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 2026 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 2026 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 2026 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
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10 Best Assisted Living Facilities in Firma, MO

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Assisted living costs in Firma average about $5,444 per month. To find the best assisted living options for your needs and budget, browse through 166 communities in Firma. Our detailed directory has 3651 reviews, photos, and lists of available services, amenities, and activities. You may also consider nearby communities such as St. Peters, St. Charles and Lake St. Louis.

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. 

Firma Assisted Living Facilities | 3651 Reviews

Showing 166 communities
Last Updated: 9/17/26
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Photo of The Bridge at Florissant
1010 Photos available
33 Floor plans available
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.
The rolling hills of Missouri are the perfect home to the warm and friendly atmosphere of the Bridge at Florissant. Situated in the suburbs of St. Louis, the community offers urban accessibility, state-of-the-art amenities, and the time of your life. The community itself is surrounded by greenery...
5 star
0%
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0%
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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 Joy Assisted Living
33 Photos 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.
Arbor Hills is dedicated to providing companionship, comfort, love and excellent medical care to each of our residents. Arbor Hills has 150 –bed skilled nursing facility and a 28- bed assisted living facility, we also offer long-term and short-term stays including rehabilitative, respite, and...
Photo of Christian Care 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
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 Sabbath Manor
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 West Pine Retirement Village
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 EverTrue Meramec Bluffs
5 star
86%
4 star
14%
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The facility is beautiful and well run. These people are very competent and when faced with a problem, will try so hard to find a solution. The community is warm and welcoming, so important after...
Provides: Assisted Living, Memory Care, Independent Living, Nursing Homes
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.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Cape Albeon
5 star
75%
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25%
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Moved into a two bedroom apartment with beautiful lake view in mid-November. [Name removed] the Residency Director was very helpful in answering questions and making each resident feel that their needs were...
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.
Cape Albeon offers retirement and assisted living opportunities for seniors. A distinctive and charming senior living community, Cape Albeon, offers numerous amenities including an indoor pool and fitness area, activity centers, restaurant-style dining, a library, and an on-site beauty salon. A...
Photo of Oasis-Pennsylvania RCF
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.
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Photo of High Point Residence Jerseyville
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 Spring Manor
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.
Our community is a 33 beds RCFII. It is Residential Care Facility and certified through DMH. We have friendly and competent staff. We provide meals, laundry services, housekeeping services and pass medications.
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.
Photo of The Oaks at Bethesda
5 star
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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, 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.
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.
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.
Photo of The Arbors at South Pointe
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.
It began with minor lapses. Now Alzheimer’s has altered life dramatically for someone you care about. At the Arbors, living with Alzheimer’s becomes less of a challenge for you and your loved one. We combine the intimacy of assisted living with specialized care for dementia. The size of the...
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 Mattis Pointe
5 star
0%
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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 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.

Cost of assisted living in Firma, MO

The average cost of senior living in Firma is $5,444 per month. Cheaper nearby regions include Warrenton, MO with an average of $4,706 per month.

Assisted living costs in Firma, MO, vs. state and national averages

Firma, MO
$5,444/mo
U.S. national average
$5,830/mo

Assisted living costs in Firma, MO, vs. other senior living options

Assisted Living
$5,444/mo
$6,603/mo

Assisted living costs in Firma, MO, by floor plan type

Semi-Private
$3,318/mo
Studio
$4,615/mo
1 Bedroom
$5,523/mo
2 Bedroom
$6,481/mo

Senior living costs in Firma 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: Firma, MO
Column state: Missouri
Column national: U.S.
Community typeFirma, MOMissouriU.S.
Assisted Living$5,444/mo$5,427/mo$5,830/mo
Memory Care$6,603/mo$6,733/mo$6,999/mo
Independent Living$3,659/mo$3,355/mo$3,520/mo
Assisted Living
Firma, MO:$5,444/mo
Missouri:$5,427/mo
U.S.:$5,830/mo
Memory Care
Firma, MO:$6,603/mo
Missouri:$6,733/mo
U.S.:$6,999/mo
Independent Living
Firma, MO:$3,659/mo
Missouri:$3,355/mo
U.S.:$3,520/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Firma, MO, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Firma 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.

Firma, MOMO stateNational

Assisted living cost trends in Firma, MO

The table below shows how monthly assisted living costs in Firma 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 average 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
Firma, MO$5,176/mo$5,150/mo+0.5%
Missouri$5,202/mo$4,977/mo+4.5%
National$5,510/mo$5,285/mo+4.2%
Firma, MO
2024 average cost:$5,176/mo
2023 average cost:$5,150/mo
Percent change:+0.5%
Missouri
2024 average cost:$5,202/mo
2023 average cost:$4,977/mo
Percent change:+4.5%
National
2024 average cost:$5,510/mo
2023 average cost:$5,285/mo
Percent change:+4.2%
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 Firma, MO

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 Firma.

What families are saying about assisted living in Firma

Recent reviews for assisted living in Firma

The Oaks of O'Fallon

5.0
Twin Oaks and their other facility are amazing! Even housekeeping is friendly and they don't cut corners. [Name removed], who gets you checked in, takes you on tours of the whole facility, answering any and all questions. The nursing staff always has time to help or advise families as life ...
Read more

Villas of Holly Brook Bethalto in East Alton, IL

5.0
So far they have been great. They have a Facebook page where they upload pictures of the residents doing the activities and they seem to really encourage them to participate. You are able to schedule times to eat with your loved ones and the meals look great and we have heard nothing but good ...
Read more

Reviews mention these favorite features of communities

Friendly and welcoming staff. Several reviews mention the kind and warm nature of the staff at various communities, such as The Boulevard of St. Charles Senior Living, who note that everyone seems to look out for each other and make new friends. Residents and their families at Clarendale of St. Peters express gratitude f ...
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Variety of activities and outings. Reviews highlight the wide range of activities and social events offered by communities, allowing residents to stay engaged and active. For example, at Garden Villas of O'Fallon, residents enjoy a bowling alley, movie theatre, and bus trips, while at Assisted Living at The Meadowlands, there ...
Read more
Attentive and responsive care. Many families share their appreciation for the attentiveness and quick response of staff when addressing their loved one's needs, such as in cases of falls and medical concerns. At Clarendale of St. Peters, the health director went above and beyond to address health concerns, while at Garden ...
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Onsite physical therapy and wellness programs. Reviews mention the onsite physical therapy and wellness programs at communities, contributing to residents' overall well-being and improving their quality of life. For instance, at The Boulevard of St. Charles Senior Living, residents participate in physical therapy sessions, and at Assisted ...
Read more
Clean and well-maintained facilities. Cleanliness and upkeep are common themes in reviews, with families praising the efforts made to keep both living spaces and common areas in excellent condition. At The Boulevard of St. Charles Senior Living, the community is described as clean and beautiful, while at Assisted Living at The Me ...
Read more
Supportive community atmosphere. Residents and their families express a sense of belonging and a supportive community atmosphere at various communities, such as Garden Villas of O'Fallon, where residents are described as happy and engaged, and Clarendale of St. Peters, where Clarendale has created a warm and friendly enviro ...
Read more
AI generated from the text of family reviews

Firma review score based on 848 family reviews

8.0
Review score166 facilities848 reviewsWrite a review
This proprietary review score is based on 848 reviews of 166 Firma assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Firma 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

Firma review score compared against nearby cities

8.0
Firma, MO166 facilities
7.8
Troy, MO128 facilities
7.8
Warrenton, MO129 facilities

Review subcategories for Firma 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 848 reviews of 166 Firma assisted living communities. This chart helps you compare Firma 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.
Firma, MO averageNational average
Cleanliness
3.2
3.4
Friendliness
3.2
3.5
Care services
2.9
3.2
Staff
3.1
3.4
Meals & dining
2.9
3.1
Activities
2.9
3.1
Value for cost*
2.9
3.1
0.01.02.03.04.05.0
*Learn more about cost details

Firma assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Firma assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Firma, 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 Firma 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 Firma that offer these care services compared to the percentage of partners that offer them nationally.
Firma, MONational
Full medication management
Full medication management
67.5%
53.4%
Doctor on call
Doctor on call
47.6%
34.6%
24-Hour awake staff
24-Hour awake staff
96.4%
96.1%
Diabetic care
Diabetic care
99.4%
97.7%
*Visiting health care professionals
*Visiting health care professionals
75.3%
57.6%
Home care agency on-site
Home care agency on-site
41%
30.6%
Non-ambulatory care
Non-ambulatory care
98.8%
96.8%
Respite or short term stays
Respite or short term stays
53%
47.9%
Hospice available on-site
Hospice available on-site
66.9%
53%
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 Firma 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 Firma Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Firma, MONational
Dementia behaviors care
Dementia behaviors care
60.8%
52%
Specialized memory care training for staff
Specialized memory care training for staff
41.6%
33.4%
Secured community and/or wander guard
Secured community and/or wander guard
55.4%
41.6%
Memory care only community
Memory care only community
19.3%
13.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Firma 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 Firma partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Firma, MONational
Nutritionist / dietician
Nutritionist / dietician
46.4%
28.1%
Low / no sodium
Low / no sodium
51.2%
42.1%
No sugar
No sugar
48.2%
38.5%
Vegetarian
Vegetarian
47.6%
37.4%
Pureed meals
Pureed meals
18.7%
19.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Firma 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 Firma communities that offer dining options to their discerning residents compared to our partners nationally.
Firma, MONational
Professional chef
Professional chef
42.2%
32.3%
Restaurant style dining
Restaurant style dining
57.8%
43.5%
Room service
Room service
46.4%
37.9%
Anytime dining
Anytime dining
36.1%
18.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Firma 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 Firma offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Firma, MONational
Activity director
Activity director
60.2%
47.5%
Pet-focused programs
Pet-focused programs
45.2%
31.8%
Community service programs
Community service programs
38.6%
31.3%
Devotional activities on-site
Devotional activities on-site
71.1%
50.3%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
68.7%
50.5%
Outings / off-site activities
Outings / off-site activities
68.7%
53.2%
Piano or organ
Piano or organ
59.6%
42.6%
Arts and crafts center
Arts and crafts center
49.4%
36.7%
Educational speakers / life long learning
Educational speakers / life long learning
53.6%
39.2%
Clubs / games / karaoke
Clubs / games / karaoke
64.5%
47.9%
Live performances
Live performances
60.8%
48%
Dances
Dances
44.6%
31.6%
Fitness center
Fitness center
45.8%
25.3%
Fitness classes
Fitness classes
65.1%
47.1%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Firma

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 Missouri assisted living regulations will help you understand how assisted living communities in Firma protect seniors.
Learn about Missouri assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Assisted Living at The Meadowlands, The Oaks of O'Fallon and Garden Villas South are the top-rated assisted living facilities near Firma, Missouri. See full list of communities.
There are 166 assisted living facilities near Firma, Missouri. See the full list.
The best assisted living facilities near you in Firma, Missouri are Garden Villas of O'Fallon, The Glenwood Supportive Living of Staunton and Clarendale Clayton. These assisted living communities received the highest rankings based on verified family reviews.
Photo cta image

More questions?

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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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