Harold and Louise

    135 Communication Dr, Hannibal, MO 63401
    • Assisted Living

    Clean home-like community; caring staff

    I live here and am very pleased - the place is spotless, feels home-like after recent updates, and every room has Wi-Fi smart TVs. Libby Griggs and the leadership team are caring and responsive, and the staff foster a warm, family-oriented community with good programs and outside partnerships. I'd recommend giving them a call - it's a well-organized, welcoming place to live.

    Current/former 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
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

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

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.81·(32)

    Overall rating

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

      4.3
    • Staff

      4.5
    • Meals

      3.8
    • Amenities

      5.0
    • Value

      1.0

    Pros

    • Modern facility with recent building addition
    • In-room Wi‑Fi and smart TVs with cable
    • Clean, well-organized interior and home-like environment
    • Supportive, attentive caregiving and care-first approach
    • Friendly, uplifting staff and positive coworker relationships
    • Responsive leadership and strong administrator presence
    • Family-oriented community atmosphere and welcoming lobby
    • Engaging therapy and day-treatment programs
    • Partnerships with external organizations for programming
    • Positive resident-reported living experience and recommendations

    Cons

    • Inconsistent staff professionalism and conduct
    • Safety and security practices
    • Allegations of theft and potential financial-control weaknesses
    • Uneven resident experience and polarized community atmosphere
    • Potential limitations or perceived unfairness in activity access
    • Operational variability during management transitions

    Summary of reviews

    Overall impression: The facility earns substantial praise for its physical environment and many aspects of daily life. Reviews frequently highlight a modern campus with a recent building addition, in-room connectivity and smart TVs, and clean, well-organized spaces that feel home-like. Many residents and staff describe a family-oriented, welcoming lobby and community atmosphere; multiple comments characterize day-to-day living as enjoyable and recommend the facility.

    Care and staff: A prominent strength across the reviews is the caregiving culture. Many comments emphasize a care-first approach, attentive staff, and an uplifting team dynamic. Staff–staff relationships and workplace culture are often described as positive, and leadership is repeatedly called responsive and change-oriented. At the same time, there is important variability: some reviewers describe inconsistent professionalism and tone among individual staff members, and a subset raised concerns about staff conduct and responsiveness. These divergent accounts produce a polarized picture of staff performance rather than uniform experience.

    Dining: Reviews contain little consistent, specific information about food quality, meal service, or dining operations. The absence of detail suggests prospective families should request current menus, sample meal-service schedules, and information on special-diet management during a visit.

    Activities and programming: Programming is a clear strength in several accounts. Reviewers note engaging therapy programs, day-treatment opportunities, and partnerships with outside organizations that broaden activity options. Conversely, there are isolated concerns about access to activities and perceptions of unequal participation (described by some as exclusion or "blackballing"), which indicates the need to clarify activity-signup processes and fairness policies.

    Facilities and amenities: Physical amenities are consistently praised. The recent addition, maintenance, and in-room technology contribute to a modern, comfortable environment. Cleanliness and organization are recurring positives; reviewers often say the facility feels like home and that residents enjoy their living spaces.

    Management and notable patterns: Leadership—often named and praised in reviews—receives strong positive mention for responsiveness and making improvements. However, there are also reports of management transitions and a few serious allegations, including concerns about theft and resident safety. The term "allegation" is used here because these are serious individual claims rather than documented patterns within the broader set of reviews; they warrant direct follow-up with administrators and oversight bodies. Overall, the reviews show a bifurcated pattern: many very positive experiences centered on staff, cleanliness, amenities, and programming, alongside a smaller but vocally negative subset alleging safety, conduct, and financial-control issues.

    What to watch for: Prospective residents and families should verify staffing consistency, safety and security practices, and financial-control safeguards during a tour. Ask for specifics about activity-access policies, staffing ratios, recent leadership changes, incident reporting procedures, and references from current families. This will help reconcile the generally positive operational strengths with the serious, though less frequent, concerns that appear in some reviews.

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    Location

    Map showing location of Harold and Louise

    Harold and Louise is located at 135 Communication Dr, Hannibal, MO, 63401.

    About Harold and Louise

    Harold and Louise Healthcare Center sits in Hannibal, Missouri, and has both assisted living and nursing home services for older adults and people over 18 who need care, so you'll find studio, private, and semi-private rooms, with all the needed appliances, ADA-compliant bathrooms, lots of closets, and safety features like emergency pull cords and a 24-hour call system, which makes it easy for folks to feel secure and at home. Staff help with things like transferring, bathing, showering, dressing, incontinence, and medication, and they develop custom care plans for each person, so every resident gets exactly what's needed, with extra support like routine health checks, psychiatric care, therapy, and access to an on-site nurse and doctor when needed. Residents join daily activities and events, like bingo, card games, movie nights in the custom-built theatre, arts and crafts in the arts room, and social events including holiday parties, and there are outdoor gardens, walking paths, and private backyard decks for whenever the weather's nice. There's a dining room where chef-prepared meals are served all day, and the staff can make special meals for diabetes, allergies, or when someone needs a pureed diet, and snacks are available, too. Everyone gets apartment security, internet, cable TV, telephone, and all utilities included, plus laundry, housekeeping, dry cleaning, and help with daily living-all taken care of, with staff ready for unscheduled requests that pop up. Residents can have pets, use the barber or salon, spend time in the library, or just enjoy outings and transportation around Hannibal, and families can feel okay knowing there's supervision around the clock, fall prevention programs, full-time case management, and support for non-ambulatory needs or psychiatric care. The center, with space for up to 98 people and licensed under state oversight, aims for a safe, supportive environment, with both community-organized and resident-led activities, and you'll see folks spending time together or on their own in the many shared and private spaces.

    People often ask...

    Harold and Louise offers competitive pricing, with rates starting at a cost of $3,084 per month.

    Harold and Louise offers assisted living.

    There are 5 photos of Harold and Louise on Mirador.

    The full address for this community is 135 Communication Dr, Hannibal, MO 63401.

    No, Harold and Louise 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 numbermarion-hannibal-harold-and-louise-healthcare-center
    Facility typeResidential Care Facility I
    Capacity98 residents
    LicenseeHRW, INC

    Inspection Reports

    25

    Reports

    67

    Citations

    16

    Complaints

    7

    Years

    18 Jun 2025Complaint
    Found deficiencies related to immunization policy and informing residents about activities.
    30 Dec 2024Licensure
    Found multiple deficiencies in fire safety, emergency planning, and storage of hazardous materials.
    06 Nov 2024Complaint
    Found deficiencies related to pest control and resident rights compliance.
    24 Oct 2024Complaint
    Found lack of written policies and procedures prohibiting mistreatment, neglect, and abuse and prohibiting misappropriation of resident property and funds, and absence of policies requiring reporting of suspected abuse or neglect.
    10 Oct 2024Complaint
    Identified deficiencies in care, medication administration, and infection-control notification procedures.
    24 Sept 2024Complaint
    Found violations for not providing 24-hour protective oversight and for lacking a procedure governing voluntary resident leaves.
    03 Jun 2024Complaint
    Cited deficiencies in medication order compliance and discharge notification.
    • 19 CSR 30-82.050
    05 Mar 2024Complaint
    Found that 24/7 protective oversight was not provided and that procedures for voluntary leaves were lacking.
    09 Feb 2024Complaint
    Identified multiple deficiencies related to staffing, medication management, recordkeeping, food service, and residents' safety and rights.
    • 19 CSR 30-82.050
    23 Jan 2024Licensure
    Identified deficiencies related to fire safety and electrical codes, including flame-resistant fabrics, heating system controls, and wiring standards.
    26 Oct 2023Complaint
    Found deficiencies in death notification procedures, personal hygiene practices, and medication order documentation.
    02 Aug 2023Licensure
    Found deficiencies related to fire-safety separation of hazardous areas, improper extension cord use, and cleanliness of rooms.
    19 Apr 2023Licensure
    Found deficiencies cited for fire alarm system inspections, hazardous area requirements, combustible storage, oxygen storage, electrical wiring, and room cleanliness. These findings indicate violations of regulatory requirements.
    27 Oct 2022Complaint
    Identified deficiencies in medication management. Missing orders and failure to document administration were cited.
    21 Jul 2022Complaint
    Identified multiple deficiencies related to medication administration, resident records, staffing, food service, sanitation, pest control, and privacy. The findings show failures to meet regulatory requirements.
    10 Mar 2022Licensure
    Found no deficiencies during a fire safety review.
    25 Jan 2022Complaint
    Found staffing ratios did not meet the required levels for day, evening, and night shifts.
    29 Sept 2021Licensure
    Found no deficiencies in the fire safety inspection conducted by the State Fire Marshal's office.
    30 Jun 2021Complaint
    Found no deficiencies cited after review and complaint investigation.
    20 Apr 2021Licensure
    Found no deficiencies cited after a fire safety review.
    06 Feb 2020Licensure
    Found no deficiencies.
    21 Jan 2020Complaint
    Found no deficiencies.
    23 Sept 2019Complaint
    Found no deficiencies after a second inspection and complaint investigation.
    16 Jul 2019Complaint
    Investigated the complaint and found no state licensure deficiencies.
    11 Feb 2019Licensure
    Found no deficiencies during the fire safety review.

    Disclaimer

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

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