About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2024 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2024 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2024 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in St Louis, MO

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Home to the Gateway Arch, the tallest monument in the U.S.,  St. Louis is known as the Gateway to the West. Whether you want to take in the iconic Budweiser brewery or spend an afternoon at one of the city’s many parks and galleries, St. Louis is a vibrant and diverse city.

With 17 assisted living communities within a 10-mile radius of downtown partnered with A Place for Mom, assisted living in St. Louis is ideal for people who want to stay involved in vibrant community life. St. Louis assisted living facilities have no shortage of community enrichment opportunities including but not limited to picnics, BBQs, arts and crafts events, movie nights, and special outings.

In this guide, you will find information covering cost and payment for assisted living in St. Louis, veterans benefits, Medicare and Medicaid information, regulations for assisted living in St. Louis, as well as top-rated hospitals and things to do in the area.

St Louis assisted living facilities | 447 reviews

Showing 42 communities
Last Updated: 7/11/24
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Photo of Altenheim St. Louis
44 Photos available
8.5
Review score
23 reviews
8.5
Review score
23 reviews
5 star
52%
4 star
35%
3 star
0%
2 star
9%
1 star
4%
See all reviews
The outreach fellow is great The flower arranging is fun The Bingo lady makes it exciting The outings on the van were fun The kitchen area on the floors could always use a good cleaning My auntie doesn't...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Experience elegant, boutique senior living at affordable rates. The charm of the Altenheim begins with its magnificent location on the banks of the scenic Mississippi. From the moment you walk in, you'll feel at home with the most delightful surroundings you could ask for in an independent,...
Photo of Allegro Richmond Heights
1616 Photos available
9.3
Review score
26 reviews
9.3
Review score
26 reviews
5 star
57%
4 star
31%
3 star
4%
2 star
4%
1 star
4%
See all reviews
The facility itself is clean and is like a hotel. The staff is great. The food is pretty good, with lots of options. We have had no issues with communication. Parking is off street or across the street,...
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 Southview Assisted Living and Memory Care
1010 Photos available
22 Floor plans available
8.9
Review score
67 reviews
8.9
Review score
67 reviews
5 star
57%
4 star
27%
3 star
7%
2 star
6%
1 star
3%
See all reviews
Everything so far has been great. Great overall experience, perfect size place and not too fancy for mom's taste. Everything seems clean as far as I can tell. Staff is friendly to mom and the family. Mom...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Southview Assisted Living is the premier senior living community in South County near St. Louis, Missouri. We offer, assisted living and Dementia / Memory Care . This newly built senior living community will begin welcoming residents in Summer 2012.We know how difficult change can be, especially...
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Photo of The Gables at Brady Circle
1717 Photos available
8.7
Review score
17 reviews
8.7
Review score
17 reviews
5 star
35%
4 star
47%
3 star
6%
2 star
0%
1 star
12%
See all reviews
The two areas where the Gables is lacking is the food and the social activities. When we put Mom into the Gables we pretty much needed somewhere to get her right away and the Gables did not have a "" move-in...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
The Gables at Brady Circle is revolutionizing assisted living care by removing the institutional setting and returning to an intimate, residential social model.We understand that the choice of an assisted living/ Memory Care community is a difficult and stressful process. That is why we embrace...
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Photo of Sunrise of Webster GrovesCommunity card badge
1414 Photos available
88 Floor plans available
8.7
Review score
61 reviews
8.7
Review score
61 reviews
5 star
52%
4 star
18%
3 star
13%
2 star
10%
1 star
7%
See all reviews
Sunrise offered a memory care community in the midst of an active senior living facility - so I knew my mom would have access to those other activities (with assistance). The community is centrally located...
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 Lutheran Convalescent Home
11 Photo available
8.5
Review score
3 reviews
8.5
Review score
3 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
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, Independent Living, Home Care, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Promenade Senior Living
1414 Photos available
33 Floor plans available
8.4
Review score
27 reviews
8.4
Review score
27 reviews
5 star
45%
4 star
37%
3 star
7%
2 star
4%
1 star
7%
See all reviews
What our family really likes about the Promenade Senior Living community are the workers. The workers have been extremely caring of my mom. Based on the experience we have had so far, we would recommend this...
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 Autumn View Gardens, Assisted Living and Memory Care
44 Photos available
22 Floor plans available
8.2
Review score
59 reviews
8.2
Review score
59 reviews
5 star
51%
4 star
29%
3 star
15%
2 star
0%
1 star
5%
See all reviews
The staff are very friendly and the halls are clean and has a very inviting vibe. I feel the staff trusts mom too much with her meds. They just leave them and don't confirm she takes them. She also takes...
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 Brentmoor
99 Photos available
8.0
Review score
11 reviews
8.0
Review score
11 reviews
5 star
82%
4 star
18%
3 star
0%
2 star
0%
1 star
0%
See all reviews
We're quite happy and satisfied with it. I would tell other families to come and visit. The cost was the number one factor for us. The staff are also very friendly. And the location was very good for my...
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 St Louis Hills Assisted Living and Memory Care
1111 Photos available
22 Floor plans available
7.7
Review score
36 reviews
7.7
Review score
36 reviews
5 star
25%
4 star
44%
3 star
17%
2 star
6%
1 star
8%
See all reviews
In reference to the staff, they are great loving and caring. However staff turnover is a lot The food is based on each individual taste I will tell you it's getting better because my mother is gaining...
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 Fairmont on Clayton
77 Photos available
33 Floor plans available
7.3
Review score
39 reviews
7.3
Review score
39 reviews
5 star
41%
4 star
43%
3 star
8%
2 star
3%
1 star
5%
See all reviews
I would say that they made a hard situation easier for both Georgia and the family. She had dementia and needed two people to get her out of bed. They took this on and we are grateful!
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Fairmont on Clayton is located in the Clayton / Richmond Heights area, just minutes from the Galleria Mall. We pride ourselves in our excellent ability to care for a wide array of care needs in an environment that is warm and homelike.Step into our community and you can't help but feel at home....
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Photo of Kingsland Walk Senior Living
1010 Photos available
Pricing promotion
7.1
Review score
18 reviews
7.1
Review score
18 reviews
5 star
22%
4 star
33%
3 star
17%
2 star
17%
1 star
11%
See all reviews
[Name Removed] goes well beyond serving as a director of memory care; she is an advisor and friend to my mom. Without her guidance and care we would be lost. Previous to her arrival our mom’s care was...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Kingsland Walk Senior Living offers so much more than a place to hang your hat. We are a true community, shaped by the relationships we form and the adventures we share. We are committed to crafting a lifestyle rich in experiences that go beyond the traditional concept of senior living, and we...
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Photo of Clarendale Clayton
1818 Photos available
1313 Floor plans available
Pricing promotion expiring soon
6.6
Review score
12 reviews
6.6
Review score
12 reviews
5 star
33%
4 star
17%
3 star
17%
2 star
0%
1 star
33%
See all reviews
I cannot overstate how awful the food is. Worse, you MUST pay $[removed]/month for it. with no discount if you don't eat anything there. Those old people sit for an hour at mealtimes with out getting any...
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 Mother of Perpetual Help Residence
66 Photos available
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Assisted living is the perfect scenario for older adults who need some assistance but enjoy their independence. Our community offers 24/7 care, a social environment brimming with options, and a range of programs and services that provides meals, housekeeping, laundry, and assistance with personal...
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Photo of Ascension Living Sherbrooke Village
44 Photos available
44 Floor plans available
1.0
Review score
31 reviews
1.0
Review score
31 reviews
5 star
26%
4 star
13%
3 star
10%
2 star
10%
1 star
41%
See all reviews
I have no complaints about how things are going for my mother since she made the move into this community. I have to say my favorite thing about this place is how friendly the staff are and the positive...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Welcome to…..Ascension Living Sherbrooke Village, where we make A Difficult Choice Easier.Nestled on several acres at the foot of Ripa Avenue in an area of outstanding natural beauty in South County, Sherbrooke Village represents Today’s nursing care residence.We share a mission of providing care...
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Photo of The Mary Culver Home
1414 Photos available
7.0
Review score
2 reviews
7.0
Review score
2 reviews
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
See all reviews
We chose The Mary Culver Home because it is a home that specialized for residents who are visually impaired. It is a smaller facility with only 25 women, so she gets more personalized care. I don't just feel...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of The Estates of Hidden Lake AL IL
22 Photos available
5 star
66%
4 star
17%
3 star
17%
2 star
0%
1 star
0%
See all reviews
So far my experience has been great. It came just when the family needed it and it has been a godsend to me. The Head of Nurse is very informative and keeps communication open with the family. The staff...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
The Estates of Hidden Lake, (CCRC), offering the peace of mind that comes with knowing your'll enjoy priority access to additional levels of care should your needs ever change.Independent Living: Thirty two distinctive cottage homes or select from a one or two bedroom apartment. Which suits...
Photo of St Agnes Home
8.0
Review score
1 review
8.0
Review score
1 review
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
My loved one is currently a resident at St Agnes Home and the overall experience has been great, so far. My loved one can be a bit of a challenge in some areas, but they treat him very well. We have no...
Provides: Assisted Living, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
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 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 Doorways Supportive Living
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 Union Manor 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 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.
See details
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.

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 assisted living in the St. Louis area

According to our proprietary data, the average cost of assisted living at our partner facilities in St. Louis is $4,760 per month.[01] This includes associated fees and service fee add-ons. You can expect housekeeping, laundry, and personal care included in that price tag.

The following graphic represents the average baseline assisted living costs in St. Louis without additional fees.

Average monthly cost of Assisted Living in St Louis, MO vs. nearby cities

St Louis, MO
$4,684/mo
$4,715/mo
$4,753/mo

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

St Louis, MO
$4,684/mo
U.S. national average
$4,605/mo

Average monthly cost of Assisted Living in St Louis vs. other types of senior living

Assisted Living
$4,684/mo
$5,381/mo

Median monthly costs of Assisted Living in St Louis, MO by room type

Semi-Private
$4,725/mo
Studio
$5,068/mo
1 Bedroom
$5,355/mo
2 Bedroom
$6,721/mo

Average cost of Assisted Living in St Louis over time

St Louis, MOMO stateNational

What families are saying about assisted living in St Louis

Recent reviews for assisted living in St Louis

Cedarhurst of Bethalto

4.0
I would recommend Cedarhurst Bethalto to others. A near perfect experience. Location and the presentation was good.

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 .

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

St Louis review score based on 104 family reviews

7.6
Review score42 facilities104 ReviewsWrite a review
This proprietary review score is based on 104 reviews of 42 St Louis assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The St Louis review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

St Louis review score compared against nearby cities

7.6
St Louis, MO42 facilities
7.6
Wellston, MO55 facilities
7.8
Hillsdale, MO45 facilities

Review subcategories for St Louis assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 104 reviews of 42 St Louis assisted living communities. This chart helps you compare St Louis resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our Senior Living Advisors can help you find communities to match your needs.
St Louis, MO averageNational average
Cleanliness
4.2
4.5
Friendliness
4.3
4.6
Care services
3.5
4.2
Staff
4.0
4.5
Meals & dining
3.5
4.1
Activities
3.3
4.0
Value for cost*
3.5
4.1
0.01.02.03.04.05.0
*Learn more about cost details

How people pay for assisted living in St. Louis

There are several ways to pay for assisted living; seniors can use some income streams to pay for any part of assisted living, while others can only be used for some aspects of assisted living, like health care.

Seniors typically will use various modes of payment for assisted living, like retirement funds, social security benefits, and health insurance. In this section, you’ll learn how methods like private pay, Medicare, Medicaid, and VA benefits can be used for those paying for assisted living.

Private pay methods

Private pay methods are individual income sources that seniors can use to pay for costs associated with assisted living. Standard private pay methods include investment returns, pensions, and Social Security benefits. They can also include:

VA benefits
45003

Number of veterans who live in St. Louis

About 33% of St. Louis veterans are 75+

There are several resources available to veterans who need support paying for assisted living, primarily accessed through the VA and Veterans Service Organizations (VSOs).

The most popular benefit is the VA’s Aid and Attendance benefit, designed to support veterans who are bed-bound due to illness, have limited eyesight, or need someone to help with daily tasks like bathing and dressing.

Veterans with a service-related disability are also able to apply for the VA Disability Compensation. The monthly payment is determined by the severity of your disability. Check online or with your local veteran services officer to see if you are eligible and apply online. It’s worth exploring even if you’re not sure if your disability is connected to your time serving.

The process of identifying and applying for benefits can be time-consuming and complicated, so we always recommend working with a veterans service officer who can help ensure you take advantage of all benefits available to you. Veteran services officers are trained and vetted representatives who can help you identify benefits and support you through the claims process. We’ve listed local veterans service officers in the resources below.

For additional support, consider reaching out to one of the 17 American Legion locations or one of the 5 Veterans of Foreign Wars (VFW) posts in St. Louis. Here’s a complete directory of the area American Legion spots. We’ll also list some below.

The St. Louis County Veterans Program is also available for case assistance and advocacy during the claims process. Additionally, Operation Second Chance is a national program committed to providing support and assistance in the form of financial aid to those who are eligible. To see if you qualify, apply on their website.

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 Service 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

Medicaid, called MO HealthNet in Missouri, is a health care program that pays for a portion of health care costs depending on an individual’s income level.

For people looking into assisted living, MO HealthNet won’t cover the cost to live in a facility. But it will cover the costs related to medically necessary care in licensed residential care facilities through the Aged and Disabled Waiver. This waiver is available through the Home and Community-Based Services (HCBS) program. This program allows those eligible to receive a variety of services at their choice of residence even though they qualify for nursing home level care. It’s available for people who are at least 63.

To apply for Medicaid and the waivers listed above, there is one application through MO HealthNet that will assess your eligibility for all.

We recommend connecting with an advocacy group prior to applying for Medicaid benefits to help ease the process. For example, Aging Ahead, operated by St. Louis Area Agency on Aging (SLAAA), offers services like application assistance, while the St. Louis ombudsman supports those grievances or those in need of a representative to make a case on their behalf.

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: 314-91-8222

Medicare

While Medicare doesn’t cover the costs associated with room and board, it can be used to pay for some short-term health expenses while at an assisted living facility. For those with Medicare Part A or Part B, expect the following services to be covered:

  • Physical, speech, and occupational therapy
  • Medical social services
  • Part-time home health services
  • Occasional skilled nursing care

For those who need help paying for Medicare costs, several local resources can support. Missouri CLAIM is a part of Missouri’s State Health Insurance Assistance Program (SHIP) and provides free financial counseling and Medicare education.

The St. Louis Area on Aging (SLAAA) provides funding for Part A and Part B deductibles, premiums, and copays through Medicare Savings Programs. The Missouri State Pharmacy Assistance Program, known as MORx, will help pay for prescription medication under Medicare Part D.

Any questions can be directed to the Social Security Administration, which runs Medicare. For those who want advocacy or have grievances or complaints, consider reaching out to one of the two long-term care ombudsman in St. Louis. To apply for Medicare, contact your local Social Security Administration office or apply online.

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.

State Office of Long-Term Care Ombudsman Program
Missouri Department of Health and Senior Services
Phone: 800-309-3282

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 assisted living facilities

Assisted living facilities in St. Louis are regulated by the Missouri Department of Health and Senior Services. These facilities are defined as a place where 24-hour care, services, and supervision are provided for three or more residents. The definition specifies that assisted living facilities are not residential care, intermediate care, or skilled nursing facilities.

Assisted living facilities in St. Louis are also required to provide:

  • Assistance with activities of daily living (and instrumental activities of daily living)
  • Storage, distribution, and administration of medications
  • A licensed physician to direct and supervise any provided health care
  • The ability to bring in third-party providers to meet the needs of the residents
  • A licensed administrator who is charge of the facility at all times
  • A social model of care, which means giving residents as much privacy, independence, and freedom as possible
  • Resident rooms that are at least 70 square feet

These guidelines also cover construction regulations, emergency and fire safety procedures, resident care requirements, and staffing qualifications and ratios for assisted living facilities in St. Louis. Inspections must be conducted annually for all assisted living facilities in St. Louis. You can search the latest inspection reports by looking up specific facilities.

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 assisted living facilities

St. Louis doesn’t currently have state mandates in place, though the city does follow standards and guidelines set in place by the CDC.

What to expect from assisted living in St. Louis

Assisted living is ideal for seniors who want to continue living as independently as possible while being supported with daily living activities like bathing and dressing. Expect personalized care, nutritious meals, and daily activities that encourage a sense of community.

While three of the assisted living facilities we partner with are standalone communities, most are combined with other long-term care communities. Here’s the breakdown of those:

  • 1 assisted living and independent living facility
  • 10 assisted living and memory care facility
  • 3 assisted living and independent living and memory care facility

Amenities that focus on community enrichment

St. Louis assisted living focuses heavily on investing in activities and social events that unite community members. Almost all of our partner facilities offer off-site group trips to nearby shopping and dining spots. Some even venture out to St. Louis’ theaters and sporting events. Onsite, you can be sure the holidays and resident birthdays will be celebrated in style. Residents can find plenty of ways to stay busy with happy hours, arts and crafts centers, movie rooms, and even butterfly gardens in some locations.

Secure and safe facilities

Security is always a top priority in assisted living, especially for those with memory problems or early-stage dementia. We partner with 13 assisted living communities that also have areas designed specifically to accommodate memory loss, including enclosed courtyards and enclosed outdoor walking paths. Some communities also offer a wander management system for an extra layer of security for residents.

St Louis assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in St Louis assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in St Louis, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in St Louis assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in St Louis that offer these care services compared to the percentage of partners that offer them nationally.
St Louis, MONational
Full medication management
Full medication management
50%
51.6%
Doctor on call
Doctor on call
40.5%
33%
24-Hour awake staff
24-Hour awake staff
100%
98.9%
Diabetic care
Diabetic care
100%
99.3%
*Visiting health care professionals
*Visiting health care professionals
47.6%
56.2%
Home care agency on-site
Home care agency on-site
21.4%
29.6%
Non-ambulatory care
Non-ambulatory care
100%
99.1%
Respite or short term stays
Respite or short term stays
35.7%
47.7%
Hospice available on-site
Hospice available on-site
42.9%
53%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in St Louis assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of St Louis Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
St Louis, MONational
Dementia behaviors care
Dementia behaviors care
38.1%
50.5%
Specialized memory care training for staff
Specialized memory care training for staff
35.7%
31.6%
Secured community and/or wander guard
Secured community and/or wander guard
38.1%
40.6%
Memory care only community
Memory care only community
14.3%
13.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in St Louis assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of St Louis partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
St Louis, MONational
Nutritionist / dietician
Nutritionist / dietician
31%
26.4%
Low / no sodium
Low / no sodium
31%
39.2%
No sugar
No sugar
31%
36.2%
Vegetarian
Vegetarian
28.6%
34.5%
Pureed meals
Pureed meals
7.1%
12.5%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in St Louis assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of St Louis communities that offer dining options to their discerning residents compared to our partners nationally.
St Louis, MONational
Professional chef
Professional chef
28.6%
30.4%
Restaurant style dining
Restaurant style dining
38.1%
41.2%
Room service
Room service
31%
35%
Anytime dining
Anytime dining
19%
17.3%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in St Louis assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in St Louis offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
St Louis, MONational
Activity director
Activity director
42.9%
45.1%
Pet-focused programs
Pet-focused programs
28.6%
30.3%
Community service programs
Community service programs
26.2%
29.3%
Devotional activities on-site
Devotional activities on-site
42.9%
49%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
42.9%
48.1%
Outings / off-site activities
Outings / off-site activities
42.9%
51.7%
Piano or organ
Piano or organ
42.9%
40.2%
Arts and crafts center
Arts and crafts center
33.3%
33.4%
Educational speakers / life long learning
Educational speakers / life long learning
38.1%
36.6%
Clubs / games / karaoke
Clubs / games / karaoke
42.9%
45.5%
Live performances
Live performances
40.5%
45.9%
Dances
Dances
26.2%
28.6%
Fitness center
Fitness center
31%
23.7%
Fitness classes
Fitness classes
40.5%
44.8%
0.0%20.0%40.0%60.0%80.0%100%

Explore senior care with confidence

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Find top facilities for you.

Free, personalized guidance from our Senior Living Advisors can help you narrow your search.

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Tour your favorite facilities.

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

Unfamiliar with St. Louis? Highlights for seniors

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 

Nationally ranked in 11 specialties by U.S. News and World Report, Barnes-Jewish Hospital is also ranked number 11 on the Best Hospitals Honor Roll.

A graphic of a capital letter H in a circle

Missouri Baptist Medical Center

This general medical and surgical facility ranks for high performance across 15 adult procedures and 3 specialties.

A graphic of a capital letter H in a circle

Mercy Hospital St. Louis

Set across two campuses, Mercy Hospital St. Louis is rated as high performing in 3 adult specialties and 13 procedures.

A graphic of a capital letter H in a circle

St. Luke’s Hospital – Chesterfield

St. Luke’s Hospital – Chesterfield is rated as high performing in 13 procedures but is particularly well known for the treatment of heart conditions.

A graphic of a capital letter H in a circle

Christian Hospital

A regionally ranked surgical and medical facility, Christian Hospital is known for lung cancer care and COPD treatment.

A graphic of a capital letter H in a circle

St. Louis VA Medical Center

The St. Louis VA Medical Center provides multiple primary and specialty care forms. It also offers mental health care, rehab, and recreation therapy to the city’s veterans.

Transportation for seniors in St. Louis

St. Louis is a city where people primarily rely on cars to get around since the overall walk score is only 66 out of 100.[07] The Walk Score is based on factors like the availability of walking and bike tracks, public transportation, and public density.  Luckily, most assisted living communities we partner with in St. Louis – 88% to be exact – offer complimentary transport.

For those looking for additional transportation options, there are a couple of options offered by the city for people who are unable to drive, both of which allow caregivers or family to ride along if additional assistance is needed. Metro’s Call-A-Ride Program is a curb-to-curb, wheelchair-accessible service for people unable to use Metro’s fixed bus and light rail services. It’s designed specifically for those with physical or cognitive disabilities. For non-emergency errands, The City of St. Louis provides free transportation and also offers rides to SLAAA- sponsored senior centers.

Transportation card image
66

Walk Score

Transportation card image
58

Transit Score

Transportation card image
43

Bike Score

Senior activities in St. Louis

There’s no shortage of things to do for seniors and their families in St. Louis. Starting with, of course, the famous St. Louis Arch Grounds and Museum. Dominating the skyline at 630 feet, it’s the U.S.’s tallest monument (double the size of the Statue of Liberty!). For those not afraid of heights, take a tram to the very top of the arch for the best city views; otherwise, enjoy the arch and its museum on solid ground.

One of the most iconic breweries in the United States, Anheuser-Busch, is home to the oldest Budweiser brewery. Learn about the brewing traditions Budweiser uses and peek at the ancient caves where the beer was initially stored before modern refrigeration.

For those who want to spend time outside, consider visiting  Tower Grove Park. Studded with vibrant flowers, the historic park is the most extensive and best-presented example of the 19th Century Gardenesque style in the entire country.[08] Beyond the 289-acre park, take a walk around the Tower Grove neighborhood, which is full of great food, cafes, and boutiques.

Lovers of art and the theater have several options, all of which are accessible for people with physical or cognitive disabilities. The Fabulous Fox and The Muny both offer the best of Broadway, with accessible seating and listening and communication aids.

The Missouri History Museum and Soldiers Memorial both provide some local flavor, with short- and long-term exhibitions focused on the history of St. Louis. Meanwhile, the St. Louis Art Museum provides a rich look into some of the world’s best art, from Picasso to Monet. All museums are wheelchair accessible, and the St. Louis Art Museum has free admission.

If you like sports, you’re in luck! Catch an NHL game and root on the St. Louis Blues. If you love America’s pastime, a St. Louis Cardinals baseball game might be for you. Soccer fans might be interested in checking out the St. Louis Ambush, a professional men’s soccer team.

Frequently Asked Questions

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

The average cost of Assisted Living in St Louis is $4,684 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.

References

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

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

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

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

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

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

  7. Walk Score. (2023). Living in St. Louis.

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

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

Walk Score. (2023). Living in St. Louis.