About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
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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.
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10 Best Assisted Living Facilities in Preston, IL
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Assisted living costs in Preston average about $4,787 per month. To find the best assisted living options for your needs and budget, browse through 153 communities in Preston. Our detailed directory has 1491 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.
As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Red Bud, Chester and Sparta.
Preston Assisted Living Facilities | 1491 Reviews
Showing 136 communities
Last Updated: 4/29/25
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Starting at $X,XXX+ monthly
8.0
Review score
3 reviews
During the two months that my brother has lived at Revela I’ve seen a courteous, helpful, and generous staff. Starting with the director and including all other staff there has been an outpouring of time...
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.
Revela at O’Fallon is less than 2 years old and puts you within a short driving distance to convenient shopping and multiple hospitals all while being nestled in the tranquility of lush greenery of O’Fallon. Next to the O'Fallon YMCA. We strive to provide exceptional care with a supportive...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, 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.
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.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, 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.
Provides: Memory Care, Nursing Homes
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.
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.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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44 Photos available
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.
Crystal Oaks Assisted Living is the ideal solution for seniors who value their independence, yet require assistance with daily activities such as bathing, dressing, and dispensing medications. Our Assisted Living includes a secured memory care unit. Additionally, Crystal Oaks offers short term...
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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.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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.
Autumn Ridge offers two levels of occupancy, residential care and retirement living. We are convieniently located just off the freeway in Herculaneum.Autumn Ridge offers and tranquil and gracious lifestyle; we are just minutes away from restaurants, pharmacies, grocers and shopping centers. Our...
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.
The Bridges of Columbia offers the perfect mix of privacy,independance and community for people ready to live a more carefree lifestyle. With a comprehensive list of services and ammenities that are included in your monthly rent, we take the headaches of home ownership away so you can focus on...
Starting at $X,XXX+ monthly
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...
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.
Bethesda Southgate, known by residents of South St. Louis County for its quality skilled nursing care, recently received Accreditation by the Joint Commission of Healthcare organizations, an independent, not-for-profit national body that overseas the safety and quality of health care.Bethesda...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, 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.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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My mother was living in her own home alone. She unfortunately experienced many falls in the middle of the night. It was time for her to be in a safer environment. I feel a peace knowing she is at Pine...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
5 star
33%
4 star
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1 star
67%
Everything is going well for my brother since his move to this community. I'am satisfied with the care and everything they have done for us. He is doing very good. They have a pleasant staff, they have been...
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.
-assisted-living-preston-il.jpg?t=web_apfm_community_thumbnails)
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.
Cost of assisted living in Preston, IL
The average cost of senior living in Preston is $4,787 per month. Cheaper nearby regions include Prairie du Rocher, IL with an average of $3,931 per month.
Average monthly cost of Assisted Living in Preston, IL vs. nearby cities
Preston, IL
Average monthly cost of Assisted Living in Preston, IL vs. the state and national average
Preston, IL
U.S. national average
Average monthly cost of Assisted Living in Preston vs. other types of senior living
Assisted Living
Median monthly costs of Assisted Living in Preston, IL by room type
Semi-Private
Studio
1 Bedroom
2 Bedroom
Detached Cottage/Bungalow
Average cost of Assisted Living in Preston over time
Preston, ILIL stateNational
Ways to pay for Assisted Living in Preston, IL
Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Preston.
Private income options in Illinois
Find ways to combine private income sources to pay for assisted living.
VA benefits in Illinois
Learn how ample VA benefits can help veterans and their spouses pay for assisted living.
Medicare and Medicaid in Illinois
Consider Medicaid and/or Medicare to reduce assisted living costs.
What families are saying about assisted living in Preston
Recent reviews for assisted living in Preston
Fairmont on Clayton in Richmond Heights, MO
5.0
Given that it is a unique situation the staff have done a great job, and the hospice group has been a God send and has been unbelievable wonderful as well as the physical and occupational there. . Our loved one was truly loved by the staff .
Meridian Village in Glen Carbon, IL
4.5
After residing in the Independent Living area of Meridian Village for just over 5 years I have absolutely no regrets. It is a pleasure to call Meridian Village my home. We are supported by a very capable and caring staff. There are numerous quality activities and opportunities available that ...
Read more
Reviews mention these favorite features of communities
Caring and attentive staff. Many reviews praise the staff for their kindness and attention towards residents at different communities like Cedarhurst of Des Peres, The Grande at Laumeier Park, and Allegro Richmond Heights. The staff members are responsive to residents' needs and create a warm and welcoming environmen ...
Read more
Variety of activities for residents. Residents at various communities such as The Grande at Laumeier Park, Sunrise of Webster Groves, and Charter Senior Living of Troy enjoy a wide range of activities designed to keep them engaged and active. These include games, puzzles, movies, and even wine tasting events.
Home-like atmosphere and cleanliness. Reviews at multiple communities like Southview Assisted Living and Memory Care, Promenade Senior Living, and Cedarhurst of Arnold highlight the cleanliness and homelike atmosphere. Residents appreciate the updated bathrooms and private living spaces, which contribute to a comfortable and i ...
Read more
Frequent and clear communication between families and staff. Communication is highly valued among families and staff at Cedarhurst of Granite City, Addington Place of Shiloh, and Charter Senior Living of Shiloh, as described in several reviews. Regular meetings and updates ensure that care needs are being met and families remain informed.
Delicious and accommodating meals. Residents at communities like Garden Villas South, Sunrise of Webster Groves, and Addington Place of Collinsville express satisfaction with the food quality and accommodations made for dietary restrictions. Meals are a highlight for many, and residents look forward to dining experiences.
Secure and attentive memory care. Security and safety are priorities at communities like The Grande at Laumeier Park, The Landings at Reed Station Crossing, and Cedarhurst of Arnold, with memory care units designed to provide a secure environment for residents with Alzheimer's and dementia. Staff members are trained to mee ...
Read more
AI generated from the text of family reviews
Preston review score based on 388 family reviews
This proprietary review score is based on 388 reviews of 136 Preston assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.The Preston review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores
Preston review score compared against nearby cities
Review subcategories for Preston assisted living
When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 388 reviews of 136 Preston assisted living communities. This chart helps you compare Preston resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.Preston, IL averageNational average
Cleanliness
4.2
4.5
Friendliness
4.4
4.6
Care services
3.8
4.2
Staff
4.1
4.5
Meals & dining
3.8
4.1
Activities
3.8
4.1
Value for cost*
3.9
4.1
0.01.02.03.04.05.0
Preston assisted living services and amenities
These charts highlight some of the many care, dining, and entertainment offerings available in Preston assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Preston, 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 Preston assisted living
Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Preston that offer these care services compared to the percentage of partners that offer them nationally.
Preston, ILNational
Full medication management
Full medication management
50.7%
52.6%
Doctor on call
Doctor on call
39%
33.7%
24-Hour awake staff
24-Hour awake staff
97.8%
98.5%
Diabetic care
Diabetic care
100%
99.1%
*Visiting health care professionals
*Visiting health care professionals
61.8%
56.9%
Home care agency on-site
Home care agency on-site
23.5%
30.1%
Non-ambulatory care
Non-ambulatory care
97.8%
98.9%
Respite or short term stays
Respite or short term stays
44.1%
48%
Hospice available on-site
Hospice available on-site
59.6%
53.1%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist
Availability of select dementia care services in Preston assisted living
Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Preston Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Preston, ILNational
Dementia behaviors care
Dementia behaviors care
52.2%
51.5%
Specialized memory care training for staff
Specialized memory care training for staff
39%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
45.6%
41.2%
Memory care only community
Memory care only community
21.3%
13.6%
0.0%20.0%40.0%60.0%80.0%100%
Availability of select dietary accommodations in Preston assisted living
Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Preston partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Preston, ILNational
Nutritionist / dietician
Nutritionist / dietician
33.8%
27.2%
Low / no sodium
Low / no sodium
40.4%
40.7%
No sugar
No sugar
36.8%
37.4%
Vegetarian
Vegetarian
30.9%
35.8%
Pureed meals
Pureed meals
10.3%
15.8%
0.0%20.0%40.0%60.0%80.0%100%
Availability of select dining options in Preston assisted living
Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Preston communities that offer dining options to their discerning residents compared to our partners nationally.
Preston, ILNational
Professional chef
Professional chef
27.2%
31.3%
Restaurant style dining
Restaurant style dining
44.9%
42.4%
Room service
Room service
35.3%
36.4%
Anytime dining
Anytime dining
23.5%
18.1%
0.0%20.0%40.0%60.0%80.0%100%
Availability of select programs and activities in Preston assisted living
Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Preston offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Preston, ILNational
Activity director
Activity director
47.1%
46.4%
Pet-focused programs
Pet-focused programs
34.6%
31.2%
Community service programs
Community service programs
29.4%
30.3%
Devotional activities on-site
Devotional activities on-site
55.1%
49.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
51.5%
49.3%
Outings / off-site activities
Outings / off-site activities
55.1%
52.5%
Piano or organ
Piano or organ
43.4%
41.3%
Arts and crafts center
Arts and crafts center
34.6%
35.1%
Educational speakers / life long learning
Educational speakers / life long learning
38.2%
37.9%
Clubs / games / karaoke
Clubs / games / karaoke
47.1%
46.8%
Live performances
Live performances
47.8%
46.9%
Dances
Dances
30.9%
30.2%
Fitness center
Fitness center
31.6%
24.5%
Fitness classes
Fitness classes
44.9%
46%
0.0%20.0%40.0%60.0%80.0%100%
State regulations for assisted living in Preston
Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to ensure seniors reside in a safe environment. Learning about Illinois assisted living regulations will help you understand how assisted living communities in Preston protect seniors.
Frequently Asked Questions
Villas at St. James, Keystone Place at Magnolia Commons and Charter Senior Living of Shiloh are the top-rated assisted living facilities near Preston, Illinois. See full list of communities.
There are 153 assisted living facilities near Preston, Illinois. See the full list.
The best assisted living facility near you in Preston, Illinois is Avalon Memory Care - St. Louis. This assisted living community received the highest ranking based on verified family reviews.
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Ask an A Place for Mom local advisor at no cost.
Assisted Living in Cities Near Preston
- Red Bud, Illinois
- Chester, Illinois
- Sparta, Illinois
- Ste. Genevieve, Missouri
- Freeburg, Illinois
- Bloomsdale, Missouri
- Waterloo, Illinois
- Saint Joe, Illinois
- Coulterville, Illinois
- Percy, Illinois
- Winkle, Illinois
- Menfro, Missouri
- Modoc, Illinois
- Ruma, Illinois
- Blair, Illinois
- Ellis Grove, Illinois
- Marissa, Illinois
- Darmstadt, Illinois
- Fayetteville, Illinois
- Baldwin, Illinois
More options near Preston, Illinois
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