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. Louis, MO

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According to A Place for Mom’s proprietary data, the average starting cost for assisted living in St. Louis, MO, is $5,444 per month. Based on our ranking methodology, the top-rated assisted living communities in the area are St Louis Hills Assisted Living and Memory Care, Villas at St. James and The Glenwood Supportive Living of Greenville.

Assisted living communities in St. Louis, Missouri, provide older adults with the right balance of support and independence in a warm, welcoming environment. Residents can enjoy help with daily activities such as bathing, dressing, and medication management, while maintaining an active lifestyle through engaging programs and social opportunities. Many communities offer local dining, cultural outings, and beautiful outdoor spaces that reflect St. Louis’s friendly Midwestern charm. For families, choosing assisted living here means peace of mind knowing loved ones receive compassionate, personalized care close to home.

This guide features some of the best assisted living communities in St. Louis, helping you explore and compare options with confidence as you look for the right home for your loved one. You’ll also find valuable details on local pricing, ways to pay, state licensing standards, and senior-friendly activities, plus trusted resources to make your family’s search easier.

St Louis Assisted Living Facilities | 3778 Reviews

Showing 175 communities
Last Updated: 9/18/26
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Photo of Stillwater Senior Living
77 Photos available
5 star
90%
4 star
0%
3 star
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My entire family would agree that we would give Stillwater a 5 on every topic. We have had a wonderful experience. My mom has adjusted finally. It took her a while but we expected that. We would and have...
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.
Stillwater Senior Living is an assisted living community right next door to the campus of the Southern Illinois University at Edwardsville. Woodland and freshly cut fields dominate the landscape of Edwardsville, creating a sense of separation from the city life in nearby St. Louis. At Stillwater...
Photo of The Colonnade Senior Living
1818 Photos available
5 star
47%
4 star
29%
3 star
6%
2 star
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12%
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Everything is working out very well at this community for my mother. She seems to have adjusted very well to the community. Everyone is kind and very welcoming. The community is very clean and looks great....
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.
The Colonnade and Heritage Memory Care is a brand new, locally owned, community centrally located in O'Fallon, Illinois, just 20 minutes from Downtown St. Louis. We've purposefully designed every aspect of life at The Colonnade and Heritage Memory Care. You will find beautiful indoor and outdoor...
Photo of Harvester Residential Care
11 Photo available
5 star
33%
4 star
29%
3 star
17%
2 star
8%
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Wonderful caring people, my spouse is thriving there and has become much more independent. Price for what you receive is fantastic. Highly recommend.
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.
Harvester Residential Care Inc. is dual licensed (Missouri Department of Health and Senior Services and Missouri Department of Mental Health) facility that conveniently located in the middle of family oriented residential neighborhood of St. Charles county, with easy access (less than 10-15...
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Photo of Cedarhurst of Waterloo
2626 Photos available
55 Floor plans available
7.0
Review score
10 reviews
7.0
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10 reviews
5 star
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4 star
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We've had a positive experience overall. There are a few things we need to get straitened out, but in general, it's a good place. The staff are friendly. And my loved one is safe there, which is very...
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.
At Cedarhurst of Waterloo, it’s our mission to tailor senior living to you so you can feel loved, valued, and supported each and every day. Our senior living community in Waterloo, Illinois, offers assisted living for those who require assistance with activities of daily living and memory care...
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Photo of American House Wildwood Village
1515 Photos available
33 Floor plans available
6.5
Review score
41 reviews
6.5
Review score
41 reviews
5 star
68%
4 star
15%
3 star
7%
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To provide feedback on American homes, it's difficult because of my mother's age of 102 and her ability to be involved and enjoying the food. She only eats breakfast and lunch, so they're probably going to...
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.
Imagine having everything you need within feet of your front door. Nestled in Wildwood, Missouri, Anthology of Wildwood is surrounded by park-like splendor with easy access to the city’s best shopping options. Leading health care providers, including Mercy Hospital St. Louis and Missouri Baptist...
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Photo of Chestnut Glenn and Chestnut Terrace
1111 Photos available
5 star
27%
4 star
42%
3 star
12%
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When we first moved my mother into the Chesnut Glenn & Chesnut Terrace, we really liked it. Everything seemed to be working out there but my mother got sick and I'm not sure she will be able to go back. We...
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.
We welcome you with open arms at Chestnut Glenn and Chestnut Terrace. You'll find a warm, friendly community where folks can thrive and connect. It's a place full of friendly local faces where you and your loved one will feel right at home, whether that's in our inviting community spaces or homey...
Photo of Spencer Place
55 Photos available
5 star
40%
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3 star
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2 star
8%
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The community her for the care of my father. The meals are outstanding. We are happy that he is active with the activities and he is participating. The direct of activities is always very helpful and make my...
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.
When the demands of living in your home require more than you're willing and able to give on your own, you'll find a welcome home here at Spencer Place. Spencer Place is located just minutes from I-70 and an Acute Care Hospital and only 15 minutes from the St. Louis Airport in beautiful St....
Photo of Bristol Manor of Pacific
99 Photos available
2.0
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4 reviews
2.0
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4 reviews
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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...
Photo of Cedarhurst of Highland
2121 Photos available
22 Floor plans available
5 star
75%
4 star
25%
3 star
0%
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See all reviews
I would tell them that it's great to be here , but I think the important thing is if you want to be here.that's what makes the difference.
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.
At Cedarhurst of Highland, it’s our mission to tailor senior living to you so you can feel loved, valued, and supported each and every day. Our senior living community in Highland, Illinois, offers assisted living for those who require assistance with activities of daily living and memory care...
Photo of Hampton Manor of Wentzville
22 Photos available
7.0
Review score
5 reviews
7.0
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5 reviews
5 star
80%
4 star
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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.
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Photo of Garden Place of Red Bud
1212 Photos available
5 star
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After my Mother had suffered a stroke and the hospital was done with what they could do, Mom needed to be somewhere that could provide a safe environment and assist with some of her daily needs. We met the...
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.
Garden Place specializes in providing individual services to it's clients. There is no age restriction for apartments any of our communities. The services provided by Garden Place are not medical. The service that can be provided in apartments include but are not limited to: Light Housekeeping...
Photo of Villas of Holly Brook - Jerseyville
11 Photo available
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We are very impressed with where our loved one is at, the appearance and the smell of the community really stood out to us. As an inspector for the state, we could tell the maintenance team is on top of...
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 Bristol Manor of Wentzville
99 Photos available
5 star
60%
4 star
20%
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1 star
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My mother is currently residing here. This is the 3rd facility that she has been in, 2 years. The facility is clean, closer to family with lots of shopping and dining close by. Staff is very friendly and...
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...
Photo of Cedarhurst of Breese
2525 Photos available
66 Floor plans available
5 star
44%
4 star
45%
3 star
0%
2 star
11%
1 star
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See all reviews
The staff has done a great job caring for my husband. However, over a 2 year period, the rent increased approximately 30%. I do not believe this is all attributed to inflation as the letter from management...
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.
At Cedarhurst of Breese, it’s our mission to tailor senior living to you so you can feel loved, valued, and supported each and every day. Our senior living community in Breese, Illinois, offers assisted living for those who require assistance with activities of daily living and memory care for...
Photo of StoneBridge De Soto
11 Photo available
5 star
50%
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This is a nice community for care. My friend is doing well, but the community seems to sometimes not have enough food if you do not arrive on time for the meals. The staff is caring. The community is clean...
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.
The Villas, a StoneBridge Senior Living community, offers a wide range of lifestyle and care choices including Residential Care. If all inclusive, maintenance-free living in a private apartment is what you are looking for, then The Villas is for you! StoneBridge Senior Living communities are...
Photo of South Pointe and Arbors at South Pointe
1111 Photos available
5 star
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The Arbors at Southpoint have been caring for my loving spouse for 5 years. After researching, touring, & interviewing 4 facilities; this was my choice. After 5 years I’m still 100% confident & satified....
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.
Best Value in the St. Louis Metro AreaWhen the demands of living in your home require more than you’re willing and able to give on your own, you’ll find a welcome home here at South Pointe.South Pointe and The Arbors at South Pointe are located in beautiful Washington, MO. Washington is located...
Photo of Victorian Place of Washington and Arbors of Washington
33 Photos available
5 star
80%
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My father and I have had the experience with both, Victorian Place & The Arbors. My father began his journey in his early stages of dementia at Victorian Place, the Assisted Living building of the campus. ...
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.
Best Value in St. Louis Metro AreaVictorian Place of Washington offers person-centered assisted living in Washington, MO. Our community provides a combination of gracious accommodations, supportive services, and health care. We meet the needs of seniors who may need a little help with daily...
Photo of Bristol Manor of Washington
1010 Photos available
5 star
75%
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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...
Photo of Willow Brooke
77 Photos available
5 star
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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 AreaWillow Brooke offers person-centered assisted living in Union, MO. Our assisted living community provides a combination of gracious accommodations, supportive services, and health care. We meet the needs of seniors who may need a little help with daily...
Photo of Sugar Creek and Arbors at Sugar Creek
1111 Photos available
5 star
45%
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46%
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2 star
9%
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After touring this community and comparing it to another place. I thought this was the best choice for my uncle. As a new resident he is doing fine so far. I like the care he gets from the staff. They offer...
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.
When you visit Sugar Creek, you'll find a warm, friendly community where folks can thrive and connect. It's a place full of friendly local faces where you and your loved one will feel right at home, whether that's in our inviting community spaces or homey studio apartments, alcoves, and 1-bedroom...
Photo of Victorian Place Of St Clair, Residential Care By Americare
33 Photos available
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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 AreaVictorian Place of St. Clair offers person-centered residential care in Saint Clair, MO. Our residential care community provides a combination of gracious accommodations, supportive services, and health care. We meet the needs of seniors who may need a little...
Photo of Parkwood Meadows and Arbors at Parkwood Meadows
55 Photos available
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Our experience with Arbors at Parkwood Meadows was only a brief one, but I thought they did an absolutely wonderful job here. The staff is patient, caring, and very friendly, and the facility is clean 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.
When the demands of living in your home require more than you’re willing and able to give on your own, you’ll find a welcome home here at Parkwood Meadows.Parkwood Meadows and the Arbors at Parkwood Meadows are located just west of historic downtown Sainte Genevieve on Parkwood Drive. We are...
Photo of Bristol Manor of Elsberry
1010 Photos available
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Called about my dad moving there at 8am, and by 4pm; he was moved in. It was a relief knowing that he was being taken care of, and although I love my dad more than life itself, I finally was able to sleep...
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...
Photo of Oak Pointe Assisted Living
88 Photos available
7.0
Review score
22 reviews
7.0
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22 reviews
5 star
54%
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The main reason we chose Oak Pointe was due to the affordability. They've had some turnover lately as I'm sure most businesses in this industry have
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.
Oak Pointe of Warrenton is located in beautiful Warrenton Missouri. Our elegant, single level living offers the best of small town living. We are located near medical offices, churches, shopping and a variety of restaurants. The community offers Assisted Living private apartments and Memory...
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Photo of McKnight Place Assisted Living
8.0
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8.0
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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.

Our methodology

How we rank order the St Louis community options above

We developed a proprietary recommendation system that orders St Louis community options based on factors we know are important to seniors and their families:

  • Proximity to your search location
  • Availability of recent, high-quality reviews
  • The amount of detailed community information available

Where we source our information

14,000+ communities

We collect proprietary data from our network of 14,000+ senior living communities in the U.S., with regular refreshes of data and information

350,000+ reviews

We have 387,000+ reviews from senior living residents and family members that provide first-hand accounts about senior living communities

Read our full methodology

How much does assisted living cost in St. Louis, MO?

In St. Louis, assisted living costs an average of $5,444 per month, according to A Place for Mom’s proprietary data.[01] This amount typically includes housing, meals, and basic support services. However, prices can vary based on the community’s location, apartment size and layout, amenities offered, and the level of personal care your loved one requires.

In St. Louis, the average monthly cost of assisted living is similar to the national average of $5,830, but higher than Missouri’s state average of $5,427.[01] These cost differences reflect St. Louis’s overall cost of living — about 5% lower than the national average and 10% higher than the state’s average — according to data from the Economic Research Institute.[02]

Assisted living in St. Louis typically costs less than memory care, which averages around $5,712 per month, but more than independent living, which averages about $4,085 per month. As your loved one’s care needs evolve, monthly costs may increase to cover added support, health monitoring, and specialized services that enhance safety, comfort, and quality of life.

Read more: Assisted Living vs. Memory Care: 5 Key Differences

The charts below are also based on average starting costs and do not include fees for care services or any other additional expenses.

Assisted living costs in St Louis, MO, vs. state and national averages

St Louis, MO
$5,444/mo
U.S. national average
$5,830/mo

Assisted living costs in St Louis, MO, vs. other senior living options

Assisted Living
$5,444/mo
$6,603/mo

Assisted living costs in St Louis, MO, by floor plan type

Semi-Private
$3,318/mo
Studio
$4,615/mo
1 Bedroom
$5,523/mo
2 Bedroom
$6,481/mo

Senior living costs in St Louis 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 Louis, MO
Column state: Missouri
Column national: U.S.
Community typeSt Louis, MOMissouriU.S.
Assisted Living$5,444/mo$5,427/mo$5,830/mo
Memory Care$6,603/mo$6,733/mo$6,999/mo
Independent Living$3,659/mo$3,355/mo$3,520/mo
Assisted Living
St Louis, MO:$5,444/mo
Missouri:$5,427/mo
U.S.:$5,830/mo
Memory Care
St Louis, MO:$6,603/mo
Missouri:$6,733/mo
U.S.:$6,999/mo
Independent Living
St Louis, MO:$3,659/mo
Missouri:$3,355/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 Louis, MO, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in St Louis 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 Louis, MOMO stateNational

Assisted living cost trends in St Louis, MO

The table below shows how monthly assisted living costs in St Louis 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 Louis, MO$5,176/mo$5,150/mo+0.5%
Missouri$5,202/mo$4,977/mo+4.5%
National$5,510/mo$5,285/mo+4.2%
St Louis, MO
2024 average cost:$5,176/mo
2023 average cost:$5,150/mo
Percent change:+0.5%
Missouri
2024 average cost:$5,202/mo
2023 average cost:$4,977/mo
Percent change:+4.5%
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.

How people pay for assisted living in St. Louis

Many families in St. Louis cover the cost of assisted living through a combination of personal savings, home sale proceeds, long-term care insurance, veterans benefits, and Missouri’s Medicaid programs. Using a mix of private funds and public assistance can help make care more affordable while ensuring loved ones receive the right support and families maintain financial peace of mind.

Private pay options

Families often use a combination of personal income and assets to help pay assisted living expenses. Common sources include:

VA benefits

The U.S. Department of Veterans Affairs (VA) offers several programs that can help eligible veterans and surviving spouses pay for assisted living. Commonly used benefits include:

Surviving spouses may also qualify for the Survivors Pension or Dependency and Indemnity Compensation (DIC), which can help offset assisted living costs.

Because the VA benefits application process requires extensive documentation and has strict eligibility criteria, even minor errors or missing information can cause significant delays or result in denied claims. Working with a VA-accredited benefits counselor can make the process smoother and less stressful. These professionals understand the system’s complexities, help gather and verify necessary records, and guide families through each step to ensure applications are complete and accurate. Their expertise can increase the likelihood of approval.

Resources for veterans in St. Louis

More than 13,000 veterans call St. Louis home, and most are age 55 or older.[03] The organizations below offer valuable resources, support, and advocacy to help veterans and their families navigate care, benefits, and community connections.

Medicaid

Medicaid is a joint federal and state program that helps eligible older adults pay for certain health and long-term care services. In Missouri, the program—known as MO HealthNet—can cover some of the costs for services provided to residents in assisted living communities through:[04]

  • The Aged, Blind, and Disabled (ABD) Medicaid plan
  • The Supplemental Nursing Care (SNC) program
  • Home and Community-Based Services (HCBS) Medicaid waivers

While MO HealthNet doesn’t cover room and board in assisted living communities, it can help pay for supportive services such as:

Eligibility for MO HealthNet depends on both income and medical need.

Medicaid resources in St. Louis, Missouri

To apply for Missouri Medicaid, elderly residents in St. Louis can:

Contact a local Department of Social Services office or one of the organizations below if you have questions about Missouri’s Medicaid program or if you need help completing, updating, or checking the status of an application.

What families are saying about assisted living in St Louis

Recent reviews for assisted living in St Louis

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

Reviews mention these favorite features of communities

Welcoming and friendly staff. Several reviews mention the kindness and approachability of the staff at various communities, such as at Sunrise of Webster Groves and Southview Assisted Living and Memory Care, where residents and families praise the staff's warm demeanor and willingness to engage with residents.
Varied activities and outings. Communities that offer engaging activities, both on-site and off-site, are frequently highlighted in reviews. For instance, at Sunrise of Webster Groves, residents have enjoyed trips to Target and flea markets, while at Altenheim St. Louis, activities like singing, games, and social events a ...
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Individualized care plans. Reviews at Promenade Senior Living and Trustwell Living at Richmond Heights mention that staff members at these communities take the time to understand each resident's unique needs and create personalized care plans to ensure their comfort and well-being.
Homey and welcoming atmosphere. Numerous reviews express appreciation for the cozy and inviting atmosphere at various communities, such as at Promenade Senior Living and Southview Assisted Living and Memory Care, where residents and families comment on the warm and comfortable living spaces that make residents feel at home ...
Read more
Transparent and communicative staff. Families often mention the importance of clear and consistent communication from community staff, as highlighted in reviews for Sunrise of Webster Groves and Trustwell Living at Richmond Heights, where residents and families feel informed and confident that their loved ones' needs are being ...
Read more
Supportive and caring environment. Many reviews express gratitude for the compassionate and caring environment at communities like Sunrise of Webster Groves and Fairmont on Clayton, where residents and families comment on the staff's dedication to ensuring the emotional well-being of residents and their love and attention tow ...
Read more
AI generated from the text of family reviews

St Louis review score based on 915 family reviews

8.0
Review score175 facilities915 reviewsWrite a review
This proprietary review score is based on 915 reviews of 175 St Louis assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The St Louis 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 Louis review score compared against nearby cities

8.0
St Louis, MO175 facilities
7.0
Arnold, MO94 facilities
8.0
Wellston, MO174 facilities

Review subcategories for St Louis 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 915 reviews of 175 St Louis assisted living communities. This chart helps you compare St Louis 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 Louis, MO averageNational average
Cleanliness
3.3
3.4
Friendliness
3.3
3.5
Care services
3.0
3.2
Staff
3.2
3.4
Meals & dining
3.0
3.1
Activities
3.0
3.1
Value for cost*
3.0
3.1
0.01.02.03.04.05.0
*Learn more about cost details

What is assisted living like in St. Louis?

In the St. Louis area, assisted living communities can be found in a variety of settings from vibrant urban neighborhoods like Downtown and Central West End, to peaceful suburban areas such as Chesterfield, Kirkwood, and Creve Coeur, and even more rural surroundings on the city’s outskirts. Many are part of larger campuses that also include independent living or memory care, offering a continuum of support as residents’ needs evolve.

H3: Amenities that focus on community enrichment

St. Louis assisted living focuses heavily on investing in activities and social events that unite community members. All communities within A Place for Mom’s assisted living network in St. Louis offer off-site group trips to nearby shopping and dining spots. Some even venture out to St. Louis’ theaters and sporting events. Onsite, residents can find plenty of ways to stay busy. For example, among network partners:[01]

  • 100% offer happy hour
  • 100% host art classes
  • 92% have a gardening club
  • 92% offer intergenerational programming

Faith-based communities

Faith-based assisted living communities in St. Louis offer seniors the opportunity to live in an environment that supports both their physical well-being and spiritual life. Almost 93% of A Place for Mom’s partner assisted living communities host onsite devotional activities. While many are rooted in Christian or Jewish traditions, most welcome individuals of all faiths, fostering inclusivity and respect for diverse beliefs.

St Louis assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in St Louis assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in St Louis, 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 Louis 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 Louis that offer these care services compared to the percentage of partners that offer them nationally.
St Louis, MONational
Full medication management
Full medication management
66.3%
53.4%
Doctor on call
Doctor on call
44%
34.6%
24-Hour awake staff
24-Hour awake staff
96.6%
96.1%
Diabetic care
Diabetic care
99.4%
97.7%
*Visiting health care professionals
*Visiting health care professionals
73.7%
57.6%
Home care agency on-site
Home care agency on-site
39.4%
30.6%
Non-ambulatory care
Non-ambulatory care
98.9%
96.8%
Respite or short term stays
Respite or short term stays
50.9%
47.9%
Hospice available on-site
Hospice available on-site
65.7%
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 Louis 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 Louis Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
St Louis, MONational
Dementia behaviors care
Dementia behaviors care
60%
52%
Specialized memory care training for staff
Specialized memory care training for staff
43.4%
33.4%
Secured community and/or wander guard
Secured community and/or wander guard
54.3%
41.6%
Memory care only community
Memory care only community
18.9%
13.9%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in St Louis 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 Louis partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
St Louis, MONational
Nutritionist / dietician
Nutritionist / dietician
46.3%
28.1%
Low / no sodium
Low / no sodium
52%
42.1%
No sugar
No sugar
48.6%
38.5%
Vegetarian
Vegetarian
46.9%
37.4%
Pureed meals
Pureed meals
18.3%
19.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in St Louis 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 Louis communities that offer dining options to their discerning residents compared to our partners nationally.
St Louis, MONational
Professional chef
Professional chef
42.3%
32.3%
Restaurant style dining
Restaurant style dining
58.9%
43.5%
Room service
Room service
48%
37.9%
Anytime dining
Anytime dining
35.4%
18.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in St Louis 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 Louis offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
St Louis, MONational
Activity director
Activity director
61.1%
47.5%
Pet-focused programs
Pet-focused programs
45.1%
31.8%
Community service programs
Community service programs
39.4%
31.3%
Devotional activities on-site
Devotional activities on-site
70.3%
50.3%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
68%
50.5%
Outings / off-site activities
Outings / off-site activities
68.6%
53.2%
Piano or organ
Piano or organ
60%
42.6%
Arts and crafts center
Arts and crafts center
49.7%
36.7%
Educational speakers / life long learning
Educational speakers / life long learning
54.3%
39.2%
Clubs / games / karaoke
Clubs / games / karaoke
64.6%
47.9%
Live performances
Live performances
62.3%
48%
Dances
Dances
45.1%
31.6%
Fitness center
Fitness center
45.1%
25.3%
Fitness classes
Fitness classes
64.6%
47.1%
0.0%20.0%40.0%60.0%80.0%100%

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

Unfamiliar with St. Louis? Highlights for seniors

St. Louis became a member of the World Health Organization’s Age-Friendly Cities and Communities Initiative in 2013, demonstrating its commitment to creating a city where older adults can live healthy, engaged, and fulfilling lives.[06] As part of this effort, the city is working to enhance accessibility, expand affordable housing options, and improve transportation systems that meet the needs of aging residents. The initiative also emphasizes social inclusion, civic participation, and community design that supports people of all ages.

Top hospitals for seniors in St. Louis

St. Louis is home to a range of respected health care facilities that specialize in medical conditions commonly affecting older adults, offering expert care and advanced treatment options close to home.

A graphic of a capital letter H in a circle

Barnes-Jewish Hospital 

Barnes-Jewish provides advanced medical care and specialized geriatric services, offering comprehensive treatment and rehabilitation programs tailored to the complex health needs of older adults.

A graphic of a capital letter H in a circle

Missouri Baptist Medical Center

MoBap offers comprehensive care for older adults through specialized geriatric services including a dedicated geriatric emergency department, palliative care, and chronic condition management. Part of BJC HealthCare, they provide specialized medical, surgical, and psychiatric care tailored to seniors’ needs.

A graphic of a capital letter H in a circle

Mercy Hospital St. Louis

Mercy offers senior-focused care services, including geriatric medicine and primary care tailored to older adults. Their “65 Prime+” clinics are specifically designed for Medicare-eligible patients, providing extended appointments and more frequent check-ins to address chronic conditions and aging-related concerns.

Transportation for seniors in St. Louis

When exploring assisted living options in St. Louis for your parent, transportation is an important part of ensuring they can stay active, independent, and connected. 100% of A Place for Mom’s partner communities provide scheduled rides to medical appointments, shopping, and social outings, giving families peace of mind that their loved one can get where they need to go safely and comfortably.[01]

Beyond what communities offer, the St. Louis area also provides senior-friendly public transportation and specialized services designed with accessibility in mind:

  • MetroBus offers affordable, citywide routes with wheelchair-accessible vehicles and stops near major hospitals, shopping centers, and residential neighborhoods.
  • MetroLink Light Rail connects many St. Louis neighborhoods and suburbs, making it easy for your parent to reach appointments or family visits without long drives.
  • Metro Call-A-Ride is a curb-to-curb paratransit service for older adults or individuals with mobility challenges, allowing caregivers or family to accompany them when needed.

Walk Score ranks St. Louis as somewhat walkable and gives it the following transportation ratings out of 100:[07]

Transportation card image
66

Walk Score

Transportation card image
43

Transit Score

Transportation card image
58

Bike Score

Things to do in St. Louis for seniors and their families

St. Louis blends Midwestern warmth with big-city energy, offering a welcoming mix of history, culture, and green space that appeals to visitors of all ages. Whether your loved one enjoys relaxing outdoor spaces, world-class museums, or live entertainment, St. Louis provides countless opportunities to explore, connect, and create lasting memories together.

Outdoors and landmarks

  • Museum under the Gateway Arch. A must-see icon of St. Louis, the monument and its museum offer sweeping views and local history all in one place. Senior visitors (ages 60+ in this case) can receive a discount on selected activities such as river cruises.
  • Tower Grove Park. This historic 289-acre garden-style park offers a peaceful setting for walking, relaxation, and exploring nearby cafés and shops in the Tower Grove neighborhood.

Culture and the arts

  • The Fabulous Fox. This ornate, historic theatre showcases Broadway shows, concerts, and other performances. Selected shows offer special “Rush” tickets and discounts for seniors 65+ on certain performances.
  • Saint Louis Art Museum. Located in Forest Park, this museum boasts works by Monet, Picasso, and others, and welcomes older adults with free general admission and accessible facilities.

History and heritage

  • Missouri History Museum. With exhibits that bring local and regional history to life, this museum offers a friendly, accessible way for older adults to engage with the story of St. Louis.
  • Soldiers Memorial Military Museum. Honoring local veterans and military heritage, this museum provides educational and reflective experiences appropriate for older visitors and families alike.
  • Budweiser Tours. The historic brewery tour at Anheuser-Busch introduces visitors to brewing traditions and the famous Budweiser caves and can be a fun outing with your loved one.

Sports and recreation

  • St. Louis Blues. Watching an NHL hockey game is an exciting experience with accessible seating and the energy of live sports.
  • St. Louis Cardinals. A baseball outing at Busch Stadium is a classic St. Louis experience. Older adults can enjoy the crowd, the game, and often standby or senior-pricing deals.
  • St. Louis City SC. For families and older adults interested in soccer, this newer professional team offers a modern, lively setting that can be enjoyed across generations.

Assisted living laws and regulations in Missouri

Assisted living communities are generally regulated by state governments. This means that rules and operation requirements vary by state and by the type of care a community provides. Learning about how assisted living is regulated can help you make informed care decisions.

Read more: Assisted living regulations in Missouri

Why do licensure and inspection reports matter to families?

State regulations , and a community’s track record with inspections and licensing, offer important insights into safety and quality of care in senior living communities.

Download the Guide to Senior Living Licensure and Inspection Reports to learn what to look for in an inspection report and what questions to ask when touring communities. This resource explains how to use state licensure and inspection information to evaluate a community’s compliance, care standards, and responsiveness to issues.

Frequently Asked Questions

The average cost of assisted living in St. Louis, is $5,444 per month.
No, Medicare won’t pay for assisted living in St. Louis.
Yes, seniors in St. Louis can use their Social Security benefits however they see fit, including paying for assisted living
Missouri’s Medicaid program will cover some costs of assisted living for eligible residents. Medicaid won’t cover the cost of room and board, though.
Yes, more than 92% of assisted living communities in St. Louis allow dogs and cats, but weight limits, breed restrictions, and monthly pet fees may apply.
Yes, 30% of A Place for Mom’s partner communities offer kosher meal options. In addition, 39% provide vegan choices, and 61% can accommodate gluten-free diets, ensuring residents with diverse dietary needs are well supported.

References

  1. A Place for Mom. (2026). A Place for Mom proprietary data.

  2. Economic Research Institute. (2026, February 6). Cost of living data in St. Louis, Missouri, United States.

  3. United States Census Bureau. (2024, July 1). QuickFacts, St. Louis city, Missouri.

  4. Missouri Department of Social Services. Programs for seniors and individuals with disabilities.

  5. U.S. Centers for Medicare and Medicaid Services. Get started with Medicare. Medicare.gov.

  6. World Health Organization. Age-Friendly World. St. Louis County.

  7. Walk Score. (2026). 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.
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1.

A Place for Mom. (2026). A Place for Mom proprietary data.

2.

Economic Research Institute. (2026, February 6). Cost of living data in St. Louis, Missouri, United States.

3.

United States Census Bureau. (2024, July 1). QuickFacts, St. Louis city, Missouri.

4.

Missouri Department of Social Services. Programs for seniors and individuals with disabilities.

5.

U.S. Centers for Medicare and Medicaid Services. Get started with Medicare. Medicare.gov.

6.

World Health Organization. Age-Friendly World. St. Louis County.

7.

Walk Score. (2026). Living in St. Louis.