Pricing ranges from
    $3,035 – 3,945/month

    Twin Oaks Estate

    707 Emge Rd, O'fallon, MO 63366
    • Assisted Living

    Warm attentive staff, spotless family-run

    I placed my mom at Twin Oaks and I'm very pleased - the staff are warm, attentive, and really get to know residents, the building is spotless and home-like, and the family-run atmosphere gives me peace of mind. There are plenty of activities, outings and good meals, and communication with nurses and administration has been professional and responsive; I'd happily recommend it.

    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

    4.55·(47)

    Overall rating

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

      4.8
    • Staff

      4.7
    • Meals

      4.2
    • Amenities

      4.0
    • Value

      4.5

    Pros

    • Compassionate, attentive caregiving staff
    • Reliable medication administration oversight
    • High housekeeping and cleanliness standards
    • Active, varied activity program (bingo, outings, live music)
    • Family-owned, personalized atmosphere
    • Included salon and personal-care services
    • On-site chapel and social dining options
    • Transportation for local errands and excursions
    • Affordable pricing with flexible suite options
    • Well-maintained grounds and outdoor access
    • Organized admissions and move-in support
    • Community-oriented social events and traditions

    Cons

    • Smaller, dated resident rooms and finishes
    • Circuitous layout with long corridors and accessibility challenges
    • Limited availability of larger suites with kitchenettes
    • Inadequate memory-care services for advanced dementia
    • Occasional gaps in clinical leadership responsiveness and follow-up
    • Inconsistent accommodation of special-diet needs
    • Exterior exit and security controls not optimized for cognitive impairment
    • Older building that would benefit from renovation
    • Location less convenient for some visitors

    Summary of reviews

    Overall impression: Twin Oaks Estate is described as a family-owned assisted-living community with a strong emphasis on personal, home-like care and an active social program. Many reviewers highlight warm, attentive staff who learn residents’ names and preferences, dependable nursing oversight for medications, and housekeeping that maintains a clean, orderly environment. The community presents as organized and welcoming for move-in, and several families cite positive transitions and ongoing peace of mind after placement.

    Care and staff: Staffing is consistently praised for compassion, responsiveness, and familiarity with residents; nursing staff are specifically noted for medication administration and appointment preparation. At the same time, there are occasional operational concerns around clinical leadership responsiveness and follow-up, which families should clarify during tours and admissions conversations. The community is family-run, which reviewers say contributes to personalized attention and long-term staff continuity.

    Dining and personal services: Dining receives generally positive remarks—reviewers describe a familiar chef, appealing meals, salad-bar options at lunch, and an inviting kitchen aroma. Included personal-care services (weekly shampoo/set, manicure/pedicure, on-site beauty shop) are standout amenities. A few families noted limitations around accommodating special dietary restrictions and desired breakfast variety; prospective residents with strict diet needs should verify menu flexibility.

    Activities and social life: Activity programming is a clear strength. Twin Oaks offers a wide array of daily and special-event programming (bingo, poker, quilting, live music, holiday barbecues, outings to local stores and cafés), robust resident involvement, and transportation for errands and excursions. The property’s grounds and outdoor access augment opportunities for walks and socialization.

    Facilities and accessibility: The physical plant is an older building with a home-like atmosphere, tasteful decor in common areas, and well-kept grounds. However, reviewers note smaller, dated resident rooms, a layout with long corridors and ramps that can be difficult to navigate, and limited availability of larger suites or units with kitchenettes. There is also at least one safety consideration described related to exterior access controls for residents with cognitive impairment; families should review exit/security measures and memory-care policies carefully.

    Management and fit: Management strengths include organized admissions, personal treatment, and a staff culture that many families find reassuring. Conversely, some families experienced inconsistent communication or delayed follow-up from clinical leadership; verifying lines of communication and escalation procedures is advisable. Memory-care capacity is limited at this location—policies exclude residents with severe dementia and a sister facility is cited for higher-level memory care—so Twin Oaks is best suited to residents needing assisted living rather than advanced memory or nursing-home–level care.

    Who this fits: Twin Oaks Estate is most appropriate for older adults and families who prioritize a close-knit, activity-rich community with attentive caregiving and included personal services at a moderate price point. It is less well suited to individuals who require modern, larger private suites, advanced memory-care services, or building features optimized for significant mobility or cognitive impairments. Prospective residents and families should confirm room sizes and configurations, memory-care options, accessibility features, dietary accommodations, and clinical communication practices during a visit.

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    Location

    Map showing location of Twin Oaks Estate

    Twin Oaks Estate is located at 707 Emge Rd, O'fallon, MO, 63366.

    About Twin Oaks Estate

    Twin Oaks Estate sits at 707 Emge Road in O'Fallon, MO, and covers seven wooded acres, so the place feels quiet and away from the busy parts of town, and the whole community's been family owned and operated since 1981, with a strong focus on treating everyone like family, which you can see in the way staff and residents interact and how the owners keep their close, hands-on approach. There are several types of care here, including assisted living, independent living, memory care, and even retirement villas for folks who want more privacy or space, and people can find private, semi-private, or studio rooms, all with different options in layout and pricing to fit various needs.

    Residents get help for daily living, like medication management, showers, dressing, and grooming, and there's nursing staff on the property all day and night, every single day of the year, so help's always nearby, and staff makes sure to handle each resident's needs with kindness and attention. Meals are cooked on-site three times a day with snacks in the evening, and those who need special help-like hospice, respite, or even home care-can receive it right here. Housekeeping's thorough: daily fresh towels, weekly linens, daily laundry, and deep cleaning once a week, so everything stays fresh and tidy.

    Social life matters a lot at Twin Oaks Estate, and the common areas, inside and out, let folks meet up, share meals, play cards, or simply talk, while organized activities run by professionals include shopping trips, movies, museum visits, events, and devotional services both on and off-site, all planned to support everyone's physical, mental, and spiritual well-being. There's a beauty and barber shop right in the building, and extra services like manicures, pedicures, or shampoos are available for a small fee, while on-site and nearby physicians-including a dentist, podiatrist, and vision care-visit regularly for added peace of mind.

    The entire building stays accessible, with wheelchair-friendly showers and wide halls, and pets are welcome too, as long as rules are followed, because they understand how important animal companions can be. Residents have their own parking, and transportation's free for outings and appointments, with extra private rides also possible for a small cost. The community stays smoke-free indoors and takes resident and staff safety seriously.

    The care team makes sure to see each resident as a whole person, offering physical therapy, occupational therapy, speech therapy, and even on-site memory support for those who need it, while also making sure services stay inclusive for all, with no discrimination based on race, religion, or background. The non-denominational chapel onsite lets residents attend devotional activities or just spend quiet time. People who value faith will notice that Twin Oaks Estate's philosophy, valuing each person as created by God and deserving of love and friendship, runs through much of what the staff does and how the place feels.

    With decades of experience and a deep family history in senior care, Twin Oaks Estate tries to balance independence with support, blending a cozy, homelike atmosphere with strong health and safety practices, and keeping social life active through meaningful programs, trips, and daily connections among staff and residents. The staff, known around the county for their friendliness and joyful attitude, keep the place running smoothly and help residents and families feel welcome every day. Room tours are available for anyone wanting to take a closer look before making any decisions.

    People often ask...

    Twin Oaks Estate offers competitive pricing, with rates starting at a cost of $3,035 per month.

    Twin Oaks Estate offers assisted living.

    There are 26 photos of Twin Oaks Estate on Mirador.

    The full address for this community is 707 Emge Rd, O'fallon, MO 63366.

    No, Twin Oaks Estate 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.

    Disclaimer

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

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