Page 3 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
Reviewed by
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
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 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 Mary Ryder Home

Providing care for women over 55, Mary Ryder Home is a one-of-kind senior living community located at Olive Street, St.Louis, MO, that offers independent living. The community goes above and beyond with its aim to deliver accessible and reliable care and assistance for women. Experience care and assistance at its finest with Mary Ryder Home.

A compassionate and dedicated team is available around the clock to ensure the seniors’ needs are met. As a non-profit community, Mary Ryder Home focuses on the welfare of its residents. The community conducts a wide range of activities to ensure that seniors remain active and live a happy life. Amenities include a library, a TV lounge, a meeting room, and indoor common areas.

Contact Mary Ryder Home

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

Overview of The Homestead at Maplewood

The Homestead at Maplewood delivers assisted living and memory care services in the Maplewood neighborhood of St. Louis, Missouri. The community establishes individual care plans and maintains 24-hour staff presence alongside emergency response systems. Available round-the-clock services encompass medication management, respite care, home care support, and on-site rehabilitation.

Daily routines center on health and social interaction through a structured wellness program, scheduled activities, and regular religious services. The facility provides on-site dining with multiple meal selections, as well as an in-house salon, a library, laundry care, and housekeeping. Scheduled transportation is also available for residents.

The local neighborhood holds a walkability score of 46 out of 100, indicating that while a few services are within walking distance, most errands require a vehicle. State inspection records indicate a citations-per-inspection rate of zero for this location.

Interested individuals seeking a residential setting that balances memory support and daily care with access to St. Louis amenities can reach out to the community directly to gather layout details or schedule a visit.

Contact The Homestead at Maplewood

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 Encore at North Branch

Encore at North Branch is a specialized memory care community in St. Louis, Missouri, focused entirely on residential care for individuals with Alzheimer’s disease and other forms of dementia. The facility utilizes a secure environment where licensed nurses and certified nursing assistants manage daily routines and provide memory-specific support. For short-term needs, families can also access on-site respite care.

The community structures its daily programming around the cognitive levels and interests of the residents. Positioned in a residential area, the neighborhood holds a walkability score of 46 out of 100, which means that while minor errands can occasionally be done on foot, regular transportation is generally required. According to regulatory records, the facility maintains a citations-per-inspection rate of zero.

Families reviewing memory care options should note that this facility operates on a private-pay basis and does not accept Medicare or Medicaid. To review floor plans, verify current openings, or discuss specific care needs, you can contact the administration at Encore at North Branch directly.

Contact Encore at North Branch

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
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.