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 2025 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 2025 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 2025 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 $4,825 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 2998 reviews, photos, and lists of available services, amenities, and activities. 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.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as St. Louis, Fenton and Belleville.

Monroe County Assisted Living Facilities | 2998 Reviews

Showing 204 communities
Last Updated: 1/30/25
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Photo of Caregivers Inn Assisted Living and Memory Care
1.0
Review score
9 reviews
1.0
Review score
9 reviews
5 star
45%
4 star
0%
3 star
11%
2 star
11%
1 star
33%
See all reviews
This is a great home. The staff is fantastic. They went over and above the care they gave to my mother. She was not easy to care for, but the staff were always patient and kind. They always kept 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.
Caregivers Inn offers the warmth of home living to seniors who no longer are able to live alone. Licensed with the Department of Health & Senior Services, Caregivers Inn is a 29 bed facility offering one independent living apartment upstairs.The facility looks like a country style house...
Photo of The Arbors at South Pointe
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.
It began with minor lapses. Now Alzheimer’s has altered life dramatically for someone you care about. At the Arbors, living with Alzheimer’s becomes less of a challenge for you and your loved one. We combine the intimacy of assisted living with specialized care for dementia. The size of the...
Photo of Victorian Place of Union
44 Photos available
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.
Best Value in the St. Louis Metro AreaAt Victorian Place of Union, residential care by Americare, our focus is on you. Our person-centered approach to care puts residents and their families at the heart of everything we do.You'll find a warm, friendly community where folks can thrive and connect....
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.
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Cost of assisted living in Monroe County, IL

The average cost of senior living in Monroe County is $4,825 per month. Cheaper nearby regions include Prairie du Rocher, IL with an average of $3,931 per month.

Average monthly cost of Assisted Living in Monroe County, IL vs. nearby counties

Monroe County, IL
$4,825/mo
$4,819/mo
$4,602/mo

Average monthly cost of Assisted Living in Monroe County, IL vs. the state and national average

Monroe County, IL
$4,825/mo
U.S. national average
$4,636/mo

Average monthly cost of Assisted Living in Monroe County vs. other types of senior living

Assisted Living
$4,825/mo
$4,816/mo

Median monthly costs of Assisted Living in Monroe County, IL by room type

Semi-Private
$5,022/mo
Studio
$5,250/mo
1 Bedroom
$5,226/mo
2 Bedroom
$5,812/mo
Detached Cottage/Bungalow
$4,599/mo

Average cost of Assisted Living in Monroe County over time

Monroe County, ILIL stateNational

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

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 ...
Read more

Monroe County review score based on 732 family reviews

8.0
Review score204 facilities732 reviewsWrite a review
This proprietary review score is based on 732 reviews of 204 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, IL204 facilities
7.7
Waterloo, IL7 facilities
8.2
Maeystown, IL24 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 732 reviews of 204 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
4.3
4.5
Friendliness
4.4
4.6
Care services
3.9
4.2
Staff
4.3
4.5
Meals & dining
4.0
4.1
Activities
3.9
4.1
Value for cost*
3.9
4.1
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
58.3%
52.4%
Doctor on call
Doctor on call
43.1%
33.6%
24-Hour awake staff
24-Hour awake staff
94.6%
98.6%
Diabetic care
Diabetic care
99.5%
99.1%
*Visiting health care professionals
*Visiting health care professionals
66.2%
56.8%
Home care agency on-site
Home care agency on-site
30.4%
30%
Non-ambulatory care
Non-ambulatory care
97.5%
98.9%
Respite or short term stays
Respite or short term stays
48.5%
48%
Hospice available on-site
Hospice available on-site
59.8%
53.1%
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
56.4%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
39.7%
32.3%
Secured community and/or wander guard
Secured community and/or wander guard
50.5%
41.1%
Memory care only community
Memory care only community
19.1%
13.6%
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
40.2%
27%
Low / no sodium
Low / no sodium
46.1%
40.3%
No sugar
No sugar
44.1%
37.1%
Vegetarian
Vegetarian
40.7%
35.5%
Pureed meals
Pureed meals
11.8%
14.9%
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
35.3%
31.1%
Restaurant style dining
Restaurant style dining
50%
42%
Room service
Room service
41.2%
36.1%
Anytime dining
Anytime dining
32.8%
18%
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
52.9%
46%
Pet-focused programs
Pet-focused programs
39.7%
30.9%
Community service programs
Community service programs
33.3%
30.1%
Devotional activities on-site
Devotional activities on-site
62.7%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
59.8%
48.9%
Outings / off-site activities
Outings / off-site activities
61.8%
52.3%
Piano or organ
Piano or organ
49.5%
41%
Arts and crafts center
Arts and crafts center
40.7%
34.6%
Educational speakers / life long learning
Educational speakers / life long learning
45.6%
37.5%
Clubs / games / karaoke
Clubs / games / karaoke
55.9%
46.4%
Live performances
Live performances
54.4%
46.7%
Dances
Dances
37.3%
29.7%
Fitness center
Fitness center
38.2%
24.3%
Fitness classes
Fitness classes
53.9%
45.6%
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 ensure seniors reside in a safe environment. Learning about Illinois assisted living regulations will help you understand how assisted living communities in Monroe County protect seniors.

Learn about Illinois Assisted Living regulations

Frequently Asked Questions

Clarendale of St. Peters, Villas at St. James and Garden Villas of O'Fallon 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 Clarendale of St. Peters, Garden Villas of O'Fallon and Barathaven Memory Care. These assisted living communities received the highest rankings based on verified family reviews.

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