Mirador estimate
    $5,000/month

    American House Town and Country

    1020 Woods Mill Rd, Town And Country, MO 63017
    • Assisted Living
    • Memory Care

    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
    • Hospice waiver
    • 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

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    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

    4.08·(76)

    Overall rating

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

      3.3
    • Staff

      3.7
    • Meals

      4.2
    • Amenities

      3.7
    • Value

      2.6

    Pros

    • Compassionate caregiving teams
    • Clean, modern interior and common areas
    • Engaging activity calendar and social programming
    • Varied, well-prepared dining options
    • Secured outdoor courtyard with paths and seating
    • Accessible apartment layouts and handicap-accessible bathrooms
    • On-site therapy and rehabilitation services
    • Supportive memory-care leadership in several units
    • Warm, home-like community atmosphere
    • Responsive family communication in some departments
    • Ongoing improvements following leadership changes
    • Convenient location near shopping and services
    • Comfortable private studio apartments
    • Dedicated hospice and clinical collaboration when engaged

    Cons

    • Inconsistent care delivery and attention to basic needs
    • Staffing shortages and high caregiver turnover
    • Gaps in clinical oversight and timely medical assessment
    • Inadequate incontinence-care protocols and bathing schedules
    • Delayed response to call lights and emergency requests
    • Weak coordination among administration, nursing, sales, and transportation
    • Billing and marketing inconsistencies versus move-in realities
    • Variable infection-control and sanitation practices
    • Maintenance and equipment-repair lapses
    • Frequent leadership turnover and limited managerial presence
    • Restricted access to advertised amenities and program limitations
    • Communication gaps with families and limited after-hours responsiveness

    Summary of reviews

    The reviews for this community present a highly polarized picture. Many accounts describe a well-maintained, attractive building with comfortable private apartments, accessible bathrooms, a secured outdoor courtyard, and a robust activities program. Dining is frequently cited as a strength—visitors and residents note varied menus and responsive meal accommodations—and the community offers on-site therapy/rehabilitation services and supportive memory-care leadership in some units. Several families specifically praised compassionate, attentive caregivers and an overall warm, home-like atmosphere, and a number of reports indicate positive change after administrative transitions.

    Counterbalancing those positives are recurring operational concerns that affect basic resident care. The most serious patterns include inconsistent delivery of daily care tasks (bathing schedules, repositioning and incontinence-care routines) and delays in responding to call lights or urgent medical needs. Reviewers describe situations that indicate gaps in clinical oversight, including slow assessment of medical issues and uneven medication/medical-device monitoring. These patterns point to weakness in day-to-day care processes rather than isolated administrative mistakes.

    Staffing and management issues are a central theme. High caregiver turnover, limited night/evening coverage, and periods when supervisory leadership is absent contribute to variability in experience and care continuity. Several accounts highlight poor coordination among sales, administration, nursing, and transportation teams, as well as inconsistent communication with families—especially after hours or during leadership changes. There are also multiple references to billing and marketing that did not match the move-in experience (discounts, amenity access, and promised services), which suggests a need for clearer contracting and onboarding practices.

    Facility-related strengths coexist with maintenance shortfalls. The community’s public spaces and décor are often praised as clean and attractive, but some reviews note maintenance lapses (equipment repairs, peeling flooring, and lingering odors in certain areas) and inconsistent infection-control practices. Activity programming is regularly described as varied and engaging—trivia, exercise classes, outings and holiday events are noted—but availability and consistency of those programs can vary with staffing and leadership changes.

    Taken together, the pattern suggests a community with solid physical assets and clear strengths in hospitality and social programming, but with operational vulnerabilities that affect clinical reliability and family confidence. Prospective residents and families should verify current staffing levels, clinical oversight arrangements, response protocols for emergencies, incontinence and bathing schedules, and any contractual promises about discounts or amenity access. Visits during different times of day, direct conversations with nursing leadership, and requests for written care and billing policies will help determine whether the facility’s strengths are reliably delivered in the period of interest.

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    Location

    American House Town and Country is located at 1020 Woods Mill Rd, Town And Country, MO, 63017.

    About American House Town and Country

    American House Town and Country sits right in Los Angeles and gives seniors many living options, including independent living, assisted living, memory care, continuing care, and respite stays for short-term needs, and there's also the option for skilled nursing and hospice care when health conditions change. Residents can choose from spacious apartments, studios, or two-bedroom units with features like garden views, handicap accessibility, kitchenettes, air conditioning, Wi-Fi, and cable TV, and some rooms have wheelchair accessible showers and ground floor access. The community welcomes pets like cats and dogs, with weight limits, and provides pet care services for those who need a hand taking care of their animals. People get help with daily activities, medication reminders, high acuity care, diabetic care, incontinence care, and memory care for dementia or Alzheimer's, and a nurse is on staff part time. The team always checks to see if residents' care needs have changed, making sure they get the right support, whether that's in assisted living or the memory care neighborhood.

    Meals are served with lots of dietary options-there's kosher, vegetarian, vegan, gluten-free, organic, low-sodium, no sugar, and special diets, and you can get restaurant-style dining, café or bistro meals, room service, or a private dining room for family visits, and guest meals are always available, too. The dining program also supports anytime dining for flexible schedules, and chef-prepared food keeps things fresh. There are social activities and clubs most days, and the staff run everything from cooking classes, dances, happy hour with live entertainment on Fridays, holiday and birthday parties, wine tastings, religious activities, and trivia games to Wii bowling, karaoke, gardening clubs, stretching and brain fitness classes, art workshops, and community service programs. Residents can join wellness programs like yoga or chair yoga, occupational therapy, and physical therapy, and the schedule often includes outings for lunch every Wednesday, trips to shopping, theater performances, or educational lectures.

    Transportation's offered for appointments, shopping trips, and fun day outings, and parking's easy with uncovered and resident spots, and the building is close to public transit, too. Services like housekeeping, laundry and linen, beautician and barber shop, dry cleaning, grocery shopping help, and pharmacy on-site take away common worries, with general transportation available for errands. Seniors who follow Christian or Protestant faiths have regular devotional activities and religious services, visiting chaplains or priests, and both on- and offsite religious events. The community has indoor and outdoor common spaces, a movie theater room, computer room, fitness center, recreation and game room, outdoor walking paths, raised garden beds, and a café or bistro where people gather. The staff is seasoned, diligent, and compassionate, always ready to lend a hand.

    American House Town and Country has an $1800 entry fee for some units and accepts both credit cards and checks, and adults age 55 and older are welcome. Residents can find support whether they live independently and want a full social calendar or they need more help as time goes on, like with memory care, physical therapy, mental health care, or personal care services around the clock, and the community keeps focused on giving everyone a comfortable and caring home, with thoughtful adjustments as needs change. The community is State licensed, and those looking for flexibility, regular meals, safety, and ways to stay active or connected with others find plenty of options and support through the various programs, activities, and services right here.

    About Arrow Senior Living

    American House Town and Country is managed by Arrow Senior Living.

    Arrow Senior Living (founded 2009) is headquartered in St. Charles, Missouri, managing 37+ senior living communities across six states. With 1,500+ employees overseeing $1.2B+ in assets, they provide independent living, assisted living, and memory care services. Their philosophy centers on celebrating people through dignified care.

    People often ask...

    American House Town and Country offers competitive pricing, with rates starting at a cost of $5,000 per month.

    American House Town and Country offers assisted living and memory care.

    There are 58 photos of American House Town and Country on Mirador.

    The full address for this community is 1020 Woods Mill Rd, Town And Country, MO 63017.

    No, American House Town and Country 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 numbersaint-louis-town-and-country-american-house-town-country
    Facility typeAssisted Living Facility Option 2
    Capacity95 residents
    LicenseeASR 1020 WOODS MILL LESSEE, LLC

    Inspection Reports

    19

    Reports

    50

    Citations

    13

    Complaints

    7

    Years

    10 Apr 2026Complaint
    Found deficiencies requiring written policies and procedures to prohibit mistreatment, neglect, and abuse and to require reporting for abuse or neglect of residents or vulnerable persons.
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    22 Jan 2026Complaint
    Identified deficiencies related to ISP development and review, medication management, and storage of poisonous materials. Violations were noted for safety and regulatory compliance in these areas.
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    • 20 CSR 2220-3.040
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    23 Sept 2025Complaint
    Identified a deficiency requiring 24-hour protective oversight and a procedure for voluntary leaves.
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    27 Jan 2025Licensure
    Found a deficiency in fire safety: the complete fire alarm system was not tested or maintained according to NFPA 72, 1999 edition.
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    03 Jan 2025Complaint
    Found violations of ISP development, 24-hour protective oversight, and medication order requirements.
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    12 Sept 2024Complaint
    Identified deficiencies for tuberculosis screening, ISP development, and recordkeeping for residents and personal items.
    • 19 CSR 20-20.100
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    06 May 2024Complaint
    Found deficiencies related to ISP development, medication orders, and safeguarding policies.
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    22 Feb 2024Licensure
    Found deficiencies in fire safety and trash disposal. The concerns included lack of required range hood certification, improper door locking practices, incomplete fire alarm testing/maintenance, and inappropriate wastebasket use.
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    07 Jun 2023Complaint
    Found deficiencies: rooms not kept neat, orderly, or cleaned daily, and residents' rights information not fully informed and annually reviewed.
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    09 Feb 2023Complaint
    Identified deficiencies in infection control procedures and in timely reporting of diseases to the local health authority within 24 hours.
    • 19 CSR 20-20.020
    14 Nov 2022Complaint
    Found that twenty-four hour protective oversight was not provided and there was no procedure to inquire about voluntary leave departures.
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    13 Dec 2021Licensure
    Found no deficiencies.
    17 Jul 2020
    Identified a failure to report Category I diseases or findings within 24 hours to the local health authority or department, indicating infection control reporting noncompliance.
    • 19 CSR 20-20.020
    02 Mar 2020Complaint
    Found no state licensure deficiencies after the second inspection and complaint investigation.
    09 Jan 2020Licensure
    Found deficiencies in sprinkler system compliance and in trash disposal.
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    17 Sept 2019Complaint
    Identified deficiencies in staffing levels, administrator oversight, and abuse/misappropriation policy requirements.
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    22 Jul 2019Complaint
    Identified multiple deficiencies related to safety, care planning, medication management, and recordkeeping.
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    • 19 CSR 20-20.100
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    13 Feb 2019Complaint
    Found no state licensure deficiencies as a result of the second inspection and complaint investigation.
    14 Jan 2019Licensure
    Found exterior premises not maintained to provide fire safety.
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    Disclaimer

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

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