
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
Facility
251
MO AVG
96
Rank
#3 / 450 | No |
35
Facility
35
MO AVG
45
Rank
#356 / 563 | - | - | - | - |
| Brookdale Creve Coeur | AL IL | St. Louis (New Ballas Place) | 46
Facility
46
MO AVG
96
Rank
#401 / 450 | Yes |
64
Facility
64
MO AVG
45
Rank
#135 / 563 | Studio / 1 Bed / 2 Bed | Brookdale Living Communities Of Missouri-Cc, LLC | 48
Facility
48
MO AVG
7
Rank
#1 / 205 | A+ |
| McKnight Place | AL MC NH SNF | St. Louis (University City) | - | No |
52
Facility
52
MO AVG
45
Rank
#232 / 563 | - | - | 32
Facility
32
MO AVG
7
Rank
#11 / 205 | A+ |
| Mattis Pointe Senior Living | AL HOS MC RC | St. Louis (Concord) | 120
Facility
120
MO AVG
96
Rank
#87 / 450 | Yes |
35
Facility
35
MO AVG
45
Rank
#356 / 563 | Studio / Alcove / 1 Bed | Americare At South St Louis LLC | 6
Facility
6
MO AVG
7
Rank
#55 / 205 | A+ |
| Sunrise of Des Peres | AL MC | Des Peres | 102
Facility
102
MO AVG
96
Rank
#167 / 450 | Yes |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Studio / 1 Bed / 2 Bed | Sjv 1 Des Peres Opco, LLC | 18
Facility
18
MO AVG
7
Rank
#32 / 205 | A+ |
| Smiley Manor | AL RESC RC | St. Louis (Walnut Park East) | 20
Facility
20
MO AVG
96
Rank
#442 / 450 | No |
49
Facility
49
MO AVG
45
Rank
#254 / 563 | - | Smiley Manor, LLC | 14
Facility
14
MO AVG
7
Rank
#40 / 205 | A+ |
| Anthology of Clayton | AL IL | St. Louis (Richmond Heights) | - | No |
71
Facility
71
MO AVG
45
Rank
#80 / 563 | - | - | - | - |
| Clarendale Clayton | AL IL MC | Clayton | 98
Facility
98
MO AVG
96
Rank
#187 / 450 | No |
55
Facility
55
MO AVG
45
Rank
#189 / 563 | Studio / 1 Bed / 2 Bed | Clayton Operations, LLC | - | - |
| Ascension Living Sherbrooke Village | AL ADC HC IL MC NH SNF | St. Louis (Ripa Avenue) | 149
Facility
149
MO AVG
96
Rank
#54 / 450 | Yes |
29
Facility
29
MO AVG
45
Rank
#396 / 563 | - | - | 34
Facility
34
MO AVG
7
Rank
#10 / 205 | - |
| Sunrise of Webster Groves | AL HOS MC | Webster Groves | 90
Facility
90
MO AVG
96
Rank
#225 / 450 | Yes |
77
Facility
77
MO AVG
45
Rank
#53 / 563 | Studio / 1 Bed / 2 Bed | Welltower Opco Group LLC | - | - |
| Fairmont Senior Living on Clayton | AL MC | Richmond Heights | - | Yes |
62
Facility
62
MO AVG
45
Rank
#150 / 563 | - | - | - | - |
| Autumn View Gardens | AL MC RC | St. Louis (Maryland Heights) | - | Yes |
20
Facility
20
MO AVG
45
Rank
#451 / 563 | - | - | 27
Facility
27
MO AVG
7
Rank
#15 / 205 | A+ |
| The Grande At Laumeier Park | AL MC RC | Sappington (Sunset Hills) | 98 | Yes | 50 | Studio / 1 Bed / 2 Bed | Sunset Hills Propco LLC | - | - |
| Cedarhurst of Des Peres | AL MC | Des Peres (Acme Heights) | 76
Facility
76
MO AVG
96
Rank
#279 / 450 | Yes |
28
Facility
28
MO AVG
45
Rank
#403 / 563 | - | Ch West County Management Mo, LLC | - | - |
| Brentmoor Retirement Community | AL IL | St. Louis (University City) | 36
Facility
36
MO AVG
96
Rank
#426 / 450 | Yes |
52
Facility
52
MO AVG
45
Rank
#232 / 563 | Studio / 1 Bed / 2 Bed | Brentmoor Holding, LLC | - | - |
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.
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.
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.
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.
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.
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.
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.
















