Page 2 of 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Cedarhurst of Des Peres
AL
MC
Des Peres (Acme Heights)
76
Facility 76
MO AVG 96
Rank #279 / 450
Yes
28
Facility 28
MO AVG 46
Rank #401 / 545
-Ch West County Management Mo, LLC-
Garden Villas South
AL
IL
MC
NH
SNF
St. Louis
83
Facility 83
MO AVG 96
Rank #260 / 450
No
5
Facility 5
MO AVG 46
Rank #520 / 545
-Garden Villas Of South County, Inc-
The Gables at Brady Circle
AL
MC
St. Louis (Ascalon)
40
Facility 40
MO AVG 96
Rank #415 / 450
No
56
Facility 56
MO AVG 46
Rank #180 / 545
-The Gables At Brady Circle, LLC-
Autumn View Gardens
AL
MC
RC
St. Louis (Maryland Heights)
-Yes
20
Facility 20
MO AVG 46
Rank #448 / 545
--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-
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-
Anthology of Clayton
AL
IL
St. Louis (Richmond Heights)
-No
71
Facility 71
MO AVG 46
Rank #80 / 545
---
Fairmont Senior Living on Clayton
AL
MC
Richmond Heights
-Yes
62
Facility 62
MO AVG 46
Rank #150 / 545
---
Estates of Hidden Lake
AL
HOS
NH
RC
St. Louis (Spanish Lake)
67
Facility 67
MO AVG 96
Rank #314 / 450
No
29
Facility 29
MO AVG 46
Rank #394 / 545
-Estates Of Hidden Lake, LLC-
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 LLCA+

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 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 Garden Villas South

Garden Villas South sits at 13457 Tesson Ferry Rd in South St. Louis County, about 14 miles from the city center and less than 2 miles from Mercy Hospital South. Administrator Michelle Miller leads the operation under Garden Villas of South County, Inc. The 83-bed community spans four care levels: nursing home, assisted living, independent living, and memory care. With a Walk Score of 5, the location is essentially car-dependent where outings require a vehicle or arranged transportation.

Current occupancy is 49 of 83 beds, a 59% fill rate. Families should weigh that figure when assessing the community’s trajectory.

The residential setup leans toward the full-service end of the spectrum. Apartments come with fully equipped kitchens. An Executive Chef prepares three meals a day, and there’s a 24-hour concierge on hand. Valet parking and grocery delivery are available. Included services cover weekly maid service, personal laundry, flat linen service, scheduled transportation, personal grooming assistance, medication reminders, and an in-house escort service.

Recreation spans social, educational, and cultural programs and outings. The indoor swimming pool and hot tub, fitness center, and wellness program fill out the amenity picture.

Memory care is available on-site within the broader care mix.

Garden Villas South is a full-service, amenity-dense community in suburban St. Louis suited to older adults across a wide care range who prioritize residential comfort and on-site services over walkability or urban proximity.

Contact Garden Villas South

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 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 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 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 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 Fairmont Senior Living on Clayton

Located on Clayton Road in Richmond Heights, Missouri, Fairmont Senior Living on Clayton is an assisted living community that welcomes pets and serves older adults in a moderately walkable neighborhood, where some daily errands can be completed on foot.

Older adults receive 24-hour nursing support, rehabilitation services, respite care, and monthly health assessments. Wellness and fitness programs encourage active living, while meals are prepared from scratch by an in-house chef with an emphasis on nutrition and quality.

Residents can participate in indoor activities, entertainment programs, community outings, and optional spiritual visits. The community also provides scheduled transportation, housekeeping, laundry services, emergency call systems, Wi-Fi, cable, spacious common areas, and opportunities for meaningful resident involvement through purpose-driven service roles.

Contact Fairmont Senior Living on Clayton

Overview of Estates of Hidden Lake

Offering luxury skilled nursing, assisted living, and memory care support in Spanish Lake, Estates of Hidden Lake holds a renowned reputation for a high standard of senior living care. Its resident-centered approach is supported by an extensive and individualized care plan tailored to fulfill holistic needs. Estates of Hidden Lake create a home and a community that empowers seniors to thrive and acquire the lifestyle that they deserve.

The upscale resort-style environment presents world-class hospitality that extends to its accommodations. With a commitment to deliver freedom and individuality for each resident, the retirement experience is designed to focus on the unique needs of each senior. Featured amenities and services include respite stays, memory care activities, transportation, ADLs, specialized meal plans, rehabilitation, and long-term care services.

Contact Estates of Hidden Lake

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

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.