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Best Nursing Homes in St. Louis, MO

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 14 homes in St Louis, MO

Sources: CMS Centers for Medicare and Medicaid Services, and Missouri Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Nursing Homes facilities in St Louis, Missouri.

Watch this Video to see St Louis's Top-rated Senior Communities

Compare Nursing Homes around St Louis

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

10 facilities compared · CMS & MO Dept. of Health data

Click column headers to sort
Sunrise of Des Peres
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Des Peres
102
Facility 102
MO AVG 97
Rank #172 / 454
67.6%
Facility 67.6%
MO AVG 66.6%
Rank #163 / 283
+1%
3.50
Facility 3.50
MO AVG 3.74
Rank #168 / 276
+4%-6%
$265.2k
Facility $265.2k
MO AVG $76.9k
Rank #277 / 283
87
Facility 87
MO AVG 36.5
Rank #272 / 281
7.9
Facility 7.9
MO AVG 5.7
Rank #243 / 281
13118A-
50
Facility 50
MO AVG 45
Rank #244 / 563
Mary Grodeon
$15.6M
Facility $15.6M
MO AVG $8.4M
Rank #32 / 286
$7.7M
Facility $7.7M
MO AVG $3.3M
Rank #31 / 286
49.2%
Facility 49.2%
MO AVG 45.6%
Rank #186 / 286
265834
Cottages of Lake St. Louis
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Lake St Louis (Lake Saint Louis)
60
Facility 60
MO AVG 97
Rank #345 / 454
81.7%
Facility 81.7%
MO AVG 66.6%
Rank #89 / 283
+23%
6.04
Facility 6.04
MO AVG 3.74
Rank #6 / 276
-32%+62%
$17.7k
Facility $17.7k
MO AVG $76.9k
Rank #195 / 283
11
Facility 11
MO AVG 36.5
Rank #25 / 281
2.8
Facility 2.8
MO AVG 5.7
Rank #22 / 281
256A+
13
Facility 13
MO AVG 45
Rank #486 / 563
Cottages Master LLC
$9.9M
Facility $9.9M
MO AVG $8.4M
Rank #74 / 286
$5.5M
Facility $5.5M
MO AVG $3.3M
Rank #67 / 286
55.4%
Facility 55.4%
MO AVG 45.6%
Rank #133 / 286
265860
Laclede Groves
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

St. Louis
262
Facility 262
MO AVG 97
Rank #3 / 454
69.7%
Facility 69.7%
MO AVG 66.6%
Rank #151 / 283
+5%
5.27
Facility 5.27
MO AVG 3.74
Rank #18 / 276
+48%+41%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
9
Facility 9
MO AVG 36.5
Rank #11 / 281
4.5
Facility 4.5
MO AVG 5.7
Rank #103 / 281
-105-
35
Facility 35
MO AVG 45
Rank #356 / 563
John Komlos
$61.2M
Facility $61.2M
MO AVG $8.4M
Rank #4 / 286
$29.9M
Facility $29.9M
MO AVG $3.3M
Rank #2 / 286
48.8%
Facility 48.8%
MO AVG 45.6%
Rank #190 / 286
265600
Estates of Hidden Lake
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

St. Louis (Spanish Lake)
67
Facility 67
MO AVG 97
Rank #317 / 454
67.0%
Facility 67.0%
MO AVG 66.6%
Rank #167 / 283
+1%
3.82
Facility 3.82
MO AVG 3.74
Rank #124 / 276
-57%+2%
$123.6k
Facility $123.6k
MO AVG $76.9k
Rank #258 / 283
81
Facility 81
MO AVG 36.5
Rank #267 / 281
8.1
Facility 8.1
MO AVG 5.7
Rank #247 / 281
651-
29
Facility 29
MO AVG 45
Rank #396 / 563
Harold Katz
$5.5M
Facility $5.5M
MO AVG $8.4M
Rank #181 / 286
$3.4M
Facility $3.4M
MO AVG $3.3M
Rank #153 / 286
62.1%
Facility 62.1%
MO AVG 45.6%
Rank #77 / 286
265735
Ascension Living Sherbrooke Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

St. Louis (Ripa Avenue)
237
Facility 237
MO AVG 97
Rank #5 / 454
38.8%
Facility 38.8%
MO AVG 66.6%
Rank #273 / 283
-42%
4.27
Facility 4.27
MO AVG 3.74
Rank #66 / 276
-34%+14%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
46
Facility 46
MO AVG 36.5
Rank #210 / 281
4.6
Facility 4.6
MO AVG 5.7
Rank #106 / 281
299A+
29
Facility 29
MO AVG 45
Rank #396 / 563
-
$16.4M
Facility $16.4M
MO AVG $8.4M
Rank #25 / 286
$9.9M
Facility $9.9M
MO AVG $3.3M
Rank #11 / 286
60.6%
Facility 60.6%
MO AVG 45.6%
Rank #89 / 286
265417
St Louis Altenheim
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

St. Louis (Carondelet)
48
Facility 48
MO AVG 97
Rank #399 / 454
--
3.97
Facility 3.97
MO AVG 3.74
Rank #100 / 276
-38%+6%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
47
Facility 47
MO AVG 36.5
Rank #214 / 281
5.9
Facility 5.9
MO AVG 5.7
Rank #176 / 281
245A+
39
Facility 39
MO AVG 45
Rank #329 / 563
Malik St Louis LLC---26A484
Creve Coeur Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

St. Louis
149
Facility 149
MO AVG 97
Rank #55 / 454
49.6%
Facility 49.6%
MO AVG 66.6%
Rank #248 / 283
-26%
3.17
Facility 3.17
MO AVG 3.74
Rank #213 / 276
-34%-15%
$54.5k
Facility $54.5k
MO AVG $76.9k
Rank #230 / 283
67
Facility 67
MO AVG 36.5
Rank #259 / 281
8.4
Facility 8.4
MO AVG 5.7
Rank #254 / 281
271-
30
Facility 30
MO AVG 45
Rank #386 / 563
Jeanne Dirschuweit
$6.0M
Facility $6.0M
MO AVG $8.4M
Rank #152 / 286
$4.0M
Facility $4.0M
MO AVG $3.3M
Rank #122 / 286
66.6%
Facility 66.6%
MO AVG 45.6%
Rank #52 / 286
265720
River Crossing Rehab and Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

St. Louis (Dunn Loring)
120
Facility 120
MO AVG 97
Rank #90 / 454
81.1%
Facility 81.1%
MO AVG 66.6%
Rank #96 / 283
+22%
3.34
Facility 3.34
MO AVG 3.74
Rank #203 / 276
-45%-11%
$45.5k
Facility $45.5k
MO AVG $76.9k
Rank #226 / 283
36
Facility 36
MO AVG 36.5
Rank #173 / 281
5.1
Facility 5.1
MO AVG 5.7
Rank #138 / 281
197-
1
Facility 1
MO AVG 45
Rank #549 / 563
River Crossing Holdco LLC
$8.7M
Facility $8.7M
MO AVG $8.4M
Rank #88 / 286
$6.0M
Facility $6.0M
MO AVG $3.3M
Rank #58 / 286
68.3%
Facility 68.3%
MO AVG 45.6%
Rank #41 / 286
265457
Village North Retirement Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

St. Louis
60
Facility 60
MO AVG 97
Rank #345 / 454
81.6%
Facility 81.6%
MO AVG 66.6%
Rank #91 / 283
+22%
3.66
Facility 3.66
MO AVG 3.74
Rank #141 / 276
-42%-2%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
14
Facility 14
MO AVG 36.5
Rank #41 / 281
3.5
Facility 3.5
MO AVG 5.7
Rank #57 / 281
-52-
7
Facility 7
MO AVG 45
Rank #518 / 563
Village North Inc
$14.9M
Facility $14.9M
MO AVG $8.4M
Rank #38 / 286
$4.9M
Facility $4.9M
MO AVG $3.3M
Rank #80 / 286
32.9%
Facility 32.9%
MO AVG 45.6%
Rank #275 / 286
265174
Our Lady of Life Apartments
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

St. Louis (Southhampton)
230
Facility 230
MO AVG 97
Rank #8 / 454
44.2%
Facility 44.2%
MO AVG 66.6%
Rank #262 / 283
-34%
4.75
Facility 4.75
MO AVG 3.74
Rank #35 / 276
-61%+27%
$44.1k
Facility $44.1k
MO AVG $76.9k
Rank #225 / 283
42
Facility 42
MO AVG 36.5
Rank #191 / 281
8.4
Facility 8.4
MO AVG 5.7
Rank #254 / 281
279-
56
Facility 56
MO AVG 45
Rank #181 / 563
Kevin Klingerman
$16.0M
Facility $16.0M
MO AVG $8.4M
Rank #28 / 286
$7.8M
Facility $7.8M
MO AVG $3.3M
Rank #29 / 286
48.6%
Facility 48.6%
MO AVG 45.6%
Rank #192 / 286
265159
Overview of Sunrise of Des Peres

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.

Contact Sunrise of Des Peres

Overview of Cottages of Lake St. Louis

Experience unparalleled care and assistance with the outstanding senior living community of Cottages of Lake St. Louis in Technology Drive, Lake St. Lous, MO, focusing on skilled nursing. The community features a variety of cozy and welcoming residences that can accommodate up to 60 residents, ensuring their safety and comfort. With a compassionate and highly qualified team lending extra hands around the clock, seniors let go of their woes and live to their potential.

The community fosters a bright and friendly environment, providing opportunities for seniors to meet new friends and create lasting moments. Therapy services are also provided to ensure residents perform their daily routines smoothly. Cottages of Lake St. Louis is ideal for seniors who require extra care and support while aiming to keep their independence.

Contact Cottages of Lake St. Louis

Overview of Mcknight Place

Mcknight Place in St. Louis, Missouri is a wonderful place for seniors to call home. In this community, you can experience a life free of worries about daily upkeep and maintenance. The community offers a variety of on-site care services including assisted living, memory care, skilled nursing, and short-term rehabilitation. Moreover, the community has a team of compassionate and skilled physical therapists, occupational therapists, and wellness coordinators who work closely with residents to enhance mobility, boost independence, and promote a fulfilling and joyful lifestyle.         
With weekly housekeeping, laundry services, and transportation, residents can enjoy their golden years with ease. The community’s outdoor courtyard and garden provide a peaceful space to relax, and the on-site salon and barbershop help residents look and feel their best. At Mcknight Place, seniors can enjoy independence and a strong sense of community, knowing that their well-being is a top priority. It’s the perfect place for seniors to thrive and make the most of every day. In this home, residents can achieve a vibrant quality of life and enjoy the freedom to pursue their passions and interests without any hindrance.

Contact McKnight Place

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 Estates of Hidden Lake

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.

Contact Estates of Hidden Lake

Overview of Ascension Living Sherbrooke Village

Sherbrooke Village has built a reputation as a leading provider of exceptional care for older adults, with a focus on hospitality and a commitment to creating a seamless living experience. They prioritize the comfort and well-being of their residents above all else. From their carefully crafted wellness programs to their inviting dining options and social activities, they strive to create a warm and welcoming environment that feels like home. But it’s not just their commitment to quality care and hospitality that sets them apart. Their location in the heart of St. Louis, with easy access to all that the vibrant city has to offer, makes them a popular choice among locals as well.
The senior living community provides a wide range of essential services and amenities to ensure that residents receive the care and support they need to live comfortably and independently. Some of these services include daily meals served in the dining room, medication management, care coordination, laundry and housekeeping services, and regular wellness checks by staff members. In addition to these vital services are amenities designed to enhance the quality of life for residents. Some of these amenities include in-room dining services up to three times per month, local transportation up to four times per month, a weekly happy hour, group outings and events, a life enrichment program, and a wellness program. Routine maintenance services are provided to ensure that the community remains safe and comfortable for all residents. Registered dietitian consultation is also available to help residents maintain optimal health and well-being.

Contact Ascension Living Sherbrooke Village

Overview of St Louis Altenheim

St. Louis Altenheim is more than just a senior living residence – it’s a place where the dedicated staff is attuned to their every need. Nestled in the historic Carondelet Neighborhood, the Altenheim has been a local St. Louis landmark for over a century, offering independent living, supported care, memory care, and skilled care. Respite care is also available for those who need assistance for a shorter period of time, providing much-needed rest for caregivers. Each room is private and comes with its own bathroom, offering residents the comfort and privacy they deserve. The beautifully manicured landscaping, gardens, and grounds provide a serene atmosphere for residents to enjoy.
Inside, the residence is smoke-free and fire-resistant with a sprinkler system, ensuring the safety and well-being of every resident. Fresh flowers are thoughtfully placed throughout the building, adding a touch of beauty to the already picturesque surroundings. The dining room overlooks the Mississippi River, providing a stunning view to accompany delicious meals. Reserved resident parking and the option to bring small pets, including cats, into their rooms, add to the overall feeling of home. St. Louis Altenheim is a place where seniors can truly thrive, surrounded by a caring community and all the amenities they could need.

Contact St Louis Altenheim

Overview of Smiley Manor

Smiley Manor is a remarkable family-owned and operated assisted living facility with over 30 years of experience in the senior care industry. The warmth of their staff, the comfort of their accommodations, and the quality of their services all come together to create an atmosphere of true love and care. The team at Smiley Manor strives to make every day count for their residents, ensuring that each one feels comfortable and at ease in their new home. Their dedication to providing outstanding care is evident in the numerous services and activities offered, including nourishing meals and medication management, short-term respite, 24-hour nursing staff, church services, and personal interpreters for Swahili and Sign language.
In this home, residents receive personalized attention and care from the highly trained staff, including a monthly house physician visit and transportation arrangements to preferred physicians. They even take pride in bringing their residents to church every Sunday. Smiley Manor is a place where residents can find comfort, support, and joy as they continue their life journey. It’s a place where they can create new memories and form new friendships.

Contact Smiley Manor

Overview of Creve Coeur Manor

Creve Coeur Manor is an assisted living community in Saint Louis, MO, offering personal care. With its warm, home-like environment, the community ensures older adults can ease their worries in retirement. Weekly housekeeping, laundry, healthy meals, and scheduled transportation are among the exceptional services provided to enrich residents’ living experiences. Along with 24-hour care, individualized care plans are also available to meet residents’ unique needs and preferences.

Exercise programs, book clubs, and gardening encourage residents to live actively and make friends. Thoughtfully curated amenities and spacious rooms ensure residents can rest and freely interact with their surroundings. Residents also have easy access to their necessities and leisure, with restaurants, shops, a pharmacy, and bus stops. This assisted living community is a good option for senior living in Missouri, especially with its dedicated services.

Contact Creve Coeur Manor

Overview of River Crossing Rehab and Healthcare Center

River Crossing Rehab and Healthcare Center is a nursing home in Saint Louis, MO, offering rehabilitation and skilled nursing. The community has a supportive and welcoming environment, ensuring older adults have a comfortable stay. With 24-hour care, therapies, and nutritious meals, residents receive exceptional services. To meet residents’ unique needs and preferences, the community provides personalized care plans that aim to help with their recovery.

Light exercises and social events ensure residents can freely interact with friends and have fun. Spacious rooms and accessible amenities are also available for residents’ relaxation and wellness. With its ideal setting in the peaceful residential area of Saint Louis, the community guarantees a laid-back retirement. This nursing home has exceptional services dedicated to older adults’ welfare, making it one of the best choices for senior living in Missouri.

Contact River Crossing Rehab and Healthcare Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in St. Louis, MO

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 nursing home care?

Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 14 nursing homes in St. Louis, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in St. Louis, MO?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in St. Louis, MO, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in St. Louis, MO?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.