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Best Assisted Living in St. Louis, MO

Why trust this guide? Our editorial team analyzed 27 assisted living communities in St Louis, MO using Missouri Dept. of Health and Senior Services (DHSS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in MO
Reviewed by
Last updated
Jul 2026
We analyzed
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

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

Laclede Groves
AL
IL
MC
NH
St. Louis
251No 35 ----
Brookdale Creve Coeur
AL
IL
St. Louis (New Ballas Place)
46Yes 64 Studio / 1 Bed / 2 BedBrookdale Living Communities Of Missouri-Cc, LLC48A+
Smiley Manor
AL
RESC
RC
St. Louis (Walnut Park East)
20No 49 -Smiley Manor, LLC14A+
Autumn View Gardens
AL
MC
RC
St. Louis (Maryland Heights)
-No 20 --27A+
McKnight Place
AL
MC
NH
SNF
St. Louis (University City)
-No 52 --32A+
Sunrise of Webster Groves
AL
HOS
MC
Webster Groves
90Yes 77 Studio / 1 Bed / 2 BedWelltower Opco Group LLC--
Ascension Living Sherbrooke Village
AL
ADC
HC
IL
MC
NH
SNF
St. Louis (Ripa Avenue)
149No 29 --34-
The Gatesworth
AL
IL
MC
NH
SNF
St. Louis
-No 52 1 Bed / 2 Bed / 3 Bed-38-
St. Elizabeth Hall
AL
St. Louis (Central West End)
50No 78 Private Rooms / Semi-Private RoomsCardinal Ritter Senior Services--
Clarendale Clayton
AL
IL
MC
Clayton
98No 55 Studio / 1 Bed / 2 BedClayton Operations, LLC--
Mattis Pointe Senior Living
AL
HOS
MC
RC
St. Louis (Concord)
120Yes 35 Studio / Alcove / 1 BedAmericare At South St Louis LLC6A+
The Grande At Laumeier Park
AL
MC
RC
Sappington (Sunset Hills)
98Yes 50 Studio / 1 Bed / 2 BedSunset Hills Propco LLC--
Brentmoor Retirement Community
AL
IL
St. Louis (University City)
36Yes 52 Studio / 1 Bed / 2 BedBrentmoor Holding, LLC--
Sunrise of Des Peres
AL
MC
Des Peres
102Yes 50 Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC18A+
St Louis Altenheim
AL
IL
MC
NH
RC
SNF
St. Louis (Carondelet)
48No 39 -Malik St Louis LLC-A+
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Laclede Groves

723 S Laclede Station Rd, St. Louis, MO 63119
Overview of Laclede Groves

At Laclede Groves, the premier life plan and assisted living community nestled within Webster Groves, Missouri, residents experience purpose, joy, and choice. In a close-knit and caring environment, the community prioritizes seniors’ well-being, fostering meaningful connections and worry-free living. Laclede Groves’ mission is to empower older adults in Webster Groves and beyond, promoting a lifestyle that enhances the mind, body, and spirit.

Residents discover a comprehensive continuum of quality senior and assisted living facilities and care conveniently located all in one place. Laclede Groves offers independent living, assisted living, memory care assisted living, skilled nursing, and long-term care options. The community features multiple dining venues, indoor pools, fitness centers, a movie theater, an ice cream parlor, an art studio, a historic chapel, a health clinic, and more. Situated near Webster Groves, Kirkwood, Shrewsbury, and St. Louis attractions, Laclede Groves ensures a harmonious and fulfilling senior living experience.

Contact Laclede Groves

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 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 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 McKnight Place

McKnight Place in St. Louis, Missouri is a wonderful place for seniors to call home. In this community, you can experience a life free of worries about daily upkeep and maintenance. The community offers a variety of on-site care services including assisted living, memory care, skilled nursing, and short-term rehabilitation. Moreover, the community has a team of compassionate and skilled physical therapists, occupational therapists, and wellness coordinators who work closely with residents to enhance mobility, boost independence, and promote a fulfilling and joyful lifestyle.         
With weekly housekeeping, laundry services, and transportation, residents can enjoy their golden years with ease. The community’s outdoor courtyard and garden provide a peaceful space to relax, and the on-site salon and barbershop help residents look and feel their best. At McKnight Place, seniors can enjoy independence and a strong sense of community, knowing that their well-being is a top priority. It’s the perfect place for seniors to thrive and make the most of every day. In this home, residents can achieve a vibrant quality of life and enjoy the freedom to pursue their passions and interests without any hindrance.

Contact McKnight Place

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 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

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 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

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.