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 | 251 | No | 35 | - | - | - | - |
| Brookdale Creve Coeur | AL IL | St. Louis (New Ballas Place) | 46 | Yes | 64 | Studio / 1 Bed / 2 Bed | Brookdale Living Communities Of Missouri-Cc, LLC | 48 | A+ |
| Smiley Manor | AL RESC RC | St. Louis (Walnut Park East) | 20 | No | 49 | - | Smiley Manor, LLC | 14 | A+ |
| Autumn View Gardens | AL MC RC | St. Louis (Maryland Heights) | - | No | 20 | - | - | 27 | A+ |
| McKnight Place | AL MC NH SNF | St. Louis (University City) | - | No | 52 | - | - | 32 | A+ |
| Sunrise of Webster Groves | AL HOS MC | Webster Groves | 90 | Yes | 77 | Studio / 1 Bed / 2 Bed | Welltower Opco Group LLC | - | - |
| Ascension Living Sherbrooke Village | AL ADC HC IL MC NH SNF | St. Louis (Ripa Avenue) | 149 | No | 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) | 50 | No | 78 | Private Rooms / Semi-Private Rooms | Cardinal Ritter Senior Services | - | - |
| Clarendale Clayton | AL IL MC | Clayton | 98 | No | 55 | Studio / 1 Bed / 2 Bed | Clayton Operations, LLC | - | - |
| Mattis Pointe Senior Living | AL HOS MC RC | St. Louis (Concord) | 120 | Yes | 35 | Studio / Alcove / 1 Bed | Americare At South St Louis LLC | 6 | A+ |
| The Grande At Laumeier Park | AL MC RC | Sappington (Sunset Hills) | 98 | Yes | 50 | Studio / 1 Bed / 2 Bed | Sunset Hills Propco LLC | - | - |
| Brentmoor Retirement Community | AL IL | St. Louis (University City) | 36 | Yes | 52 | Studio / 1 Bed / 2 Bed | Brentmoor Holding, LLC | - | - |
| Sunrise of Des Peres | AL MC | Des Peres | 102 | Yes | 50 | Studio / 1 Bed / 2 Bed | Sjv 1 Des Peres Opco, LLC | 18 | A+ |
| St Louis Altenheim | AL IL MC NH RC SNF | St. Louis (Carondelet) | 48 | No | 39 | - | Malik St Louis LLC | - | A+ |
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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.
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.
Experience an inviting living in Sappington, MO, The Grande at Laumeier Park is a prominent senior living community that offers assisted living and memory care. The community provides a customized level of care and security for its residents along with convenient walking paths and accessibility to the airport. Spacious accommodations with a variety of floor plans are available to cater to the primary needs of assisted living and memory care residents.
With its modern amenities, residents can enjoy exceptional care and support from its professional team. Fitness and therapy programs, fresh and nutritious chef-prepared meals, and avenues for relaxation from playing pool to strolling through their gardens are also some of the highlights of a one-of-a-kind living experience in this beautiful place. At The Grande at Laumeier Park, seniors are assured of an extraordinary retirement.
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.
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.
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.
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.
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.
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.
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.
Ranking Methodology
How we rank these communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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
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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.
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