Other senior care options in St Louis:

Best Assisted Living in St. Louis, MO

Why trust this guide? Our editorial team analyzed 28 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
Jun 2026
We analyzed
28 homes
Other senior care options in St Louis:
Avg Walk Score: 45/ 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: 94The 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.

Sunrise of Des Peres
AL
NH
MC
Des Peres
102
Facility 102
MO AVG 97
Rank #169 / 454
Yes
50
Facility 50
MO AVG 45
Rank #244 / 563
Studio / 1 Bed / 2 BedSjv 1 Des Peres Opco, LLC
18
Facility 18
MO AVG 11
Rank #54 / 209
A+
The Grande At Laumeier Park
AL
MC
RC
Sappington (Sunset Hills)
98Yes 50 Studio / 1 Bed / 2 BedSunset Hills Propco LLC--
Mattis Pointe Senior Living
AL
HC
MC
RC
St. Louis (Concord)
120
Facility 120
MO AVG 97
Rank #89 / 454
Yes
35
Facility 35
MO AVG 45
Rank #356 / 563
Studio / Alcove / 1 BedAmericare At South St Louis LLC-A+
Clarendale Clayton
AL
IL
MC
Clayton
98
Facility 98
MO AVG 97
Rank #189 / 454
No
55
Facility 55
MO AVG 45
Rank #189 / 563
Studio / 1 Bed / 2 BedClayton Operations, LLC--
Brookdale Creve Coeur
AL
IL
St. Louis (New Ballas Place)
46
Facility 46
MO AVG 97
Rank #405 / 454
Yes
64
Facility 64
MO AVG 45
Rank #135 / 563
Studio / 1 Bed / 2 BedBrookdale Living Communities Of Missouri-Cc, LLC
48
Facility 48
MO AVG 11
Rank #4 / 209
A+
Brentmoor Retirement Community
AL
IL
St. Louis (University City)
36
Facility 36
MO AVG 97
Rank #430 / 454
Yes
52
Facility 52
MO AVG 45
Rank #232 / 563
Studio / 1 Bed / 2 BedBrentmoor Holding, LLC--
McKnight Place
AL
MC
NH
St. Louis (University City)
-No
52
Facility 52
MO AVG 45
Rank #232 / 563
--
32
Facility 32
MO AVG 11
Rank #20 / 209
A+
Autumn View Gardens
AL
MC
RC
St. Louis (Maryland Heights)
-No
20
Facility 20
MO AVG 45
Rank #451 / 563
--
27
Facility 27
MO AVG 11
Rank #34 / 209
A+
Ascension Living Sherbrooke Village
AL
ADC
HC
IL
MC
NC
NH
St. Louis (Ripa Avenue)
149
Facility 149
MO AVG 97
Rank #55 / 454
No
29
Facility 29
MO AVG 45
Rank #396 / 563
--
34
Facility 34
MO AVG 11
Rank #18 / 209
-
Sunrise of Webster Groves
AL
HC
MC
Webster Groves
90
Facility 90
MO AVG 97
Rank #227 / 454
Yes
77
Facility 77
MO AVG 45
Rank #53 / 563
Studio / 1 Bed / 2 BedWelltower Opco Group LLC--
St Louis Altenheim
AL
IL
MC
NH
RC
St. Louis (Carondelet)
48
Facility 48
MO AVG 97
Rank #399 / 454
No
39
Facility 39
MO AVG 45
Rank #329 / 563
-Malik St Louis LLC-A+
St. Elizabeth Hall
AL
St. Louis (Central West End)
50
Facility 50
MO AVG 97
Rank #390 / 454
No
78
Facility 78
MO AVG 45
Rank #52 / 563
Private Rooms / Semi-Private RoomsCardinal Ritter Senior Services--
Smiley Manor
AL
RC
St. Louis (Walnut Park East)
20
Facility 20
MO AVG 97
Rank #446 / 454
No
49
Facility 49
MO AVG 45
Rank #254 / 563
-Smiley Manor, LLC
14
Facility 14
MO AVG 11
Rank #67 / 209
A+
Our Lady of Life Apartments
AL
IL
MC
NH
St. Louis (Southhampton)
217
Facility 217
MO AVG 97
Rank #11 / 454
No
56
Facility 56
MO AVG 45
Rank #181 / 563
1 Bed / 2 Bed---
The Gatesworth
AL
IL
MC
NH
St. Louis
-No
52
Facility 52
MO AVG 45
Rank #232 / 563
1 Bed / 2 Bed / 3 Bed-
38
Facility 38
MO AVG 11
Rank #16 / 209
-
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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 The Arbors at Dunsford Court

Specializing in memory care, The Arbors at Dunsford Court by Americare is a venerable senior living community located on the tranquil grounds of Dunsford Drive, Sullivan, MO. The community also features an adult day club, respite care, and rehabilitation, to ensure seniors are well-cared for. Receive the highest quality of care and support from a team of kind and highly qualified professionals who strive to create a comfortable and safe environment for residents.

Have a relaxing time within the beautifully designed and snug accommodations of The Arbors at Dunsford Court with several studio floor plans. With its warm and quaint setting, the community ensures individuals with memory-related needs receive the utmost attention. Fun activities and engaging programs are conducted randomly to keep seniors’ minds stimulated and active. The Arbors at Dunsford Court is a haven for seniors who want to cherish every moment of their best years while keeping their dignity.

Contact The Arbors at Dunsford Court

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 Our Lady of Life Apartments

Nestled in the serene Watson Road, St.Louis, MO, Our Lady of Life Apartments is a blissful senior living community that provides independent living. With spacious and well-made floor plans including one-bedroom and two-bedroom apartments, the community ensures cozy and welcoming residences. Experience a relaxing and safe retirement life within the premises of the community.

Our Lady of Life Apartments fosters a vibrant environment, providing its residents with engaging activities and enrichment programs that include exercise and fitness classes, outdoor games, and community parties. Residents enjoy healthy and delicious meals daily in the elegant dining room with friends. Amenities include well-maintained grounds, a coffee bar, a beauty salon and barbershop, a billiards and poker room, a multi-purpose space, an open living area with a classic fireplace, bocce ball courts, and outdoor terraces.

Contact Our Lady of Life Apartments

Overview of Encore at North Branch

Encore at North Branch operates a memory care community in St. Louis, Missouri, providing specialized residential care for residents with Alzheimer’s disease and dementia.

The facility maintains a secured environment staffed by licensed nurses and certified nursing assistants, with programming designed around individual interests and cognitive needs. Respite care is available. The community does not participate in Medicare or Medicaid and accepts private-pay residents only.

The neighborhood is somewhat walkable (score 46), situated in an area where personal transportation is typically necessary.

Families interested in this memory care option should contact the facility directly to obtain comprehensive information on staffing credentials, care protocols, programming, pricing, and licensing status.

Contact Encore at North Branch

Overview of The Harbors Senior Living of Fridley

The Harbors Senior Living of Friedly is known for its cozy and home-like setting. Offering assisted living and memory care, the retirement home strives in promoting an engaging social life for the seniors to create endless possibilities for them as well as develop meaningful relationships that blossom into wonderful memories. The Harbors offer a lending hand every step of the way.
Seniors of The Harbors can access indoor common areas, a recreational room for activities, and healthy meals served in the dining room.

Contact The Harbors Senior Living of Fridley

Overview of The Homestead at Maplewood

The Homestead at Maplewood offers affordable assisted living and memory care. The senior living home prides itself in giving off a warm and welcoming environment. They excel in providing the right level of care by offering a unique care plan tailored for each individual. Many families have trusted the team of dedicated staff because of their unwavering support and compassionate care. The Homestead at Mapple is the home where a paramount quality service is found given its affordability.
The Homestead offers a range of services and amenities that is accessible 24 hours a day– inclusive of medication management, medical professional check-ups with rehab therapy services, an on-site pharmacy, and an emergency call system.

Contact The Homestead at Maplewood

Overview of The Glenn Hopkins

The Glenn Hopkins is one of the premier memory care homes in Saint Louis that boasts a warm and welcoming environment so seniors can immediately feel safe and comfortable the moment they walk inside the community. The faith-based community proudly gives off a motivating atmosphere that is innovative and supportive; the vibrant environment with resort-like hospitality adds to the charm of the senior living community. The Glenn is the ideal home for those seeking to live a life that enriches the spirit.

The Glenn lifestyle is centered on convenience and comfort. The campus is designed with the thought that it offers endless possibilities waiting to be discovered– walking trails, a backyard, delicious dining, social activities, and many more.

Contact The Glenn Hopkins

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.

How many licensed assisted living facilities are there in St. Louis, MO?

According to state licensing records, there are approximately ~100–120 licensed assisted living facilities in St. Louis, MO.

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.