Page 2 of 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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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
Other senior care options in St Louis:

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-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. 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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Estates of Hidden Lake
AL
HOS
NH
RC
St. Louis (Spanish Lake)
67
Facility 67
MO AVG 88
Rank #132 / 217
No
29
Facility 29
MO AVG 42
Rank #167 / 259
-Estates Of Hidden Lake, LLC--
McKnight Place
AL
MC
NH
SNF
St. Louis (University City)
-No
52
Facility 52
MO AVG 42
Rank #102 / 259
--
32
Facility 32
MO AVG 12
Rank #12 / 93
A+
Brentmoor Retirement Community
AL
IL
St. Louis (University City)
36
Facility 36
MO AVG 88
Rank #198 / 217
Yes
52
Facility 52
MO AVG 42
Rank #102 / 259
Studio / 1 Bed / 2 BedBrentmoor Holding, LLC--
Garden Villas South
AL
IL
MC
NH
SNF
St. Louis
83
Facility 83
MO AVG 88
Rank #92 / 217
No
5
Facility 5
MO AVG 42
Rank #244 / 259
-Garden Villas Of South County, Inc--
Cedarhurst of Des Peres
AL
MC
Des Peres (Acme Heights)
76
Facility 76
MO AVG 88
Rank #105 / 217
Yes
28
Facility 28
MO AVG 42
Rank #171 / 259
-Ch West County Management Mo, LLC--
Cedarhurst of Tesson Heights
AL
IL
MC
St. Louis
108
Facility 108
MO AVG 88
Rank #50 / 217
Yes
23
Facility 23
MO AVG 42
Rank #190 / 259
-Cedarhurst Of Tesson Heights Operator, LLC--
The Gatesworth
AL
CCRC
IL
MC
NH
SNF
St. Louis
-No
52
Facility 52
MO AVG 42
Rank #102 / 259
1 Bed / 2 Bed / 3 Bed-
38
Facility 38
MO AVG 12
Rank #10 / 93
-
The Gables at Brady Circle
AL
MC
St. Louis (Ascalon)
40
Facility 40
MO AVG 88
Rank #190 / 217
No
56
Facility 56
MO AVG 42
Rank #76 / 259
-The Gables At Brady Circle, LLC--
Clarendale Clayton
AL
IL
MC
Clayton
98
Facility 98
MO AVG 88
Rank #61 / 217
No
55
Facility 55
MO AVG 42
Rank #80 / 259
Studio / 1 Bed / 2 BedClayton Operations, LLC--
Autumn View Gardens
AL
MC
RC
St. Louis (Maryland Heights)
-Yes
20
Facility 20
MO AVG 42
Rank #201 / 259
--
27
Facility 27
MO AVG 12
Rank #18 / 93
A+

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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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

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.

 

Contact Brentmoor Retirement Community

Overview of Estates of Hidden Lake

Estates of Hidden Lake offers nursing home, assisted living, hospice care, nursing care, and respite care in St. Louis, MO. Nursing home and nursing care support residents who need ongoing nursing attention, while assisted living helps with daily tasks such as bathing, dressing, and medication management. Hospice care focuses on comfort for a person nearing the end of life, and respite care provides a short stay when a usual caregiver needs temporary relief.

With several care types in one community, Estates of Hidden Lake may suit a resident whose needs change over time or a family seeking temporary care during a caregiver’s recovery or travel. The community is in the Spanish Lake neighborhood and has 67 beds. Total nurse staffing is 2 hours and 17 minutes per resident per day, representing the daily amount of nurse staffing assigned across each resident.

Medicare, Medicaid, and private pay are accepted. Medicare applies to eligible short-term skilled care rather than long-term residence, Medicaid is a payment route for eligible residents, and private pay means paying directly. Sharon Wooten serves as the administrator.

Contact Estates of Hidden Lake

Overview of Cedarhurst of Tesson Heights

Cedarhurst of Tesson Heights is a three-story, 108-bed community in St. Louis County that offers both independent and assisted living, run by Cedarhurst of Tesson Heights Operator, LLC and administered by Thomas Hornstein. It sits at 12335 W Bend Dr, in a car-dependent stretch of St. Louis (Walk Score 23), so getting around mostly means driving, not walking.

The community runs at 59 percent occupancy, below capacity but not unusual for a building this size. Staff are on site around the clock, and residents can tap into rehabilitation services, respite care, and nursing support as their needs shift. That range matters here, since the building houses two different levels of care under one address.

Day to day, meals come through full-service, all-day dining, and a transportation program handles the trips residents would otherwise need a car or a family member for. Outside, landscaped courtyards give people a place to sit that isn’t a hallway or a dining room, and pets are welcome, which isn’t nothing for someone leaving a house they’ve lived in for decades.

The pricing splits cleanly: $2,675 a month for independent living, $4,600 for assisted living. That gap is the real story here; it’s a community built to hold someone through a transition, from living mostly on their own to needing daily hands-on care, without forcing a move across town when their needs change.

Contact Cedarhurst of Tesson Heights

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 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 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 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

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.