American House Town & Country

What is American House Town & Country's Missouri license record?

American House Town & Country holds Missouri DHSS license 052657 as an Assisted Living Facility licensed as Option 2 (ALF**), with 95 licensed beds and an Alzheimer's special care unit of 34 beds.

The licensee of record is ASR 1020 Woods Mill Lessee, LLC. Its current license term began April 26, 2025 and runs through April 25, 2027.

What did Missouri DHSS inspectors find at American House Town & Country?

Show Me LTC lists 19 inspections and complaint investigations for American House Town & Country, 8 of them since October 2023. In the 8 most recent it itemizes, DHSS cited 24 requirements across all 8 of them.

The cited requirements cluster in medication management (6), fire safety and evacuation (6), care and service planning (4). Examples, in DHSS's wording:

• January 22, 2026 — Protective oversight shall be provided twenty-four (24) hours a day. For residents departing the premises on voluntary leave, the facility shall have, at a minimum, a… (rule class I/II) Corrected April 9, 2026.
• January 22, 2026 — The administrator shall develop and implement a safe and effective system of medication control and use, which assures that all residents ' medications are… (rule class I/II) Corrected April 9, 2026.
• January 27, 2025 — Complete Fire Alarm Systems. (C) All facilities shall test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. (rule class I/II) Corrected February 6, 2025.
• February 22, 2024 — Exits, Stairways, and Fire Escapes. (F) If it is necessary to lock resident room doors, the locks shall not require the use of a key, tool, special knowledge, or… (rule class I/II) Corrected June 20, 2024.

Each rule carries a class tag: Class I standards guard against imminent danger, Class II relate directly to resident health and safety, Class III indirectly (RSMo 198.085). The tag describes the rule, not harm that occurred.

How do you verify American House Town & Country on Show Me Long Term Care?

Search Missouri DHSS's Show Me Long Term Care portal by county, then pick American House Town & Country from the results to see every inspection date and the requirements cited.

1. Open Show Me Long Term Care (Missouri DHSS).
2. Choose SAINT LOUIS in the County box and click ShowMeResults!
3. Select AMERICAN HOUSE TOWN & COUNTRY at level ASSISTED LIVING FACILITY OPTION 2.
4. Click any inspection date to read the requirements DHSS cited and the dates they were corrected.

The portal has no per-facility link, so these four steps are the shortest route to the official record. The license number to match is 052657 in the DHSS LTC Directory.

What does an Option 2 assisted living license mean for residents at American House Town & Country?

As an Option 2 assisted living facility, American House Town & Country may serve residents who can't evacuate the building on their own, as long as it staffs for evacuations and writes an individualized evacuation plan into each such resident's service plan.

DHSS describes this level as a facility that may accept or retain residents with an impairment that prevents their safe evacuation, but only if it meets added staffing requirements to assist in evacuations and includes an individualized evacuation plan in the resident's service plan. Missouri assisted living follows a social model of care and may admit or keep a resident only if that person doesn't need hospitalization or skilled nursing placement (19 CSR 30-86). If your parent's needs grow past that line, the next step is usually a skilled nursing facility.

53 of the 64 assisted living and residential care licenses in St. Louis County hold Option 2. Ask American House Town & Country to show you what an evacuation plan would look like for your parent.

Does American House Town & Country have a memory care unit?

Yes. American House Town & Country has disclosed an Alzheimer's special care unit to DHSS covering 34 of its 95 licensed beds (36%).

Missouri has no separate memory care license. Under RSMo 198.510, a facility that offers an Alzheimer's special care unit or program must file a disclosure with DHSS describing what makes the care suited to people with dementia, and must give a copy to the resident and family at admission. Ask for that disclosure before you tour, then compare it with what you see: secured doors, daily structure, and how staff redirect someone who is anxious or trying to leave.

Where is American House Town & Country and what's nearby in Town and Country, MO?

American House Town & Country is at 1020 Woods Mill Road in Town and Country (63017), in West County (St. Louis County). It is one of 2 licensed assisted living or residential care facilities with a Town and Country address.

Hospitals families in this part of the metro use most include Mercy Hospital St. Louis, St. Luke's Hospital, Missouri Baptist Medical Center. Ask which hospital residents are usually sent to, and whether staff send records ahead.

Other licensed communities nearby:

• Garden Villas — Town and Country, 46 beds, Assisted Living (Option 2)
• Autumn View Gardens — Ellisville, 150 beds, Assisted Living (Option 2), Alzheimer's unit
• Autumn View Gardens at Schuetz Road — St. Louis, 110 beds, Assisted Living (Option 2), Alzheimer's unit
• Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) — Ballwin, 110 beds, Assisted Living (Option 2), Alzheimer's unit

What does assisted living cost at a community like American House Town & Country?

Assisted living in Greater St. Louis typically runs $3,400–$5,200/mo in 2026 and memory care $4,400–$6,400/mo; American House Town & Country doesn't report its rates to DHSS, so ask for a written rate sheet.

At 95 beds, American House Town & Country is a mid-sized community. Larger buildings often price care in levels or points, while smaller ones lean toward all-inclusive rates, so ask which model is used and what moves a resident to the next level. Memory care units usually carry a separate, higher rate. Missouri's Aged and Disabled Waiver can help pay for personal care for eligible residents but never covers room and board, and not every facility accepts it. See St. Louis memory care costs for the full breakdown.

What should you ask when touring American House Town & Country?

Start with the topics DHSS has cited at American House Town & Country, then confirm staffing, the move-out line, and the full monthly cost.

• Medication rules were cited. Ask who passes medications on each shift, how errors are logged, and what changed after the citation.
• DHSS cited fire-safety or evacuation rules here. Ask to see the current fire drill log and the plan of correction, and how night staff would evacuate a resident who can't walk.
• Service-plan or assessment rules were cited. Ask how often your parent's plan would be reviewed and who signs off on changes.
• Ask to see a sample individualized evacuation plan and the overnight staffing that supports it.
• Ask for the Alzheimer's special care disclosure filed with DHSS and how many residents live in the unit today.
• What is included in the base rate, and what triggers a higher care level?
• Does the community accept the Aged and Disabled Waiver or VA Aid and Attendance?

How does American House Town & Country compare with other assisted living in St. Louis County?

By licensed capacity, American House Town & Country is the 21st-largest of 64 assisted living and residential care licenses in St. Louis County, and 40 of those 64 have disclosed an Alzheimer's special care unit.

See every licensed option in the St. Louis assisted living directory or the memory care directory.