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 Middletown, MO

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Assisted living costs in Middletown average about $3,857 per month. To find the best assisted living options for your needs and budget, browse through 58 communities in Middletown. Our detailed directory has 786 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 Mexico, Auburn and Jonesburg.

Middletown Assisted Living Facilities | 786 Reviews

Showing 54 communities
Last Updated: 12/9/25
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5 star
43%
4 star
29%
3 star
14%
2 star
0%
1 star
14%
See all reviews
I went to Bayberry again today. The care was much better. They were helping the people eat that are not able to eat on there own. It definitely made me feel better.
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.
Located two miles north of I-64 in St. Charles County, Breeze Park’s personal services and on-site conveniences help you lead an independent, stimulating lifestyle.Breeze Park is close to historic St. Charles, Lake St. Louis, and Chesterfield. Physicians, entertainment, churches, pharmacies, and...
Photo of EverTrue Lenoir Woods
5 star
87%
4 star
13%
3 star
0%
2 star
0%
1 star
0%
See all reviews
First I want to thank the hard working staff of Lenoir Woods in making my transition to my new home easy. As we age change can be challenging but I was given information about my new house making the move...
Provides: Assisted Living, Memory Care, Independent Living, Nursing Homes, Senior Apartments
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.
Senior Apartments: Senior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.
An active lifestyle. Freedom from the hassles of home repairs. Priority access to quality health care. A community of close friends. It’s all here at Lenoir Woods.Nestled in the beautiful wooded Columbia countryside, our community offers a full continuum of services – from independent living and...
Photo of TigerPlace, Bluff Creek Terrace and Arbors
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.
TigerPlace is an exciting new concept in community living for seniors that has been developed as a collaboration between Americare and the University of Missouri’s Sinclair School of Nursing. Our intimate community just minutes from campus, offers both one and two-bedroom apartments complete...
Photo of Villages of St. Peters
5 star
20%
4 star
20%
3 star
20%
2 star
0%
1 star
40%
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.
RehabilitationOur state-of-the-art therapy room will be equipped to meet the needs of virtually any rehabilitation client at the Villages of St. Peters. All three therapy disciplines – physical, occupational, and speech – will be represented in our portfolio of rehabilitation services....
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Cost of assisted living in Middletown, MO

The average cost of senior living in Middletown is $3,857 per month. Cheaper nearby regions include Vandalia, MO with an average of $3,318 per month.

Assisted living costs in Middletown, MO, vs. nearby cities

Middletown, MO
$3,857/mo

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

Middletown, MO
$3,857/mo
U.S. national average
$4,780/mo

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

Assisted Living
$3,857/mo
$5,190/mo

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

Semi-Private
$6,162/mo
Studio
$5,553/mo
1 Bedroom
$5,137/mo
2 Bedroom
$6,031/mo
Detached Cottage/Bungalow
$4,988/mo

Senior living costs in Middletown 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: Middletown, MO
Column state: Missouri
Column national: U.S.
Community typeMiddletown, MOMissouriU.S.
Assisted Living$3,857/mo$4,008/mo$4,780/mo
Memory Care$5,190/mo$5,473/mo$5,537/mo
Independent Living$4,164/mo$3,717/mo$4,187/mo
Assisted Living
Middletown, MO:$3,857/mo
Missouri:$4,008/mo
U.S.:$4,780/mo
Memory Care
Middletown, MO:$5,190/mo
Missouri:$5,473/mo
U.S.:$5,537/mo
Independent Living
Middletown, MO:$4,164/mo
Missouri:$3,717/mo
U.S.:$4,187/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 Middletown, MO, over time

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

Middletown, MOMO stateNational

Assisted living cost trends in Middletown, MO

The table below shows how monthly assisted living costs in Middletown 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
Middletown, MO$5,595/mo$5,235/mo+6.9%
Missouri$5,076/mo$4,857/mo+4.5%
National$5,375/mo$5,129/mo+4.8%
Middletown, MO
2024 average cost:$5,595/mo
2023 average cost:$5,235/mo
Percent change:+6.9%
Missouri
2024 average cost:$5,076/mo
2023 average cost:$4,857/mo
Percent change:+4.5%
National
2024 average cost:$5,375/mo
2023 average cost:$5,129/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 Middletown, 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 Middletown.

What families are saying about assisted living in Middletown

Recent reviews for assisted living in Middletown

Bluff Creek Terrace Assisted Living in Columbia, MO

5.0
I am happy with the care that my mother-in-law gets here. The staff are doing a good job and they communicate with me well. I think my mother-in-law likes the meals, she is eating the meals. I would recommend them to my family or friends.

EverTrue Breeze Park in St. Charles, MO

4.0
They are pretty good. It's very clean. The staff is pretty friendly. They have stuff going on for activities, but they told me they take them out at least once a week, they told us they had a bus with a lift, and they don't. They told us when she was there she would be able to eat in any of the ...
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Bristol Manor of Wentzville

5.0
We love it and mom loves it, it's more homey than she is used to. We love Suzy and hate that she's leaving. It's perfect because of how small it is. She has found a rummy partner, so she stays busy. I liked that she is eating meals with someone rather than alone. She likes the food, and has ...
Read more

Reviews mention these favorite features of communities

Friendly and helpful staff. Several reviews from communities The Vero of O'Fallon, The Boulevard Senior Living of Wentzville, and Park Place Senior Living at Winghaven praise the friendly and helpful nature of the staff members. Residents and their families appreciate the care and attention they receive from the staf ...
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Variety of activities. Communities such as The Vero of O'Fallon, Assisted Living at The Meadowlands, and Clarendale of St. Peters offer a wide range of activities tailored to residents' interests. From bingo to ice cream socials, these activities help keep residents engaged and active.
High-quality meals. Meals are a highlight for many residents and their families in communities like The Boulevard Senior Living of Wentzville, Garden Villas of O'Fallon, and Bristol Manor of Washington. The quality of the food is a significant factor in overall satisfaction, with some communities even accommo ...
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Cleanliness and maintenance. Clean and well-maintained living spaces are a priority for residents and their families in communities such as Assisted Living at The Meadowlands, Oak Pointe Assisted Living, and Clarendale of St. Peters. Regular maintenance and housekeeping ensure a comfortable and hygienic living environ ...
Read more
Individualized care. Personalized care and attention for residents are emphasized in communities like Garden Villas of O'Fallon, Bluff Creek Terrace Assisted Living, and Park Place Senior Living at Winghaven. Families value the individualized approach and care for their loved ones.
Communication and transparency. Clear communication is essential for both residents and their families. Communities such as The Vero of O'Fallon, Clarendale of St. Peters, and Garden Villas of O'Fallon prioritize transparency, ensuring everyone is informed about their loved ones' care and well-being.
AI generated from the text of family reviews

Middletown review score based on 170 family reviews

7.8
Review score54 facilities170 reviewsWrite a review
This proprietary review score is based on 170 reviews of 54 Middletown assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Middletown 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

Middletown review score compared against nearby cities

7.8
Middletown, MO54 facilities
7.1
Wellsville, MO63 facilities
8.1
Bellflower, MO78 facilities

Review subcategories for Middletown 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 170 reviews of 54 Middletown assisted living communities. This chart helps you compare Middletown 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.
Middletown, MO averageNational average
Cleanliness
4.2
4.1
Friendliness
4.4
4.2
Care services
4.0
3.8
Staff
4.2
4.0
Meals & dining
3.9
3.7
Activities
4.1
3.7
Value for cost*
3.8
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Middletown assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Middletown assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Middletown, 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 Middletown 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 Middletown that offer these care services compared to the percentage of partners that offer them nationally.
Middletown, MONational
Full medication management
Full medication management
68.5%
52.5%
Doctor on call
Doctor on call
50%
33.8%
24-Hour awake staff
24-Hour awake staff
94.4%
96.1%
Diabetic care
Diabetic care
100%
97.6%
*Visiting health care professionals
*Visiting health care professionals
75.9%
56.7%
Home care agency on-site
Home care agency on-site
42.6%
30%
Non-ambulatory care
Non-ambulatory care
100%
96.7%
Respite or short term stays
Respite or short term stays
64.8%
47.6%
Hospice available on-site
Hospice available on-site
64.8%
52.4%
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 Middletown 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 Middletown Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Middletown, MONational
Dementia behaviors care
Dementia behaviors care
63%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
27.8%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
57.4%
41.1%
Memory care only community
Memory care only community
14.8%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Middletown 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 Middletown partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Middletown, MONational
Nutritionist / dietician
Nutritionist / dietician
31.5%
27.2%
Low / no sodium
Low / no sodium
42.6%
40.9%
No sugar
No sugar
59.3%
37.5%
Vegetarian
Vegetarian
42.6%
36.2%
Pureed meals
Pureed meals
13%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Middletown 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 Middletown communities that offer dining options to their discerning residents compared to our partners nationally.
Middletown, MONational
Professional chef
Professional chef
20.4%
31.5%
Restaurant style dining
Restaurant style dining
37%
42.3%
Room service
Room service
25.9%
36.7%
Anytime dining
Anytime dining
16.7%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Middletown 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 Middletown offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Middletown, MONational
Activity director
Activity director
38.9%
46.4%
Pet-focused programs
Pet-focused programs
22.2%
31%
Community service programs
Community service programs
24.1%
30.4%
Devotional activities on-site
Devotional activities on-site
66.7%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
64.8%
49.3%
Outings / off-site activities
Outings / off-site activities
57.4%
52.3%
Piano or organ
Piano or organ
38.9%
41.3%
Arts and crafts center
Arts and crafts center
25.9%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
35.2%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
48.1%
46.8%
Live performances
Live performances
42.6%
46.9%
Dances
Dances
25.9%
30.5%
Fitness center
Fitness center
24.1%
24.6%
Fitness classes
Fitness classes
48.1%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Middletown

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 Middletown protect seniors.
Learn about Missouri assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Garden Villas of O'Fallon, The Vero of O'Fallon and Assisted Living at The Meadowlands are the top-rated assisted living facilities near Middletown, Missouri. See full list of communities.
There are 58 assisted living facilities near Middletown, Missouri. See the full list.
The best assisted living facilities near you in Middletown, Missouri are Garden Villas of O'Fallon and The Vero of O'Fallon. These assisted living communities received the highest rankings based on verified family reviews.
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