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Best Assisted Living in St. Charles County, MO

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 9 homes in St Charles County, MO

Sources: CMS Centers for Medicare and Medicaid Services, and Missouri Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Assisted Living facilities in St Charles County, Missouri.

Watch this Video to see St Charles County's Top-rated Senior Communities

Compare Assisted Living around St Charles County

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

Click column headers to sort
Hampton Manor of St. Peters
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

St Peters (Saint Peters)
97
Facility 97
MO AVG 110
Rank #181 / 459
Yes
64
Facility 64
MO AVG 50
Rank #135 / 562
Studio / 1 Bed / 2 BedHampton Manor Of Wentzville LLC
-
Facility -
MO AVG
-
Clarendale of St. Peters
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

St Peters (Bellemeade Estates)
110
Facility 110
MO AVG 110
Rank #142 / 459
Yes
61
Facility 61
MO AVG 50
Rank #154 / 562
Studio / 1 Bed / 2 BedSt Peters Mo Senior Living Leaseco LLC
-
Facility -
MO AVG
-
Barathaven Memory Care
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Dardenne Prairie (Barathaven)
66
Facility 66
MO AVG 110
Rank #301 / 459
Yes
4
Facility 4
MO AVG 50
Rank #529 / 562
Private / Shared SuiteSonata Barathaven LLC
16
Facility 16
MO AVG
Rank #62 / 93
A+
The Landing of O’Fallon
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

St Charles (O’fallon)
-
Facility -
MO AVG 110
Yes
29
Facility 29
MO AVG 50
Rank #396 / 562
Studio / 1 Bed / 2 Bed-
-
Facility -
MO AVG
-
Cedarhurst of St. Charles
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

St Charles (St. Charles)
-
Facility -
MO AVG 110
No
73
Facility 73
MO AVG 50
Rank #70 / 562
Studio / 1 Bed / 2 Bed-
-
Facility -
MO AVG
-
Lake St. Charles Retirement Community
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

St Charles (Honey Locust Lane)
-
Facility -
MO AVG 110
No
26
Facility 26
MO AVG 50
Rank #418 / 562
Studio / 1 Bed / 2 Bed-
42
Facility 42
MO AVG
Rank #10 / 93
-
Hampton Manor of O’ Fallon (Under Construction)
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

St Peters (St. Peters)
-
Facility -
MO AVG 110
Yes
36
Facility 36
MO AVG 50
Rank #350 / 562
Studio / 1 Bed / 2 Bed-
-
Facility -
MO AVG
-
Hampton Manor of Wentzville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wentzville
85
Facility 85
MO AVG 110
Rank #237 / 459
No
22
Facility 22
MO AVG 50
Rank #442 / 562
-Hampton Manor Of Wentzville LLC
5
Facility 5
MO AVG
Rank #89 / 93
A+
Breeze Park – Lutheran Senior Services
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Weldon Spring
81
Facility 81
MO AVG 110
Rank #247 / 459
No
2
Facility 2
MO AVG 50
Rank #544 / 562
1 Bed / 2 Bed-
18
Facility 18
MO AVG
Rank #55 / 93
A+

Hampton Manor of St. Peters

268 Jungermann Rd, St Peters, MO 63376
Overview of Hampton Manor of St. Peters

Hampton Manor of St. Peters offers exceptional senior living in St. Peters, Missouri, providing a comfortable and supportive environment for residents. Our community is designed to promote independence while offering personalized care tailored to individual needs.

Residents enjoy private, apartment-style suites with modern amenities, including individually controlled heating and air conditioning, private bathrooms with showers and grab bars, and emergency call response systems. The community features beautifully landscaped outdoor spaces, comfortable common areas, and a variety of activity rooms to encourage social engagement and relaxation.

Our dedicated staff is available 24/7 to assist with daily activities such as bathing, dressing, grooming, and medication management. We also offer weekly housekeeping, linen services, and suite maintenance to ensure a clean and comfortable living environment.

Dining at Hampton Manor of St. Peters includes three delicious meals daily, with menu choices and snacks available anytime. Residents can also enjoy our on-site hair and nail salon, library, sunroom, and movie theater. Regularly scheduled activities and entertainment provide opportunities for residents to stay active and engaged.

Our community is conveniently located near public transportation and offers ample parking for residents and visitors. We also provide religious services to support the spiritual well-being of our residents.

At Hampton Manor of St. Peters, we are committed to creating a warm and welcoming environment where seniors can thrive. Our goal is to provide the highest quality of care and support, ensuring peace of mind for residents and their families.

What does this home offer?

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Pets Allowed

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Room Sizes: 303 / 378 / 507 / 719 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Single-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact Hampton Manor of St. Peters

Clarendale of St. Peters

10 Dubray Dr, St Peters, MO 63376
Overview of Clarendale of St. Peters

Experience a resort-style living with Clarendale of St. Peters located in St. Peters, MO. This senior living community offers independent living, assisted living, and memory care services. Spacious and cozy accommodations ranging from one-bedroom to two-bedroom are available for its residents. With its competent and dedicated team, this community fosters an active adult living or a maintenance-free lifestyle to further enhance independence.

True to its goal to be a community like no other, residents can enjoy a wide array of exceptional amenities and services including nursing services, around-the-clock associates to ensure safety of residents, wellness and spa and many more. Build meaningful connections within the beautifully made shared spaces of this community. Attend in diverse social activities and other life enrichment programs. At Clarendale of St. Peters, seniors can enjoy a living experience worth remembering.

What does this home offer?

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Pets Allowed

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Room Sizes: 725 / 802 / 958 / 989 / 1204 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Clarendale of St. Peters

Barathaven Memory Care

1030 Barathaven Blvd, Dardenne Prairie, MO 63368
Overview of Barathaven Memory Care

A one-of-a-kind community set in the serene Barathaven Boulevard, Dardenne Prairie, MO, Barathaven Memory Care specializes in memory care. Here, individuals with Alzheimer’s and related dementia receive top-notch care and assistance to enhance their cognition from a compassionate and highly trained team available around the clock. The community also collaborates with healthcare professionals to ensure residents’ healthcare needs are attended to.

Enjoy fun activities and enriching programs customized to residents’ strengths and interests to ensure an active and well-engaged retirement. Find comfort in food with delightful and healthy meals catering to dietary needs and preferences. Medication management, physical therapy, incontinence care, and respite care, are also provided for residents’ healthcare needs. Cherish every moment of your golden years with a trusted community that cares for your special needs.

What does this home offer?

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Pets Allowed

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Housing Options: Private / Shared Suite

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Building Type: Single-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Recreational Activities

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Exercise Programs

Contact Barathaven Memory Care

Overview of Cedarhurst of St. Charles

Discover an exceptional living experience with Cedarhurst of St. Charles, located in St. Charles, MO, providing independent living, assisted living, and memory care. Residents can choose from a variety of apartments, all featuring wheelchair-accessible bathrooms, 24-hour emergency call systems, individual climate controls, and expanded cable TV for comfort and convenience.

At Cedarhurst, every day brings new opportunities to connect and thrive. Dining is a centerpiece of the community, with a talented chef creating healthy, delicious meals to be enjoyed daily. The campus offers top-notch amenities, including a fitness center, health classes, and more—all designed to enhance residents’ well-being and lifestyle. Cedarhurst of St. Charles fosters a warm, supportive environment where everyone feels loved, valued, and empowered to live life to the fullest.

What does this home offer?

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Room Sizes: 225–328 / 302–352 / 432–531 / 532 / 785-796 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

Contact Cedarhurst of St. Charles

Overview of The Landing of O’fallon

Located in the welcoming community of St. Charles, MO, The Landing of O’Fallon is an esteemed senior living community providing assisted living and memory care services. Here, residents can select from beautifully appointed and spacious accommodations with varying floor plans, having the choice of a one or two bedroom apartment, a studio assisted apartment, and a private memory care apartment. As for memory care, Opal by Leisure Care ®, their signature approach to memory care, takes a positive approach to the challenges of dementia, focusing on the abilities of each resident and celebrating their life stories backed up by research and science based services and amenities.

Experience its top-of-the-line amenities and services including full-service dining in their restaurant and bistro, Primefit Wellness, and daily activities & enrichment programs. Meet new companions in their courtyard and billiards room. With The Landing of O’Fallon, seniors are assured of a living experience worth remembering.

What does this home offer?

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Pets Allowed

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Room Sizes: 254 / 337 / 378 / 510 / 642 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

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Transportation Services

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Fitness and Recreation

Contact The Landing of O’Fallon

Overview of Lake St. Charles Retirement Community

Nestled on a scenic hillside with stunning panoramic lake views, Lake St. Charles Retirement Community in St. Charles, MO, offers senior living at its finest. With various levels of care, including independent living, wellness assistance, adult day care, licensed assisted living, and skilled nursing & rehab, residents enjoy the perfect blend of support and independence.

Lake St. Charles is dedicated to creating an affordable, vibrant lifestyle for seniors, offering cozy, well-appointed accommodations in five apartment sizes. The seasoned, skilled team ensures safety and comfort, allowing residents to feel at ease in their daily lives. Offering a range of choices is a hallmark of the community, from flexible meal plans to countless leisure activities. Here, seniors can craft a lifestyle filled with encouragement, convenience, and joy. At Lake St. Charles, retirement is an opportunity to live fully and thrive.

What does this home offer?

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Room Sizes: 288 / 432 / 576 / 864 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Lake St. Charles Retirement Community

Overview of Hampton Manor of O’ Fallon (under Construction)

Hampton Manor of O’Fallon offers exceptional senior living in O’Fallon, Missouri, providing a comfortable and supportive environment for residents. Our community is designed to promote independence while offering personalized care tailored to individual needs.

Residents enjoy private, apartment-style suites with modern amenities, including individually controlled heating and air conditioning, private bathrooms with showers and grab bars, and emergency call response systems. The community features beautifully landscaped outdoor spaces, comfortable common areas, and a variety of activity rooms to encourage social engagement and relaxation.

Our dedicated staff is available 24/7 to assist with daily activities such as bathing, dressing, grooming, and medication management. We also offer weekly housekeeping, linen services, and suite maintenance to ensure a clean and comfortable living environment.

Dining at Hampton Manor of O’Fallon includes three delicious meals daily, with menu choices and snacks available anytime. Residents can also enjoy our on-site hair and nail salon, library, sunroom, and movie theater. Regularly scheduled activities and entertainment provide opportunities for residents to stay active and engaged.

Our community is conveniently located near public transportation and offers ample parking for residents and visitors. We also provide religious services to support the spiritual well-being of our residents.

At Hampton Manor of O’Fallon, we are committed to creating a warm and welcoming environment where seniors can thrive. Our goal is to provide the highest quality of care and support, ensuring peace of mind for residents and their families.

What does this home offer?

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Pets Allowed

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Room Sizes: 338 / 356 / 520 / 660 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Single-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact Hampton Manor of O’ Fallon (Under Construction)

Hampton Manor of Wentzville

21 Midland Park Dr, Wentzville, MO 63385
Overview of Hampton Manor of Wentzville

Hampton Manor of Wentzville offers exceptional senior living in Wentzville, Missouri, providing a comfortable and supportive environment for residents. Our community is designed to promote independence while offering personalized care tailored to individual needs.​

Residents enjoy private, apartment-style suites with modern amenities, including individually controlled heating and air conditioning, private bathrooms with showers and grab bars, and emergency call response systems. The community features beautifully landscaped outdoor spaces, comfortable common areas, and a variety of activity rooms to encourage social engagement and relaxation.​

Our dedicated staff is available 24/7 to assist with daily activities such as bathing, dressing, grooming, and medication management. We also offer weekly housekeeping, linen services, and suite maintenance to ensure a clean and comfortable living environment.​

Dining at Hampton Manor of Wentzville includes three delicious meals daily, with menu choices and snacks available anytime. Residents can also enjoy our on-site hair and nail salon, library, sunroom, and movie theater. Regularly scheduled activities and entertainment provide opportunities for residents to stay active and engaged.​

Our community is conveniently located near public transportation and offers ample parking for residents and visitors. We also provide religious services to support the spiritual well-being of our residents.​

At Hampton Manor of Wentzville, we are committed to creating a warm and welcoming environment where seniors can thrive. Our goal is to provide the highest quality of care and support, ensuring peace of mind for residents and their families.​

What does this home offer?

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact Hampton Manor of Wentzville

Overview of Breeze Park – Lutheran Senior Services

Experience a resort-style living with Breeze Park-Lutheran Senior Services located in St. Peters, MO. This senior living community offers independent and assisted living services. Spacious and cozy accommodations ranging from one-bedroom to two-bedroom are available for its residents. With its competent and dedicated team, this community fosters an active adult living or a maintenance-free lifestyle to further enhance independence.

True to its goal to be a community like no other, residents can enjoy a wide array of exceptional amenities and services including chapel, banking services, private dining room, wellness and spa, whirlpool and many more. Build meaningful connections within the beautifully made shared spaces of this community. Attend diverse social activities and other life enrichment programs. At Breeze Park-Lutheran Senior Services, seniors can enjoy a living experience worth remembering.

What does this home offer?

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Room Sizes: 700 / 880 / 1120 / 1180 sq. ft

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Housing Options: 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Breeze Park – Lutheran Senior Services

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
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Frequently Asked Questions about Assisted Living in St. Charles County, MO

What's the difference between assisted living and memory care in Missouri?

Assisted living in Missouri supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Missouri?

Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Missouri Medicaid cover assisted living?

Missouri Medicaid does not directly pay room-and-board for assisted living, but most states (including Missouri) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 9 assisted living facilities in St. Charles County, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in St. Charles County, MO?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in St. Charles County, MO, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in St. Charles County, MO?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.