Meals, rides, in-home help, Medicare advice, utility assistance and every licensed care facility in the county — with what each one costs and who to call.
Start here: the Area Agency on Aging
Northeast Missouri Area Agency on Aging
2815 N. Baltimore, Kirksville · 660-665-4682 · Monday to Friday 8 a.m. to 4 p.m.
nemoaaa.org
Randolph County is one of 16 counties NEMO AAA serves — not Aging Best, which covers counties to the south. Executive director is Debbie Blessing.
Adult Abuse and Neglect Hotline: 1-800-392-0210. Put that in your phone.
Meals
Congregate meals — for anyone 60 or over, their spouse, and caregivers. Each senior centre sets a suggested price, but payment is not required. Contributions are encouraged. You register at the centre and fill in an annual intake form.
Home-delivered meals — for homebound people 60 and over and their spouses. Again, contributions encouraged, not required. The senior centre registers you and does a nutritional assessment. Hot, cold or frozen; cold and frozen meals go out on Fridays to cover the weekend.
Nobody is turned away for not paying. That is worth saying plainly, because people assume otherwise and go without.
In-home services
For people 60 and over: basic household chores including laundry, meal preparation, shopping for personal items, and personal care. A referral triggers a home visit to assess need and eligibility. Availability is limited and depends on funding and staffing — call early rather than when it becomes urgent.
The senior centres
Senior Americans Multipurpose Center, Moberly — 660-263-5468. A United Way funded agency. Home-delivered meals, congregate meals, tax preparation help, activities, and warming and cooling centres in extreme weather.
Higbee Senior & Community Center — also a United Way funded agency, in Higbee.
Neither centre has a website, and their meal times are not published anywhere we could find. Call 660-263-5468 before you turn up. There are more meal sites in the county than these two — the health department inspected 24 senior centre kitchens in 2025.
Getting a ride
OATS Transit, Randolph County — 660-415-0901 or 800-654-6287. Reservations taken 7 a.m. to 4 p.m.; next-day service must be booked by 1 p.m.
In Moberly — Monday to Friday within the city limits, $2 one way.
County into Moberly — Wednesdays only, $3 one way.
To Columbia — Tuesdays only, appointments 10 a.m. to 2 p.m., $10 round trip, plus $1 per stop en route. Pick-up at Clark, five miles east of Highway 63 at New Hope Church, and at Moberly, at the junction of 63 and 24 by the Break Time.
The detail that strands people: drivers do not take money on the bus. You have to put funds on your account in advance — minimum $10 — by phone, card or mailed cheque.
People 60 and over and people with disabilities ride under the Area Agency on Aging contract for a minimum donation. But OATS is open to anyone, regardless of age, income, disability, race, gender, religion or national origin — it is not a seniors-only service.
Medicare help — free, unbiased, sells nothing
Missouri SHIP — 1-800-390-3330. This is what used to be called CLAIM. Free, confidential Medicare counselling from trained volunteers. It is not an insurance company. It sells nothing and charges nothing.
The health department partners with them for appointments — but note the health department does not process Medicare applications itself.
If you are being called by someone selling a Medicare Advantage plan, call SHIP first and ask them about it.
Help with the heating bill
NECAC delivers energy assistance in Randolph County. Service centre: 1903 N. Morley Street, Moberly · 660-263-6595.
Energy Assistance is a one-time payment made to the utility company to offset your main heating or cooling bill. Application season runs October to May.
Energy Crisis Intervention is for when you are facing disconnection or running out of fuel. Up to $800 in winter (November to May); up to $300 in summer (June to September).
NECAC also administers Dollar More, Dollar Help, Round-Up, Liberty Community Funds and United Way assistance. Apply at mydss.mo.gov, or call 573-324-0120; application status is 573-564-4002.
SNAP and food assistance
Moberly Resource Center, Family Support Division
1317 East Highway 24, Suite 16, Moberly
Open 8 a.m. to 5 p.m. Monday, Tuesday, Thursday and Friday; 9 a.m. to 5 p.m. Wednesday. Appointments honoured, walk-ins accepted, and there is a drop box weekdays.
FSD Information Center: 855-373-4636. Automated line 800-392-1261.
A correction worth noting: the county clerk’s resource page still lists Family Support at 1715-B S. Morley. Missouri’s own current data puts it at 1317 E. Highway 24. Use the newer address.
The health department offers SNAP application assistance if the form defeats you — 660-263-6643.
Food pantries and free meals are in our help guide.
Every licensed care facility in Randolph County
There are exactly eight, holding 593 licensed beds. This is from Missouri’s own licensed-facility list, not a rating website.
Skilled nursing
North Village Park — 2041 Silva Lane, Moberly · 660-269-7300 · 184 beds · Medicare and Medicaid
Aspire Senior Living Moberly — 700 E. Urbandale Drive · 660-263-9060 · 101 beds, including a 15-bed Alzheimer’s unit
Valley View Health & Rehabilitation — 1600 E. Rollins Street · 660-263-6887 · 96 beds
Assisted living
Meadow Ridge Senior Living — 521 Meadow Ridge Lane · 660-263-0550 · 57 beds
Ravenwood Terrace — 1830 Ravenwood · 660-263-8004 · 55 beds, with a 16-bed Alzheimer’s unit
Mark Twain Assisted Living — 901 Union Avenue · 660-263-6515 · 42 beds
Brook Cherith — 104 E. Elm Street, Huntsville · 660-277-4439 · 38 beds
Residential care
Coates Street Comfort House — 612 W. Coates Street · 660-263-6759 · 20 beds
What it costs, where it is published
Most facilities do not publish prices. Ravenwood Terrace does, which makes it a useful benchmark for the others:
Independent living, a one-bed duplex at 590 square feet — $1,250 a month
Assisted living, a 244 square foot studio, private or semi-private — $4,200 a month
Memory care — $5,910 a month
Assisted living and memory care there are described as all-inclusive with no hidden fees. The campus also runs therapy, home health, adult daylight, hospice and respite, has a salon, secure patios and scheduled transport, and is pet friendly.
North Village Park, the largest, does 24-hour nursing, dialysis, IV therapy, hospice, wound care, psychiatric care, respite and tube feeding, with physical, occupational, speech and cognitive therapy. It takes hospice, Medicare, Medicaid, private insurance and private pay, and accepts referrals for adults 18 and over with a mental illness plus a primary medical diagnosis — a placement that is hard to find anywhere.
Before you choose, ask for the current state inspection report. Missouri publishes them and any facility should hand you theirs.
Numbers to keep
Adult abuse and neglect hotline — 1-800-392-0210
Area Agency on Aging — 660-665-4682
Senior Americans Multipurpose Center — 660-263-5468
OATS rides — 660-415-0901
Missouri SHIP, Medicare — 1-800-390-3330
NECAC energy assistance — 660-263-6595
Family Support Division — 855-373-4636
Missouri 2-1-1 — dial 211
Facility list from Missouri’s official licensed long-term care directory; services from NEMO AAA, OATS Transit, NECAC and Missouri DSS’s own published pages, September 2026. Where a detail is unpublished we have said so rather than guessing. Call before you rely on an hour or a price.
