About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2026 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in St. Louis, MO

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According to A Place for Mom’s proprietary data, the average starting cost for assisted living in St. Louis, MO, is $4,988 per month. Based on our ranking methodology, the top-rated assisted living communities in the area are Clarendale Clayton, Autumn View Gardens, Assisted Living and Memory Care and Benedictine Living Community At The Shrine.

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

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

St Louis Assisted Living Facilities | 567 Reviews

Showing 39 communities
Last Updated: 4/10/26
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Photo of Clarendale ClaytonCommunity card badge
1818 Photos available
1313 Floor plans available
Pricing promotion expiring soon
9.5
Review score
31 reviews
9.5
Review score
31 reviews
5 star
62%
4 star
13%
3 star
6%
2 star
3%
1 star
16%
See all reviews
Amenities - my dad likes hanging out in the lobby. He is comfortable in the apartment. The staff are accommodating and responsive.
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 Autumn View Gardens, Assisted Living and Memory Care
44 Photos available
22 Floor plans available
8.9
Review score
73 reviews
8.9
Review score
73 reviews
5 star
51%
4 star
30%
3 star
14%
2 star
1%
1 star
4%
See all reviews
Staff is very attentive to residents needs, any staff member encountered is resident first. Always willing to help and the piece of mind that gives me is unmeasurable. Everyone wants a place close to home...
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 Benedictine Living Community At The Shrine
55 Photos available
8.9
Review score
4 reviews
8.9
Review score
4 reviews
5 star
75%
4 star
25%
3 star
0%
2 star
0%
1 star
0%
See all reviews
They cater to your needs; they provide a liaison resident that acts as an ambassador to you to ensure any questions or needs your loved one has (or doesn't have) are simplified and efficient.
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 Sunrise of Webster Groves
1414 Photos available
88 Floor plans available
8.8
Review score
74 reviews
8.8
Review score
74 reviews
5 star
53%
4 star
19%
3 star
14%
2 star
9%
1 star
5%
See all reviews
I appreciate that they knock on the residents doors and encourage them to participate in the activities. My dad's been much more active in the community at Sunrise than his last assisted living place because...
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 Allegro Richmond Heights
1616 Photos available
8.8
Review score
31 reviews
8.8
Review score
31 reviews
5 star
56%
4 star
32%
3 star
6%
2 star
3%
1 star
3%
See all reviews
Relatively new, good food. They included laundry and weekly cleaning.. they took my husband to all of his appointments, for a monthly fee. Location good for us and they have a very intelligent group of...
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 Promenade Senior Living
1414 Photos available
33 Floor plans available
8.7
Review score
57 reviews
8.7
Review score
57 reviews
5 star
45%
4 star
30%
3 star
12%
2 star
4%
1 star
9%
See all reviews
I feel that the staff cares for my mom as much as I do and they keep me informed when anything arises. My mom a be difficult at times, but I believe she genuinely likes Promenade, she just like being...
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 Southview Assisted Living and Memory Care
1010 Photos available
22 Floor plans available
8.6
Review score
82 reviews
8.6
Review score
82 reviews
5 star
55%
4 star
24%
3 star
12%
2 star
5%
1 star
4%
See all reviews
The staff is amazing and friendly. Had a little problems the first month mom was there. About getting her medications correct. All is in order and Joan is doing well. She has one of the larger rooms and 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.
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
48 reviews
8.6
Review score
48 reviews
5 star
42%
4 star
42%
3 star
8%
2 star
2%
1 star
6%
See all reviews
They explained that the assistant living could come with nursing care. That was good news since my sister needed nursing care but didn't want to just have a room like a hospital room in a nursing home.
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....
Photo of Kingsland Walk Senior Living
99 Photos available
8.4
Review score
27 reviews
8.4
Review score
27 reviews
5 star
26%
4 star
41%
3 star
11%
2 star
11%
1 star
11%
See all reviews
The location, amenities and friendly staff. The community is new and very clean. I would definitely recommend Kingsland Walk to others. I was just there today visiting my father
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.
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 Dougherty Ferry Assisted Living and Memory Care
1818 Photos available
55 Floor plans available
8.1
Review score
86 reviews
8.1
Review score
86 reviews
5 star
48%
4 star
26%
3 star
8%
2 star
6%
1 star
12%
See all reviews
I was impressed by a friendliness of the staff and the cleanliness of the facility. [Name Removed] what's especially helpful during my search. I would definitely recommend this facility.
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 Dougherty Ferry Assisted Living & Memory Care, a luxurious senior living community just outside St. Louis, Missouri. Here you can enjoy a full lifestyle that balances independence with personal assistance. The community offers 95 comfortable, maintenance-free apartments, along with...
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Photo of St Louis Hills Assisted Living and Memory Care
1111 Photos available
22 Floor plans available
8.0
Review score
48 reviews
8.0
Review score
48 reviews
5 star
27%
4 star
40%
3 star
17%
2 star
8%
1 star
8%
See all reviews
It was wonderful. They were right on time for us we need a place real fast n they were very good to accommodate to day we needed to move my dad. They greeted him and he received them very well and still 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.
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 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%
See all reviews
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...
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Photo of Altenheim St. Louis
44 Photos available
7.5
Review score
23 reviews
7.5
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 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...
Photo of Brentmoor Retirement Community
99 Photos available
7.0
Review score
14 reviews
7.0
Review score
14 reviews
5 star
79%
4 star
14%
3 star
7%
2 star
0%
1 star
0%
See all reviews
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 EverTrue Laclede Groves
11 Photo available
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
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, Memory Care, 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.
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.
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 Sherbrooke Village
44 Photos available
88 Floor plans available
Pricing promotion expiring soon
5.7
Review score
22 reviews
5.7
Review score
22 reviews
5 star
36%
4 star
9%
3 star
5%
2 star
9%
1 star
41%
See all reviews
I went to visit my friend in the rehab to home at the lodge. I was blown away with the spacious facility. The rooms were clean, nursing staff were so attentive, caring, and professional. I have never seen or...
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…..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 and services...
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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
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 Wilbar Boarding Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Oasis Residential Care Fclty
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 Saddler Residential Care
11 Photo available
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 Oasis Residential 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.
Photo of Cherokee Residential 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.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Our methodology

How we rank order the St Louis community options above

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

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

Where we source our information

14,000+ communities

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

350,000+ reviews

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

Read our full methodology

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

In St. Louis, assisted living costs an average of $4,988 per month, according to A Place for Mom’s proprietary data.[01] This amount typically includes housing, meals, and basic support services. However, prices can vary based on the community’s location, apartment size and layout, amenities offered, and the level of personal care your loved one requires.

In St. Louis, the average monthly cost of assisted living is similar to the national average of $4,841, but higher than Missouri’s state average of $4,052.[01] These cost differences reflect St. Louis’s overall cost of living — about 5% lower than the national average and 10% higher than the state’s average — according to data from the Economic Research Institute.[02]

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

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

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

Assisted living costs in Saint Louis, MO, vs. nearby cities

Saint Louis, MO
$4,988/mo
$5,032/mo
$5,032/mo

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

Saint Louis, MO
$4,988/mo
U.S. national average
$4,841/mo

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

Assisted Living
$4,988/mo
$5,729/mo

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

Semi-Private
$2,981/mo
Studio
$4,949/mo
1 Bedroom
$5,756/mo
2 Bedroom
$7,984/mo

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

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Saint Louis, MO
Column state: Missouri
Column national: U.S.
Community typeSaint Louis, MOMissouriU.S.
Assisted Living$4,988/mo$4,052/mo$4,841/mo
Memory Care$5,729/mo$5,551/mo$5,618/mo
Independent Living$4,086/mo$3,800/mo$4,248/mo
Assisted Living
Saint Louis, MO:$4,988/mo
Missouri:$4,052/mo
U.S.:$4,841/mo
Memory Care
Saint Louis, MO:$5,729/mo
Missouri:$5,551/mo
U.S.:$5,618/mo
Independent Living
Saint Louis, MO:$4,086/mo
Missouri:$3,800/mo
U.S.:$4,248/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Saint Louis, MO, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Saint 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.

Saint Louis, MOMO stateNational

Assisted living cost trends in Saint Louis, MO

The table below shows how monthly assisted living costs in Saint 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 median 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
Saint Louis, MO$4,765/mo$4,979/mo-4.3%
Missouri$5,002/mo$4,794/mo+4.3%
National$5,379/mo$5,132/mo+4.8%
Saint Louis, MO
2024 average cost:$4,765/mo
2023 average cost:$4,979/mo
Percent change:-4.3%
Missouri
2024 average cost:$5,002/mo
2023 average cost:$4,794/mo
Percent change:+4.3%
National
2024 average cost:$5,379/mo
2023 average cost:$5,132/mo
Percent change:+4.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

How people pay for assisted living in St. Louis

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

Private pay options

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

VA benefits

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

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

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

Resources for veterans in St. Louis

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

Medicaid

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

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

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

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

Medicaid resources in St. Louis, Missouri

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

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

What families are saying about assisted living in Saint Louis

Recent reviews for assisted living in Saint Louis

Villas of Holly Brook Bethalto in East Alton, IL

5.0
So far they have been great. They have a Facebook page where they upload pictures of the residents doing the activities and they seem to really encourage them to participate. You are able to schedule times to eat with your loved ones and the meals look great and we have heard nothing but good ...
Read more

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

Reviews mention these favorite features of communities

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

Saint Louis review score based on 170 family reviews

8.2
Review score39 facilities170 reviewsWrite a review
This proprietary review score is based on 170 reviews of 39 Saint Louis assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Saint Louis review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Saint Louis review score compared against nearby cities

8.2
Saint Louis, MO39 facilities
7.9
Wellston, MO49 facilities
7.9
Hillsdale, MO47 facilities

Review subcategories for Saint Louis assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 170 reviews of 39 Saint Louis assisted living communities. This chart helps you compare Saint Louis resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Saint Louis, MO averageNational average
Cleanliness
3.3
3.8
Friendliness
3.4
3.9
Care services
2.8
3.5
Staff
3.1
3.8
Meals & dining
3.0
3.4
Activities
3.1
3.4
Value for cost*
3.1
3.5
0.01.02.03.04.05.0
*Learn more about cost details

What is assisted living like in St. Louis?

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

H3: Amenities that focus on community enrichment

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

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

Faith-based communities

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

Saint Louis assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Saint Louis assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Saint 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 Saint Louis assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Saint Louis that offer these care services compared to the percentage of partners that offer them nationally.
Saint Louis, MONational
Full medication management
Full medication management
53.8%
52.8%
Doctor on call
Doctor on call
48.7%
34.1%
24-Hour awake staff
24-Hour awake staff
97.4%
96.1%
Diabetic care
Diabetic care
100%
97.7%
*Visiting health care professionals
*Visiting health care professionals
51.3%
57%
Home care agency on-site
Home care agency on-site
23.1%
30.2%
Non-ambulatory care
Non-ambulatory care
97.4%
96.8%
Respite or short term stays
Respite or short term stays
35.9%
47.6%
Hospice available on-site
Hospice available on-site
51.3%
52.7%
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 Saint Louis assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Saint Louis Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Saint Louis, MONational
Dementia behaviors care
Dementia behaviors care
43.6%
51.6%
Specialized memory care training for staff
Specialized memory care training for staff
41%
32.8%
Secured community and/or wander guard
Secured community and/or wander guard
43.6%
41.3%
Memory care only community
Memory care only community
17.9%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Saint Louis assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Saint Louis partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Saint Louis, MONational
Nutritionist / dietician
Nutritionist / dietician
35.9%
27.6%
Low / no sodium
Low / no sodium
38.5%
41.4%
No sugar
No sugar
35.9%
37.9%
Vegetarian
Vegetarian
30.8%
36.6%
Pureed meals
Pureed meals
12.8%
18.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Saint Louis assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Saint Louis communities that offer dining options to their discerning residents compared to our partners nationally.
Saint Louis, MONational
Professional chef
Professional chef
33.3%
31.9%
Restaurant style dining
Restaurant style dining
43.6%
42.7%
Room service
Room service
35.9%
37.2%
Anytime dining
Anytime dining
23.1%
18.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Saint Louis assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Saint Louis offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Saint Louis, MONational
Activity director
Activity director
48.7%
46.8%
Pet-focused programs
Pet-focused programs
35.9%
31.3%
Community service programs
Community service programs
30.8%
30.8%
Devotional activities on-site
Devotional activities on-site
46.2%
49.8%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
48.7%
49.7%
Outings / off-site activities
Outings / off-site activities
46.2%
52.6%
Piano or organ
Piano or organ
48.7%
41.8%
Arts and crafts center
Arts and crafts center
38.5%
35.9%
Educational speakers / life long learning
Educational speakers / life long learning
43.6%
38.5%
Clubs / games / karaoke
Clubs / games / karaoke
48.7%
47.2%
Live performances
Live performances
46.2%
47.3%
Dances
Dances
30.8%
30.9%
Fitness center
Fitness center
35.9%
24.8%
Fitness classes
Fitness classes
46.2%
46.4%
0.0%20.0%40.0%60.0%80.0%100%

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

Unfamiliar with St. Louis? Highlights for seniors

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

Top hospitals for seniors in St. Louis

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

A graphic of a capital letter H in a circle

Barnes-Jewish Hospital 

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

A graphic of a capital letter H in a circle

Missouri Baptist Medical Center

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

A graphic of a capital letter H in a circle

Mercy Hospital St. Louis

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

Transportation for seniors in St. Louis

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

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

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

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

Transportation card image
66

Walk Score

Transportation card image
43

Transit Score

Transportation card image
58

Bike Score

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

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

Outdoors and landmarks

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

Culture and the arts

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

History and heritage

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

Sports and recreation

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

Assisted living laws and regulations in Missouri

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

Read more: Assisted living regulations in Missouri

Why do licensure and inspection reports matter to families?

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

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

References

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

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

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

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

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

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

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

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More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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