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10 Best Assisted Living Facilities in St Louis, MO

Last Updated: 2/21/25

Home to the Gateway Arch, the tallest monument in the U.S.,  St. Louis is known as the Gateway to the West. Whether you want to take in the iconic Budweiser brewery or spend an afternoon at one of the city’s many parks and galleries, St. Louis is a vibrant and diverse city.

With 17 assisted living communities within a 10-mile radius of downtown partnered with A Place for Mom, assisted living in St. Louis is ideal for people who want to stay involved in vibrant community life. St. Louis assisted living facilities have no shortage of community enrichment opportunities including but not limited to picnics, BBQs, arts and crafts events, movie nights, and special outings.

In this guide, you will find information covering cost and payment for assisted living in St. Louis, veterans benefits, Medicare and Medicaid information, regulations for assisted living in St. Louis, as well as top-rated hospitals and things to do in the area.

St Louis Assisted Living Facilities | 467 Reviews

Showing 48 communities
Last Updated: 2/21/25
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Average starting price of Assisted Living in St Louis, MO is $4,681/month. Learn more
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Types of care available in St Louis, MO

Assisted Living

Average starting price $4,681/month
Average starting price $4,958/month
Average starting price $5,487/month
Average starting price $3,822/month
Average starting price $4,033/month
Average starting price $1,828/month
Recent reviews of Assisted Living in St Louis, MO
Fairmont on Clayton in Richmond Heights, MO
5.0

Given that it is a unique situation the staff have done a great job, and the hospice group has been a God send and has been unbelievable wonderful as well as the physical and occupational there. . Our loved one was truly loved by the staff .

Villas of Holly Brook Bethalto in East Alton, IL
5.0

So far they have been great. They have a Facebook page where they upload pictures of the residents doing the activities and they seem to really encourage them to participate. You are able to schedule times to eat with your loved ones and the meals look great and we have heard nothing but good things. Visiting is easy and the staff are all super helpful and great with communication and providing updates to us since we do not live close. We have been very pleased with our experience at Villas of HollyBrook.

Altenheim St. Louis

5408 S Broadway, Saint Louis, MO 63111

Photo of Altenheim St. Louis
4
4 Photos available
8.5
Review Score
23 reviews

The outreach fellow is great The flower arranging is fun The Bingo lady makes it exciting The outings on the van were fun The kitchen area on the floors could always use a good cleaning My auntie doesn't...

Provides: Assisted Living, Memory Care, Independent Living

Experience elegant, boutique senior living at affordable rates. The charm of the Altenheim begins with its magnificent location on the banks of the scenic Mississippi. From the moment you walk in, you'll feel at home with the most delightful surroundings you could ask for in an independent,...

... Read more

St Louis Hills Assisted Living and Memory Care

6543 Chippewa St, Saint Louis, MO 63109

Starting at$X,XXX+ monthly
11
11 Photos available
2
2 Floor plans available
8.0
Review Score
40 reviews

It's not infrequent that the main elevator has one side that is broken down; older furnishings; worn carpets; minor repairs in family member's room needing repair by family members. The cleaning staff work...

Provides: Assisted Living, Memory Care
See all Red Bench Management communities

St. Louis Hills Assisted Living and Memory Care is a newly owned and operated senior living community conveniently located in the heart of St. Louis Hills. Our focus on customer excellence and honoring our elders through a commitment to serve with integrity, compassion, and purpose is...

... Read more

Allegro Richmond Heights

1055 Bellevue Ave, Richmond Heights, MO 63117

Starting at$X,XXX+ monthly
16
16 Photos available
9.6
Review Score
28 reviews

Very nice place to be. The staff is kind and helpful. The food is very good. The facility is clean and laundry is done nicely. My only complaint has been with urine catheter help. The staff empties the...

Provides: Assisted Living, Memory Care
See all Allegro Management Company communities

Allegro is proud to bring more than 40 years of experience to the St. Louis metropolitan area, home of our company headquarters. Allegro strives to reimagine senior living, bringing comfort, convenience and quality care to older adults who want and deserve the best.Allegro Richmond Heights...

... Read more

Sunrise of Webster Groves

45 E Lockwood Ave, Saint Louis, MO 63119

Starting at$X,XXX+ monthly
14
14 Photos available
8
8 Floor plans available
8.9
Review Score
66 reviews

My mom was only there for 12 days before she passed away but everything that you have listed were excellent. I'll never say a great value for the money because $[removed] a month is a lot but it's ...

Provides: Assisted Living, Memory Care
See all Sunrise Senior Living communities

Sunrise of Webster Groves is an assisted living and memory care community in St. Louis, Missouri.

Autumn View Gardens, Assisted Living and Memory Care

11210 Schuetz Road, Creve Coeur, MO 63146

Starting at$X,XXX+ monthly
4
4 Photos available
2
2 Floor plans available
8.9
Review Score
64 reviews

Perfect. My Mom was originally skeptical but came to feel safe and comfortable. Very homey. Well designed. Lots of light. Very efficient room layout.

Provides: Assisted Living, Memory Care
See all Bethesda Senior Living Communities communities

Autumn Gardens provides your loved one with a caring embrace in Creve Coeur. It is a faith-based nonprofit organization. Across all our communities, faith is a cornerstone of how we operate, which means everything we do is in service of our residents. Our assisted living community promotes...

... Read more

Southview Assisted Living and Memory Care

9916 Reavis Road, Affton, MO 63123

Starting at$X,XXX+ monthly
10
10 Photos available
2
2 Floor plans available
8.8
Review Score
68 reviews

Everything so far has been great. Great overall experience, perfect size place and not too fancy for mom's taste. Everything seems clean as far as I can tell. Staff is friendly to mom and the family. Mom...

Provides: Assisted Living, Memory Care
See all Spectrum Retirement communities

Southview Assisted Living is the premier senior living community in South County near St. Louis, Missouri. We offer, assisted living and Dementia / Memory Care . This newly built senior living community will begin welcoming residents in Summer 2012.We know how difficult change can be, especially...

... Read more

Fairmont on Clayton

7920 Clayton Rd, Richmond Heights, MO 63117

Starting at$X,XXX+ monthly
7
7 Photos available
3
3 Floor plans available
8.6
Review Score
41 reviews

The staff and administrators work WITH the family to determine the best plan for the loved one. The medication is given precisely as instructed. They actually do really cool activities. The food and...

Provides: Assisted Living, Memory Care
See all Integro Asset Management communities

Fairmont on Clayton is located in the Clayton / Richmond Heights area, just minutes from the Galleria Mall. We pride ourselves in our excellent ability to care for a wide array of care needs in an environment that is warm and homelike.Step into our community and you can't help but feel at home....

... Read more

Brentmoor

8600 Delmar Blvd, Saint Louis, MO 63124

Starting at$X,XXX+ monthly
9
9 Photos available
8.0
Review Score
12 reviews

Can't say enough kind words about [name removed] and the Brentmoor. Been very on the fence about putting my mother in a facility -- I wanted it to be the easiest transition for her and our family. These...

Provides: Assisted Living, Independent Living
See all Titan SenQuest communities

Life Begins at Brentmoor! Centrally located in mid-St. Louis County (Delmar and I-70), this high-rise community offers 72 independent living apartments which include studio, one, two and three bedroom units. Senior Living at The Brentmoor includes all the comforts of home, plus scheduled...

... Read more

Lutheran Convalescent Home

723 S Laclede Station Rd, Webster Groves, MO 63119

1
1 Photos available
8.5
Review Score
3 reviews

Marvelous facility! My mom lived at Laclede Groves for the last 3 years of her life. From her 90th birthday party in the first month of her stay to her last week in Laclede’s hospice care, our family was...

Provides: Assisted Living, Independent Living, Home Care

Promenade Senior Living

8825 Eager Rd, Richmond Heights, MO 63144

Starting at$X,XXX+ monthly
14
14 Photos available
3
3 Floor plans available
8.5
Review Score
31 reviews

We needed a month of assisted living care for my husband. We visited several facilities and decided that Promenade suited our needs best. We made a great choice. The staff was friendly, kind and...

Provides: Assisted Living, Memory Care
See all Red Bench Management communities

Perfectly nestled between Ladue, Frontenac and Clayton, MO, in Richmond Heights, Promenade Senior Living will offer an active and engaged lifestyle with just the right supportive care available when needed. Just a stone's throw from all of the exciting cultural, shopping & dining attractions St....

... Read more

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The Gables at Brady Circle

11 Brady Circle, Saint Louis, MO 63114

Starting at$X,XXX+ monthly
17
17 Photos available
8.2
Review Score
18 reviews

The two areas where the Gables is lacking is the food and the social activities. When we put Mom into the Gables we pretty much needed somewhere to get her right away and the Gables did not have a "" move-in...

Provides: Assisted Living, Memory Care

The Gables at Brady Circle is revolutionizing assisted living care by removing the institutional setting and returning to an intimate, residential social model.We understand that the choice of an assisted living/ Memory Care community is a difficult and stressful process. That is why we embrace...

... Read more

Benedictine Living at The Shrine

726 Community Dr, Belleville, IL 62223

Starting at$X,XXX+ monthly
5
5 Photos available
Provides: Assisted Living, Independent Living
See all Benedictine communities

Nestled in 200 acres of a certified National Wildlife Refuge, Benedictine Living-At The Shrine, is a faith-based, continuing care community dedicated to the pursuit of active retirement living and wellness in body, mind and spirit. The campus offers independent living, assisted living and...

... Read more

Benedictine Living at The Shrine

726 Community Dr, Belleville, IL 62223

Starting at$X,XXX+ monthly
5
5 Photos available
Provides: Assisted Living, Independent Living
See all Benedictine communities

Nestled in 200 acres of a certified National Wildlife Refuge, Benedictine Living-At The Shrine, is a faith-based, continuing care community dedicated to the pursuit of active retirement living and wellness in body, mind and spirit. The campus offers independent living, assisted living and...

... Read more

Kingsland Walk Senior Living

868 Kingsland Ave, University City, MO 63130

Starting at$X,XXX+ monthly
10
10 Photos available
6.8
Review Score
18 reviews

[Name Removed] goes well beyond serving as a director of memory care; she is an advisor and friend to my mom. Without her guidance and care we would be lost. Previous to her arrival our mom’s care was...

Provides: Assisted Living, Memory Care, Independent Living

Kingsland Walk Senior Living offers so much more than a place to hang your hat. We are a true community, shaped by the relationships we form and the adventures we share. We are committed to crafting a lifestyle rich in experiences that go beyond the traditional concept of senior living, and we...

... Read more

Clarendale Clayton

7651 Clayton Rd, Clayton, MO 63117

Starting at$X,XXX+ monthly
18
18 Photos available
13
13 Floor plans available
7.0
Review Score
13 reviews

Overall our experience has been good. The physical plant is well maintained. There is a perception of a lot of staff turnover, but that is not unusual. My parents say the menu could have more variety....

Provides: Assisted Living, Memory Care, Independent Living
See all Life Care Services LLC communities

Mother of Perpetual Help Residence

7609 Watson Rd, Webster Groves, MO 63119

Starting at$X,XXX+ monthly
6
6 Photos available
2 reviews

Our family had an in person tour and I would've put my mom at Mother of Perpetual Help if it was closer to my home. None of these places are perfect, but the Mother of Perpetual Help is a non-profit...

Provides: Assisted Living, Memory Care
See all Cardinal Ritter Senior Services communities

Assisted living is the perfect scenario for older adults who need some assistance but enjoy their independence. Our community offers 24/7 care, a social environment brimming with options, and a range of programs and services that provides meals, housekeeping, laundry, and assistance with personal...

... Read more

Ascension Living Sherbrooke Village

4005 Ripa Ave, Saint Louis, MO 63125

Starting at$X,XXX+ monthly
4
4 Photos available
4
4 Floor plans available
31 reviews

I have no complaints about how things are going for my mother since she made the move into this community. I have to say my favorite thing about this place is how friendly the staff are and the positive...

Provides: Assisted Living
See all Ascension Living communities

Welcome to…..Ascension Living Sherbrooke Village, where we make A Difficult Choice Easier.Nestled on several acres at the foot of Ripa Avenue in an area of outstanding natural beauty in South County, Sherbrooke Village represents Today’s nursing care residence.We share a mission of providing care...

... Read more

The Mary Culver Home

221 W Washington Ave, Kirkwood, MO 63122

14
14 Photos available
2 reviews

We chose The Mary Culver Home because it is a home that specialized for residents who are visually impaired. It is a smaller facility with only 25 women, so she gets more personalized care. I don't just feel...

Provides: Assisted Living

The Estates of Hidden Lake AL IL

11728 Hidden Lake Dr, St. Louis, MO 63138

2
2 Photos available
6 reviews

So far my experience has been great. It came just when the family needed it and it has been a godsend to me. The Head of Nurse is very informative and keeps communication open with the family. The staff...

Provides: Assisted Living, Memory Care, Independent Living

The Estates of Hidden Lake, (CCRC), offering the peace of mind that comes with knowing your'll enjoy priority access to additional levels of care should your needs ever change.Independent Living: Thirty two distinctive cottage homes or select from a one or two bedroom apartment. Which suits...

... Read more

St Agnes Home

10341 Manchester Rd, Kirkwood, MO 63122

8.0
Review Score
1 review

My loved one is currently a resident at St Agnes Home and the overall experience has been great, so far. My loved one can be a bit of a challenge in some areas, but they treat him very well. We have no...

Provides: Assisted Living, Independent Living, Nursing Homes

Wilbar Boarding Home

4337 Maryland Ave, St. Louis, MO 63108

Provides: Assisted Living

Doorways Supportive Living

4385 Maryland Ave, St. Louis, MO 63108

Provides: Assisted Living

Doorways Supportive Living

4385 Maryland Ave, St. Louis, MO 63108

Provides: Assisted Living

Oasis Residential Care Fclty

3508 Prairie Ave, St. Louis, MO 63107

Provides: Assisted Living

Union Manor Residential Care

2711 Union Blvd, St. Louis, MO 63113

Provides: Assisted Living
Viewing 1-25 out of 48 communities

Costs of assisted living in the St. Louis area

According to our proprietary data, the average cost of assisted living at our partner facilities in St. Louis is $4,760 per month.[01] This includes associated fees and service fee add-ons. You can expect housekeeping, laundry, and personal care included in that price tag.

The following graphic represents the average baseline assisted living costs in St. Louis without additional fees.

Average cost comparisons near St Louis, MO

5.64 miles from you

Shrewsbury, MO

$4,691

per month on average

See communities

Your zip code

St Louis, MO

$4,681

per month on average

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6.12 miles from you

Jennings, MO

$4,702

per month on average

See communities

How people pay for assisted living in St. Louis

There are several ways to pay for assisted living; seniors can use some income streams to pay for any part of assisted living, while others can only be used for some aspects of assisted living, like health care.

Seniors typically will use various modes of payment for assisted living, like retirement funds, social security benefits, and health insurance. In this section, you’ll learn how methods like private pay, Medicare, Medicaid, and VA benefits can be used for those paying for assisted living.

Private pay methods

Private pay methods are individual income sources that seniors can use to pay for costs associated with assisted living. Standard private pay methods include investment returns, pensions, and Social Security benefits. They can also include:

Understand Missouri laws and regulations for assisted living facilities

Assisted living facilities in St. Louis are regulated by the Missouri Department of Health and Senior Services. These facilities are defined as a place where 24-hour care, services, and supervision are provided for three or more residents. The definition specifies that assisted living facilities are not residential care, intermediate care, or skilled nursing facilities.

Assisted living facilities in St. Louis are also required to provide:

  • Assistance with activities of daily living (and instrumental activities of daily living)
  • Storage, distribution, and administration of medications
  • A licensed physician to direct and supervise any provided health care
  • The ability to bring in third-party providers to meet the needs of the residents
  • A licensed administrator who is charge of the facility at all times
  • A social model of care, which means giving residents as much privacy, independence, and freedom as possible
  • Resident rooms that are at least 70 square feet

These guidelines also cover construction regulations, emergency and fire safety procedures, resident care requirements, and staffing qualifications and ratios for assisted living facilities in St. Louis. Inspections must be conducted annually for all assisted living facilities in St. Louis. You can search the latest inspection reports by looking up specific facilities.

Missouri Department of Health contact information

St. Louis Department of Health
1520 Market St.
St. Louis, MO 63103
Phone: 314-657-1528
Hours: Monday through Friday, 8 a.m. – 5 p.m.

COVID-19 regulations for St. Louis assisted living facilities

St. Louis doesn’t currently have state mandates in place, though the city does follow standards and guidelines set in place by the CDC.

What to expect from assisted living in St. Louis

Assisted living is ideal for seniors who want to continue living as independently as possible while being supported with daily living activities like bathing and dressing. Expect personalized care, nutritious meals, and daily activities that encourage a sense of community.

While three of the assisted living facilities we partner with are standalone communities, most are combined with other long-term care communities. Here’s the breakdown of those:

  • 1 assisted living and independent living facility
  • 10 assisted living and memory care facility
  • 3 assisted living and independent living and memory care facility

Amenities that focus on community enrichment

St. Louis assisted living focuses heavily on investing in activities and social events that unite community members. Almost all of our partner facilities offer off-site group trips to nearby shopping and dining spots. Some even venture out to St. Louis’ theaters and sporting events. Onsite, you can be sure the holidays and resident birthdays will be celebrated in style. Residents can find plenty of ways to stay busy with happy hours, arts and crafts centers, movie rooms, and even butterfly gardens in some locations.

Secure and safe facilities

Security is always a top priority in assisted living, especially for those with memory problems or early-stage dementia. We partner with 13 assisted living communities that also have areas designed specifically to accommodate memory loss, including enclosed courtyards and enclosed outdoor walking paths. Some communities also offer a wander management system for an extra layer of security for residents.

Explore senior care with confidence

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Identify the right care for your loved one with our free assessment.

See what you can afford.

Understand cost and payment for long-term care based on your loved one's needs.

Find top facilities for you.

Free, personalized guidance from our Senior Living Advisors can help you narrow your search.

Tour your favorite facilities.

Our free touring checklist can help you choose the right community.

Unfamiliar with St. Louis? Highlights for seniors

187,822

Number of seniors over the age of 65 currently living in St. Louis

19%

Percentage of seniors 65 and older within the St. Louis population

$54,928

Median annual income for St. Louis seniors 65 and older

Health care for seniors in St. Louis

Barnes-Jewish Hospital 

Nationally ranked in 11 specialties by U.S. News and World Report, Barnes-Jewish Hospital is also ranked number 11 on the Best Hospitals Honor Roll.[02]

Missouri Baptist Medical Center

This general medical and surgical facility ranks for high performance across 15 adult procedures and 3 specialties.[03]

Mercy Hospital St. Louis

Set across two campuses, Mercy Hospital St. Louis is rated as high performing in 3 adult specialties and 13 procedures.[04]

St. Luke’s Hospital – Chesterfield

St. Luke’s Hospital – Chesterfield is rated as high performing in 13 procedures but is particularly well known for the treatment of heart conditions.[05]

Christian Hospital

A regionally ranked surgical and medical facility, Christian Hospital is known for lung cancer care and COPD treatment.[06]

St. Louis VA Medical Center

The St. Louis VA Medical Center provides multiple primary and specialty care forms. It also offers mental health care, rehab, and recreation therapy to the city’s veterans.

Transportation for seniors in St. Louis

St. Louis is a city where people primarily rely on cars to get around since the overall walk score is only 66 out of 100. The Walk Score is based on factors like the availability of walking and bike tracks, public transportation, and public density.  Luckily, most assisted living communities we partner with in St. Louis – 88% to be exact – offer complimentary transport.

For those looking for additional transportation options, there are a couple of options offered by the city for people who are unable to drive, both of which allow caregivers or family to ride along if additional assistance is needed. Metro’s Call-A-Ride Program is a curb-to-curb, wheelchair-accessible service for people unable to use Metro’s fixed bus and light rail services. It’s designed specifically for those with physical or cognitive disabilities. For non-emergency errands, The City of St. Louis provides free transportation and also offers rides to SLAAA- sponsored senior centers.

66

Walk Score

58

Transit Score

43

Bike Score

Senior activities in St. Louis

There’s no shortage of things to do for seniors and their families in St. Louis. Starting with, of course, the famous St. Louis Arch Grounds and Museum. Dominating the skyline at 630 feet, it’s the U.S.’s tallest monument (double the size of the Statue of Liberty!). For those not afraid of heights, take a tram to the very top of the arch for the best city views; otherwise, enjoy the arch and its museum on solid ground.

One of the most iconic breweries in the United States, Anheuser-Busch, is home to the oldest Budweiser brewery. Learn about the brewing traditions Budweiser uses and peek at the ancient caves where the beer was initially stored before modern refrigeration.

For those who want to spend time outside, consider visiting  Tower Grove Park. Studded with vibrant flowers, the historic park is the most extensive and best-presented example of the 19th Century Gardenesque style in the entire country. Beyond the 289-acre park, take a walk around the Tower Grove neighborhood, which is full of great food, cafes, and boutiques.

Lovers of art and the theater have several options, all of which are accessible for people with physical or cognitive disabilities. The Fabulous Fox and The Muny both offer the best of Broadway, with accessible seating and listening and communication aids.

The Missouri History Museum and Soldiers Memorial both provide some local flavor, with short- and long-term exhibitions focused on the history of St. Louis. Meanwhile, the St. Louis Art Museum provides a rich look into some of the world’s best art, from Picasso to Monet. All museums are wheelchair accessible, and the St. Louis Art Museum has free admission.

If you like sports, you’re in luck! Catch an NHL game and root on the St. Louis Blues. If you love America’s pastime, a St. Louis Cardinals baseball game might be for you. Soccer fans might be interested in checking out the St. Louis Ambush, a professional men’s soccer team.

Frequently asked questions

The Glenwood Supportive Living of Greenville, Clarendale of St. Peters and Charter Senior Living of Shiloh are the top-rated Assisted Living facilities near St Louis, MO. These Assisted Living facilities received the highest rankings based on verified family reviews. See full list of communities.

The average cost of Assisted Living in St Louis is 4,681 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.

  1. A Place for Mom. (2022). A Place for Mom proprietary data.

  2. U.S News & World Report. (2023). Barnes-Jewish Hospital.

  3. U.S News & World Report. (2023). Missouri Baptist Medical Center.

  4. U.S News & World Report. (2023). Mercy Hospital St. Louis.

  5. U.S News & World Report. (2023). St. Luke’s Hospital-Chesterfield.

  6. U.S News & World Report. (2023). Christian Hospital.

  7. Walk Score. (2023). Living in St. Louis.

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.