About Us


We are a leader in a new era of care…where living continues.

The culture of long-term care is undergoing profound change. Leading voices in the care of those with Alzheimer’s disease and dementia are speaking out in support of care settings where the value and dignity of each person is respected; a place where their voices are heard and opinions considered. These person-directed care changes are resulting in self-determination and purposeful living for Alzheimer’s patients. These changes reflect a shift toward optimal relationships at all levels in a home environment. Our leadership knows first-hand of the challenges of caring for aging parents and the illnesses that require in-home nursing care. In 2008, after experiencing these challenges, Tim and Janice Effinger purchased a Private Duty Home Care franchise to offer in-home elder care Now, together with their cousin, Kurt Smith of KAS Development, LLC, the couple is building The Gables of Cottleville – a unique home with a new idea – optimal relationships at all levels in a home environment.

The Gables of Cottleville Memory Care Home is open and has rooms available.