Pricing ranges from
    $2,735 – 3,282/month

    Ashbury Heights

    603 St Louis Ave, Chillicothe, MO 64601
    • Assisted Living

    Daughter loves warm, friendly home

    My daughter has been at Ashbury almost a year and I'm glad we chose this home - the administrator and staff are consistently friendly and helpful, she's made lots of friends and truly loves it here. I would recommend Ashbury to others looking for a warm, home-like place.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    3.67·(6)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.0
    • Meals

      3.7
    • Amenities

      3.7
    • Value

      1.0

    Pros

    • Friendly, compassionate direct-care staff
    • Welcoming, home-like atmosphere
    • Strong opportunities for social connections and friendships
    • High family satisfaction and willingness to recommend
    • Accessible and personable administrative staff

    Cons

    • Allegations of wage theft and financial misconduct
    • Absentee or distant ownership oversight
    • Poor management and administrative responsiveness
    • Staff morale and retention concerns
    • Trust and transparency issues with leadership

    Summary of reviews

    The available reviews present a clear split between the experience of frontline care and concerns about organizational leadership. At the care level, multiple commenters express high satisfaction with direct-care staff, describing them as friendly, helpful, and compassionate. Reviewers also highlight a welcoming, home-like atmosphere and note that residents (and family members) form meaningful social connections; several accounts specifically mention friendships and a strong sense of community. Administrative staff are often characterized as personable and approachable, contributing to overall family satisfaction and recommendations.

    There is little specific information about dining quality or the full range of activities beyond socialization and friendship formation. Reviewers consistently emphasize social opportunities and relationships, which suggests that group interaction and peer engagement are strengths. Comments about the physical facilities are limited but the environment is described as home-like; there are no substantive, consistent statements about maintenance, cleanliness, or meal service in the excerpts provided.

    A contrasting and significant theme concerns ownership and higher-level management. Reviews raise serious financial and ethical concerns about ownership behavior, including explicit allegations related to wages and financial handling. Alongside those financial allegations, reviewers describe absentee or distant ownership and characterize leadership as lacking responsiveness. These patterns imply potential impacts on staff morale, retention, and institutional transparency. While direct-care staff receive positive mentions, the management-level issues create a notable tension in overall impressions of the community.

    For prospective residents and families, the pattern suggests strong day-to-day caregiving and social life but potential organizational risks at the ownership and administrative level. When evaluating this facility, consider asking targeted questions about payroll and financial oversight, leadership presence and communication practices, staff turnover and morale, and obtaining references from current families and frontline staff. These steps can help clarify how management-level concerns are being addressed and whether the positive caregiving environment is sustained over time.

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    Location

    Map showing location of Ashbury Heights

    Ashbury Heights is located at 603 St Louis Ave, Chillicothe, MO, 64601.

    About Ashbury Heights

    Ashbury Heights sits in a quiet residential neighborhood and has room for up to 12 seniors, so folks get to know each other and the staff pretty well in this small, family-style place. It's licensed by the State of Missouri, through both the Department of Health and Senior Services and the Department of Social Services, and the care team includes a live-in administrator, trained caregivers, and certified medication staff who are around 24/7. The building itself feels like a home, offering fully-furnished suites with private bedrooms, private bathrooms, step-in showers, individual heating and cooling controls, and emergency call systems for safety. Seniors can choose between private and semi-private rooms, and each person's schedule and care plan adjusts to what's needed, with help for things like bathing, grooming, getting dressed, or even extra help outside the bath, plus housekeeping, laundry, and food preparation.

    There's help with managing medicines, including insulin administration if needed, and the staff will remind and monitor as necessary. A visiting podiatrist and a physical therapist help people stay on track with their health, and doctors' appointments, shopping trips, and trips to faith-based events are available with transportation services. When it comes to meals, staff serve three nutritious meals each day, plus snacks, with adjustments for special diets like for diabetes or hypertension; kosher food can be arranged too, and residents can help decide food and activity choices. Social activities go on every day-there's music and animal therapy, board games, outdoor relaxation, fitness and art programs, movie entertainment, a book room, planned social nights, and even trips out, while on-site amenities include a hot tub, sauna or health room, hairdresser or parlor, and garden areas. Church services, devotional activities, and senior engagement activities keep the community connected and active, and things are designed with mobility and independence in mind. Folks can take part in adult day watch, respite care, independent living, supported assisted living or memory care, hospice when needed, and even skilled nursing services, with all care as personalized as possible. Ashbury Heights encourages company and conversation, promotes dignity, and pays attention to each resident's physical, mental, and emotional needs-doing its best to balance safe support with privacy and a sense of home.

    People often ask...

    Ashbury Heights offers competitive pricing, with rates starting at a cost of $2,735 per month.

    Ashbury Heights offers assisted living and board and care.

    The full address for this community is 603 St Louis Ave, Chillicothe, MO 64601.

    No, Ashbury Heights does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Missouri, the Department of Health & Senior Services licenses assisted living and long-term care facilities through state licensure surveys, complaint investigations, and fire-safety reviews.

    License numberlivingston-chillicothe-ashbury-heights-of-chillicothe
    Facility typeResidential Care Facility I
    Capacity12 residents
    LicenseeBRISTOL CARE, INC

    Inspection Reports

    16

    Reports

    21

    Citations

    3

    Complaints

    7

    Years

    16 Oct 2025Licensure
    Found no state licensure deficiencies.
    22 Apr 2025Licensure
    Found deficiencies related to sprinkler system inspections and interior finish requirements; annual inspections and certifications were not documented and wall/ceiling surfaces did not meet standards for older facilities.
    04 Dec 2024Licensure
    Found deficiencies related to night-time staffing and food safety during the survey.
    30 May 2024Licensure
    Concluded no deficiencies cited in the fire safety inspection.
    27 Feb 2024Licensure
    Found no deficiencies. No state licensure deficiencies were cited.
    20 Jun 2023Licensure
    Cited multiple deficiencies related to fire safety, alarm systems, waste disposal, and electrical wiring.
    05 Dec 2022Complaint
    Found that admission physical examinations were not on file within ten days of admission, with missing information on current medical status and orders.
    08 Sept 2022Licensure
    Found deficiencies related to sprinkler system maintenance/testing and electrical wiring compliance.
    08 Dec 2021Complaint
    Identified a deficiency in following physician instructions for medications; there was no signed amended order on file reflecting changes when a prescription label indicated a change.
    01 Sept 2021Licensure
    Found no deficiencies in fire safety.
    12 Aug 2021Licensure
    Found that quarterly medication regimen reviews by a pharmacist or RN were not conducted as required, including documentation and notification steps.
    29 Jan 2020Complaint
    Investigated the complaint and found no deficiencies were cited.
    03 Dec 2019Licensure
    Found no deficiencies.
    18 Jul 2019Licensure
    Observed deficiencies in daily cleanliness, cleanliness and repair of fixtures, and protection and temperature control of potentially hazardous foods. Identified multiple items not meeting required standards.
    15 Jul 2019Licensure
    Found deficiencies related to fire safety training and smoke partition requirements.
    11 Jun 2019Licensure
    Confirmed no state licensure deficiencies were cited after the second inspection.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Ashbury Heights. The information above has not been verified or approved by the owner or operator. For exact information, please contact Ashbury Heights directly. There is no cost for this service. We are compensated by the community you select.

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