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The Gatesworth
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · St. Louis, MO
Exterior view of The Gatesworth with a pond and landscaping A well-decorated bathroom with modern amenities Cozy lounge area in a senior living facility Cozy bedroom with elegant decor and attached bathroom

The Gatesworth

Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing · St. Louis, MO
One Mcknight Pl, St. Louis, MO 63124 View map
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Overview of The Gatesworth

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The Gatesworth offers nursing home, skilled nursing, assisted living, memory care, independent living, and continuing care retirement community services in St. Louis, MO. Its range of care levels can suit a resident whose needs may grow over time without requiring a move to a different community.

Housing includes one-bedroom, two-bedroom, and three-bedroom residences, giving individuals and couples options based on the space they need. The area has a Walk Score of 52, meaning it is somewhat walkable and some errands are possible on foot, so a resident who no longer drives may be able to reach nearby destinations independently.

Facility Direct Line (314) 948-4548
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By The Numbers

Community insights.

Years of operating Info A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management. Rank #8 / 167Years in operation — State benchmarked This nursing home is ranked 8th out of 167 nursing homes we track in Missouri for years in operation. Shows how long this facility has been in operation compared to other Missouri facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
38 years
Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #141 / 297Walk Score — State benchmarked This nursing home is ranked 141st out of 297 nursing homes we track in Missouri for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Missouri facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Missouri that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
52 / 100

About This Community

Pricing & Financial Information

The below pricing was updated on

Starting Price
$4,950/Month

Additional Services

7 services
Valet/Driving Service
Continental Breakfast
Move-In Coordination
In-House Interior Design
Valet Parking for Events
Concierge
Transportation

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Hot Tub
Fitness Center
Spa
Salon
Movie Theater
Game Room
Library
Business Center
Banking
Walking Paths
Courtyard
Putting Green
Indoor Salt-Water Pool
Art Center
Outdoor Party Pavilion
Starbird Theater
Private Dining Room
Activities
Fitness Classes
Art Classes
Lectures
Movie Screenings
Friday Happy Hour with Live Entertainment
Gardening
  • Musical performances (local, national, international talent)

Dining & Nutrition

InfoSourced directly from the team at The Gatesworth.
  • Private dining room for family events.
  • Bistro / café on site.
  • Multiple dining venues.

Room Accommodations

Building Type3-story
1 Bedroom 717 sq ft
2 Bedroom Floor plans as listed by the community: Plan C - Two-Bedroom Deluxe Residence (1,255 sq ft) · Plan E - Two-Bedroom Deluxe Residence (1,682 sq ft) · Plan I - Two-Bedroom Deluxe Residence (1,810 sq ft) 986–1,810 sq ft
3+ Bedroom Floor plans as listed by the community: Plan F - Three-Bedroom Deluxe Residence (2,188 sq ft) 2,188 sq ft
In-Room Features
Patio/Balcony (Select Units)

Contact The Gatesworth

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Address 8.9 miles from city center Info Estimated distance in miles from St. Louis's city center to The Gatesworth's address, calculated via Google Maps.

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Compare Nursing Homes around St Louis

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Cottages of Lake St. Louis ★ ★ ★ ★ ☆
NH
SNF
Lake St Louis (Lake Saint Louis)
60
Facility 60
MO AVG 111
Rank #244 / 288
81.7%
Facility 81.7%
MO AVG 67.7%
Rank #66 / 271
+21%
6.35
Facility 6.35
MO AVG 3.67
Rank #3 / 266
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ -32%+73%
$17.7k
Facility $17.7k
MO AVG $86.2k
Rank #191 / 274
8
Facility 8
MO AVG 36.1
Rank #5 / 273
2.0
Facility 2.0
MO AVG 5.6
Rank #5 / 273
149-
13
Facility 13
MO AVG 50
Rank #276 / 297
Fsc Of Lake St Louis, LLC
$9.3MFiscal year ending 12/2024
Facility $9.3MFiscal year ending 12/2024
MO AVG $7.4M
Rank #59 / 249
$4.8MFiscal year ending 12/2024
Facility $4.8MFiscal year ending 12/2024
MO AVG $3.9M
Rank #59 / 249
51.5%Fiscal year ending 12/2024
Facility 51.5%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #105 / 249
265860
Laclede Groves ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
St. Louis
251
Facility 251
MO AVG 111
Rank #3 / 288
40.9%
Facility 40.9%
MO AVG 67.7%
Rank #248 / 271
-40%
5.27
Facility 5.27
MO AVG 3.67
Rank #19 / 266
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +48%+44%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 274
9
Facility 9
MO AVG 36.1
Rank #8 / 273
4.5
Facility 4.5
MO AVG 5.6
Rank #97 / 273
-103-
35
Facility 35
MO AVG 50
Rank #218 / 297
John Komlos
$23.5MFiscal year ending 12/2024
Facility $23.5MFiscal year ending 12/2024
MO AVG $7.4M
Rank #3 / 249
$29.3MFiscal year ending 12/2024
Facility $29.3MFiscal year ending 12/2024
MO AVG $3.9M
Rank #2 / 249
124.8%Fiscal year ending 12/2024
Facility 124.8%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #1 / 249
265600
Ascension Living Sherbrooke Village ★ ★ ☆ ☆ ☆
NH
ADC
AL
HC
IL
MC
SNF
St. Louis
149
Facility 149
MO AVG 111
Rank #48 / 288
61.7%
Facility 61.7%
MO AVG 67.7%
Rank #171 / 271
-9%
4.31
Facility 4.31
MO AVG 3.67
Rank #58 / 266
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -34%+18%
$38.5k
Facility $38.5k
MO AVG $86.2k
Rank #215 / 274
48
Facility 48
MO AVG 36.1
Rank #212 / 273
6.0
Facility 6.0
MO AVG 5.6
Rank #181 / 273
292-
29
Facility 29
MO AVG 50
Rank #240 / 297
-
$14.4MFiscal year ending 06/2025
Facility $14.4MFiscal year ending 06/2025
MO AVG $7.4M
Rank #30 / 249
$8.2MFiscal year ending 06/2025
Facility $8.2MFiscal year ending 06/2025
MO AVG $3.9M
Rank #47 / 249
57%Fiscal year ending 06/2025
Facility 57%Fiscal year ending 06/2025
MO AVG 54.9%
Rank #215 / 249
265417
Creve Coeur Manor ★ ☆ ☆ ☆ ☆
NH
St. Louis
149
Facility 149
MO AVG 111
Rank #48 / 288
52.2%
Facility 52.2%
MO AVG 67.7%
Rank #220 / 271
-23%
2.29
Facility 2.29
MO AVG 3.67
Rank #245 / 266
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -34%-37%
$0
Facility $0
MO AVG $86.2k
Rank #1 / 274
69
Facility 69
MO AVG 36.1
Rank #257 / 273
7.7
Facility 7.7
MO AVG 5.6
Rank #237 / 273
378-
30
Facility 30
MO AVG 50
Rank #235 / 297
Jeanne Dirschuweit
$5.4MFiscal year ending 12/2024
Facility $5.4MFiscal year ending 12/2024
MO AVG $7.4M
Rank #129 / 249
$3.5MFiscal year ending 12/2024
Facility $3.5MFiscal year ending 12/2024
MO AVG $3.9M
Rank #82 / 249
63.7%Fiscal year ending 12/2024
Facility 63.7%Fiscal year ending 12/2024
MO AVG 54.9%
Rank #16 / 249
265720

Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

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Financial Assistance for
Nursing Home in Missouri

The Gatesworth is located in St. Louis, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age —
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about The Gatesworth

Is The Gatesworth in a walkable area?

The Gatesworth has a walk score of 52. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

How long has The Gatesworth been in business?

The Gatesworth has been operating for approximately 38 years, based on available licensing and registration records.

Are pets allowed at The Gatesworth?

No, The Gatesworth has a no-pet policy.

How much does The Gatesworth cost per month?

Pricing at The Gatesworth starts at $10,000 per month, with rates varying by floorplan and additional care needs.

Are there photos of The Gatesworth?

Yes — there are 4 photos of The Gatesworth in the photo gallery on this page.

What levels of care does The Gatesworth provide?

The Gatesworth offers Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living, Memory Care & Skilled Nursing.

What is the address of The Gatesworth?

The Gatesworth is located at One Mcknight Pl, St. Louis, MO 63124.

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