Page 3 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:

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 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 Mary Ryder Home

Mary Ryder Home offers assisted living and residential care in St. Louis, Missouri. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication, while the resident continues living in their own apartment.

The community is in the Central West End neighborhood and may be a good fit for someone who needs this practical support while continuing to live in a residential setting. A Walk Score of 69 places the area in the somewhat walkable band, so some errands can be done on foot; for a resident who no longer drives, that may allow independent outings for certain nearby needs.

Contact Mary Ryder Home

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

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.