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Smiley Manor
Assisted Living, Residential Care & Respite Care · St. Louis, MO
Exterior view of a modern building with landscaping. Exterior view of Smiley Manor with entrance and landscaping Exterior view of Smiley Manor with green accents Doctor consulting with a female resident Residents and staff engaged in a lively event.

Smiley Manor

Assisted Living, Residential Care & Respite Care · St. Louis, MO
5415 Thekla Ave, St. Louis, MO 63120 View map Calculator: See prices in your area
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Overview of Smiley Manor

Smiley Manor occupies a residential address at 5415 Thekla Ave in St. Louis, Missouri, 5.3 miles from the city center. The community is a 20-bed residential care facility offering assisted living, residential care, and respite care, administered by Naton Smith under Smiley Manor, LLC. It has operated for 14 years. The neighborhood sits at a Walk Score of 49, so most outings require a car or arranged transport.

Occupancy is 18 of 20 beds, a 90% fill rate. For a 20-bed community, that’s a meaningful signal of consistent local demand.

Licensed nurses and CNAs staff the building around the clock. Included services cover meals, medication management, housekeeping, and laundry. A physician visits monthly on-site, and the community arranges transportation to residents’ preferred doctors as needed. Shopping trips are available, and residents who want to attend church on Sundays have transportation arranged for that too.

Two details stand out as genuinely distinctive. First, personal interpreters for Swahili and Sign Language are available, which is a concrete, practical support for residents and families who use either of those languages. Second, the community operates Medical and Psychiatric programs, which suggests a capacity to support residents with more complex or behavioral health needs alongside standard assisted living care.

Short-term respite placement is also offered for families managing a transition or caregiver break.

Smiley Manor is a small, consistently occupied residential care setting in St. Louis with staffed medical support, language accessibility, and a scope of services that extends to behavioral health, suited to older adults who need attentive daily care in an intimate environment.

Facility Direct Line (314) 923-1360
Facility Direct Line (314) 923-1360 naton308@gmail.com
Bed community size
20-bed community Rank #442 / 450Bed count — State benchmarkedThis home is ranked 442nd out of 450 homes in Missouri for bed count. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
14 years in operation Rank #66 / 222Years in operation — State benchmarkedThis home is ranked 66th out of 222 homes in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A community with a solid operating history and experience delivering ongoing care.
Walk Score
Walk Score: 49 / 100 Rank #253 / 545Walk Score — State benchmarkedThis home is ranked 253rd out of 545 homes in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
90%
Rank #33 / 418Occupancy rate — State benchmarkedThis home is ranked 33rd out of 418 homes in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 418. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
18 / 20
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeResidential Care Facility
CountySaint Louis City

Ownership & Operating Entity

Smiley Manor is legally operated by Smiley Manor, LLC, and administered by Mr. Naton Smith.

Corporate EntitySMILEY MANOR, LLC

Staffing & Medical

2 services
Licensed Nurses/CNAs
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Housekeeping
Laundry
Specific ProgramsMedical and Psychiatric, Shopping Trips, Full Housekeeping and Laundry service

Contact Smiley Manor

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2023 · 3 years of data 5 deficiencies 2 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Missouri state average
Overall vs. MO average 0 Worse No metrics in this bucket. 2 Better Metrics better than Missouri average:
• Total deficiencies (86% below)
• Deficiencies per inspection (14% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 535 This facility has 86% fewer total deficiencies than a typical Missouri assisted living residence (5 vs. MO avg 35).↓ 86% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.52.9 This facility has 14% fewer deficiencies per inspection than a typical Missouri assisted living residence (2.5 vs. MO avg 2.9).↓ 14% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all inspections conducted at this facility. 212 This facility has had 83% fewer total inspections than the Missouri average (2 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 83% fewer
Show Inspection Reports

Places of interest near Smiley Manor

Address 5.3 miles from city center Info Estimated distance in miles from St. Louis's city center to Smiley Manor's address, calculated via Google Maps. — 4.28 miles to nearest hospital (Barnes-Jewish Hospital :Washington University Acute Ccm Sgy)

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Address

Compare Assisted Living around St Louis

Info below is compiled from the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Laclede Groves
AL
IL
MC
NH
SNF
St. Louis
251
Facility 251
MO AVG 96
Rank #3 / 450
No
35
Facility 35
MO AVG 46
Rank #353 / 545
----
Mattis Pointe Senior Living
AL
HOS
MC
RC
St. Louis (Concord)
120
Facility 120
MO AVG 96
Rank #87 / 450
Yes
35
Facility 35
MO AVG 46
Rank #353 / 545
Studio / Alcove / 1 BedAmericare At South St Louis LLC
6
Facility 6
MO AVG 10
Rank #89 / 222
A+
Brookdale Creve Coeur
AL
IL
St. Louis (New Ballas Place)
46
Facility 46
MO AVG 96
Rank #401 / 450
Yes
64
Facility 64
MO AVG 46
Rank #135 / 545
Studio / 1 Bed / 2 BedBrookdale Living Communities Of Missouri-Cc, LLC
48
Facility 48
MO AVG 10
Rank #3 / 222
A+
Smiley Manor
AL
RESC
RC
St. Louis (Walnut Park East)
20
Facility 20
MO AVG 96
Rank #442 / 450
No
49
Facility 49
MO AVG 46
Rank #253 / 545
-Smiley Manor, LLC
14
Facility 14
MO AVG 10
Rank #66 / 222
A+
McKnight Place
AL
MC
NH
SNF
St. Louis (University City)-No
52
Facility 52
MO AVG 46
Rank #231 / 545
--
32
Facility 32
MO AVG 10
Rank #19 / 222
A+
View all Nearby Homes

Financial Assistance for
Assisted Living in Missouri

Smiley Manor is located in St. Louis, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age —
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Smiley Manor

What neighborhood is Smiley Manor in?

Smiley Manor is in the Walnut Park East neighborhood of St. Louis.

Is Smiley Manor in a walkable area?

Smiley Manor has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Smiley Manor?

Smiley Manor's occupancy is 90%.

How long has Smiley Manor been in business?

Smiley Manor has been operating for approximately 14 years, based on available licensing and registration records.

Are pets allowed at Smiley Manor?

No, Smiley Manor has a no-pet policy.

Who is the administrator of Smiley Manor?

Mr NATON SMITH is the administrator of Smiley Manor.

How many beds does Smiley Manor have?

Smiley Manor has 20 beds.

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