633/mo
2023 average cost:$5,386/mo
Percent change:+4.6%
National
2024 average cost:$5,368/mo
2023 average cost:$5,120/mo
Percent change:+4.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Randolph County, IL

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Randolph County.

What families are saying about assisted living in Randolph County

Recent reviews for assisted living in Randolph County

Cambridge House of Maryville

3.7
We chose Cambridge House of Maryville because it was recommended to us through family members, they said that it was a well-managed facility. The room sizes here are good, but I do think the kitchen could use some more space. Overall, it is a small community and everyone gets along well here. I ...
Read more

Joe's Place Caring Cottage in O'Fallon, IL

5.0
Joe's Place is a Godsend. The place feels very homey and not institutional. I feel very comfortable leaving my dad there while I go to work.

Randolph County review score based on 411 family reviews

7.7
Review score126 facilities411 reviewsWrite a review
This proprietary review score is based on 411 reviews of 126 Randolph County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Randolph County review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Randolph County review score compared against nearby cities

7.7
Randolph County, IL126 facilities
8.2
Ellis Grove, IL7 facilities
8.2
Evansville, IL7 facilities

Review subcategories for Randolph County assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 411 reviews of 126 Randolph County assisted living communities. This chart helps you compare Randolph County resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Randolph County, IL averageNational average
Cleanliness
4.0
4.0
Friendliness
4.0
4.1
Care services
3.6
3.7
Staff
3.8
4.0
Meals & dining
3.5
3.6
Activities
3.5
3.6
Value for cost*
3.6
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Randolph County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Randolph County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Randolph County, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Randolph County assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Randolph County that offer these care services compared to the percentage of partners that offer them nationally.
Randolph County, ILNational
Full medication management
Full medication management
41.3%
52.5%
Doctor on call
Doctor on call
30.2%
33.9%
24-Hour awake staff
24-Hour awake staff
91.3%
96.1%
Diabetic care
Diabetic care
95.2%
97.6%
*Visiting health care professionals
*Visiting health care professionals
54%
56.7%
Home care agency on-site
Home care agency on-site
19.8%
30.1%
Non-ambulatory care
Non-ambulatory care
91.3%
96.7%
Respite or short term stays
Respite or short term stays
40.5%
47.6%
Hospice available on-site
Hospice available on-site
52.4%
52.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Randolph County assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Randolph County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Randolph County, ILNational
Dementia behaviors care
Dementia behaviors care
45.2%
51.4%
Specialized memory care training for staff
Specialized memory care training for staff
32.5%
32.6%
Secured community and/or wander guard
Secured community and/or wander guard
37.3%
41.1%
Memory care only community
Memory care only community
15.1%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Randolph County assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Randolph County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Randolph County, ILNational
Nutritionist / dietician
Nutritionist / dietician
31%
27.3%
Low / no sodium
Low / no sodium
35.7%
41%
No sugar
No sugar
33.3%
37.6%
Vegetarian
Vegetarian
26.2%
36.2%
Pureed meals
Pureed meals
10.3%
17.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Randolph County assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Randolph County communities that offer dining options to their discerning residents compared to our partners nationally.
Randolph County, ILNational
Professional chef
Professional chef
24.6%
31.6%
Restaurant style dining
Restaurant style dining
38.9%
42.4%
Room service
Room service
29.4%
36.8%
Anytime dining
Anytime dining
18.3%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Randolph County assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Randolph County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Randolph County, ILNational
Activity director
Activity director
42.9%
46.5%
Pet-focused programs
Pet-focused programs
27.8%
31.1%
Community service programs
Community service programs
24.6%
30.5%
Devotional activities on-site
Devotional activities on-site
47.6%
49.6%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
46%
49.4%
Outings / off-site activities
Outings / off-site activities
46%
52.4%
Piano or organ
Piano or organ
39.7%
41.4%
Arts and crafts center
Arts and crafts center
31%
35.5%
Educational speakers / life long learning
Educational speakers / life long learning
31.7%
38.2%
Clubs / games / karaoke
Clubs / games / karaoke
40.5%
46.9%
Live performances
Live performances
42.1%
47%
Dances
Dances
25.4%
30.6%
Fitness center
Fitness center
27%
24.6%
Fitness classes
Fitness classes
38.9%
46.1%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Randolph County

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Illinois assisted living regulations will help you understand how assisted living communities in Randolph County protect seniors.
Learn about Illinois assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Addington Place of Sparta, Villas at St. James and Villas of Holly Brook Herrin are the top-rated assisted living facilities near Randolph County, Illinois. See full list of communities.
There are 137 assisted living facilities near Randolph County, Illinois. See the full list.
The best assisted living facilities near you in Randolph County, Illinois are Villas of Holly Brook Herrin and Avalon Memory Care - St. Louis. These assisted living communities received the highest rankings based on verified family reviews.
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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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