About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2026 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Monroe County, IL

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Assisted living costs in Monroe County average about $5,635 per month. To find the best assisted living options for your needs and budget, browse through 228 communities in Monroe County. Our detailed directory has 3755 reviews, photos, and lists of available services, amenities, and activities. You may also consider nearby communities such as St. Louis, Fenton and Mehlville.

Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses. 

Monroe County Assisted Living Facilities | 3755 Reviews

Showing 211 communities
Last Updated: 7/25/26
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Photo of Hampton Manor of Wentzville
22 Photos available
7.0
Review score
5 reviews
7.0
Review score
5 reviews
5 star
80%
4 star
20%
3 star
0%
2 star
0%
1 star
0%
See all reviews
I was only there 4 times. I live in Georgia. My mom was only there for about 2 months. She passed away. So, I'm probably not the best person to review. But, it is a brand new facility. So, yes, everything...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of The Homestead at Hickory View Retirement Community
1010 Photos available
33 Floor plans available
6.5
Review score
44 reviews
6.5
Review score
44 reviews
5 star
70%
4 star
14%
3 star
11%
2 star
5%
1 star
0%
See all reviews
Everyone is friendly and helpful. But not overly, which is good for my sister. They dont try to talk you into doing things but let you set the pace. Apartment sizes are okay. The apartments are clean and...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Welcome to The Homestead at Hickory View Retirement Community, the premier Senior Living Community in scenic Washington, Missouri. The Homestead is situated on several wooded acres in the heart of Washington just minutes from the beautiful Missouri River. The Community is close to parks,...
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Photo of Bristol Manor of Washington
1010 Photos available
5 star
75%
4 star
25%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Great place, mom and day enjoy the community and companionship. They enjoy the meals and activities. We would recommend this facility and staff.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Services provided at no additional cost: Private room and private bath 3 nutritious meals per day and snacks Medication administration including insulin administration Housekeeping services Laundry service Activities Our company has been providing care for Seniors since 1990 when we built our...
9.3
Review score
8 reviews
9.3
Review score
8 reviews
5 star
87%
4 star
13%
3 star
0%
2 star
0%
1 star
0%
See all reviews
We have since found residency at Revela at O'Fallon, which is night and day better. I do recommend Revela at O'Fallon. They're expensive, [removed]/mo, but they actually do what they advertise. First, the...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Revela at O’Fallon is less than 2 years old and puts you within a short driving distance to convenient shopping and multiple hospitals all while being nestled in the tranquility of lush greenery of O’Fallon. Next to the O'Fallon YMCA. We strive to provide exceptional care with a supportive...
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Photo of Family Partners
8.5
Review score
2 reviews
8.5
Review score
2 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Overall I would rank FPH in the top 3 that I looked at. And I looked at a dozen or more. Best caregiver to patient ratio , homelike environment. I liked the small footprint of each home, (they have 3 ) with...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of McKnight Place Assisted Living
8.0
Review score
1 review
8.0
Review score
1 review
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
My mother was recently admitted to McKnight Place for respite care. She has always hated the idea of going to a senior living community, but now might be changing her mind. The process was not without any...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Garden View Care Center of O'Fallon
8.0
Review score
2 reviews
8.0
Review score
2 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
My dad was there for over 2 yrs. COVID times Wing C was right off the bat-friendly and caring. They treated him with dignity. He had a few favorites. GVCC wing C was amazing care givers, nurses. I had to...
Provides: Assisted Living, Memory Care, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Twin City Residential Home(Mental Illness)
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Autumn Ridge offers two levels of occupancy, residential care and retirement living. We are convieniently located just off the freeway in Herculaneum.Autumn Ridge offers and tranquil and gracious lifestyle; we are just minutes away from restaurants, pharmacies, grocers and shopping centers. Our...
Photo of Sunnyhill Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Photo of Keaton Center
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
The Bridges of Columbia offers the perfect mix of privacy,independance and community for people ready to live a more carefree lifestyle. With a comprehensive list of services and ammenities that are included in your monthly rent, we take the headaches of home ownership away so you can focus on...
Photo of Crystal Oaks Assisted Living
44 Photos available
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Crystal Oaks Assisted Living is the ideal solution for seniors who value their independence, yet require assistance with daily activities such as bathing, dressing, and dispensing medications. Our Assisted Living includes a secured memory care unit. Additionally, Crystal Oaks offers short term...
Photo of Benchmark Healthcare of Festus
Provides: Memory Care, Nursing Homes
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Bethesda Southgate, known by residents of South St. Louis County for its quality skilled nursing care, recently received Accreditation by the Joint Commission of Healthcare organizations, an independent, not-for-profit national body that overseas the safety and quality of health care.Bethesda...
Photo of Villas of Holly Brook ? Belleville
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Applegate Retirement Home
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
We operate five facilities in the St. Louis and outlying areas. We accommodate residents with either private or semi-private rooms. The lever of care we provide is residential care II. Our staff is eager to assist and the services range from personal care, medication administration to meals,...
Photo of Mattis Pointe
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Photo of Villa Helen Marie
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of Carondelet Retirement (Mental Health)
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Holly Hills Retirement Home
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of The Riverview Care Center
5 star
33%
4 star
0%
3 star
0%
2 star
0%
1 star
67%
See all reviews
Everything is going well for my brother since his move to this community. I'am satisfied with the care and everything they have done for us. He is doing very good. They have a pleasant staff, they have been...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Cherokee Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Monroe County, IL

The average cost of senior living in Monroe County is $5,635 per month. Cheaper nearby regions include Madison County, IL with an average of $5,008 per month.

Assisted living costs in Monroe County, IL, vs. nearby counties

Monroe County, IL
$5,635/mo

Assisted living costs in Monroe County, IL, vs. state and national averages

Monroe County, IL
$5,635/mo
U.S. national average
$5,830/mo

Assisted living costs in Monroe County, IL, vs. other senior living options

Assisted Living
$5,635/mo
$7,456/mo

Assisted living costs in Monroe County, IL, by floor plan type

Semi-Private
$3,314/mo
Studio
$4,863/mo
1 Bedroom
$6,077/mo

Senior living costs in Monroe County vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Monroe County, IL
Column state: Illinois
Column national: U.S.
Community typeMonroe County, ILIllinoisU.S.
Assisted Living$5,635/mo$6,329/mo$5,830/mo
Memory Care$7,456/mo$7,681/mo$6,999/mo
Independent Living$3,477/mo$3,342/mo$3,520/mo
Assisted Living
Monroe County, IL:$5,635/mo
Illinois:$6,329/mo
U.S.:$5,830/mo
Memory Care
Monroe County, IL:$7,456/mo
Illinois:$7,681/mo
U.S.:$6,999/mo
Independent Living
Monroe County, IL:$3,477/mo
Illinois:$3,342/mo
U.S.:$3,520/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Monroe County, IL

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Monroe County.

What families are saying about assisted living in Monroe County

Recent reviews for assisted living in Monroe County

The Oaks of O'Fallon

5.0
Twin Oaks and their other facility are amazing! Even housekeeping is friendly and they don't cut corners. [Name removed], who gets you checked in, takes you on tours of the whole facility, answering any and all questions. The nursing staff always has time to help or advise families as life ...
Read more

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 ...
Read more

Monroe County review score based on 903 family reviews

8.0
Review score211 facilities903 reviewsWrite a review
This proprietary review score is based on 903 reviews of 211 Monroe County assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Monroe County review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Monroe County review score compared against nearby cities

8.0
Monroe County, IL211 facilities
7.9
9.1
Madison County, IL0 facilities

Review subcategories for Monroe County assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 903 reviews of 211 Monroe County assisted living communities. This chart helps you compare Monroe County resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Monroe County, IL averageNational average
Cleanliness
3.4
3.6
Friendliness
3.5
3.7
Care services
3.1
3.3
Staff
3.3
3.5
Meals & dining
3.1
3.2
Activities
3.1
3.2
Value for cost*
3.1
3.3
0.01.02.03.04.05.0
*Learn more about cost details

Monroe County assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Monroe County assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Monroe County, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Monroe County assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Monroe County that offer these care services compared to the percentage of partners that offer them nationally.
Monroe County, ILNational
Full medication management
Full medication management
57.8%
53.2%
Doctor on call
Doctor on call
41.7%
34.5%
24-Hour awake staff
24-Hour awake staff
91%
96.1%
Diabetic care
Diabetic care
97.2%
97.7%
*Visiting health care professionals
*Visiting health care professionals
64.9%
57.4%
Home care agency on-site
Home care agency on-site
31.8%
30.5%
Non-ambulatory care
Non-ambulatory care
93.8%
96.8%
Respite or short term stays
Respite or short term stays
46.9%
47.8%
Hospice available on-site
Hospice available on-site
59.7%
52.9%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Monroe County assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Monroe County Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Monroe County, ILNational
Dementia behaviors care
Dementia behaviors care
54.5%
51.9%
Specialized memory care training for staff
Specialized memory care training for staff
40.3%
33.2%
Secured community and/or wander guard
Secured community and/or wander guard
49.8%
41.5%
Memory care only community
Memory care only community
19.9%
13.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Monroe County assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Monroe County partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Monroe County, ILNational
Nutritionist / dietician
Nutritionist / dietician
40.3%
27.9%
Low / no sodium
Low / no sodium
45.5%
41.8%
No sugar
No sugar
42.2%
38.2%
Vegetarian
Vegetarian
40.3%
37.1%
Pureed meals
Pureed meals
16.1%
18.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Monroe County assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Monroe County communities that offer dining options to their discerning residents compared to our partners nationally.
Monroe County, ILNational
Professional chef
Professional chef
35.5%
32.2%
Restaurant style dining
Restaurant style dining
51.2%
43.2%
Room service
Room service
41.2%
37.6%
Anytime dining
Anytime dining
31.8%
18.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Monroe County assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Monroe County offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Monroe County, ILNational
Activity director
Activity director
53.6%
47.2%
Pet-focused programs
Pet-focused programs
39.3%
31.6%
Community service programs
Community service programs
33.6%
31.1%
Devotional activities on-site
Devotional activities on-site
61.6%
50.1%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
59.2%
50.2%
Outings / off-site activities
Outings / off-site activities
60.2%
53%
Piano or organ
Piano or organ
50.2%
42.3%
Arts and crafts center
Arts and crafts center
42.7%
36.4%
Educational speakers / life long learning
Educational speakers / life long learning
45.5%
38.9%
Clubs / games / karaoke
Clubs / games / karaoke
55%
47.7%
Live performances
Live performances
54%
47.8%
Dances
Dances
38.4%
31.3%
Fitness center
Fitness center
37.9%
25.1%
Fitness classes
Fitness classes
54.5%
46.8%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Monroe County

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Illinois assisted living regulations will help you understand how assisted living communities in Monroe County protect seniors.
Learn about Illinois assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Garden Place of Waterloo, Garden Place Columbia and Villas at St. James are the top-rated assisted living facilities near Monroe County, Illinois. See full list of communities.
There are 228 assisted living facilities near Monroe County, Illinois. See the full list.
The best assisted living facilities near you in Monroe County, Illinois are Villas at St. James, Avalon Memory Care - St. Louis and Garden Villas of O'Fallon. These assisted living communities received the highest rankings based on verified family reviews.
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