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Other Senior care options in St Louis:

Best Assisted Living in St. Louis, MO

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 14 homes in St Louis, MO

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

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

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

Compare Assisted Living around St Louis

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

Click column headers to sort
Cedarhurst of Des Peres
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.

Des Peres (Acme Heights)
76
Facility 76
MO AVG 110
Rank #261 / 459
No
28
Facility 28
MO AVG 50
Rank #403 / 562
-Ch West County Management Mo, LLC
-
Facility -
MO AVG
-
Sunrise of Des Peres
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.

Des Peres
102
Facility 102
MO AVG 110
Rank #152 / 459
Yes
50
Facility 50
MO AVG 50
Rank #244 / 562
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
45
Facility 45
MO AVG
Rank #9 / 93
A-
The Grande At Laumeier Park
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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Sappington (Sunset Hills)
98Yes 50 Studio / 1 Bed / 2 BedRott Senior Care, LLC--
Mattis Pointe Senior Living
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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

St. Louis (Concord)
120
Facility 120
MO AVG 110
Rank #70 / 459
Yes
35
Facility 35
MO AVG 50
Rank #356 / 562
Studio / Alcove / 1 BedAmericare At South St Louis LLC
-
Facility -
MO AVG
A+
Brookdale Creve Coeur
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.

St. Louis (New Ballas Place)
46
Facility 46
MO AVG 110
Rank #392 / 459
Yes
64
Facility 64
MO AVG 50
Rank #135 / 562
Studio / 1 Bed / 2 BedBrookdale Living Communities Of Missouri-Cc, LLC
48
Facility 48
MO AVG
Rank #4 / 93
A+
Brentmoor 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.

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.

LSL

Luxury Senior Living

St. Louis (University City)
36
Facility 36
MO AVG 110
Rank #419 / 459
Yes
52
Facility 52
MO AVG 50
Rank #232 / 562
Studio / 1 Bed / 2 BedBrentmoor Holding, LLC
-
Facility -
MO AVG
-
The Gables at Brady Circle
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. Louis (Ascalon)
40
Facility 40
MO AVG 110
Rank #406 / 459
No
56
Facility 56
MO AVG 50
Rank #181 / 562
-The Gables At Brady Circle, LLC
-
Facility -
MO AVG
-
Anthology of Clayton
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.

St. Louis (Richmond Heights)
-
Facility -
MO AVG 110
No
71
Facility 71
MO AVG 50
Rank #80 / 562
--
-
Facility -
MO AVG
-
Autumn View Gardens
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. Louis (Maryland Heights)
-
Facility -
MO AVG 110
No
20
Facility 20
MO AVG 50
Rank #451 / 562
--
27
Facility 27
MO AVG
Rank #35 / 93
A+
Fairmont Senior Living on Clayton
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.

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.

Richmond Heights
-
Facility -
MO AVG 110
No
62
Facility 62
MO AVG 50
Rank #150 / 562
--
-
Facility -
MO AVG
-
Laclede Groves
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.

St. Louis
262
Facility 262
MO AVG 110
Rank #3 / 459
No
35
Facility 35
MO AVG 50
Rank #356 / 562
--
-
Facility -
MO AVG
-
Estates of Hidden Lake
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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

St. Louis (Spanish Lake)
67
Facility 67
MO AVG 110
Rank #298 / 459
No
29
Facility 29
MO AVG 50
Rank #396 / 562
-Estates Of Hidden Lake, LLC
-
Facility -
MO AVG
-
Sunrise of Webster Groves
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.

Webster Groves
90
Facility 90
MO AVG 110
Rank #208 / 459
Yes
77
Facility 77
MO AVG 50
Rank #53 / 562
Studio / 1 Bed / 2 BedWelltower Opco Group LLC
-
Facility -
MO AVG
-
The Arbors at Dunsford Court
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).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Sullivan
-
Facility -
MO AVG 110
Yes
22
Facility 22
MO AVG 50
Rank #442 / 562
Studio / Suite-
-
Facility -
MO AVG
-
Overview of Sunrise of Des Peres

Uplift your mood with the blissful senior living community of Sunrise of Des Peres situated on Manchester Road, Des Peres, MO, providing assisted living, memory care, short-term stay, and hospice coordination. With seniors’ well-being and safety in mind, the community features pleasant and spacious accommodations including studio, one-bedroom, two-bedroom apartments, and companion suites. Live your life as you prefer with a caring and dedicated team handling the housekeeping and other mundane activities.

The community is committed to improving seniors’ quality of life, conducting a variety of interactive activities, and fulfilling learning programs. Join your friends and engage in inspiring conversations over meals catered to your dietary requirements and preferences. Sunrise of Des Peres is ideal to spend your golden years in comfort and luxury with its well-maintained campus filled with warmth and friendly community.

What does this home offer?

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Pets Allowed

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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 Sunrise of Des Peres

Overview of The Grande at Laumeier Park

Experience an inviting living in Sappington, MO, The Grande at Laumeier Park is a prominent senior living community that offers assisted living and memory care. The community provides a customized level of care and security for its residents along with convenient walking paths and accessibility to the airport. Spacious accommodations with a variety of floor plans are available to cater to the primary needs of assisted living and memory care residents.

With its modern amenities, residents can enjoy exceptional care and support from its professional team. Fitness and therapy programs, fresh and nutritious chef-prepared meals, and avenues for relaxation from playing pool to strolling through their gardens are also some of the highlights of a one-of-a-kind living experience in this beautiful place. At the Grande At Laumeier Park, seniors are assured of an extraordinary retirement.

What does this home offer?

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Pets Allowed

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Room Sizes: 429 / 570 / 817 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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Dining Services

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Security Systems

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Housekeeping Services

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Transportation Services

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Beauty Services

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Recreational Activities

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Exercise Programs

Contact The Grande At Laumeier Park

Overview of Cedarhurst of Des Peres

Cedarhurst of Des Peres is an assisted living and memory care community in Saint Louis. The assisted living community creates a wonderful experience in the next chapter of their seniors’ lives; management and staff fully support all residents. They boast a dedicated team of care staff who celebrate each unique individual by ensuring full care and attention to the residents. Cedarhurst of Des Peres provides a home where each and every individual, from staff to residents, is able to build new connections and create new memories in their new home.
Cedarhurst of Des Peres offers a wide range of services to make residents feel at home, including weekly housekeeping services, laundry and linen services, transportation services, and a recreation room for fun activities. There is also an on-site full-service salon where residents can pamper themselves and feel their best. Outdoor spaces and paths provide a serene and peaceful environment for relaxation and reflection. 

Contact Cedarhurst of Des Peres

Overview of Mattis Pointe Senior Living

Spend your golden years living the life you want with Mattis Pointe Senior Living by Americare, a trusted senior living community set in the enchanting grounds of Mattis Road, Saint Louis, MO, which provides assisted living, memory care, adult day club, respite care, rehabilitation, and hospice care. Surround yourself with beautifully designed and sophisticated studio and one-bedroom residences of Mattis Pointe Senior Living. With a reliable and highly skilled team lending extra hands for daily living and unique needs, seniors have more time to enjoy every moment of their retirement and gain meaningful experiences.

Create lasting moments and enjoy engaging activities for a happy and well-connected lifestyle. Have a delightful dining experience with delicious and healthy meals to meet dietary needs. Mattis Pointe Senior Living is ideal for seniors who are aiming to optimize their freedom with its incredible amenities.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / Alcove / 1 Bed

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Building Type: Single-story

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Transportation Services

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Fitness and Recreation

Contact Mattis Pointe Senior Living

Overview of Brookdale Creve Coeur

Spend your golden years in comfort at Brookdale Creve Coeur, an inviting senior living community in Creve Coeur, MO, offering both independent living and assisted living options for seniors looking to enjoy their retirement with ease and comfort. Independent living at Brookdale Creve Coeur is ideal for seniors who can manage their own daily activities but prefer a supportive environment. For those needing a bit more assistance, the assisted living services provide personalized care that includes help with activities like bathing and dressing, ensuring a worry-free lifestyle.

Residents of Brookdale Creve Coeur enjoy a vibrant community with pet-friendly accommodations, fine dining options, and a wealth of activities ranging from arts and crafts to fitness programs. The community features amenities such as an indoor pool, therapy rooms, and transportation services, all designed to enhance the quality of life and promote a fulfilling retirement experience. Whether enjoying a swim, exploring the library, or participating in engaging social events, seniors at Brookdale Creve Coeur can truly savor their retirement years to the fullest.

What does this home offer?

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Pets Allowed

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Room Sizes: 430 - 569 / 631 - 911 / 1087 - 1789 sq. ft.

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Mid-rise

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Transportation Services

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Fitness and Recreation

Contact Brookdale Creve Coeur

Overview of Brentmoor Retirement Community

Brentmoor Retirement Community, nestled in the heart of St. Louis, is the epitome of an exceptional lifestyle. Here, residents are treated to a haven of comfort and convenience, where every detail is carefully curated to enhance their well-being. Whether you’re seeking the independence of their independent living apartments or the extra support provided by assisted living homes, you’ll find a place that feels like home. Moreover, Brentmoor recognizes and honors the contributions of veterans, offering specialized assisted living for veterans that caters to their unique needs. Veterans can enjoy a supportive environment that respects their service and provides the care they deserve.

From delectable home-cooked meals to reliable transportation services, Brentmoor goes above and beyond to ensure that residents’ needs are met. Step inside this vibrant community, and you’ll discover a wealth of amenities designed to enrich every aspect of senior living. Indulge in the pampering services of the on-site beauty shop, where you can refresh your look and feel your best. Say goodbye to household chores with the help of the dedicated housekeeping and maintenance team, who take care of the details so you can focus on enjoying life to the fullest.

 

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: High-rise

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Transportation Services

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Fitness and Recreation

Contact Brentmoor Retirement Community

Overview of The Gables at Brady Circle

The Gables at Brady Circle is one of the trusted assisted living communities in the city. They understand that an enriching senior living experience begins with the right lifestyle that reinvents the meaning of senior care. The assisted living community enriches, empowers, and encourages all residents to still live freely on their own terms while receiving the necessary support. The Gables at Brady Circle is a home that honors your trust in them; they ensure that seniors are given the utmost level of care and respect. 
The vibrant home offers a list of services that include 24-hour nursing supervision, transportation, housekeeping, medication management, an emergency call response system in every room, and cozy outdoor and indoor common areas. Other activities include movie nights, fitness classes, a gardening club, and other scheduled social events. 

Contact The Gables at Brady Circle

Overview of Anthology of Clayton

Anthology of Clayton combines assisted living and memory care services, with the former essentially called assisted living. Anthology proudly excels in providing a lifestyle that is centered around activities while altogether promoting independence. The luxurious community aims to gain a lifestyle that promotes holistic wellness for every resident. The senior living community gives off a friendly and resort-like atmosphere, there’s always something appropriate for everyone. Anthology of Clayton ensures a vibrant and inclusive social community for seniors so as to help nurture each senior’s individuality. 
Families can rest easy knowing that the senior living community is part of the renowned and elegant Anthology of Clayton; one can guarantee only the highest quality of service. With that, some may need assistance with daily activities such as bathing, dressing, medication management, and physical therapy.  Community amenities include five-star dining offering a 4-course dinner; a fully equipped fitness center also offering fitness and wellness classes; and a list of engaging recreational programs and activities.

Contact Anthology of Clayton

Overview of Autumn View Gardens

The Autumn View Gardens is an assisted living and memory care community that thrives because of the level of independence and growth given to seniors. The retirement community creates an open space for seniors to live life on their own terms and continue to feel inspired by purposeful living. The dedicated team of staff is committed to ensuring that residents are receiving the best care possible while creating an environment with endless possibilities waiting to be explored. For over 60 years, Autumn View Gardens have been ensuring that residents foster a sense of community. 
Autumn View Gardens proudly practices its philosophical approach to senior living, which is offering tailored care based on the needs and decisions of its residents. Services include licensed nurse supervision, medication management, a 24-hour emergency call system, and pharmacy services; other physical services include rehabilitation, podiatry, and respite stays. 

Contact Autumn View Gardens

Overview of Fairmont Senior Living on Clayton

Fairmont Clayton is a trusted assisted senior living with memory care support in Richmond Heights. The premier home in Missouri approaches senior living with the understanding that its residents need a cultivation of holistic growth. The staff ensures residents are inspired to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment. Seniors can expect individual wellness to be enhanced and advanced.

The residential lifestyle at Fairmont Clayton is Montessori-inspired and focused on delivering individualized care tailored to each resident’s unique needs. Community accommodations are resort-inspired and driven by world-class hospitality. A few featured amenities include a dining room, multiple lounge areas, an outdoor common area, and spacious apartments available

Contact Fairmont Senior Living on Clayton

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. Louis, MO

What is the average cost of assisted living in St. Louis, MO?

The average monthly cost of assisted living in St. Louis, MO is approximately $5,000. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in St. Louis, MO?

Assisted living in St. Louis, MO typically ranges from $4,500–$7,100 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in St. Louis, MO?

Assisted living facilities in St. Louis, MO typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

How many licensed assisted living facilities are there in St. Louis, MO?

According to state licensing records, there are approximately ~100–120 licensed assisted living facilities in St. Louis, 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.