Best Assisted Living in St. Louis, MO

Why trust this guide? Our editorial team analyzed 27 assisted living communities in St Louis, MO using MO Dept. of Health & Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MO
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Last updated
We analyzed These are the facilities in St Louis, MO our team has analyzed — not a count of every assisted living provider in St Louis, MO.
27 homes
Other senior care options in St Louis:
Avg Walk Score: 46/ 100The average Walk Score across facilities in St Louis, MO. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 87The average licensed bed capacity across facilities in St Louis, MO. Individual facilities can vary widely from this average.
National Average: 90

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.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. 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. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
Sunrise of Des Peres
AL
MC
Des Peres
102
Facility 102
MO AVG 96
Rank #167 / 450
Yes
50
Facility 50
MO AVG 46
Rank #243 / 545
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
18
Facility 18
MO AVG 10
Rank #55 / 227
A+
Brookdale Creve Coeur
AL
IL
St. Louis
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 / 227
A+
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 / 227
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 / 227
A+
Sunrise of Webster Groves
AL
HOS
MC
Webster Groves
90
Facility 90
MO AVG 96
Rank #225 / 450
Yes
77
Facility 77
MO AVG 46
Rank #53 / 545
Studio / 1 Bed / 2 BedWelltower Opco Group LLC--
Ascension Living Sherbrooke Village
AL
ADC
HC
IL
MC
NH
SNF
St. Louis
149
Facility 149
MO AVG 96
Rank #54 / 450
Yes
29
Facility 29
MO AVG 46
Rank #394 / 545
--
34
Facility 34
MO AVG 10
Rank #17 / 227
-
St. Elizabeth Hall
AL
St. Louis (Central West End)
50
Facility 50
MO AVG 96
Rank #386 / 450
No
78
Facility 78
MO AVG 46
Rank #52 / 545
Private Rooms / Semi-Private RoomsCardinal Ritter Senior Services--
St Louis Altenheim
AL
IL
MC
NH
RC
SNF
St. Louis (Carondelet)
48
Facility 48
MO AVG 96
Rank #395 / 450
Yes
39
Facility 39
MO AVG 46
Rank #326 / 545
-Malik St Louis LLC-A+
Clarendale Clayton
AL
IL
MC
Clayton
98
Facility 98
MO AVG 96
Rank #187 / 450
No
55
Facility 55
MO AVG 46
Rank #188 / 545
Studio / 1 Bed / 2 BedClayton Operations, LLC--
The Gatesworth
AL
IL
MC
NH
SNF
St. Louis
-No
52
Facility 52
MO AVG 46
Rank #231 / 545
1 Bed / 2 Bed / 3 Bed-
38
Facility 38
MO AVG 10
Rank #15 / 227
-

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 27 analyzed for St Louis.

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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.

Contact Sunrise of Des Peres

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.

Contact Brookdale Creve Coeur

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.

Contact Mattis Pointe Senior Living

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.

Contact Smiley Manor

Overview of Sunrise of Webster Groves

With its enchanting Victorian appeal, Sunrise of Webster Groves located on Lockwood Avenue, Webster Groves, MO, provides a wide array of living options including assisted living, memory care, short-term stays, and hospice coordination. The community features pet-friendly and well-made floor plans including studio, one-bedroom apartments, and companion suites, seniors enjoy a comfortable and safe residence. With a compassionate, respectful, and highly trained team tending to residents’ needs and maintenance around the clock, they have more time to explore new endeavors.

The community fosters a bright and inviting environment, hosting a calendar filled with fun activities and engaging programs that are carefully curated to emphasize residents’ strengths and interests. Sunrise of Webster Grove doubles its efforts in providing seniors with experiences tailored to their personal aspirations and special needs to ensure their contentment. Dining is as fun as it should be with healthy and delicious meals served based on seniors’ tastes and nutritional requirements. Sunrise of Webster Grove is a great place to spend your golden years with its well-maintained grounds and warm community.

Contact Sunrise of Webster Groves

Overview of Ascension Living Sherbrooke Village

Sherbrooke Village has built a reputation as a leading provider of exceptional care for older adults, with a focus on hospitality and a commitment to creating a seamless living experience. They prioritize the comfort and well-being of their residents above all else. From their carefully crafted wellness programs to their inviting dining options and social activities, they strive to create a warm and welcoming environment that feels like home. But it’s not just their commitment to quality care and hospitality that sets them apart. Their location in the heart of St. Louis, with easy access to all that the vibrant city has to offer, makes them a popular choice among locals as well.
The senior living community provides a wide range of essential services and amenities to ensure that residents receive the care and support they need to live comfortably and independently. Some of these services include daily meals served in the dining room, medication management, care coordination, laundry and housekeeping services, and regular wellness checks by staff members. In addition to these vital services are amenities designed to enhance the quality of life for residents. Some of these amenities include in-room dining services up to three times per month, local transportation up to four times per month, a weekly happy hour, group outings and events, a life enrichment program, and a wellness program. Routine maintenance services are provided to ensure that the community remains safe and comfortable for all residents. Registered dietitian consultation is also available to help residents maintain optimal health and well-being.

Contact Ascension Living Sherbrooke Village

Overview of St. Elizabeth Hall

Committed to providing accessible care and assistance, St. Elizabeth Hall is a trusted senior living community located at Newstead Avenue, St.Louis, MO, that offers assisted living. Fostering trusted connections with local health institutions, the community features reliable mental health services and high-quality care. Residents experience a worry-free retirement with round-the-clock personalized care from a kind and compassionate team.

The community promotes a fun and friendly environment, orchestrating social, educational, and spiritual activities. Enjoy conversations with friends over delightful and nutritious meals served three times daily. St. Elizabeth Hall is equipped with a chapel for mass and nondenominational services, a beauty salon and barbershop, a well-stocked library, and aesthetic common areas.

Contact St. Elizabeth Hall

Overview of St Louis Altenheim

St. Louis Altenheim sits at 5408 S Broadway in St. Louis’s Carondelet neighborhood, a few miles south of the city center along the Mississippi. The 48-bed community has operated for over a century and today carries five care designations: nursing home, assisted living, independent living, memory care, and respite care. Administrator Jean Bardwell leads the operation under Malik St. Louis LLC. The neighborhood scores a 39 on walkability, so transportation is a practical consideration for families and visitors.

Ninety percent of beds are currently filled, 43 of 48, which is a meaningful occupancy figure for a community this size and care mix.

Total nursing hours run at 3 hours and 58 minutes per resident per day. Registered nurses account for 26 minutes of that, nurse aides for 2 hours and 11 minutes. Twenty-four-hour staffing is confirmed.

Named programs include Bavaria Memory Care and Supported Living, which signals a structured approach to both dementia care and residents with broader support needs. Rehabilitation services and respite care round out the clinical options. Religious services are available on site.

The dining room has a view of the Mississippi River, and meals are restaurant-style with dietary accommodation. Small pets including cats are permitted. Amenities include private bathrooms, wall-to-wall carpeting, fresh flowers throughout, reserved parking, manicured grounds, and a smoke-free building with a fire suppression system. Utilities, housekeeping, and linen service are all included.

St. Louis Altenheim is a full-service, century-old nursing community in south St. Louis with a broad care range, named memory and support programs, and a physically detailed residential environment; suited to older adults who need nursing-level oversight in a long-established setting.

Contact St Louis Altenheim

Clarendale Clayton

7651 Clayton Rd, Clayton, MO 63117
Overview of Clarendale Clayton

Clarendale Clayton, nestled in the heart of Missouri, is a breath of fresh air in the realm of senior living. Embrace the freedom and independence of their independent living services, where you can savor the joys of a maintenance-free lifestyle. For those seeking extra support, their residential assisted living services provide a nurturing and secure environment where residents can thrive with the assistance they need. For individuals requiring specialized care, Clarendale Clayton also offers memory care living, ensuring that residents with cognitive challenges receive personalized support and a comforting environment designed to enhance their well-being.

The dedicated concierge team is ready to cater to your every need, ensuring that every moment is met with utmost care and attention. Step onto the rooftop terrace, and you’ll discover a haven where tranquility and breathtaking views collide. Immerse yourself in the well-appointed fitness studio, where health and wellness take center stage. Indulge in the pleasures of the bistro, salon, and spa, where relaxation and rejuvenation await. Every living space within Clarendale Clayton is meticulously designed to exude opulence and style, from the penthouse suites boasting magnificent views to the private balconies that offer residents their oasis.

Contact Clarendale Clayton

Overview of The Gatesworth

Recognized as the US News and World Report’s Best Independent Living in 2024, The Gatesworth is a trusted senior living community located at One McKnight Pl, St. Louis, MO, offering independent living. The community features a wide range of elegant and spacious floor plans including one-bedroom and two-bedroom apartments. Providing care for over 35 years, Gatesworth commits to enhancing the seniors’ quality of life.

The Gatesworth promotes a bright and friendly environment, orchestrating a spectrum of activities that enhances its residents’ quality of life. Learning is a lifelong journey and the community ensures that seniors continue to learn with regular lectures from experts in various fields. Enjoy luxurious amenities for fitness, beauty, and wellness. Residents delight with exquisite meals prepared by an award-winning chef in multiple dining venues. Live retirement at its finest with wonderful amenities and community at The Gatesworth.

Contact The Gatesworth

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
No paid rankings Communities cannot pay to influence placement.
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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.

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.