
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.
| Cottages of Lake St. Louis | NH | Lake St Louis (Lake Saint Louis) | 60
Facility
60
MO AVG
97
Rank
#343 / 454 |
81.7%
Facility
81.7%
MO AVG
66.6%
Rank
#97 / 434 | +23% | 6.04
Facility
6.04
MO AVG
3.74
Rank
#6 / 282 | -32% | +62% | $17.7k
Facility
$17.7k
MO AVG
$76.9k
Rank
#199 / 289 | 11
Facility
11
MO AVG
36.5
Rank
#25 / 287 | 2.8
Facility
2.8
MO AVG
5.7
Rank
#22 / 287 | 2 | 55 | - |
13
Facility
13
MO AVG
45
Rank
#486 / 563 | Cottages Master LLC | $8.9M
Facility
$8.9M
MO AVG
$8.4M
Rank
#76 / 292 | $4.9M
Facility
$4.9M
MO AVG
$3.3M
Rank
#70 / 292 | 55.4%
Facility
55.4%
MO AVG
45.6%
Rank
#134 / 292 | 265860 | ||||
| Laclede Groves | NH AL IL MC | St. Louis | 251
Facility
251
MO AVG
97
Rank
#3 / 454 |
69.7%
Facility
69.7%
MO AVG
66.6%
Rank
#191 / 434 | +5% | 5.27
Facility
5.27
MO AVG
3.74
Rank
#19 / 282 | +48% | +41% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 289 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 287 | 4.5
Facility
4.5
MO AVG
5.7
Rank
#105 / 287 | - | 103 | - |
35
Facility
35
MO AVG
45
Rank
#356 / 563 | John Komlos | $24.9M
Facility
$24.9M
MO AVG
$8.4M
Rank
#4 / 292 | $27.4M
Facility
$27.4M
MO AVG
$3.3M
Rank
#2 / 292 | 109.9%
Facility
109.9%
MO AVG
45.6%
Rank
#192 / 292 | 265600 | ||||
| St Louis Altenheim | NH AL IL MC RC | St. Louis (Carondelet) | 48
Facility
48
MO AVG
97
Rank
#399 / 454 |
89.6%
Facility
89.6%
MO AVG
66.6%
Rank
#43 / 434 | +34% | 3.97
Facility
3.97
MO AVG
3.74
Rank
#103 / 282 | - | +6% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 289 | -
Facility
-
MO AVG
36.5
Rank
#219 / 287 | -
Facility
-
MO AVG
5.7
Rank
#178 / 287 | - | 45 | A+ |
39
Facility
39
MO AVG
45
Rank
#329 / 563 | Malik St Louis LLC | - | - | - | 26A484 | ||||
| Creve Coeur Manor | NH | St. Louis | 149
Facility
149
MO AVG
97
Rank
#55 / 454 |
49.6%
Facility
49.6%
MO AVG
66.6%
Rank
#343 / 434 | -26% | 3.17
Facility
3.17
MO AVG
3.74
Rank
#217 / 282 | -34% | -15% | $9.4k
Facility
$9.4k
MO AVG
$76.9k
Rank
#171 / 289 | 67
Facility
67
MO AVG
36.5
Rank
#265 / 287 | 8.4
Facility
8.4
MO AVG
5.7
Rank
#258 / 287 | 2 | 70 | - |
30
Facility
30
MO AVG
45
Rank
#386 / 563 | Jeanne Dirschuweit | $5.5M
Facility
$5.5M
MO AVG
$8.4M
Rank
#158 / 292 | $4.0M
Facility
$4.0M
MO AVG
$3.3M
Rank
#126 / 292 | 72.5%
Facility
72.5%
MO AVG
45.6%
Rank
#53 / 292 | 265720 | ||||
| River Crossing Rehab and Healthcare Center | NH HC MC PC | St. Louis (Dunn Loring) | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
81.1%
Facility
81.1%
MO AVG
66.6%
Rank
#106 / 434 | +22% | 3.34
Facility
3.34
MO AVG
3.74
Rank
#206 / 282 | -45% | -11% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 289 | 36
Facility
36
MO AVG
36.5
Rank
#176 / 287 | 5.1
Facility
5.1
MO AVG
5.7
Rank
#140 / 287 | 1 | 88 | - |
1
Facility
1
MO AVG
45
Rank
#549 / 563 | River Crossing Holdco LLC | $4.9M
Facility
$4.9M
MO AVG
$8.4M
Rank
#91 / 292 | $3.3M
Facility
$3.3M
MO AVG
$3.3M
Rank
#59 / 292 | 67.9%
Facility
67.9%
MO AVG
45.6%
Rank
#42 / 292 | 265457 |
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.
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.
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.
Garden Villas South sits at 13457 Tesson Ferry Rd in South St. Louis County, about 14 miles from the city center and less than 2 miles from Mercy Hospital South. Administrator Michelle Miller leads the operation under Garden Villas of South County, Inc. The 83-bed community spans four care levels: nursing home, assisted living, independent living, and memory care. With a Walk Score of 5, the location is essentially car-dependent where outings require a vehicle or arranged transportation.
Current occupancy is 49 of 83 beds, a 59% fill rate. Families should weigh that figure when assessing the community’s trajectory.
The residential setup leans toward the full-service end of the spectrum. Apartments come with fully equipped kitchens. An Executive Chef prepares three meals a day, and there’s a 24-hour concierge on hand. Valet parking and grocery delivery are available. Included services cover weekly maid service, personal laundry, flat linen service, scheduled transportation, personal grooming assistance, medication reminders, and an in-house escort service.
Recreation spans social, educational, and cultural programs and outings. The indoor swimming pool and hot tub, fitness center, and wellness program fill out the amenity picture.
Memory care is available on-site within the broader care mix.
Garden Villas South is a full-service, amenity-dense community in suburban St. Louis suited to older adults across a wide care range who prioritize residential comfort and on-site services over walkability or urban proximity.
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.
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.
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.
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.
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.
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 8 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.
















