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Lexington is the heart of Lafayette County — a historic river town where generations of families have built their lives. As the county seat with an older median age, many Lexington seniors and their adult children are beginning to explore long-term care options close to home. The challenge is that Lexington and the surrounding Lafayette County area have very few senior living communities offering a full continuum of care.
John Knox Village East, located just 14 miles east of Lexington on the road to Higginsville, provides the quality senior care that Lexington families deserve without requiring a long drive or a move far from home. Our no buy-in policy and month-to-month flexibility mean Lexington families can prioritize care quality over financial stress during a major life transition.
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For Lexington seniors who are ready to trade home maintenance for a more relaxed lifestyle, our independent living apartments offer spacious accommodations with the comfort of knowing support is nearby if needs change. Residents enjoy community dining, social events, and the freedom to stay active on their own terms. Unlike facilities that lock you into expensive contracts, we keep things simple with month-to-month agreements — no buy-in required.
What's Included:
Full kitchens and private bathrooms
Restaurant-style dining with flexible meal options
Weekly housekeeping and linen service
Scheduled transportation for errands and appointments
Fitness, wellness, and social programs
24-hour emergency response system
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“They don’t just take care of my mom — they truly know her. It’s a comfort I didn’t know was possible.”
When a loved one needs more daily support than family can provide at home, our assisted living program gives Lexington families peace of mind. Our compassionate team helps residents maintain their independence while providing assistance with bathing, dressing, medication management, and other daily needs. With fewer senior care options available in Lafayette County, Lexington families often discover that John Knox Village East delivers the attentive, individualized care they were searching for — all just a short drive from downtown Lexington.
We offer 24/7 staffing, chef-prepared meals, housekeeping, and engaging daily activities at rates that are significantly more affordable than facilities farther east toward Kansas City.

No expensive buy-ins required
Over 60 years serving Missouri families
Month-to-month contracts available
Just 14 miles from Lexington, MO
All levels of care on one campus
Beautiful, peaceful countryside setting
For Lexington seniors, finding quality long-term care locally has always been a challenge. Lafayette County's limited senior living options mean families often face difficult choices — settle for less or send a loved one far from home. John Knox Village East changes that equation. Just a short trip down the highway, our campus provides every level of care in one community, so Lexington families can visit easily and frequently.
Our staff knows every resident by name, and that personal attention is something Lexington families notice from the moment they walk through our doors.
We invite Lexington families to experience John Knox Village East firsthand. Schedule a personal tour to see our community, meet our team, and discover why families from across Lafayette County have trusted us with the care of their loved ones for more than six decades.