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 St James, MD

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Assisted living costs in St James average about $6,430 per month. To find the best assisted living options for your needs and budget, browse through 169 communities in St James. Our detailed directory has 2747 reviews, photos, and lists of available services, amenities, and activities. You may also consider nearby communities such as Charles Town, Hagerstown and Frederick.

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. 

St James Assisted Living Facilities | 2747 Reviews

Showing 169 communities
Last Updated: 9/18/26
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Photo of Charlotte's Home, Inc II
3.0
Review score
11 reviews
3.0
Review score
11 reviews
5 star
55%
4 star
0%
3 star
18%
2 star
18%
1 star
9%
See all reviews
My Dad had dementia so he provided limited feedback but based on the experience we have had, we would recommend Charlottes Home to other families who may need a place for their loved ones.
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.
Charlotte's Home, Inc II is a residential care home for seniors located in Maugansville, Maryland in Washington County. Maugansville is a tranquil small town in the Northwestern part of the state. With just over 3,000 residents, Maugansville offers the relaxed pace of life and strong sense of...
See details
Photo of Hearthstone Retirement Home
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 The Leland of Laurel Run
5 star
72%
4 star
14%
3 star
14%
2 star
0%
1 star
0%
See all reviews
The experience we have had with The Leland of Laurel Run has been very positive. I certainly recommend them. They did a really good job working with my sister to get her acclimated to the new place and...
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.
The Leland of Laurel Run strives to give our residents all the care, security and comforts of home. Newly renovated and opened in December, 2012, our unique setting downtown Waynesboro offers a step back in history. Once the Leland Hotel, the building has been purchased and re-purposed into a...
Photo of Trinity House Apartments
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 Quincy Village
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
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 Montevue Assisted Living
5 star
50%
4 star
25%
3 star
25%
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.
Odyssey Assisted Living at Montevue is an assisted living community located in a quiet, unique and upscale neighborhood in Frederick, MD. It is a world-class memory care community living designed to assist residents to remain social, while enjoying the things that they loved doing before their...
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.
5 star
29%
4 star
14%
3 star
0%
2 star
0%
1 star
57%
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.
Woodland Assisted Living is a beautiful adult care community located in Lovettsville, VA. We pride ourselves in giving the best quality care possible for the many residents living in the home. We understand how important it is for you to feel comfortable living your elderly parents in our care,...
Photo of Orchard Terrace at Edenton
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.
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Photo of Providence Place Of Chambersburg
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 Providence Place Chambersburg
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Providence Place has multiple levels of care which is why we went with them. Our loved one is able to be here as his care increases. They also told us if needed, they would be able to get a lift which was...
Provides: Assisted Living, Memory Care, 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.
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.
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 Michaux Manor
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Deb, the administrator for "The Manor" as we lovingly call it, told me on my first visit that the staff treats the facility as their home and the residents as their family...and I have found this to be so...
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.
Michaux Manor is a senior living community located in Fayetteville, PA, which is in Franklin County and home to just over 3,000 people. Residents will enjoy this quiet area and enjoy the scenic atmosphere with its park-like settings and mountainous views, small schools and area shops where they...
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 Transitions Healthcare Shook Home
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.
Photo of Spiritrust Lutheran The Village At Luther Ridge
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.
5 star
67%
4 star
33%
3 star
0%
2 star
0%
1 star
0%
See all reviews
It's been an adjustment, she's cute, she likes it and she likes the people but she said they make you feel a little "o-l-d." She has been participating in the activities, she likes it there, they're great....
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.
Welcome to Meadow Glen of Leesburg! Meadow Glen is Loudoun County's premiere assisted living community. It offers an intimate home-like setting centered around a beautiful 150-year old farmhouse. Meadow Glen accommodates just 40 residents in 37 suites. With one-story construction, residents...
Photo of Symphony Square
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 Amandas Place Inc.
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 Orrstown Personal Care Home
Provides: Assisted Living, Memory Care, 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.
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.
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 Episcopal Square
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 Royal Haven Winchester
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.
Royal Haven Assisted Living of Winchester is a single level building on a quiet street in a residential neighborhood.  Residents have access to a large fenced yard with flowering plants and trees.  We are able to promote activity and independence within a safe and secure environment...
Photo of Sun Valley Assisted Living
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 St James, MD

The average cost of senior living in St James is $6,430 per month. Cheaper nearby regions include Funkstown, MD with an average of $6,430 per month.

Assisted living costs in St James, MD, vs. state and national averages

St James, MD
$6,430/mo
U.S. national average
$5,830/mo

Assisted living costs in St James, MD, vs. other senior living options

Assisted Living
$6,430/mo
$6,821/mo

Assisted living costs in St James, MD, by floor plan type

Semi-Private
$4,130/mo
Studio
$5,134/mo
1 Bedroom
$6,205/mo
2 Bedroom
$7,348/mo

Senior living costs in St James 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: St James, MD
Column state: Maryland
Column national: U.S.
Community typeSt James, MDMarylandU.S.
Assisted Living$6,430/mo$6,951/mo$5,830/mo
Memory Care$6,821/mo$8,003/mo$6,999/mo
Independent Living$3,907/mo$4,117/mo$3,520/mo
Assisted Living
St James, MD:$6,430/mo
Maryland:$6,951/mo
U.S.:$5,830/mo
Memory Care
St James, MD:$6,821/mo
Maryland:$8,003/mo
U.S.:$6,999/mo
Independent Living
St James, MD:$3,907/mo
Maryland:$4,117/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.

Assisted living costs in St James, MD, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in St James and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

St James, MDMD stateNational

Assisted living cost trends in St James, MD

The table below shows how monthly assisted living costs in St James have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 average costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
St James, MD$6,080/mo$5,616/mo+8.3%
Maryland$6,529/mo$6,133/mo+6.5%
National$5,510/mo$5,285/mo+4.2%
St James, MD
2024 average cost:$6,080/mo
2023 average cost:$5,616/mo
Percent change:+8.3%
Maryland
2024 average cost:$6,529/mo
2023 average cost:$6,133/mo
Percent change:+6.5%
National
2024 average cost:$5,510/mo
2023 average cost:$5,285/mo
Percent change:+4.2%
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 St James, MD

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 St James.

What families are saying about assisted living in St James

Recent reviews for assisted living in St James

Comfort Care in Fairfield, PA

5.0
Having to find placement for a loved one was a "Daunting" task. We looked at many options elsewhere and were mortified by what we saw! There entire staff have been exceptional! Kind, caring, and professional! we can clearly see their excellence..... They go above and beyond. Food, fantastic! ...
Read more

Morningside House of Leesburg

4.6
A great place for most elderly with a fabulous staff that really cares about the people. The food is excellent and they have great activities. Would recommend for your loved one, if they are high-functioning.

Tranquil Loving Care in Gaithersburg, MD

4.0
They did a good job. I don't have any complaints or concerns about the place. Our experience was short, but fine.

St James review score based on 481 family reviews

8.3
Review score169 facilities481 reviewsWrite a review
This proprietary review score is based on 481 reviews of 169 St James assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The St James 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

St James review score compared against nearby cities

8.3
St James, MD169 facilities
8.7
Frederick, MD52 facilities
8.3
Eldersburg, MD481 facilities

Review subcategories for St James 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 481 reviews of 169 St James assisted living communities. This chart helps you compare St James 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.
St James, MD averageNational average
Cleanliness
3.2
3.4
Friendliness
3.2
3.5
Care services
2.9
3.2
Staff
3.0
3.4
Meals & dining
2.8
3.1
Activities
2.8
3.1
Value for cost*
2.8
3.1
0.01.02.03.04.05.0
*Learn more about cost details

St James assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in St James assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in St James, 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 St James 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 St James that offer these care services compared to the percentage of partners that offer them nationally.
St James, MDNational
Full medication management
Full medication management
63.3%
53.4%
Doctor on call
Doctor on call
59.2%
34.6%
24-Hour awake staff
24-Hour awake staff
93.5%
96.1%
Diabetic care
Diabetic care
98.2%
97.7%
*Visiting health care professionals
*Visiting health care professionals
68.6%
57.6%
Home care agency on-site
Home care agency on-site
29.6%
30.6%
Non-ambulatory care
Non-ambulatory care
94.7%
96.8%
Respite or short term stays
Respite or short term stays
59.2%
47.9%
Hospice available on-site
Hospice available on-site
66.3%
53%
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 St James 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 St James Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
St James, MDNational
Dementia behaviors care
Dementia behaviors care
65.1%
52%
Specialized memory care training for staff
Specialized memory care training for staff
41.4%
33.4%
Secured community and/or wander guard
Secured community and/or wander guard
57.4%
41.6%
Memory care only community
Memory care only community
20.1%
13.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in St James 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 St James partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
St James, MDNational
Nutritionist / dietician
Nutritionist / dietician
31.4%
28.1%
Low / no sodium
Low / no sodium
49.1%
42.1%
No sugar
No sugar
45%
38.5%
Vegetarian
Vegetarian
50.3%
37.4%
Pureed meals
Pureed meals
30.2%
19.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in St James 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 St James communities that offer dining options to their discerning residents compared to our partners nationally.
St James, MDNational
Professional chef
Professional chef
34.3%
32.3%
Restaurant style dining
Restaurant style dining
42%
43.5%
Room service
Room service
40.8%
37.9%
Anytime dining
Anytime dining
29%
18.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in St James 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 St James offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
St James, MDNational
Activity director
Activity director
50.9%
47.5%
Pet-focused programs
Pet-focused programs
36.7%
31.8%
Community service programs
Community service programs
34.3%
31.3%
Devotional activities on-site
Devotional activities on-site
54.4%
50.3%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
53.8%
50.5%
Outings / off-site activities
Outings / off-site activities
57.4%
53.2%
Piano or organ
Piano or organ
41.4%
42.6%
Arts and crafts center
Arts and crafts center
36.1%
36.7%
Educational speakers / life long learning
Educational speakers / life long learning
37.9%
39.2%
Clubs / games / karaoke
Clubs / games / karaoke
49.7%
47.9%
Live performances
Live performances
50.9%
48%
Dances
Dances
29%
31.6%
Fitness center
Fitness center
24.3%
25.3%
Fitness classes
Fitness classes
50.3%
47.1%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in St James

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 Maryland assisted living regulations will help you understand how assisted living communities in St James protect seniors.
Learn about Maryland assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Seaton Sharpsburg Pike, Azalia Home and Colonial Courtyard At Bedford are the top-rated assisted living facilities near St James, Maryland. See full list of communities.
There are 169 assisted living facilities near St James, Maryland. See the full list.
The best assisted living facilities near you in St James, Maryland are Colonial Courtyard At Bedford, Spring Arbor of Winchester and Sunrise of Montgomery Village. These assisted living communities received the highest rankings based on verified family reviews.
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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.
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