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 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 230 communities
Last Updated: 9/19/26
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Photo of South Pointe and Arbors at South Pointe
1111 Photos available
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
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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 St Clair, Residential Care By Americare
33 Photos available
5 star
0%
4 star
0%
3 star
0%
2 star
0%
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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 Carlyle Healthcare and Senior Living
1010 Photos available
8.0
Review score
1 review
8.0
Review score
1 review
5 star
0%
4 star
0%
3 star
0%
2 star
0%
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0%
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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.
Enjoy Independent Living with Comfort, Choice, and Peace of mind. At Carlyle Senior Living, residents enjoy the comfort and privacy of their own spacious apartment-style suites while receiving the support they need to live confidently and independently. Each suite is thoughtfully designed with...
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Photo of Cedarhurst of St. Charles
1919 Photos available
99 Floor plans available
7.9
Review score
47 reviews
7.9
Review score
47 reviews
5 star
34%
4 star
30%
3 star
17%
2 star
2%
1 star
17%
See all reviews
My mom is being very well and lovingly cared for. Lots of fun activities offered and the residents participate greatly. The food is the only real complaint. The breakfast is very good but mostly the lunch is...
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 St. Charles, 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 St. Charles, Missouri, offers assisted living for those who require assistance with activities of daily living and memory...
Photo of The Gables at Brady Circle
1717 Photos available
7.9
Review score
21 reviews
7.9
Review score
21 reviews
5 star
38%
4 star
42%
3 star
5%
2 star
5%
1 star
10%
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The owner, [name removed], is easy to talk to/ work with, but any issues are slow to resolve. He does much of the work himself, so delays occur as issues have to be reprioritized. I was told there are...
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...
Photo of Creve Coeur Assisted Living
1212 Photos available
55 Floor plans available
Pricing promotion
7.9
Review score
91 reviews
7.9
Review score
91 reviews
5 star
46%
4 star
31%
3 star
11%
2 star
5%
1 star
7%
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Overall been great. All the setup was east and smooth. Activities are really good, kept busy from 8to 5 occasional outings. We are kept well informed. Don't know about the food. Pretty clean or as good as it...
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.
Welcome to Creve Coeur Assisted Living, a socially active retirement community! Conveniently located near Olive and Highway 270, our community is within minutes of everything the city of Creve Coeur has to offer-seven parks, a golf course, more than a dozen churches, plus chic specialty stores,...
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Photo of Kauhale Creve Coeur
77 Photos available
44 Floor plans available
7.8
Review score
22 reviews
7.8
Review score
22 reviews
5 star
49%
4 star
14%
3 star
18%
2 star
5%
1 star
14%
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All personnel from the manager to the nurse to the maintenance supervisor to the daily aides all know how to deal with dementia patients in a kind and dignified way.
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 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 Fields of Florissant
77 Photos available
33 Floor plans available
7.7
Review score
39 reviews
7.7
Review score
39 reviews
5 star
28%
4 star
18%
3 star
31%
2 star
10%
1 star
13%
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My mom has been a resident at Fields of Florissant for the past four months. I've been there several times to visit my mom. Everyone there that are also residents, from my observations, all seem to be in...
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 Garden Plaza of Florissant, Missouri, offers a dynamic lifestyle for seniors looking to get the most out of their retirement.Whether you prefer independent living in your own private patio home, assisted living with an apartment floor plan of your choice or a memory care neighborhood tailored...
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Photo of Addington Place of Shiloh
2525 Photos available
33 Floor plans available
7.7
Review score
64 reviews
7.7
Review score
64 reviews
5 star
47%
4 star
16%
3 star
9%
2 star
9%
1 star
19%
See all reviews
On the plus side, dad reports that the staff are kind and attentive and it's nice to know dad has someone to look after him. The only issue preventing a better score has been with billing and administration...
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.
Cedarhurst of Shiloh is located at 429 South Main Street Shiloh, IL. We pride ourselves on providing the community with an assisted living service that has your family member's best interests in mind. We give our clients peace of mind knowing their loved ones are in good hands. We're also known...
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Photo of Stillwater Senior Living
77 Photos available
5 star
90%
4 star
0%
3 star
10%
2 star
0%
1 star
0%
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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...
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Photo of Cedarhurst of Highland
2121 Photos available
22 Floor plans available
5 star
75%
4 star
25%
3 star
0%
2 star
0%
1 star
0%
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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
Review score
5 reviews
5 star
80%
4 star
20%
3 star
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2 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.
Photo of Bristol Manor of Washington
1010 Photos available
5 star
75%
4 star
25%
3 star
0%
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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 The Homestead at Hickory View Retirement Community
1010 Photos available
33 Floor plans available
7.5
Review score
46 reviews
7.5
Review score
46 reviews
5 star
70%
4 star
15%
3 star
11%
2 star
4%
1 star
0%
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The staff in general are nice. There have been concerns with her care, as medications are given incorrectly or not given at all. The food is pretty good, and the apartment size is good. There is a lack of...
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Welcome to The Homestead at Hickory View Retirement Community, the premier Senior Living Community in scenic Washington, Missouri. The Homestead is situated on several wooded acres in the heart of Washington just minutes from the beautiful Missouri River. The Community is close to parks,...
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Photo of Cedar Trails
1010 Photos available
7.4
Review score
16 reviews
7.4
Review score
16 reviews
5 star
62%
4 star
25%
3 star
0%
2 star
0%
1 star
13%
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The rooms were big enough to hold not only a bed and dresser but also table and chairs and couch and recliner plus book shelves, staff very accommodating and friendly, food is very good and plenty of it, so...
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.
Cedar Trails Senior Living Community located in Belleville Illinois provides superior support for independent and assisted living needs. We offer a warm, safe family like environment for your aging parents. Our friendly professional staff, numerous services and activities or designed to provide a...
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Photo of Villas of Holly Brook Collinsville
11 Photo available
5 star
60%
4 star
40%
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My dad passed in March. He spent almost a year and a half in Villas of Holly Brook and I truly believe they gave him the Will to live everyday! He looked forward to the activities and made so many new...
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 Glenfield Memory Care Homes
77 Photos available
7.0
Review score
5 reviews
7.0
Review score
5 reviews
5 star
60%
4 star
40%
3 star
0%
2 star
0%
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I was very impressed when I toured Glenfield, and thought it would be a good place for my husband but they didn’t have enough staff to care for him and I had to move him to a larger facility after 4 weeks!...
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.
Here at Glenfield we pride ourselves on highly individualized care and attention. Twelve large private rooms are comfortably situated inside the 7,500 sq ft home. Each room has a half bath, closet and ample space for the residents furniture, encouraging them to make the room their own. A...
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Photo of The Mary Culver Home
1414 Photos available
5 star
50%
4 star
50%
3 star
0%
2 star
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1 star
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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
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 Cambridge House of Maryville
1111 Photos available
22 Floor plans available
5 star
73%
4 star
27%
3 star
0%
2 star
0%
1 star
0%
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They are fantastic. It looks and feels just like a home. The food is good, and my mom talks about it all the time. I have no complaints, and neither does my loved one. The staff are very good at keeping...
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 a gracious and affordable assisted lifestyle! Cambridge House offers 103 private apartments to seniors 65 or older. Our emphasis is on maintaining your health, wellness, dignity, and independence.We offer a helping hand and personal attention to do the things you may no longer be able...
Photo of StoneBridge De Soto
11 Photo available
5 star
50%
4 star
50%
3 star
0%
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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 Hickory Estates Memory Care of Greenville
1616 Photos available
22 Floor plans available
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
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Cedarhurst of Greenville is wonderful! They an app where I'm informed everyday of what she's doing and it makes it easier. We go there for a week once a month and it's always clean with no odor of any kind....
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.
Photo of The Henry Senior Living
1616 Photos available
77 Floor plans available
7.1
Review score
45 reviews
7.1
Review score
45 reviews
5 star
42%
4 star
29%
3 star
13%
2 star
0%
1 star
16%
See all reviews
The staff was very nice and caring, and the facility was clean. However, they could improve on the food service, it was understaffed. Based on the experience we had, we would still recommend Brookdale West...
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.
Embrace FreedomWhat would you do if you woke up each morning in your own private retreat knowing the only thing you were responsible for was cultivating the retirement of your dreams? Here at our assisted living and memory care community in Ballwin, Missouri, you can make that your reality....
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Photo of Brookdale Creve Coeur
1818 Photos available
88 Floor plans available
6.3
Review score
51 reviews
6.3
Review score
51 reviews
5 star
59%
4 star
29%
3 star
10%
2 star
0%
1 star
2%
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My mom could answer these better since she lives there, but these are my responses. Brookdale Creve Coeur has been just the right choice for my Mom. She is safe, comfortable, and surrounded by new friends.
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.
A Life Well LivedWho wants to spend their golden years sitting around and twiddling their thumbs? Or drowning under the weight of household chores? Instead of wasting your time or feeling lonely and isolated, you can enjoy a retirement rich in exciting activities, delicious dining, quality care...
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Photo of San Gabriel Memory Care Godfrey
1616 Photos available
5 star
73%
4 star
18%
3 star
0%
2 star
0%
1 star
9%
See all reviews
I would highly recommend San Gabriel Memory Care Godfrey. The staff is nice, friendly, and respectable. It seemed like everything was well cleaned and the food seemed good. I wish my loved one would have...
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.
San Gabriel Memory Care is a family owned and operated assisted living community dedicated to serving the unique needs of adults with Alzheimer’s and other memory-related illnesses. Our approach is to assist residents on their individual “daily walks” by incorporating personally relevant...
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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.

Nursing homes costs in St Louis, MO, vs. state and national averages

St Louis, MO
$4,943/mo
U.S. national average
$5,847/mo

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

$6,603/mo
Nursing Homes
$4,943/mo

Nursing homes costs in St Louis, MO, by floor plan type

Semi-Private
$4,629/mo
Private
$5,247/mo

Senior living costs in St Louis vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 4 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.
Nursing Homes$4,943/mo$4,678/mo$5,847/mo
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
Nursing Homes
St Louis, MO:$4,943/mo
Missouri:$4,678/mo
U.S.:$5,847/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 4 items. Click to show less.
Table showing 5 of 4 items. Click to show less.

Nursing homes costs in St Louis, MO, over time

The line graph below shows how monthly nursing homes 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

Nursing homes cost trends in St Louis, MO

The table below shows how monthly nursing homes 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$5,798/mo$5,765/mo+0.6%
Missouri$5,839/mo$5,678/mo+2.8%
National$6,098/mo$5,866/mo+4.0%
St Louis, MO
2024 average cost:$5,798/mo
2023 average cost:$5,765/mo
Percent change:+0.6%
Missouri
2024 average cost:$5,839/mo
2023 average cost:$5,678/mo
Percent change:+2.8%
National
2024 average cost:$6,098/mo
2023 average cost:$5,866/mo
Percent change:+4.0%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

What families are saying about nursing homes in St Louis

Recent reviews for nursing homes 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

EverTrue 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

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
53.9%
2.5%
Doctor on call
Doctor on call
40.9%
9.7%
24-Hour awake staff
24-Hour awake staff
84.8%
23.7%
Diabetic care
Diabetic care
89.1%
24%
*Visiting health care professionals
*Visiting health care professionals
62.6%
10%
Home care agency on-site
Home care agency on-site
31.7%
0.8%
Non-ambulatory care
Non-ambulatory care
85.7%
20.4%
Respite or short term stays
Respite or short term stays
46.1%
6.9%
Hospice available on-site
Hospice available on-site
60.4%
17.5%
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
51.3%
4%
Specialized memory care training for staff
Specialized memory care training for staff
36.5%
0.3%
Secured community and/or wander guard
Secured community and/or wander guard
50%
5.5%
Memory care only community
Memory care only community
17.8%
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
37.8%
0.6%
Low / no sodium
Low / no sodium
42.6%
1.4%
No sugar
No sugar
40%
1.4%
Vegetarian
Vegetarian
39.1%
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
32.6%
0.2%
Restaurant style dining
Restaurant style dining
47%
0.5%
Room service
Room service
39.1%
0.3%
Anytime dining
Anytime dining
29.1%
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
49.6%
0.4%
Pet-focused programs
Pet-focused programs
37%
0.3%
Community service programs
Community service programs
31.3%
0.3%
Devotional activities on-site
Devotional activities on-site
60%
6.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
55.7%
0.5%
Outings / off-site activities
Outings / off-site activities
58.3%
6.6%
Piano or organ
Piano or organ
47.4%
0.4%
Arts and crafts center
Arts and crafts center
40%
0.3%
Educational speakers / life long learning
Educational speakers / life long learning
43.5%
0.3%
Clubs / games / karaoke
Clubs / games / karaoke
52.2%
0.4%
Live performances
Live performances
50.4%
0.4%
Dances
Dances
35.7%
0.2%
Fitness center
Fitness center
35.7%
0.3%
Fitness classes
Fitness classes
52.2%
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.

A graphic of a capital letter H in a circle

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.

A graphic of a capital letter H in a circle

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

St Louis Hills Assisted Living and Memory Care, Villas at St. James and Avalon Memory Care - St. Louis 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 $4,943 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.