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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.

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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.

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 The Arbors at Dunsford Court

Specializing in memory care, The Arbors at Dunsford Court by Americare is a venerable senior living community located on the tranquil grounds of Dunsford Drive, Sullivan, MO. The community also features an adult day club, respite care, and rehabilitation, to ensure seniors are well-cared for. Receive the highest quality of care and support from a team of kind and highly qualified professionals who strive to create a comfortable and safe environment for residents.

Have a relaxing time within the beautifully designed and snug accommodations of The Arbors at Dunsford Court with several studio floor plans. With its warm and quaint setting, the community ensures individuals with memory-related needs receive the utmost attention. Fun activities and engaging programs are conducted randomly to keep seniors’ minds stimulated and active. The Arbors at Dunsford Court is a haven for seniors who want to cherish every moment of their best years while keeping their dignity.

Contact The Arbors at Dunsford Court

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 Village North Retirement Community

Located in the peaceful neighborhood of Village North Drive, St. Louis, MO, Village North Retirement Community is a remarkable senior living community offering independent living. Featuring a variety of spacious floor plans including studio, one-bedroom, and two-bedroom apartments, the community ensures comfort and safety. Village North Retirement Community sits on 45 acres of land, providing its seniors with a lot of space to explore.

Proving its exceptional care and assistance, the community is awarded the Top Senior Care in 2024 by St. Louis Magazine. There is no dull time with the community’s activity-filled calendar catered to the seniors’ interests and wellness. Residents enjoy conversations and company with three healthy and delicious chef-prepared meals daily. Village North Retirement Community is a pet-friendly community that provides wonderful amenities including a billiard and game room, a hearth room with fireplace, a beauty salon, a fitness center, a library, and covered parking.

Contact Village North Retirement Community

Overview of Our Lady of Life Apartments

Nestled in the serene Watson Road, St.Louis, MO, Our Lady of Life Apartments is a blissful senior living community that provides independent living. With spacious and well-made floor plans including one-bedroom and two-bedroom apartments, the community ensures cozy and welcoming residences. Experience a relaxing and safe retirement life within the premises of the community.

Our Lady of Life Apartments fosters a vibrant environment, providing its residents with engaging activities and enrichment programs that include exercise and fitness classes, outdoor games, and community parties. Residents enjoy healthy and delicious meals daily in the elegant dining room with friends. Amenities include well-maintained grounds, a coffee bar, a beauty salon and barbershop, a billiards and poker room, a multi-purpose space, an open living area with a classic fireplace, bocce ball courts, and outdoor terraces.

Contact Our Lady of Life Apartments

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.