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 2024 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 2024 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 2024 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
Senior Living Home

10 Best Nursing Homes in St Louis, MO

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Who are you searching for?

St. Louis is a beautiful city located along the Mississippi river and home to barbeque restaurants, blues music, and the 630-ft Gateway Arch. If you are looking for the perfect nursing home for your loved one, you’re in the right place.

Nursing homes refer to skilled nursing facilities that care for those with specific health conditions or for those who are unable to care for themselves properly. However, it’s also commonly used as a catchall term for senior care facilities that can include assisted living and memory care. Assisted living is designed for seniors who need help with their daily living activities such as bathing, grooming, and meal preparation. Memory care is for seniors with memory-related problems such as dementia or Alzheimer’s.

While A Place for Mom doesn’t partner with skilling nursing facilities, we do have 18 partner facilities offering a combination of assisted living and memory care all within a 10-mile radius of downtown St. Louis.

As you continue through this guide, you will learn all about assisted living and memory care facilities in St. Louis, including average costs and payment methods, veterans benefits, Medicaid and Medicare information, facility regulations and more. You’ll also learn a little about what makes the Gateway to the West a great city to live in.

Nursing Homes Facilities near St Louis, MO

Showing 59 communities
Last Updated: 12/20/24
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Photo of Altenheim St. Louis
44 Photos available
8.5
Review score
23 reviews
8.5
Review score
23 reviews
5 star
52%
4 star
35%
3 star
0%
2 star
9%
1 star
4%
See all reviews
The outreach fellow is great The flower arranging is fun The Bingo lady makes it exciting The outings on the van were fun The kitchen area on the floors could always use a good cleaning My auntie doesn't...
Provides: Assisted Living, Memory Care, Independent Living
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.
Experience elegant, boutique senior living at affordable rates. The charm of the Altenheim begins with its magnificent location on the banks of the scenic Mississippi. From the moment you walk in, you'll feel at home with the most delightful surroundings you could ask for in an independent,...
Photo of St Louis Hills Assisted Living and Memory Care
1111 Photos available
22 Floor plans available
8.0
Review score
42 reviews
8.0
Review score
42 reviews
5 star
26%
4 star
42%
3 star
17%
2 star
5%
1 star
10%
See all reviews
It's not infrequent that the main elevator has one side that is broken down; older furnishings; worn carpets; minor repairs in family member's room needing repair by family members. The cleaning staff work...
Provides: Assisted Living, Memory Care
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.
St. Louis Hills Assisted Living and Memory Care is a newly owned and operated senior living community conveniently located in the heart of St. Louis Hills. Our focus on customer excellence and honoring our elders through a commitment to serve with integrity, compassion, and purpose is...
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Photo of Allegro Richmond Heights
1616 Photos available
9.5
Review score
29 reviews
9.5
Review score
29 reviews
5 star
56%
4 star
31%
3 star
7%
2 star
3%
1 star
3%
See all reviews
Very nice place to be. The staff is kind and helpful. The food is very good. The facility is clean and laundry is done nicely. My only complaint has been with urine catheter help. The staff empties the...
Provides: Assisted Living, Memory Care
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.
Allegro is proud to bring more than 40 years of experience to the St. Louis metropolitan area, home of our company headquarters. Allegro strives to reimagine senior living, bringing comfort, convenience and quality care to older adults who want and deserve the best.Allegro Richmond Heights...
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Photo of Sunrise of Webster GrovesCommunity card badge
1414 Photos available
88 Floor plans available
Pricing promotion
8.9
Review score
66 reviews
8.9
Review score
66 reviews
5 star
52%
4 star
17%
3 star
14%
2 star
11%
1 star
6%
See all reviews
My mom was only there for 12 days before she passed away but everything that you have listed were excellent. I'll never say a great value for the money because $[removed] a month is a lot but it's ...
Provides: Assisted Living, Memory Care
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.
Sunrise of Webster Groves is an assisted living and memory care community in St. Louis, Missouri.
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Photo of Autumn View Gardens, Assisted Living and Memory Care
44 Photos available
22 Floor plans available
8.9
Review score
64 reviews
8.9
Review score
64 reviews
5 star
51%
4 star
28%
3 star
16%
2 star
0%
1 star
5%
See all reviews
Perfect. My Mom was originally skeptical but came to feel safe and comfortable. Very homey. Well designed. Lots of light. Very efficient room layout.
Provides: Assisted Living, Memory Care
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.
Autumn Gardens provides your loved one with a caring embrace in Creve Coeur. It is a faith-based nonprofit organization. Across all our communities, faith is a cornerstone of how we operate, which means everything we do is in service of our residents. Our assisted living community promotes...
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Photo of Southview Assisted Living and Memory Care
1010 Photos available
22 Floor plans available
8.8
Review score
68 reviews
8.8
Review score
68 reviews
5 star
56%
4 star
26%
3 star
9%
2 star
6%
1 star
3%
See all reviews
Everything so far has been great. Great overall experience, perfect size place and not too fancy for mom's taste. Everything seems clean as far as I can tell. Staff is friendly to mom and the family. Mom...
Provides: Assisted Living, Memory Care
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.
Southview Assisted Living is the premier senior living community in South County near St. Louis, Missouri. We offer, assisted living and Dementia / Memory Care . This newly built senior living community will begin welcoming residents in Summer 2012.We know how difficult change can be, especially...
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Photo of Fairmont on Clayton
77 Photos available
33 Floor plans available
8.6
Review score
41 reviews
8.6
Review score
41 reviews
5 star
41%
4 star
45%
3 star
7%
2 star
2%
1 star
5%
See all reviews
The staff and administrators work WITH the family to determine the best plan for the loved one. The medication is given precisely as instructed. They actually do really cool activities. The food and...
Provides: Assisted Living, Memory Care
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.
Fairmont on Clayton is located in the Clayton / Richmond Heights area, just minutes from the Galleria Mall. We pride ourselves in our excellent ability to care for a wide array of care needs in an environment that is warm and homelike.Step into our community and you can't help but feel at home....
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Photo of Lutheran Convalescent Home
11 Photo available
8.5
Review score
3 reviews
8.5
Review score
3 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
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Marvelous facility! My mom lived at Laclede Groves for the last 3 years of her life. From her 90th birthday party in the first month of her stay to her last week in Laclede’s hospice care, our family was...
Provides: Assisted Living, Independent Living, Home Care, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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.
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Promenade Senior Living
1414 Photos available
33 Floor plans available
8.5
Review score
31 reviews
8.5
Review score
31 reviews
5 star
50%
4 star
32%
3 star
6%
2 star
6%
1 star
6%
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We needed a month of assisted living care for my husband. We visited several facilities and decided that Promenade suited our needs best. We made a great choice. The staff was friendly, kind and...
Provides: Assisted Living, Memory Care
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.
Perfectly nestled between Ladue, Frontenac and Clayton, MO, in Richmond Heights, Promenade Senior Living will offer an active and engaged lifestyle with just the right supportive care available when needed. Just a stone's throw from all of the exciting cultural, shopping & dining attractions St....
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Photo of The Gables at Brady Circle
1717 Photos available
8.2
Review score
18 reviews
8.2
Review score
18 reviews
5 star
33%
4 star
44%
3 star
6%
2 star
6%
1 star
11%
See all reviews
The two areas where the Gables is lacking is the food and the social activities. When we put Mom into the Gables we pretty much needed somewhere to get her right away and the Gables did not have a "" move-in...
Provides: Assisted Living, Memory Care
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 Gables at Brady Circle is revolutionizing assisted living care by removing the institutional setting and returning to an intimate, residential social model.We understand that the choice of an assisted living/ Memory Care community is a difficult and stressful process. That is why we embrace...
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Photo of Mother of Perpetual Help Residence
55 Photos available
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Assisted living is the perfect scenario for older adults who need some assistance but enjoy their independence. Our community offers 24/7 care, a social environment brimming with options, and a range of programs and services that provides meals, housekeeping, laundry, and assistance with personal...
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Photo of Brentmoor
99 Photos available
8.0
Review score
12 reviews
8.0
Review score
12 reviews
5 star
83%
4 star
17%
3 star
0%
2 star
0%
1 star
0%
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Can't say enough kind words about [name removed] and the Brentmoor. Been very on the fence about putting my mother in a facility -- I wanted it to be the easiest transition for her and our family. These...
Provides: Assisted Living, Independent Living
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.
Life Begins at Brentmoor! Centrally located in mid-St. Louis County (Delmar and I-70), this high-rise community offers 72 independent living apartments which include studio, one, two and three bedroom units. Senior Living at The Brentmoor includes all the comforts of home, plus scheduled...
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Photo of The Grande at Creve Coeur
1010 Photos available
44 Floor plans available
8.0
Review score
15 reviews
8.0
Review score
15 reviews
5 star
47%
4 star
20%
3 star
20%
2 star
0%
1 star
13%
See all reviews
My mother was moved to The Grande from an Illinois memory care facility because she required care not available in Illinois. Sadly she was only there 2 months before passing. But in that time we were pleased...
Provides: Memory Care
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.
At The Sheridan at Creve Coeur, residents pursue their passions within a lively, social atmosphere. They enjoy chef-prepared meals with friends in the elegant dining room, play games in the living rooms, get creative in the art studio, and exercise in the fitness center and physical therapy...
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Photo of Benedictine Living at The Shrine
55 Photos available
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.
Nestled in 200 acres of a certified National Wildlife Refuge, Benedictine Living-At The Shrine, is a faith-based, continuing care community dedicated to the pursuit of active retirement living and wellness in body, mind and spirit. The campus offers independent living, assisted living and...
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Photo of The Mary Culver Home
1414 Photos available
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
We chose The Mary Culver Home because it is a home that specialized for residents who are visually impaired. It is a smaller facility with only 25 women, so she gets more personalized care. I don't just feel...
Provides: Assisted Living
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 Estates of Hidden Lake AL IL
22 Photos available
5 star
66%
4 star
17%
3 star
17%
2 star
0%
1 star
0%
See all reviews
So far my experience has been great. It came just when the family needed it and it has been a godsend to me. The Head of Nurse is very informative and keeps communication open with the family. The staff...
Provides: Assisted Living, Memory Care, Independent Living
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 Estates of Hidden Lake, (CCRC), offering the peace of mind that comes with knowing your'll enjoy priority access to additional levels of care should your needs ever change.Independent Living: Thirty two distinctive cottage homes or select from a one or two bedroom apartment. Which suits...
Photo of Kingsland Walk Senior Living
1010 Photos available
Pricing promotion expiring soon
6.8
Review score
18 reviews
6.8
Review score
18 reviews
5 star
22%
4 star
33%
3 star
17%
2 star
17%
1 star
11%
See all reviews
[Name Removed] goes well beyond serving as a director of memory care; she is an advisor and friend to my mom. Without her guidance and care we would be lost. Previous to her arrival our mom’s care was...
Provides: Assisted Living, Memory Care, Independent Living
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.
Kingsland Walk Senior Living offers so much more than a place to hang your hat. We are a true community, shaped by the relationships we form and the adventures we share. We are committed to crafting a lifestyle rich in experiences that go beyond the traditional concept of senior living, and we...
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Photo of Clarendale Clayton
1818 Photos available
1313 Floor plans available
Pricing promotion expiring soon
7.0
Review score
14 reviews
7.0
Review score
14 reviews
5 star
36%
4 star
21%
3 star
14%
2 star
0%
1 star
29%
See all reviews
Overall our experience has been good. The physical plant is well maintained. There is a perception of a lot of staff turnover, but that is not unusual. My parents say the menu could have more variety....
Provides: Assisted Living, Memory Care, Independent Living
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.
See details
Photo of Ascension Living Sherbrooke Village
44 Photos available
44 Floor plans available
5 star
26%
4 star
13%
3 star
10%
2 star
10%
1 star
41%
See all reviews
I have no complaints about how things are going for my mother since she made the move into this community. I have to say my favorite thing about this place is how friendly the staff are and the positive...
Provides: Assisted Living
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…..Ascension Living Sherbrooke Village, where we make A Difficult Choice Easier.Nestled on several acres at the foot of Ripa Avenue in an area of outstanding natural beauty in South County, Sherbrooke Village represents Today’s nursing care residence.We share a mission of providing care...
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Photo of Manor Grove
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
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Both my parents received hospice care at Manor Grove. Having experienced other facilities in the area, we were pleasantly surprised how wonderful both the staff and facility were. The nursing staff is...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
8.0
Review score
7 reviews
8.0
Review score
7 reviews
5 star
72%
4 star
14%
3 star
14%
2 star
0%
1 star
0%
See all reviews
I have been at Delmar Garden South for 10 1/2 years. Best thing I could have done. The staff which are very caring and helpful, is the best. We are will cared for and understanding. Staff is what make places...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
UNIQUELY AFFORDABLE CAREFREE RETIREMENT LIVINGCarefree retirement living means knowing that all services are included and available to you.• Fully-equipped alcove, one bedroom, and two bedroom apartments • Superb cuisine • State of-the-art Fitness Centers • Indoor swimming pool and hot...
Photo of Richmond Terrace
5 star
67%
4 star
33%
3 star
0%
2 star
0%
1 star
0%
See all reviews
My sister Becky lived at Durberg House. We found out at the last minute they were closing the home. I had to find a place for [name removed] in two weeks before I went to Florida for a month. I called [name...
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 Crestwood Health Care Center, L.L.C.
5 star
33%
4 star
33%
3 star
0%
2 star
0%
1 star
34%
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
5 star
0%
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0%
3 star
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of St John's Mercy Medical Ctr
5 star
0%
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.

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

Costs of nursing homes in the St. Louis area

Nursing homes are defined as skilled nursing facilities that provide short and long-term round-the-clock medical care. A private room for a nursing home in St. Louis averages around $6,737 per month.[01] In a lot of instances, skilled nursing facilities will include the following services and amenities in their facility:

  • Palliative care
  • Rehabilitation
  • 24/7 medical presence
  • On-site health care
  • Short-term care for those recovering from surgery or injury

If your loved one is looking for something a little less intensive, assisted living or memory care may be better options. According to proprietary data from A Place for Mom, St. Louis assisted living facilities average around $4,760 a month, and St. Louis memory care facilities average around $4,875 a month.[02] These costs include all service fees and additional payments, but cost may vary when outside services are needed.

With the cost of assisted living and memory care, you can expect housekeeping, laundry, meals, and personal care services included.

Average monthly cost of Nursing Homes in St Louis, MO vs. nearby cities

St Louis, MO
$4,899/mo
$4,933/mo
$4,933/mo

Average monthly cost of Nursing Homes in St Louis, MO vs. the state and national average

St Louis, MO
$4,899/mo
U.S. national average
$4,900/mo

Average monthly cost of Nursing Homes in St Louis vs. other types of senior living

$5,415/mo
Nursing Homes
$4,899/mo

Median monthly costs of Nursing Homes in St Louis, MO by room type

Semi-Private
$4,560/mo
Studio
$5,281/mo
1 Bedroom
$5,343/mo
2 Bedroom
$6,685/mo
Detached Cottage/Bungalow
$5,975/mo

Average cost of Nursing Homes in St Louis over time

St Louis, MOMO stateNational

What families are saying about nursing homes in St Louis

Recent reviews for nursing homes in St Louis

Lutheran Senior Services At Breeze Park in St. Charles, MO

4.0
They are pretty good. It's very clean. The staff is pretty friendly. They have stuff going on for activities, but they told me they take them out at least once a week, they told us they had a bus with a lift, and they don't. They told us when she was there she would be able to eat in any of the ...
Read more

St. Andrew's Assisted Living of Bridgeton

5.0
We are so thankful for and pleased with St. Andrews. They have been very caring and helpful. I appreciate the time they take to educate us on items, when needed. They always reassure when calling that nothing's urgent, but just wanting to share information. It's comforting to know my Dad is in a ...
Read more

How people pay for a nursing home in St. Louis

Seniors and their families can pay for skilled nursing, memory care, or assisted living costs in many different ways. In this section, you will learn how methods like private pay, VA benefits, Medicaid, and Medicare can be used to fund a move into a long-term care community.

Private pay methods

In conjunction with other public sources, private pay methods are often used to pay for costs related to assisted living and memory care. Some of the more common income streams are personal savings, pensions, investment returns, and Social Security benefits. For those looking for additional private sources, the following can also be used:

VA benefits
45003

Number of veterans who live in St. Louis

About 33% of St. Louis veterans are 75+

Veterans can tap into VA benefits to help pay for the costs associated with senior care facilities. Because the process of applying for benefits can be complex, working with a veterans services officer is key to getting through the process.

The most common benefit veterans can use for long-term care communities is the Aid and Attendance benefit. This benefit is added to the veteran’s monthly Pension payment and supports eligible veterans and their spouses if they need assistance. Additionally, for veterans with a service-connected disability, disability compensation through the VA may also be an option.

To better understand eligibility requirements and how benefits can be used for skilled nursing care, assisted living, and memory care, contact a local veterans services organization. St. Louis County Veterans Program also offers case management and advocacy.

Resources for St. Louis veterans

Local veterans resources

St. Louis County Veterans Program
St. Louis County Government Center NW
715 NW Plaza Drive
St. Ann, MO 63074
Phone: 314-615-7400
Hours: Monday through Friday, 8 a.m. – 5 p.m.

St. Louis Veterans Services Officers

Virgina Mack
Missouri Veterans Home
10600 Lewis & Clark Blvd., Rm # R1-109
St. Louis, MO, 63136
Phone: 314-421-8637
Hours: Monday through Friday, 8 a.m. – 4 p.m.

Christy Allison 
Missouri Veterans Home
10600 Lewis & Clark Blvd.
St. Louis, MO, 63136
Phone: 314-421-8654
Hours: Monday through Friday, 7 a.m. – 4 p.m.; Thursday, 9:30 a.m. – 4 p.m.

Derrick Russell
9700 Page Ave.
St. Louis, MO, 63132
Phone: 314-421-8676
Hours: Monday through Friday, 8 a.m. – 4 p.m.

Nathan Ruhnow
Prevedel Federal Building/Missouri Veterans Commission
9700 Page Ave., Rm # R1-109
St. Louis, MO, 63132
Phone: 314-421-8673
Hours: Monday through Friday, 8 a.m. – 4 p.m.

Malinda Graves-Sampson
Prevedel Federal Building/Missouri Veterans Commission
9700 Page Ave., Rm # R1-109
St. Louis, MO 63132
Phone: 314-421-8674
Hours: Monday through Friday, 8 a.m. – 4 p.m.

Veterans associations

Veterans of Foreign Wars Posts

Post 3480 Capt. Horace G. Burke Post
5020 State St.
East St. Louis, IL 62205
Phone: 618-271-7004

Post 6137 Newport Heights Memorial Post
5468 Gravois Ave.
St. Louis, MO 63116
Phone: 314-352-6137

Post 8112 Gruhala-Gmeiner Memorial Post
4310 S. 38th St.
St. Louis, MO 63116
Phone: 314-351-8890

American Legion

Quentin Roosevelt Post 1
St. Louis Altenheim
5408 S. Broadway Blvd.
St. Louis, MO 63111

Griesedieck-Fournier Post 3
4617 Dahlia Ave.
St. Louis, MO 63116

Fred W. Stockham Post 4
405 Washington Ave.
St. Louis, MO 63102

Medicaid

The Medicaid program in Missouri is called MO HealthNet and while Medicaid will not cover costs related to room and board in assisted living or memory care communities, seniors can use it for care in nursing homes. In addition to the set income limits seniors need to meet to be eligible for Medicaid, skilled nursing facilities must also meet several requirements[03]:

  • Facilities must be licensed and certified by the state.
  • Facilities must be residential and assume complete care for those who are admitted.
  • Care must include room and board.

For more information on certified Medicaid nursing home providers, click here.

For those who are interested in assisted living or memory care, Medicaid won’t cover room and board, but seniors can use it for medically necessary costs through the Home and Community-Based Services (HCBS) waiver program. This program can provide services like:

  • Nursing care and supervision
  • Physical and occupational therapy
  • Medications and medical equipment
  • Personal care services
  • Respite care
  • Hospice care

Medicaid also offers financial aid for those with memory-related issues through the Supplemental Nursing Care program. If eligible, Medicaid will pay up to $292 monthly to help pay for care for those with dementia. You can apply for Medicaid and check eligibility for waiver programs through MO HealthNet.

To best understand what a senior may qualify for under Medicaid, St. Louis’ local Area Agency on Aging (SLAAA) Aging Ahead is an organization that can help navigate available benefits and determine eligibility. For advocacy, support, or grievances, the St. Louis County Ombudsman can assist as well.

St. Louis resident Medicaid resources

Local Medicaid resources

Missouri Department of Social Services, MO HealthNet Division
615 Howerton Court
Jefferson City, MO 65102
Phone: 573-751-3425

St. Louis Area Agency on Aging (SLAAA)
1200 Market St.
St. Louis, MO 63103
Phone: 314-622-4800

St. Louis County Ombudsman
8050 Watson Road, Suite 155
St. Louis, MO 63119
Phone: 314-391-8222

Medicare

Medicare is America’s health insurance for seniors who are at least 65 years old. Medicare will cover nursing homes on a limited basis. Under Medicare Part A, skilled nursing facility care is covered if the following conditions are met:

  • The senior has Part A and days left in their benefit period.
  • They’ve had a qualifying inpatient stay.
  • A doctor has determined daily skilled care is necessary.

Both assisted living and memory care facilities aren’t covered under Medicare except for short-term in-home medical care needs and health expenses. However, for those who use Medicare and need additional financial assistance, the state of Missouri has a handful of resources available to support seniors:

  • Missouri CLAIM (the State Health Insurance Assistance Program) and Circle of Care Counseling both offer free, unbiased financial counseling to help you apply for Medicare.
  • The St. Louis Area Agency on Aging will provide financial support for seniors by covering some costs related to premiums, copays, and deductibles through Medicare Savings Programs.
  • MORx is the state’s Pharmacy Assistance Program and helps with the cost of prescription medication for those using Medicare Part D.

For those with questions, the Social Security Administration, which runs Medicare, can provide additional support. For those who have grievances or complaints or require advocacy, VOYCE’s St. Louis Ombudsman and the State Office of Long-Term Care Ombudsman Programs are on hand to support families and seniors.

St. Louis resident Medicare resources

St. Louis Medicare assistance and advocacy

Social Security Administration Office
717 N. 16th St.
St. Louis, MO 63103
Phone: 800-772-1213

St. Louis Area Agency on Aging (SLAAA)
1520 Market Road
St. Louis, MO 63103
Phone: 314-612-5918
Hours: Monday through Friday, 8 a.m. – 5 p.m.

Circle of Care Counseling
423 Chez Paree
Hazelwood, MO 63042
Phone: 314-873-3501

St. Louis Ombudsman
8050 Watson Road, Suite 155
St. Louis, MO 63119
Phone: 314-918-8222

St. Louis Medicare programs

SLAAA Medicare Savings Program
City Hall
1200 Market St.
St. Louis, MO 63103
Phone: 314-622-4800

Understand Missouri laws and regulations for nursing homes

Skilled nursing facilities are licensed and governed through the Missouri Department of Health and Senior Services (DHSS) and federally by the Centers for Medicare and Medicaid Services (CMS). To maintain licensing, skilled nursing facilities (nursing homes) are inspected annually and must maintain minimum standards regarding staffing, safety, and quality of care.

Staffing and staff ratios are essential in skilled nursing facilities, with the current Missouri standards requiring:

  • A registered nurse is to be appointed as the director of nursing.
  • For facilities with more than 100 beds, there must also be an assistant director of nursing.
  • A staff ratio of 1:15 for skilled nursing facility staff.
  • A staff ratio of 1:5 for direct care providers.
  • Staff hired to provide food, housekeeping, or laundry services are not permitted to provide nursing services and aren’t included in the staff ratios.

DHSS also regulates assisted living and memory care facilities. Memory care facilities fall under the umbrella of assisted living. Assisted living facilities are required to provide assistance with activity of daily living, medication management, licensed physicians to direct health care, a licensed administrator in charge of the facility at all times, and resident rooms that are at least 70 square feet. You can find more information on fire safety and emergency preparedness, staffing regulations, and personal care requirements for these facilities among other things here.

All inspection reports for skilled nursing facilities and assisted living facilities (which include memory care facilities) must be publicly accessible; those that aren’t online can be accessed directly from the nursing home. Otherwise, inspection reports can be found by searching specific facilities here.

Missouri Department of Health contact information

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

COVID-19 regulations for St. Louis nursing homes

There currently aren’t any city-specific COVID-19 mandates in St. Louis. Instead, it’s recommended to follow all best practices advised by the Centers for Disease Control (CDC).

An illustration of a syringe

Vaccinations. Vaccinations and boosters for staff, residents, and guests are encouraged.

An illustration of a protective breathing mask

Masking. Well-fitted masks are encouraged for high-risk people in areas of high transmission.

An illustration of a shield

Staff safety. If a staff member experiences COVID-19 symptoms, they must notify their employer and follow facility guidance regarding quarantine and social distancing.

An illustration of a person in bed within a house

Quarantining. Self-isolate if diagnosed with COVID-19 and avoid people where possible if experiencing symptoms.

What to expect from nursing homes in St. Louis

There are 18 senior care facilities in St. Louis that offer a mixture of assisted living, memory care, and in some cases, independent living. Here’s the breakdown:

  • 10 combination assisted living and memory care
  • 3 standalone assisted living facilities
  • 3 independent living, assisted living, and memory care
  • 1 independent living plus assisted living
  • 1 standalone memory care facility

The difference between nursing homes and assisted living facilities

While they sound similar, skilled nursing facilities and assisted living communities provide very different experiences for residents. Assisted living is best suited for people who may need assistance with personal care and daily activities but can still maintain some levels of independence. On the other hand, skilled nursing care provides specialized medical care for seniors who need medical attention 24/7.

A place where everything is at your fingertips

In an assisted living facility, you can expect to live in a community where everything is at your fingertips. The day-to-day chores are taken off your plate. You can enjoy three delicious meals served daily  in a community dining room, as well as housekeeping and laundry services.

Attentive care

All assisted living and memory care communities have staff awake and ready to address needs all hours of the day as well as medication management services. A large majority also have a doctor who is ready to attend to needs as they arise as well as visits from a variety of different therapists.

Activities to fill your days

In a city where baseball and Budweiser rule, you can anticipate fun outings to St. Louis sites and plenty of in-house activities. Group events, trivia games, holiday parties, and happy hours are regular occurrences in our partner senior care communities. Socialization is easy with plenty of indoor and outdoor common areas, such as movie rooms, courtyards, game rooms, and even shops.

St Louis nursing homes services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in St Louis nursing homes 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 nursing homes

Nursing homes communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of nursing homes 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
37.3%
2.4%
Doctor on call
Doctor on call
37.3%
9.4%
24-Hour awake staff
24-Hour awake staff
81.4%
26.1%
Diabetic care
Diabetic care
79.7%
26.6%
*Visiting health care professionals
*Visiting health care professionals
39%
9.7%
Home care agency on-site
Home care agency on-site
15.3%
0.8%
Non-ambulatory care
Non-ambulatory care
78%
22.8%
Respite or short term stays
Respite or short term stays
33.9%
6.9%
Hospice available on-site
Hospice available on-site
40.7%
17.2%
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 nursing homes

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 Nursing Homes partners offer the selected dementia care services compared to the percentage of partners nationally.
St Louis, MONational
Dementia behaviors care
Dementia behaviors care
32.2%
3.8%
Specialized memory care training for staff
Specialized memory care training for staff
27.1%
0.2%
Secured community and/or wander guard
Secured community and/or wander guard
35.6%
5.3%
Memory care only community
Memory care only community
11.9%
1.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in St Louis nursing homes

Nursing homes 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
22%
0.5%
Low / no sodium
Low / no sodium
25.4%
1.4%
No sugar
No sugar
23.7%
1.4%
Vegetarian
Vegetarian
22%
3.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in St Louis nursing homes

Our nursing homes 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
22%
0.2%
Restaurant style dining
Restaurant style dining
28.8%
0.5%
Room service
Room service
23.7%
0.4%
Anytime dining
Anytime dining
15.3%
0.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in St Louis nursing homes

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered nursing homes 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
32.2%
0.4%
Pet-focused programs
Pet-focused programs
23.7%
0.2%
Community service programs
Community service programs
18.6%
0.3%
Devotional activities on-site
Devotional activities on-site
35.6%
6.3%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
32.2%
0.4%
Outings / off-site activities
Outings / off-site activities
32.2%
6.4%
Piano or organ
Piano or organ
32.2%
0.4%
Arts and crafts center
Arts and crafts center
25.4%
0.2%
Educational speakers / life long learning
Educational speakers / life long learning
28.8%
0.3%
Clubs / games / karaoke
Clubs / games / karaoke
32.2%
0.4%
Live performances
Live performances
30.5%
0.4%
Dances
Dances
20.3%
0.2%
Fitness center
Fitness center
23.7%
0.2%
Fitness classes
Fitness classes
30.5%
0.4%
0.0%20.0%40.0%60.0%80.0%100%

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Unfamiliar with St. Louis? Highlights for senior

187,822

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

19%
Percentage of seniors 65 and older within the St. Louis population
$54,928

Median annual income for St. Louis seniors 65 and older

Health care for seniors in St. Louis

A graphic of a capital letter H in a circle

Barnes-Jewish Hospital
Barnes-Jewish Hospital has been recognized as one of the leading medical centers in the country according to U.S News & World Report, placed at No. 11 on the Best Hospitals Honor Roll with national rankings in nearly a dozen different specialties.

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Missouri Baptist Medical Center
This hospital is renowned for its expertise in treating heart conditions such as heart bypass surgery and aortic valve surgery.

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Mercy Hospital St. Louis
Mercy Hospital is a dual campus general medical and surgical facility that is rated as high performing across more than a dozen procedures and conditions.

A graphic of a capital letter H in a circle

St. Luke’s Hospital – Chesterfield
Also known for its treatment of heart conditions, St. Luke’s Hospital – Chesterfield, is rated as high performing in 13 adult procedures and conditions.

A graphic of a capital letter H in a circle

Christian Hospital

Christian Hospital is ranked regionally as a top-performing facility for lung cancer surgery and COPD treatment.

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St. Louis VA Medical Center

The VA Medical Center is set up to take care of St. Louis area veterans, offering a wide range of medical services from primary to specialty care.

Transportation for seniors in St. Louis

Complimentary transportation is available in nearly all of our partner assisted living and memory care facilities, making them ideal for seniors unable to drive.

There are also a couple of public transport options for seniors unable to drive or their visiting family members; these options are accessible and allow caregivers or family to ride for free when accompanying a senior.

  • Metro’s Call-A-Ride Program offers wheelchair-accessible curb-to-curb transportation for those with physical or cognitive disabilities.
  • The City of St. Louis offers free transportation for non-emergency errands.

Senior activities in St. Louis

St. Louis is a city with plenty to see and do; luckily, there are also plenty of accessible and fun activities that cater to a range of people and interests.

For caregivers who want to connect with their loved one while also forming friendships with other caregivers, consider the Caregiver Club. This organization hosts regular Caregiver Companion Outings to local businesses so seniors and their families can connect in a safe and engaging environment.

Interested in the arts? St. Louis has plenty to see. The Big Muddy Dance Company organizes Senior Embrace, a program that performs for those unable to travel to the theater. They also offer a movement workshop, which aims to improve health and quality of life.

Music lovers may take a trip to the St. Louis Symphony Orchestra or Sheldon Concert Hall. St. Louis Symphony Orchestra regularly hosts guest artists and travels throughout the city, performing free community events. Meanwhile, jazz, classical, and folk fans will enjoy Sheldon Concerts Hall’s lineup. They even host a regular Coffee Concert series for seniors.

For more mobile folks who enjoy spending time outside, Sophia M. Sach’s Butterfly House is perfect for a day of tranquility. It offers free wheelchair rental for those with low mobility so seniors can truly engross themselves in the conservatory, home to more than a thousand butterflies. For those who want to get up close and personal with animals, Grant’s Farm is an ADA-accessible venue that is ideal for people of all ages. The farm is home to the famous Budweiser Clydesdales and has a beautiful tram ride through Deer Park to their petting zoo.

Frequently Asked Questions

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

The average cost of Nursing Homes in St Louis is $4,899 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.

References

  1. Genworth Financial. (2021). Cost of Care Survey.

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

  3. Medicaid. (n.d.). Institutional Long Term Care

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

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

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

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

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

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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.

Genworth Financial. (2021). Cost of Care Survey.

2.

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

3.

Medicaid. (n.d.). Institutional Long Term Care

4.

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

5.

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

6.

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

7.

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

8.

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