Pricing ranges from
    $2,671 – 3,205/month

    Ashbury Heights of Fayette

    200 Groce St, Fayette, MO 65248
    • Independent Living
    • Assisted Living

    Attentive staff, welcoming home, recommended

    My mom has lived here for years and I'm very pleased with the attentive, patient, and caring staff - they help with showers, dressing, laundry, appointments and even doctor visits. The home is clean, roomy and welcoming, with excellent home-cooked meals, lively activities and warm holiday/community spirit; administrator Mary and the team are responsive and often go above and beyond. I would recommend this residence to families looking for compassionate, professional care.

    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

    4.79·(24)

    Overall rating

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

      4.9
    • Staff

      4.9
    • Meals

      4.3
    • Amenities

      4.4
    • Value

      4.0

    Pros

    • Compassionate, family-style caregiving
    • Proactive, personalized assistance anticipating needs
    • Staff accompaniment to medical appointments
    • Attentive assistance with daily living tasks
    • Clean, well-maintained rooms and common areas
    • Laundry and personal-care support
    • Home-cooked, appealing meals served three times daily
    • Communal dining that encourages social interaction
    • Regular holiday events, mini parties, and special meals
    • On-site activity room and private dining options
    • Sunny, airy facility with outdoor deck and walking space
    • Accessible, responsive administration
    • Accepts Medicaid and offers value pricing

    Cons

    • Limited recreational and activity programming
    • Smaller resident population limiting social variety
    • Lean staffing levels
    • Occasional delays in staff responsiveness and communication
    • Rigid infection-control visitation policies

    Summary of reviews

    Overall impression: Ashbury Heights of Fayette is consistently characterized as a small, home-like assisted living environment with a strong emphasis on personalized, compassionate caregiving. Residents and families repeatedly describe staff as warm, patient, and willing to go beyond routine tasks to anticipate needs. The facility’s size and staff approach produce a family-style atmosphere that many current residents and relatives find reassuring.

    Care quality and staff: Care is described as attentive and hands-on. Examples cited include regular assistance with dressing and bathing, help with mobility and daily routines, staff accompanying residents to appointments and performing follow-up tasks (wound/bandage care), and individualized touches such as grooming and scenting. Staff behavior is the most frequently praised element: descriptors include caring, hardworking, observant, and proactive. Administration is noted as accessible and engaged, with specific positive mentions of the on-site manager.

    Dining and activities: Dining is a clear strength. Reviewers describe appealing, home-cooked meals served three times daily, communal dining that fosters conversation, and special holiday menus and mini parties. There are on-site amenities such as an activity room, private dining area, and occasional special activities (manicures, games, holiday events). However, the activity program is limited by the facility’s small size and resident base; social variety and the breadth of scheduled programming may be narrower than at larger communities. Pandemic-era visitation and activity restrictions were also mentioned as limiting social interaction at times.

    Facilities and operations: The building is described as clean, organized, airy, and well maintained, with roomy private rooms, sunny windows, outdoor deck space, and ample indoor walking areas. Practical supports such as laundry folding and attentive housekeeping are highlighted. The facility’s acceptance of Medicaid and positioning as a lower-cost option is noted as a financial advantage for families seeking value.

    Notable patterns and trade-offs: The small, intimate scale of Ashbury Heights produces clear benefits in terms of personalized attention, continuity of staff, and a family-like environment. Those same features create trade-offs: a smaller resident population and lean staffing can limit activity variety and occasionally lead to delays when trying to reach staff. Prospective residents and families should weigh the priority of individualized, home-style care against the desire for a broader activity slate and more extensive staffing resources. Before deciding, a visit to observe current activity schedules, staffing patterns, and visitation policies is recommended so that expectations about social programming and responsiveness align with the community’s operating model.

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    Location

    Map showing location of Ashbury Heights of Fayette

    Ashbury Heights of Fayette is located at 200 Groce St, Fayette, MO, 65248.

    About Ashbury Heights of Fayette

    Ashbury Heights of Fayette sits in Fayette, Missouri, as a small licensed residential care facility with just 12 beds, so folks get a family-like setting instead of the busy feel of larger places, and it's part of Bristol Care, Inc. The community offers assisted living, independent living, memory care, continuing care, skilled nursing, as well as respite, day watch, hospice, and adult day care. Seniors live in private rooms with private baths or can choose studio, one-bedroom, or semi-private units, and everything is on the ground floor for easy access. The place has air-conditioning throughout, and there are accessible common areas inside and out, including walking paths and a seasonal vegetable garden that residents help with if they'd like.

    Residents get three home-cooked meals a day with snacks, and the kitchen makes no-sugar meal options for those who need special diets, including options for allergies and diabetes. The community lets residents help plan meals and activities, with regular events like BBQs, picnics, birthday and holiday parties, movie nights, and community service programs. There are devotional services onsite and sometimes offsite, and a visiting chaplain or priest comes for those who want it. People's pets-including dogs and cats-are welcome, and families can visit, join in meals, and help make care decisions.

    The staff provides 24-hour supervision and is trained to help with medication reminders, bathing, dressing, transfers, and other daily needs. Certified caregivers keep an eye on things, and the live-in administrator, plus specialists like nutritionists, podiatrists, therapists, a visiting nurse, and an on-call doctor, all visit regularly. The community can care for folks with diabetic or high-acuity needs and those who need help with incontinence care or medication management. Assisted lifts and transfers are available, as long as the resident isn't over 200 pounds.

    People can schedule a tour, meet staff and residents, and see how the daily life feels. The community focuses on promoting independence but has plenty of helping hands when needed, and staff do their best to balance activities and care, though sometimes there may be fewer organized events. Housekeeping, laundry, transportation for scheduled off-site outings, and move-in help are part of what's offered, and parking is available at cost. The place takes Medicaid, so seniors with different financial needs can consider it, and everyone has access to social activities, both educational and entertaining, whether it's inside or out.

    Ashbury Heights supports seniors wanting continuing care for changing needs, or just a part-time day watch, in a relaxed environment where dignity and respect matter, where staff aim to make residents as comfortable, safe, and engaged as possible, even with limited numbers, and where everyone's voice in meals, activities, and daily routines can really be heard.

    People often ask...

    Ashbury Heights of Fayette offers competitive pricing, with rates starting at a cost of $2,671 per month.

    Ashbury Heights of Fayette offers independent living, assisted living, board and care, and continuing care retirement community.

    There are 13 photos of Ashbury Heights of Fayette on Mirador.

    Yes, Ashbury Heights of Fayette allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 200 Groce St, Fayette, MO 65248.

    No, Ashbury Heights of Fayette 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 numberhoward-fayette-ashbury-heights-of-fayette
    Facility typeResidential Care Facility I
    Capacity12 residents
    LicenseeBRISTOL CARE, INC

    Inspection Reports

    11

    Reports

    5

    Citations

    1

    Complaints

    7

    Years

    12 Sept 2025Licensure
    Found no deficiencies.
    21 May 2025Licensure
    Found no deficiencies. No deficiencies were cited in the fire safety review.
    25 Feb 2025Licensure
    Found no deficiencies.
    30 May 2024Licensure
    Found deficiencies in fire-safety and electrical standards related to combustible materials, oxygen storage, building condition, and extension cord use.
    15 Aug 2023Complaint
    Found no deficiencies.
    26 Jul 2023Licensure
    Found no deficiencies.
    13 Jul 2022Licensure
    Found no deficiencies.
    04 Apr 2022Licensure
    Found violations related to food safety and sourcing requirements, including proper food condition, labeling, and packaging rules not being met.
    06 Jul 2021Licensure
    Found no deficiencies.
    10 Jul 2019Licensure
    Found no deficiencies in fire safety.
    01 May 2019Licensure
    Found no deficiencies.

    Disclaimer

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

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