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Smiley Manor
Assisted Living, Residential Care & Respite Care · St. Louis, MO
Exterior view of Smiley Manor with entrance and landscaping Exterior view of Smiley Manor with green accents Exterior view of a modern building with landscaping. Smiley Manor, assisted living in St. Louis, MO — Community gathering in a senior living activity room

Smiley Manor

Assisted Living, Residential Care & Respite Care · St. Louis, MO
5415 Thekla Ave, St. Louis, MO 63120 View map
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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
By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 20 Rank #210 / 217Bed count — State benchmarkedThis assisted living community is ranked 210th out of 217 assisted living communities we track 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management. Rank #34 / 93Years in operation — State benchmarkedThis assisted living community is ranked 34th out of 93 assisted living communities we track 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
14 years
Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #112 / 259Walk Score — State benchmarkedThis assisted living community is ranked 112th out of 259 assisted living communities we track 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.Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
49 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #21 / 187Occupancy rate — State benchmarkedThis assisted living community is ranked 21st out of 187 assisted living communities we track in Missouri for occupancy. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 187. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every assisted living community we track in Missouri that reports data for that category. Assisted living communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
90% This home usually has limited availability
Higher than the Missouri average: 64.3%
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
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About this community

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 2019 · 7 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 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 2019 vs. Missouri state average
Overall vs. MO average 0 Worse No metrics in this bucket. 2 Better Metrics better than Missouri average:
• Total deficiencies (92% below)
• Deficiencies per inspection (50% 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. 564.0 This facility has 92% fewer total deficiencies than a typical Missouri assisted living residence (5 vs. MO avg 64).↓ 92% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.55.0 This facility has 50% fewer deficiencies per inspection than a typical Missouri assisted living residence (2.5 vs. MO avg 5).↓ 50% 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. 212.0 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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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-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Mattis Pointe Senior Living
AL
HOS
MC
RC
St. Louis (Concord)
120
Facility 120
MO AVG 88
Rank #36 / 217
Yes
35
Facility 35
MO AVG 42
Rank #149 / 259
Studio / Alcove / 1 BedAmericare At South St Louis LLC
6
Facility 6
MO AVG 12
Rank #42 / 93
A+
Sunrise of Des Peres
AL
MC
Des Peres
102
Facility 102
MO AVG 88
Rank #55 / 217
Yes
50
Facility 50
MO AVG 42
Rank #107 / 259
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
18
Facility 18
MO AVG 12
Rank #29 / 93
A+
Kingsland Walk Senior Living
AL
MC
University City
70
Facility 70
MO AVG 88
Rank #124 / 217
No
67
Facility 67
MO AVG 42
Rank #40 / 259
ALF** (70)Kingsland Walk Senior Living, LLC
1
Facility 1
MO AVG 12
Rank #52 / 93
-
Brookdale Creve Coeur
AL
IL
St. Louis
46
Facility 46
MO AVG 88
Rank #179 / 217
Yes
64
Facility 64
MO AVG 42
Rank #55 / 259
Studio / 1 Bed / 2 BedBrookdale Living Communities Of Missouri-Cc, LLC
48
Facility 48
MO AVG 12
Rank #2 / 93
A+
Smiley Manor
AL
RESC
RC
St. Louis (Walnut Park East)
20
Facility 20
MO AVG 88
Rank #210 / 217
No
49
Facility 49
MO AVG 42
Rank #112 / 259
-Smiley Manor, LLC
14
Facility 14
MO AVG 12
Rank #34 / 93
A+

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other MO assisted living community we track that reports that metric, not just the 5 on this page. See how we rank facilities

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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. Car-dependent. 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.

What is the best email address for Smiley Manor?

The team at Smiley Manor can be reached at naton308@gmail.com.

Who is the administrator of Smiley Manor?

Mr. Naton Smith is the administrator of Smiley Manor.

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