Clarendale of St. Peters

10 Dubray Dr, St. Peters, MO 63376

4.8 / 5.0 99 Reviews

Pricing & Availability

(800) 755-1458

Contact Resident

(636) 706-5100

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About Clarendale of St. Peters

Clarendale of St. Peters provides a number of living solutions. Our senior residents can find the right fit for them. Located in St. Peters, Our community is accessible to all the local shopping, restaurants, and outdoor activities available in St. Peters. Hospitals, physicians, and rehabilitation centers can all be reached in a short drive.

Every day is an opportunity filled endless choices for our senior residents to enrich their lives. Residents can pursue favorite activities or pursue new ones. We have regularly scheduled events every month as well clubs and a social dining setting. Our goal is to always foster an atmosphere that fills our residents with inspiration and to live their lives to the fullest. Our staff is warm and friendly and is here to serve our seniors among the beautiful surroundings of our community.

Clarendale of St. Peters Senior Living & Care

Independent Living

Healthy seniors in St. Peters can find an active retirement lifestyle at Clarendale of St. Peters Independent Living. With an age restriction, this community offers a maintenance-free life and a range of social activities. Clarendale of St. Peters Independent Living empowers you to cultivate your interests and maximize your retirement journey.

Assisted Living

Seniors in St. Peters discover a nurturing community at Clarendale of St. Peters Assisted Living, fostering independence with gentle support. The community offers aid with daily living, shared recreational spaces, and constant staff support. At Clarendale of St. Peters Assisted Living, you'll find comfort in knowing that dedicated professionals are committed to your or your loved one's care.

Memory Care

Clarendale of St. Peters Memory Care in St. Peters excels in providing respectful and professional care for individuals with Alzheimer's and dementia. Residents receive individualized care plans, enjoy a secure facility, and engage in activities that stimulate cognitive functions. Clarendale of St. Peters Memory Care elevates daily life for your loved ones facing the challenges of dementia, giving you peace of mind.

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By clicking Request Free Info, you agree to our Terms of Use and Privacy Policy. You also consent to receive texts and calls, which may be autodialed, from us and our partner providers; however, your consent is not a condition to using our service.

Clarendale of St. Peters Amenities & Services

Indoor Common Areas, Activities Onsite, Outdoor Common Areas, Meals Provided, Beautician Onsite, Activities Offsite, Devotional Services Offsite and other perks are available to all residents. Seniors enjoy the comfort of their new home while our friendly, well-trained staff is available for anything they may need or want.

We know that seniors need varying degrees of help as they get older, but still want to feel independent. Our facility has Memory Care Services, Medication Reminders, Housekeeping provided and other assistance. We try to make sure that each resident is able to maintain a full life while staying with us.

Residents enjoy of a full schedule of social, educational and entertaining activities. Our structured program helps all residents maintain a high quality of life. Many of our activities encourage members to socialize and develop friendships with other residents. We make sure the activities are fun and entertaining.

If you have interest in visiting our community in St. Peters and would like to have a closer look, just give us a call at (800) 755-1458 to schedule an appointment.

Clarendale of St. Peters Location

Clarendale of St. Peters

10 Dubray Dr, St. Peters, MO 63376

Pricing & Availability

(800) 755-1458

Available Living Options

  • Assisted Living
  • Independent Living
  • Memory Care

Contact Us to Get Pricing & Schedule Tours

* Required Fields

By clicking Request Free Info, you agree to our Terms of Use and Privacy Policy. You also consent to receive texts and calls, which may be autodialed, from us and our partner providers; however, your consent is not a condition to using our service.


Prefer to speak to a live person? Talk to a local senior living advisor today

(800) 755-1458

Clarendale of St. Peters Frequently Asked Questions

What does Clarendale of St. Peters cost?

The cost of services at Clarendale of St. Peters is determined by the type of living and care, which includes independent living, assisted living, and memory care. Pricing is based on care type, staffing, and support required. Additional services like wellness programs, personal hygiene care, and cognitive support may affect the total cost. Call (800) 755-1458 for customized quotes and tailored pricing.

Does Clarendale of St. Peters take Medicare or Medicaid?

Assisted living, independent living, and memory care are not covered by Medicare because they are classified as non-medical services. Physical therapy, doctor visits, and other medical services may be covered under Medicare if prescribed. Medicaid may help with the costs of memory care or assisted living through specific state programs but does not typically include independent living. To discuss your eligibility, call (800) 755-1458 to speak with a senior advisor.

What types of living and care are available at Clarendale of St. Peters?

Seniors at Clarendale of St. Peters can choose from independent living, assisted living, and memory care services tailored to their preferences. Independent living promotes freedom and connection, assisted living provides daily support, and memory care offers expert care for cognitive challenges.

Is there a waiting list at Clarendale of St. Peters?

Available units at Clarendale of St. Peters may vary daily. Call (800) 755-1458 to talk with a senior living advisor for current openings. When no units are currently vacant, a waiting list provides future placement opportunities.

Is it possible to tour Clarendale of St. Peters?

Yes, you can take a tour of Clarendale of St. Peters. Call or use the contact form to set up your visit and experience the community firsthand.

Is Clarendale of St. Peters rated high?

Clarendale of St. Peters has a 4.8 rating, reflecting very positive feedback. Users praised the independent living, assisted living, and memory care, highlighting the professional staff, clean facilities, and inviting community.

Reviews Clarendale of St. Peters

4.8 / 5.0 99 Reviews

Write a Review

August 2025

Clay Murray Family

Choosing a Memory Care facility for a loved one is a very daunting task. My family and I chose Clarendale St. Peters for my wife, who was diagnosed with Alzheimer's. The facility is exceptionally clean, and the environment, very safe. The staff is very friendly, caring, and supportive, to both the residents and their families. We had very positive experiences with the personnel, at all levels...the Director of Memory Care, the Director of Health Services, the nurse and individual staff members who provide the day to day care, as well as the front desk, maintenance, and various office staff. They're all welcoming, personable, and eager to meet you and your loved one's ongoing and changing needs. They treated my wife with dignity and respect. Our concerns were heard and addressed, and issues were dealt with in a proactive manner. My wife went to be with her Lord and Savior three months ago, and with now having had time to look back and reflect, my family and I are very grateful that she was surrounded by warm, caring, and conscientious caregivers in her last days.

October 2024

Google

Jeff Keller

I would not let my mom live anywhere else you all are so great

October 2024

Google

cindi dobin

Very friendly staff, very clean

October 2024

Google

Carrie Weathers

All the staff at Clarendale are so supportive and great! My father has received the upmost care. Our family can rest comfortably at night knowing that he is well taken care of.

October 2024

Google

Cynthia Proehl

Great friendly people. Clean facility and great food.

October 2024

Google

Theresa Martin

Food service could be better

October 2024

Google

Steve Krebs

Residents and staff are so friendly!!

September 2024

Google

Margarita Thurston

Very friendly staff.

September 2024

Google

Michael Hughes

Check in was easy at this beautiful facility. I came away knowing that my family member is in a safe place where she has freedom and is well cared for.

September 2024

Google

Bob Wootten

The minute we walked in the door we were welcomed!

August 2024

Google

mary jung

Everything is clean and the staff is friendly and helpful

August 2024

Google

Janet Cavender

My mother just signed a lease and got her keys. We're very pleased with all the care we've see so far. Shes looking forward to taking part in many of the activities.

August 2024

Google

jack Keller

Love the friendly staff. And having the ability to bring my dog to visit her grandma!

August 2024

Google

Bob Farroll

Visited with my mom today. I asked about the cleaning process for her room and she mentioned that it was okay. I noted with my sister that there was an accumulation of dust on her computer table and the bathroom floor was filthy. Please look into this for my mom's health and well being. We ate lunch with my mom and we met a few of your shining stars as we saw them. Emma, Dakota and Zander were very attentive with our mom and made the time we shared at lunch very pleasant.

July 2024

Google

Mary Cancila

July 2024

Google

Denise

Everyone pleasant and the atmosphere is warm and inviting and immaculately clean.

July 2024

Google

Walter Roddy

Love telling the staff jokes . Very friendly

July 2024

Google

Lauren Leasor

June 2024

Google

Kim Lanham

Looked at this community for my father. Staff was wonderful and very professional. I can definitely see my father living here.

June 2024

Google

Debbie Reape

Welcoming people and overall positive energy when you walk in.

May 2024

Google

Lisa Love

I called and spoke with Sharon Barnhart today and she gave me so much to information that was helpful in making the tough decisions necessary for my mother. I cannot express my gratitude for her knowledge and understanding.

May 2024

Google

PhilB1970

Very clean facility. Really nice set up. Would have no problems whatsoever with my mom moving in here. Thank you Sharon for the tour.

May 2024

Google

Jermaine Green

April 2024

Google

Alan Thome

April 2024

Google

Cathie Farroll

The staff are warm and friendly. My Mom is so happy to be living there. And we, her children, are pleased with the care and social benefits of Clarendale. Update March 2024: Clarendale continues to be a great place for my Mom. She is happy and her health continues to be pretty good. The staff are caring and my Mom feels safe and content. Three years and we are all still very happy with every aspect of her care.

April 2024

Google

Troyanna Brown

The staff was very nice enjoy my day there

April 2024

Google

Pat Perotti

Very friendly

April 2024

Google

Mary Mistretta

April 2024

Google

Pat Olson

Everyone was very upfront with everything. The facility is so pretty and kept up very well.

April 2024

Google

Lail Sevick M Tornetto

Bright and clean ,smells ok

April 2024

Google

Stephen Hilderbrand

A clean and secure environment for my Dad. He's been enjoying his time here.

April 2024

Google

kcenger1

Always impressed with the staff and their treatment of residents and families.

March 2024

Google

Svetlana Honore

Ingrid is an amazing care taker even though she eorks at the desk!

March 2024

Google

Billy D

I honestly can't think of a better place for my Mom. The staff is amazing. Incredibly friendly, helpful, and accommodating.

March 2024

Google

Mark Schoor

Everything clean. Everyone kind and professional. The Clarendale has everything I'll need to have a happy and full life with all there is to do. Everyone I met was happy and friendly, both residents and staff made you feel at home. Looking forward to moving in.

February 2024

Google

Judy Riefle

February 2024

Google

Peter Kielar

February 2024

Google

Pat Patton

The apartment was not clean.

February 2024

Google

Carol Stadler

Dad is so happy living at Clarendale. Thank you

February 2024

Linda Mooney-Nash

My Twin and I visited the Clarendale Clayton,7651 Clayton. We were greeted by Ms. Lynne Sugerman. Ms Lynne gave me and my sister a warm and cheerful welcome. As we look about the facility it was as pleasant as Ms. Lynne was. She gave us the Grand tour. As Ms .Lynn walked us through and viewed the different types of apartments and amenities that Clarendale offered, we were very impressed of how well she knew just what we wanted to see. She was not only knowledgeable of Clarendale and its amenities, but very friendly as well as patient in her approach in what our needs were. She took the time and answered all of our questions and even as we walked through she greeted and introduced us to a couple of tenants that lived there as we pass by. Clarendale has the most beautiful luxury living for Seniors. When twin and I are ready we will give Ms. Lynn a call to make some arrangement. Clarendale is by far a great place I would like to live. Thank you Ms. Lynn for showing us Clarendale Apartment Senior Living.

January 2024

Google

Arthur Goodwin

Really like and appreciate the staff in the memory wing. They are so kind with residents and visitors alike!

December 2023

Google

Jeanne Lovelace

December 2023

Google

Jeri Keck

It's very pleasant. Has been a very hard transition for our family to put mom in memory care as well as for herself. The staff has been very helpful and supportive. Thank you!

December 2023

Google

Kimm mmiK

December 2023

Google

Mike Hall

Had fun participating in Wii bowling with my dad and some of the residents. Receptionist is always warm and welcoming when I walk in.

December 2023

Google

Rob E

Staff is always helpful

December 2023

Google

Jamie Garofalo

December 2023

Google

Chris Garrison

December 2023

Google

David Clearwood

A warm, congenial senior home facility with warm and friendly staff. It was a delight to visit this establishment.

November 2023

Google

Nansie Rice

I have lived in an Independent Living apartment at Clarendale of St. Peters, MO, for a year and a half; and find it to be an excellent place to live independently in my retirement years. I love the freedom to come and go as I please while not having to be concerned with maintenance or repairs or upkeep of any type. Additionally, the social life is wonderful. I can chose to take part in as many in house activities such as cards, games, classes, musical programs, etc, as I wish, along with transportation being provided weekly to church and to many of the museums, concerts, and other activities we frequently attend as a group in the St. Louis area. This includes a weekend trip to Branson that I participated in just a week ago that was so well organized and fun and thoroughly enjoyed by all that took part. I am moved to finally write this review today (something I have been intending to do previously) because I just enjoyed a wonderful Thanksgiving Dinner Buffet, that was delicious, and enjoyed by residents, many with their families. In addition to the food being delicious and beautifully presented, the service by the kitchen/dining staff was superb. Everyone I spoke to agreed that it was a wonderful meal. Finally, I have to compliment the entire CSP staff, from the Director to the maintenance people - they are all very capable, do a good job for us, while always being kind, understanding and helpful (and fun) to be around. It is a truly a pleasure to live here and I am thankful.

November 2023

Google

Kelly Pettis

What a great facility! I moved my grandpa into the senior independent living area and he loves it. The staff is unbelievably caring and kind. They go out of their way to make everyone feel at home. They have helped my grandpa so much. With no hesitation they have helped him in every way. For example, setting up his WiFi to adjusting his thermostat. The staff is amazing and the facility is so clean. I love knowing that he is getting taken care of by kind and generous people that care and make everyone feel welcome.

November 2023

Google

Diana Fuld

The Clarendale is a lovely community with friendly and competent staff. They helped us with so many questions as we moved our mother into the independent living apartment. She enjoys the variety of the dishes on the menus and finds the food to be tasty. We are quite pleased with The Clarendale.

November 2023

Google

Thomas Roam

Had a wonderful 95 th birthday party for our mother at the 2nd floor lounge

November 2023

Google

Larry Deane

October 2023

Peggy LaRocca

As much as I liked this place when my mom was in assisted living, I thought they lacked care in Memory Care. My mom fell, broke her hip and passed away. They are a great facility but cannot handle acute care.

October 2023

Google

Joe Cordani

We moved here about the middle of September….the food sucks… Calling it awful would be a compliment. Calling the meals "chefs selection" should be changed to " Gruel choice of the day"

October 2023

Google

Carol Meyer

October 2023

Google

Holly Lane

We are looking at options for a downsize for a loved one. Sharon took the time to get to know what the reasons are for the need and what is most important when considering a place. Then She showed us independent living apartments and other spaces of the community that matched those needs. All the team members were very friendly and the Building was very clean and spacious. We saw residents around who were happy and friendly, as well. Because she took the time to ask questions about the need and details about my family member on the initial phone call, we left there w some of her favorite treats.

October 2023

Google

Peggy Pearl

Staff is very friendly and attentive to their residents needs. The facility is very clean and beautifully decorated.

September 2023

Google

Chris Sanz-Agero

This review is specifically for Tracy the concierge, who, without fail, always greets everyone with a smile and good attitude. While all your staff seem fine, Tracy is top tier and projects the best attitude with a positive outlook that is contagious.

September 2023

Google

Patricia Maggi

Angela serving in the dinning room has been very helpful. She is always willing to go the extra mile for all of all needs.

September 2023

Google

jerry king

Very clean facility, and extremely helpful. Would recommend for a loved one.

September 2023

Google

Joe Rector

September 2023

Google

Robert Shelby

Residents are very active with lots of smiles. Excellent staff, great food and beautiful building!

August 2023

Google

Wanita McPherson

I have been in many senior citizen facilities and Clarendale is one of the best I've ever seen. The staff friendly and welcoming, facility modern, well decorated and is a wonderful home for our dear friend!!

August 2023

Google

Varnell Woods

My name is Varnell woods and I was recently refered to Clarendale Senior living community, I scheduled an appointment to meet with Stephanie Groennert ( The Sales and Marketing manger) I could not have asked for a better represenative of Clarendale, she was very approachable and informatively ingaging, she met with a senior couple that I am seeking placement for, and she was awesome. I beleive that they are going to take advantage of the oppurtunity to live there, but if they don't, I will not hasitate to refer someone else to Clarendale!! P.S. All the staff reflected the same attitude of service....Awesome place!

July 2023

Google

coldwarriorUSAF

We are so glad that Mom moved in to the Clarendale. She's very happy and feels safe. I'm extremely impressed with the whole experience. Friendly people and an upbeat atmosphere. Keep up the good work.

July 2023

Google

gina loomer

What a spectacular community! I was in town and stopped to visit a family member. The first thing I noticed was how friendly the staff were. Everything appeared so clean and fresh. It was great to see my family member enjoying where she is and so happy to be there!

July 2023

Google

Dale Catt

Picked up my aunt to go grocery shopping. Ingrid was very friendly and engaging as usual! I took her groceries up to her room using one of Clarendale's carts. She also showed me the raised beds on the patio, and she is excited to plant her vegetables this spring!

July 2023

Google

Melissa Dempsey

June 2023

Google

Linda Rehnquist

Just toured this community for my elderly mom. It is so clean, well designed, and the staff is great.

June 2023

Google

Mike Cassimatis

This place is amazing. Staff is over the top.

June 2023

Google

krs patel

June 2023

Google

Bruce Boaz

The staff members are always friendly and helpful. It's a beautiful facility that is well maintained.

June 2023

Google

David Buehrle

May 2023

Google

Diana

Clarendale has an amazing staff that has the best interest of the residents in mind. They are kind, caring and genuine. Thank you for all that you do!

May 2023

Google

Susan Mcclellan

Helped a friend move into the assisted living facility at Clarendale St. Peter's Mo. and every single person I have countered from head of marketing, nursing , front desk ,maintenance, dining could not have been more helpful and courteous. What a wonderful place !!!

May 2023

Google

John Buehrle

Was very disappointed to walk in and have the place smell of urine. I know this is a constant battle, but a place like Clarendale should never have this smell. It was strong and through all of memory care. Was really impressed with the new gaming system that uses a projector and a table to display games. Was able to watch the residents interact with it. Awesome system. As my sister Diana Fichter walked by a nurse, her name was Raquel or something close, Raquel not knowing I was with Diana, turned back toward her and gave her a terrible snare look. Very inappropriate.

May 2023

Google

Donna Conlin

May 2023

Google

emily kjelstad

May 2023

Google

Rena Ready

Hoping there is a way to keep Zumwalt from smelling like a nursing facility, when you walk in the door! Sometimes it is really embarrassing to bring visitors!

May 2023

Google

Sara Blackthorn

This was my first visit to see my grandma and I was very pleased with the place and staff. Kelli was especially helpful and very kind. She helped me get my grandma some dinner and answered any questions I had. She was awesome!

April 2023

Google

Charles Plummer

April 2023

Google

Amy Berra

This place is beautiful but more importantly their care is phenomenal, best management!! Highly recommend to any family looking for an Assisted Living in the area!!

April 2023

Google

barry white

I visited Clarendale of St. Peters and I feel that the staff truly cares for the residents. The many different activities and events offered by the life enrichment team help to make these residents happier. I recommend Clarendale to my loved ones!

April 2023

Google

Donnie Whalen

My dad is in assisted living there. Friendly, helpful staff - always ready to help. The facility is clean and lovely, and the activities are great and varied.

March 2023

Google

Brian Vance

When I visited, I was very impressed with how friendly the staff was, it happened to be around the holiday season, and I was able to see the Christmas performance which was very enjoyable.

March 2023

Google

Sam C.

Clarendale of St. Peters is a great community! If you are looking for yourself or a loved one, Clarendale is the place to look. Everytime I visit the staff are always very friendly and accommodating!

March 2023

Google

Susan Martino-Catt

My aunt has been a resident of Clarendale for almost 3 years, first in independent living and for the last couple of years in assisted living. Overall, we have been happy with the care she has received even during times of high employee turnover and bouts of COVID. The positive experience in the last month has tanked due to an infestation of bed bugs and an irresponsible response to this. My aunt began to notice a "rash" on her arms about a month ago. This continued to worsen resulting in multiple trips to the doctor and very expensive prescription creams. Last week she found what looked to be bed bugs in her bedroom. The management brought in a professional exterminator (Rottler) and I was told the room had been treated and all was fine. She remained in the room. Yesterday I was with her and noticed she was completely covered with a set of new bites/rashes from head to toe. She had caught a few live bedbugs. I spoke with management and was told the treatment was a 4 week process and there most likely was hatching of larva resulting in the new bugs and bites. This is outrageous....if I knew the treatment wasn't a one and done I would never have left her in the room. The facility guy claimed ignorance of bugs and said he was just following protocol. I don't know what kind of protocol allows an elderly person to stay in a room that is known to have active bed bugs! I have since brought my aunt into my home where she is in a safe and clean environment. I plan to keep her here until Clarendale can guarantee the cleanliness and bug-free nature of her room. Her mental state along with her physical state are in shambles due to the stress of this situation. No one should endure this. I would have appreciated more transparency about the scope of the infestation and what measures were being taken to rectify. At this point, I believe the entire building needs to be treated (common areas as well as resident rooms) or this will just continue to be a problem. As I said, we have been fairly pleased with the care my aunt has received but this whole situation is making me look for alternatives.

March 2023

Google

Jim Ferguson

Beautiful place and employees were very helpful Thanks

March 2023

Google

Barbara Brown

We had a birthday party for my dad today in the Beleveder room and it was great. Loved the welcoming birthday sign for day. As usual the staff was awesome. Thanks so much.

March 2023

Google

Chris Jones

My parents have lived at Clarendale for several months now. They seem so happy to be there! They're able to be more active than when they were in their own home. They like getting together with their friends for dinner, happy hours with music in the pub, & enjoy movies in the theater. My Dad looks forward to the weekly poker games. Mom enjoys singing in the choir, playing bingo, & doing arts & crafts. Love that Clarendale offers a variety of activities, transportation, day trips & even volunteer opportunities to residents. I appreciate the app they use to keep not only the residents up to date, but family members who want to download it. I'm able to review events, menus, & announcements. It's also easy access to general information about Clarendale's various departments, clubs, contact information, etc. Checking it each day gives me the chance to mention a fun activity, event, or movie to my parents. Clarendale co-workers, directors & managers are wonderful!! They commonly greet residents by name & with a smile, kind word or conversation. They go out of their way to be helpful, both for my parents & to me if I have a question or concern. They get to know the residents' likes, preferences, & interests. They enjoy hearing about each other's families. The community is always well maintained, clean & stylish. Everything seems so well run. Co-workers help one another, as well as residents. I think a great team has been formed at Clarendale. We have had a wonderful experience from the initial tour to now—all professional & genuinely caring so far. This is why we have already recommended Clarendale St. Peters to others. If you are considering independent living for your loved one, you will want to schedule an appointment for a tour to see it for yourself. I don't think you'll be disappointed! We are appreciative for everyone's hard work & dedication to the residents & families! Thank you so much for all you do!

February 2023

Google

Gary Fleming

Great staff, newer, nicer, clean facility. Still looks new with great staff and good location

February 2023

Google

Dennis Wasmer

My mom is living at Clarendale. Everyone, from other residents to each staff member, is friendly. The staff truly care and have smiles on their faces when they come to help out. My mom likes the meals and the facility. It is always well kept, and they have addressed every concern or question we have had.

February 2023

Google

Christina Koenig

February 2023

Google

Shelly Williams

January 2023

Google

Debby J

My Uncle is a resident and is treated incredibly great. All workers I have met while visiting have been kind, attentive, and very gracious. The facilities are clean, up kept, and comfortable and inviting. My 28 year old daughter said it was like an upscale college dorm.

January 2023

Google

Sylvia Norris

A very nice place to visit my friends and it feels special.

January 2023

Google

John Evans

It is very beautiful inside and very clean.

Rate and Review Clarendale of St. Peters

Community Details

Clarendale of St. Peters Amenities and Services

Amenities

  • Indoor Common Areas
  • Activities Onsite
  • Outdoor Common Areas
  • Meals Provided
  • Beautician Onsite
  • Activities Offsite
  • Devotional Services Offsite

Services

  • Memory Care Services
  • Medication Reminders
  • Housekeeping provided

Do you have questions? Speak to a local senior living advisor for free.

(800) 755-1458

Clarendale of St. Peters Housing and Staff

Staff

  • Trained Staff

Not sure what senior living is right for you or your loved ones? Call us today!

(800) 755-1458

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  • Schedule a tour and visit the physical location to make sure community description is accurate.
  • Confirm with community manager that living and services required for you or your loved one's unique needs and budget are met.
  • Check with state government websites for additional provider licensing and information.

If there is any information that is inaccurate or needs to be updated, please contact Assisted Living Center.

Assisted Living Center uses the term "assisted living" or "personal care" to inform users that a community provides assistance with some Activities of Daily Living (ADL's). It may not meet your state's legal definition required for that level of care.