Best Assisted Living in St. Louis, MO

Why trust this guide? Our editorial team analyzed 24 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.
24 homes
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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. 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 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
-
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+
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+
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
-
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+
Sunrise of Webster Groves
AL
HOS
MC
Webster Groves
90
Facility 90
MO AVG 88
Rank #79 / 217
Yes
77
Facility 77
MO AVG 42
Rank #20 / 259
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 88
Rank #25 / 217
Yes
29
Facility 29
MO AVG 42
Rank #167 / 259
--
34
Facility 34
MO AVG 12
Rank #11 / 93
-
St. Elizabeth Hall
AL
St. Louis (Central West End)
50
Facility 50
MO AVG 88
Rank #164 / 217
No
78
Facility 78
MO AVG 42
Rank #19 / 259
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 88
Rank #173 / 217
Yes
39
Facility 39
MO AVG 42
Rank #139 / 259
-Malik St Louis LLC-A+
The Grande At Laumeier Park
AL
MC
RC
Sappington (Sunset Hills)
98Yes 50 Studio / 1 Bed / 2 BedSunset Hills Propco LLC--

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 24 analyzed for St Louis. See how we rank facilities

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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.

Starting Price $3,618/Month

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.

Starting Price $3,600/Month

Contact Brookdale Creve Coeur

Overview of Mattis Pointe Senior Living

Mattis Pointe Senior Living offers assisted living, hospice care, memory care, and respite care in St. Louis, MO. Assisted living provides help with daily tasks while allowing a resident to keep a private living space. Memory care provides a secured setting with supervision for someone at risk of wandering. Hospice care supports a resident receiving end of life care, while respite care provides a short stay when a usual caregiver needs time away.

Several care options are available in one community. Mattis Pointe Senior Living may be a good fit for a family seeking daily support, memory care, hospice care, or short term respite care. The community has 120 beds, with studio, alcove, and one bedroom housing options.

Mattis Pointe is in the Concord neighborhood, where a Walk Score of 35 places the area in a car dependent setting. Most errands require a car or a ride. Pets are allowed, so residents can keep a pet at the community. Ms Catherine Immel serves as administrator, and Americare At South St Louis is the operating organization.

Contact Mattis Pointe Senior Living

Kingsland Walk Senior Living

868 Kingsland Avenue, University City, MO 63130-3181
Overview of Kingsland Walk Senior Living

Kingsland Walk Senior Living offers assisted living and memory care in University City, Missouri. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication. Memory care provides a secured setting with supervision for someone at risk of wandering. Having both care levels can suit a resident whose needs grow over time, allowing care to continue within the same community.

The community has 70 beds, with an 83% occupancy rate, so most beds are occupied. Kingsland Café gives residents an on-site café option, while the Events & Entertainment program provides organized events and entertainment. Transportation services offer rides when residents need them. A Walk Score of 67 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach certain nearby errands independently. Cynthia Woods serves as the administrator.

Contact Kingsland Walk 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.

Starting Price $3,526/Month

Contact Sunrise of Webster Groves

Overview of Ascension Living Sherbrooke Village

Ascension Living Sherbrooke Village in St. Louis, Missouri, offers nursing home, adult day care, assisted living, home care, independent living, memory care, nursing care, and skilled nursing. The home has 149 beds and a 62% occupancy rate, so its listed capacity is not fully occupied. Assisted living helps with daily tasks such as dressing, bathing, and medication while a resident keeps an apartment. Memory care provides a secured setting with supervision for someone at risk of wandering.

Independent living provides private living with community services and no daily care, while adult day care offers daytime care without an overnight stay. Home care delivers care in a person’s residence, and nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock. The range of care types may be a good fit for families considering different levels of support, from independent living or adult day care to memory care or skilled nursing.

Medicare and private pay are accepted. Medicare applies to short term skilled care after a hospital stay rather than long term residence, while private pay uses the resident’s or family’s funds. Total nurse staffing is 4h 18m per resident per day, representing the daily hands on nurse time allocated per resident. Pets are allowed, so a resident may keep a pet while living at the community, and rehabilitation services provide access to therapy as part of care.

Contact Ascension Living Sherbrooke Village

Overview of St. Elizabeth Hall

St. Elizabeth Hall is an assisted living community in St. Louis, Missouri’s Central West End neighborhood. Residents receive help with daily tasks such as bathing, dressing, and medication while keeping their own rooms. With 50 beds, the community may be a good fit for someone who prefers a smaller setting where staff and residents can get to know each other.

Private and semi-private rooms offer a choice between a personal space and shared living arrangements. A Walk Score of 78 means most errands can be handled on foot, so a resident who no longer drives can still get out independently. Ms Gary Borkowski serves as administrator, and Cardinal Ritter Senior Services operates the community.

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

Overview of The Grande at Laumeier Park

The Grande at Laumeier Park offers assisted living, memory care, and respite care in Sappington, MO. Assisted living includes help with bathing, dressing, and medication while a resident keeps a private apartment. Memory care provides a secured setting with supervision for someone at risk of wandering, while respite care offers a short stay when a resident’s usual caregiver needs to travel or recover. Together, these care options can suit someone whose needs may grow over time.

The community has 98 beds, with studio, one-bedroom, and two-bedroom residences. A two-bedroom layout can suit a couple moving together, while a studio provides one private space. Pets are allowed, so a resident can keep a pet at the community. Roxy Torres serves as the administrator, and Sunset Hills Propco operates the community. With a Walk Score of 50, the area is somewhat walkable, meaning some errands can be done on foot and a resident who no longer drives may reach some nearby destinations independently.

Contact The Grande At Laumeier Park

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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in St Louis at a glance

Avg Walk Score: 48/ 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: 86The average licensed bed capacity across facilities in St Louis, MO. Individual facilities can vary widely from this average.
National Average: 90
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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.