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 Otto, MO

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Assisted living costs in Otto average about $4,662 per month. To find the best assisted living options for your needs and budget, browse through 200 communities in Otto. Our detailed directory has 3269 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 St. Louis, Fenton and Kirkwood.

Otto Assisted Living Facilities | 3269 Reviews

Showing 184 communities
Last Updated: 12/9/25
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Photo of Twin City Residential Home(Mental Illness)
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
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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 Sunnyhill 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 Keaton Center
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.
Bethesda Southgate, known by residents of South St. Louis County for its quality skilled nursing care, recently received Accreditation by the Joint Commission of Healthcare organizations, an independent, not-for-profit national body that overseas the safety and quality of health care.Bethesda...
Photo of EverTrue Meramec Bluffs
5 star
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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.
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 Cape Albeon
5 star
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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 Crystal Oaks Assisted Living
44 Photos available
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.
Crystal Oaks Assisted Living is the ideal solution for seniors who value their independence, yet require assistance with daily activities such as bathing, dressing, and dispensing medications. Our Assisted Living includes a secured memory care unit. Additionally, Crystal Oaks offers short term...
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Photo of The Oaks at Bethesda
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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, 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 Bridges of Columbia offers the perfect mix of privacy,independance and community for people ready to live a more carefree lifestyle. With a comprehensive list of services and ammenities that are included in your monthly rent, we take the headaches of home ownership away so you can focus on...
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We moved into Independent Living at Mason Pointe a week after it opened. We love living here. The staff is always helpful and friendly. [name removed] and his leadership staff make Mason Pointe a place...
Provides: Assisted Living, Memory Care, 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.
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 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 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 The Riverview Care Center
5 star
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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 McKnight Place Assisted Living
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 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 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.
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 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 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 Jane Howell Stupp Apartments
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 Otto, MO

The average cost of senior living in Otto is $4,662 per month. Cheaper nearby regions include Hillsboro, MO with an average of $4,507 per month.

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

Otto, MO
$4,662/mo
$5,032/mo

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

Otto, MO
$4,662/mo
U.S. national average
$4,779/mo

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

Assisted Living
$4,662/mo
$5,552/mo

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

Semi-Private
$5,198/mo
Studio
$5,283/mo
1 Bedroom
$5,192/mo
2 Bedroom
$5,999/mo
Detached Cottage/Bungalow
$4,103/mo

Senior living costs in Otto 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: Otto, MO
Column state: Missouri
Column national: U.S.
Community typeOtto, MOMissouriU.S.
Assisted Living$4,662/mo$4,008/mo$4,779/mo
Memory Care$5,552/mo$5,473/mo$5,535/mo
Independent Living$3,994/mo$3,715/mo$4,184/mo
Assisted Living
Otto, MO:$4,662/mo
Missouri:$4,008/mo
U.S.:$4,779/mo
Memory Care
Otto, MO:$5,552/mo
Missouri:$5,473/mo
U.S.:$5,535/mo
Independent Living
Otto, MO:$3,994/mo
Missouri:$3,715/mo
U.S.:$4,184/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 Otto, MO, over time

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

Otto, MOMO stateNational

Assisted living cost trends in Otto, MO

The table below shows how monthly assisted living costs in Otto 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
Otto, MO$5,173/mo$5,150/mo+0.4%
Missouri$5,076/mo$4,857/mo+4.5%
National$5,375/mo$5,129/mo+4.8%
Otto, MO
2024 average cost:$5,173/mo
2023 average cost:$5,150/mo
Percent change:+0.4%
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 Otto, 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 Otto.

What families are saying about assisted living in Otto

Recent reviews for assisted living in Otto

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

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 ...
Read more

Reviews mention these favorite features of communities

Friendly and helpful staff. Several reviews praise the kindness and attentiveness of the staff at various communities, such as Garden Villas of O'Fallon, Southview Assisted Living and Memory Care, and Oak Pointe of Washington, a Viva Community. Residents and their families appreciate the personalized care and respons ...
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Variety of activities. Communities like The Boulevard of St. Charles Senior Living, Hampton Manor of Wentzville, and Brookdale West County offer a range of activities tailored to residents' interests. From social events and games to outings and hobbies, these offerings allow seniors to stay engaged and active in ...
Read more
Clean and well-maintained facilities. Reviews consistently mention the importance of cleanliness and upkeep, as seen in communities like Bristol Manor of Washington, Southview Assisted Living and Memory Care, and Creve Coeur Assisted Living. These residents and their families value the efforts made to keep both living spaces a ...
Read more
Personalized care and accommodations. Several communities, such as Garden Villas of O'Fallon, The Boulevard of St. Charles Senior Living, and Keystone Place at Magnolia Commons, highlight the importance of personalized care and accommodations for residents. This may include assisting with daily living tasks, customized meal pl ...
Read more
Excellent communication between staff and families. Families of residents at Brookdale West County, Charter Senior Living of Shiloh, and Sunrise of Des Peres appreciate the open and consistent communication from staff. This includes updates on care, feedback and question opportunities, and a strong sense of partnership in ensuring loved one ...
Read more
Supportive and inclusive community. Reviews from communities like Garden Villas of O'Fallon, Clarendale of St. Peters, and Park Place Senior Living at Winghaven emphasize the sense of warmth and inclusivity among residents and staff. This atmosphere contributes to a positive living experience and fosters meaningful social co ...
Read more
AI generated from the text of family reviews

Otto review score based on 812 family reviews

7.9
Review score184 facilities812 reviewsWrite a review
This proprietary review score is based on 812 reviews of 184 Otto assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Otto 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

Otto review score compared against nearby cities

7.9
Otto, MO184 facilities
7.3
Scotsdale, MO20 facilities
6.1
Byrnes Mill, MO6 facilities

Review subcategories for Otto 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 812 reviews of 184 Otto assisted living communities. This chart helps you compare Otto 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.
Otto, MO averageNational average
Cleanliness
3.8
4.1
Friendliness
3.9
4.2
Care services
3.4
3.8
Staff
3.7
4.0
Meals & dining
3.5
3.7
Activities
3.5
3.7
Value for cost*
3.5
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Otto assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Otto assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Otto, 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 Otto 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 Otto that offer these care services compared to the percentage of partners that offer them nationally.
Otto, MONational
Full medication management
Full medication management
63.6%
52.5%
Doctor on call
Doctor on call
41.8%
33.8%
24-Hour awake staff
24-Hour awake staff
97.3%
96.1%
Diabetic care
Diabetic care
100%
97.6%
*Visiting health care professionals
*Visiting health care professionals
70.1%
56.7%
Home care agency on-site
Home care agency on-site
37%
30%
Non-ambulatory care
Non-ambulatory care
99.5%
96.7%
Respite or short term stays
Respite or short term stays
51.1%
47.6%
Hospice available on-site
Hospice available on-site
62%
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 Otto 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 Otto Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Otto, MONational
Dementia behaviors care
Dementia behaviors care
58.7%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
41.3%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
51.1%
41.1%
Memory care only community
Memory care only community
14.7%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Otto 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 Otto partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Otto, MONational
Nutritionist / dietician
Nutritionist / dietician
43.5%
27.2%
Low / no sodium
Low / no sodium
48.9%
40.9%
No sugar
No sugar
45.1%
37.5%
Vegetarian
Vegetarian
44%
36.2%
Pureed meals
Pureed meals
17.4%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Otto 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 Otto communities that offer dining options to their discerning residents compared to our partners nationally.
Otto, MONational
Professional chef
Professional chef
38%
31.5%
Restaurant style dining
Restaurant style dining
54.9%
42.3%
Room service
Room service
42.9%
36.7%
Anytime dining
Anytime dining
32.6%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Otto 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 Otto offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Otto, MONational
Activity director
Activity director
57.6%
46.4%
Pet-focused programs
Pet-focused programs
41.3%
31%
Community service programs
Community service programs
36.4%
30.4%
Devotional activities on-site
Devotional activities on-site
65.8%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
64.7%
49.3%
Outings / off-site activities
Outings / off-site activities
64.7%
52.3%
Piano or organ
Piano or organ
55.4%
41.3%
Arts and crafts center
Arts and crafts center
45.1%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
50.5%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
60.3%
46.8%
Live performances
Live performances
57.6%
46.9%
Dances
Dances
41.8%
30.5%
Fitness center
Fitness center
41.8%
24.6%
Fitness classes
Fitness classes
59.8%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Otto

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

Frequently Asked Questions

Keystone Place at Magnolia Commons, Garden Villas of O'Fallon and The Boulevard of St. Charles Senior Living are the top-rated assisted living facilities near Otto, Missouri. See full list of communities.
There are 200 assisted living facilities near Otto, Missouri. See the full list.
The best assisted living facilities near you in Otto, 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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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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