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Best Nursing Homes in St. Louis, MO

Reviewed by Dr. Jordan Weiss
Updated Jan 2026
We analyzed 5 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.

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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.

5 facilities compared · CMS & MO Dept. of Health data · Updated May 2026

Click column headers to sort
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
81.7%
Facility 81.7%
MO AVG 66.6%
Rank #80 / 245
+23%
6.04
Facility 6.04
MO AVG 3.74
Rank #6 / 239
-53%+62%
1
Facility 1
MO AVG 1.3
11
Facility 11
MO AVG 36.5
Rank #22 / 243
2.8
Facility 2.8
MO AVG 5.7
Rank #19 / 243
2
Facility 2
MO AVG 1.7
56A+
13
Facility 13
MO AVG 35
Rank #56 / 66
Cottages Master Llc
$9.9M
Facility $9.9M
MO AVG $8.4M
Rank #63 / 245
$4.4M
Facility $4.4M
MO AVG $3.3M
Rank #52 / 245
44.3%
Facility 44.3%
MO AVG 45.6%
Rank #66 / 245
265860
McKnight Place
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 (University City)
70
82.9%
Facility 82.9%
MO AVG 66.6%
Rank #73 / 245
+24%
6.42
Facility 6.42
MO AVG 3.74
Rank #3 / 239
-4%+72%
0
Facility 0
MO AVG 1.3
27
Facility 27
MO AVG 36.5
Rank #104 / 243
5.4
Facility 5.4
MO AVG 5.7
Rank #133 / 243
-
Facility -
MO AVG 1.7
54A+
52
Facility 52
MO AVG 35
Rank #14 / 66
M P Extended Care Inc
$11.7M
Facility $11.7M
MO AVG $8.4M
Rank #50 / 245
$4.7M
Facility $4.7M
MO AVG $3.3M
Rank #39 / 245
40.1%
Facility 40.1%
MO AVG 45.6%
Rank #153 / 245
265849
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
38.8%
Facility 38.8%
MO AVG 66.6%
Rank #237 / 245
-42%
4.27
Facility 4.27
MO AVG 3.74
Rank #57 / 239
-20%+14%
0
Facility 0
MO AVG 1.3
46
Facility 46
MO AVG 36.5
Rank #187 / 243
4.6
Facility 4.6
MO AVG 5.7
Rank #92 / 243
2
Facility 2
MO AVG 1.7
99A+
29
Facility 29
MO AVG 35
Rank #41 / 66
-
$16.4M
Facility $16.4M
MO AVG $8.4M
Rank #17 / 245
$4.2M
Facility $4.2M
MO AVG $3.3M
Rank #54 / 245
25.8%
Facility 25.8%
MO AVG 45.6%
Rank #233 / 245
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 -
MO AVG 66.6%
-
3.97
Facility 3.97
MO AVG 3.74
Rank #86 / 239
-48%+6%
0
Facility 0
MO AVG 1.3
47
Facility 47
MO AVG 36.5
Rank #189 / 243
5.9
Facility 5.9
MO AVG 5.7
Rank #151 / 243
2
Facility 2
MO AVG 1.7
45A+
39
Facility 39
MO AVG 35
Rank #26 / 66
Malik St Louis Llc
-
Facility -
MO AVG $8.4M
-
Facility -
MO AVG $3.3M
-
Facility -
MO AVG 45.6%
26A484
Smiley 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).

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 (Walnut Park East)
20
-
Facility -
MO AVG 66.6%
-
-
Facility -
MO AVG 3.74
-----
0
Facility 0
MO AVG 1.3
-
Facility -
MO AVG 36.5
-
Facility -
MO AVG 5.7
-
Facility -
MO AVG 1.7
-A+
49
Facility 49
MO AVG 35
Smiley Manor, Llc
-
Facility -
MO AVG $8.4M
-
Facility -
MO AVG $3.3M
-
Facility -
MO AVG 45.6%
-
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.

What does this home offer?

Total residents icon
Total residents icon

Total Residents: 60

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

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Fitness and recreation icon

Fitness and Recreation

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

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

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

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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 5 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.