Pricing ranges from
    $2,866 – 3,725/month

    Granite House

    321 S Main St, Ironton, MO 63650
    • Independent Living
    • Assisted Living

    Warm home-like atmosphere and care

    I'm very pleased with the home-like atmosphere and the staff who genuinely feel like family. Warm, attentive care - I'd recommend this community.

    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
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.69·(13)

    Overall rating

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

      1.0
    • Staff

      1.5
    • Meals

      2.7
    • Amenities

      2.7
    • Value

      2.7

    Pros

    • Home-like atmosphere
    • Family-style staff–resident relationships
    • Attentive frontline staff

    Cons

    • Inconsistent staff professionalism and communication tone
    • Cleanliness and sanitation concerns
    • Privacy-management gaps
    • Challenges managing resident-to-resident conflict
    • Management instability and perceived decline after ownership change
    • Tense or unwelcoming communal environment

    Summary of reviews

    The available reviews present a mixed picture of Granite House. Several commentators described a home-like atmosphere and family-style relationships between some staff and residents, and others explicitly praised individual caregivers for being attentive. At the same time, a number of substantive operational concerns recur across the summaries, producing a polarized overall impression.

    Care quality appears inconsistent. Positive impressions of attentive frontline staff coexist with repeated concerns about staff conduct and communication tone; reviewers described instances of unprofessional language and conduct that affected the resident experience. These descriptions suggest variability in day-to-day caregiving and interactions rather than a uniformly applied standard of care. Prospective families should clarify staffing ratios, training, and supervision practices during visits to assess reliability and tone of care.

    There is little specific information about dining and activities in these summaries. No clear patterns about meal quality, menu variety, therapeutic dining, or organized activities emerge from the material provided. Because these areas were not consistently commented on, families should request menus, activity calendars, and opportunities to observe or sample programming when evaluating the community.

    Facilities feedback is mixed. The setting is described as home-like by several reviewers, but cleanliness and sanitation concerns are explicitly noted. Privacy-management issues were also mentioned, indicating potential gaps in how private space and resident confidentiality are handled. These operational items bear directly on comfort and dignity; ask about cleaning schedules, privacy protocols, and unit maintenance when touring the property.

    Management and community dynamics are notable patterns. Reviewers referenced a shift in tone and service following an ownership change, including concerns about management responsiveness and the demeanour of leadership. There are also recurring comments about resident-to-resident “drama” and a generally tense communal atmosphere, which point to potential weaknesses in behavioral-support policies and community governance. For families, useful questions include how the community manages conflicts, what behavioral supports are available, and how leadership monitors staff professionalism.

    Overall, Granite House appears to offer strengths in personal, home-like elements and some attentive caregivers, but reviewers consistently identified operational weaknesses—most prominently inconsistent staff professionalism, cleanliness and privacy issues, and social conflict management—that can materially affect resident experience. Visitors should observe staff–resident interactions, inspect common and private areas for cleanliness and privacy safeguards, and discuss recent management changes and conflict-mitigation policies before making decisions.

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    Location

    Map showing location of Granite House

    Granite House is located at 321 S Main St, Ironton, MO, 63650.

    About Granite House

    Granite House sits at 321 South Main Street in Ironton, Missouri, and holds up to 60 residents in both private and semi-private rooms, with layouts like studio apartments, one-bedrooms, and two-bedroom units, and people can expect several types of care here, including assisted living, memory care for those with dementia, non-ambulatory care, incontinence help, respite stays, and even hospice care, so there's a range of support depending on needs. Granite House has a licensed staff nurse and specially trained team on site with 24-hour emergency response, plus folks will find extra services like speech and occupational therapy, transferring help, diabetic support including insulin checks, assistance with bathing or grooming, and manual feeding for those who need it. Dining is all taken care of by a culinary chef and meal planners who provide nutritious options and cater to special diets like for hypertension or diabetes, and there's a separate café where people can gather if they'd like a coffee or a snack. There's a lot of communal living with indoor common areas, a chapel, a theater for movie nights, and a communal kitchen, while outside brings walking trails and parking for residents and guests. Some extra features include a pharmacy service, routine health check-ups, flat-screen TVs in rooms, and regular housekeeping and bathroom cleaning, and Granite House adds home health support for people who need a bit more medical help right in their room. There's lots to do for staying active, like music and exercise programs, animal therapy, game areas, and creative workshops, with events and outings planned all through the month-transportation is provided for doctor trips, shopping, or faith-based activities, and some residents use a mobile hairdresser or salon on site. Whether someone enjoys reading in the book room, relaxing with fitness programs or devotionals, or joining friends for social or educational activities, there's a mix of options to fit different interests, and staff focus on routines that keep the environment calm and residents first in every decision. Granite House accepts private pay, commercial insurance, veterans' benefits, and social security for payment, and there are several costs like a community fee, respite and buy-in fees, and different rates depending on care level or a second person in the room. The goal is to help people with daily life, keep them safe, and give them a place where medical needs and personal care are well covered, with respect for every resident's comfort and routine, and for people who need help moving between beds and wheelchairs or extra support with health issues, the staff are always standing by.

    People often ask...

    Granite House offers competitive pricing, with rates starting at a cost of $2,866 per month.

    Granite House offers independent living and assisted living.

    The full address for this community is 321 S Main St, Ironton, MO 63650.

    No, Granite House 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 numberiron-ironton-granite-house-rcf-llc
    Facility typeResidential Care Facility I
    Capacity60 residents
    LicenseeGRANITE HOUSE RCF LLC

    Inspection Reports

    17

    Reports

    11

    Citations

    8

    Complaints

    7

    Years

    31 Mar 2026Licensure
    Identified deficiencies regarding floor and wall/ceiling conditions. Floors in all areas must be smooth, durable, and clean, and walls and ceilings must be clean and in good repair.
    21 May 2025Licensure
    Found no deficiencies identified in the fire safety review conducted by the State Fire Marshal's office.
    24 Apr 2025Licensure
    Found no deficiencies.
    23 May 2024Complaint
    Investigated and found no deficiencies.
    23 Apr 2024Licensure
    Found no deficiencies during a fire safety inspection.
    05 Sept 2023Licensure
    Found deficiencies in multiple safety and design areas, including doors, exits, fire safety planning, alarm systems, dryer venting, smoke partitions, and electrical wiring.
    25 May 2023Licensure
    Found a deficiency where fire extinguishers lacked proper UL/FM labeling and monthly pressure check documentation per NFPA 10.
    31 Mar 2022Complaint
    Found no state licensure deficiencies cited following the complaint investigation.
    21 Mar 2022Licensure
    Found no deficiencies. No deficiencies were cited for the fire safety review.
    18 Aug 2021Complaint
    Found no state licensure deficiencies after the second inspection and complaint investigation.
    11 Aug 2021Complaint
    Found no state licensure deficiencies cited as a result of the second inspection and complaint investigation.
    11 Dec 2019Complaint
    Found no deficiencies.
    14 Nov 2019Complaint
    Investigated the complaint and second inspection; found no state licensure deficiencies cited.
    02 Jul 2019Licensure
    Found no deficiencies.
    05 Jun 2019Complaint
    Found no deficiencies. The report noted no state licensure deficiencies were cited.
    25 Mar 2019Licensure
    Found noncompliance with electrical wiring maintenance requirements per NEC and mandatory biannual inspections.
    11 Feb 2019Complaint
    Found no state licensure deficiencies as a result of the second inspection and complaint investigation.

    Disclaimer

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

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