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 Nursing Homes in St Louis, MO

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Who are you searching for?

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

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

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

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

Nursing Homes Facilities near St Louis, MO
Showing 61 communities
Last Updated: 3/14/24
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Types of care available in St Louis, MO
Nursing Homes
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.
Average starting price $X,XXX/month
Assisted Living
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.
Average starting price $X,XXX/month
Memory Care
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.
Average starting price $X,XXX/month
Independent Living
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.
Average starting price $X,XXX/month
Residential Care Home
Residential Care Home
Residential 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.
Average starting price $X,XXX/month
Senior Apartments
Senior Apartments
Senior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.
Average starting price $X,XXX/month
Home Care
Home Care
Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Recent reviews of Nursing Homes in St Louis, MO
4.3 / 5.0

I really do not have anything to compare to, but some of the staff are wonderful caring people and then there are a few who could care less. Housekeeping is not consistent and help with the move in process was non-existent. Communication with the family so far has been average. The meals are good qu...

3.8 / 5.0

Staff was so very friendly and accommodating. Unfortunately with my dad's diabetes and declining health, they were unable to maintain his level of care and we needed to move him to an assisted living facility for hospice. If it wasn't for his level of care increasing, I believe he'd still reside the...

Photo of Altenheim St. Louis
44 Photos available
8.7
Review score
21 reviews
8.7
Review score
21 reviews
5 star
56%
4 star
29%
3 star
0%
2 star
10%
1 star
5%
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The n/a's are for what I am not directly involved with at the community. However, the director [name removed] is very easy to work with and he is also very approachable. Based on the experience we have had...
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
24 reviews
9.3
Review score
24 reviews
5 star
59%
4 star
29%
3 star
4%
2 star
4%
1 star
4%
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My mom moved from another assisted-living community in St. Louis, and we cannot be happier about the decision! The Allegro community is very active and she gets so much support throughout her day. Since the...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Allegro is proud to bring more than 40 years of experience to the St. Louis metropolitan area, home of our company headquarters. Allegro strives to reimagine senior living, bringing comfort, convenience and quality care to older adults who want and deserve the best.Allegro Richmond Heights...
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Photo of The Gables at Brady Circle
1717 Photos available
8.8
Review score
17 reviews
8.8
Review score
17 reviews
5 star
35%
4 star
47%
3 star
6%
2 star
0%
1 star
12%
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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
8.6
Review score
59 reviews
8.6
Review score
59 reviews
5 star
54%
4 star
17%
3 star
14%
2 star
10%
1 star
5%
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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
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0%
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Marvelous facility! My mom lived at Laclede Groves for the last 3 years of her life. From her 90th birthday party in the first month of her stay to her last week in Laclede’s hospice care, our family was...
Provides: Assisted Living, Independent Living, Home Care, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Promenade Senior Living
1414 Photos available
33 Floor plans available
8.5
Review score
25 reviews
8.5
Review score
25 reviews
5 star
44%
4 star
40%
3 star
4%
2 star
4%
1 star
8%
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Beautiful facility. One-time medication issue, but otherwise very good. Rated lower on dining because of resident disappointment with lack of meal variety. We picked this community because of the...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
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
8.4
Review score
59 reviews
8.4
Review score
59 reviews
5 star
51%
4 star
29%
3 star
15%
2 star
0%
1 star
5%
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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 Southview Assisted Living & Memory Care
1010 Photos available
22 Floor plans available
8.2
Review score
63 reviews
8.2
Review score
63 reviews
5 star
58%
4 star
25%
3 star
8%
2 star
6%
1 star
3%
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I like everything about Southview, but I don't live there. I'm there at least 4 times a week to visit my friend. She complains about the staff that dispenses her medication. I'm not sure if the criticisms...
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 Mother of Perpetual Help Residence
66 Photos available
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
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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...
See details
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%
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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
7.8
Review score
34 reviews
7.8
Review score
34 reviews
5 star
26%
4 star
44%
3 star
18%
2 star
6%
1 star
6%
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I loved that they care very much about each individual in the space. It's apparent that leadership cares very much about their team, we've not had another facility with so little turnover and were people...
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
7.7
Review score
39 reviews
7.7
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 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%
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We chose The Mary Culver Home because it is a home that specialized for residents who are visually impaired. It is a smaller facility with only 25 women, so she gets more personalized care. I don't just feel...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of The Estates of Hidden Lake AL IL
22 Photos available
7.0
Review score
6 reviews
7.0
Review score
6 reviews
5 star
66%
4 star
17%
3 star
17%
2 star
0%
1 star
0%
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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 The Grande at Creve Coeur
1010 Photos available
44 Floor plans available
7.0
Review score
11 reviews
7.0
Review score
11 reviews
5 star
46%
4 star
18%
3 star
27%
2 star
0%
1 star
9%
See all reviews
They staff were very kind & helpful with the admission process. The community was helpful in keeping my mom active & stimulated. Our situation was not like other residents because my mom's memory issues were...
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
At The Sheridan at Creve Coeur, residents pursue their passions within a lively, social atmosphere. They enjoy chef-prepared meals with friends in the elegant dining room, play games in the living rooms, get creative in the art studio, and exercise in the fitness center and physical therapy...
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Photo of Kingsland Walk Senior Living
1010 Photos available
6.9
Review score
15 reviews
6.9
Review score
15 reviews
5 star
27%
4 star
33%
3 star
13%
2 star
20%
1 star
7%
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I wish they were cheaper, but I really loved this community. My mom was loved when she was there. She was treated with respect. Her apartment was cleaned. The menu choices were great. She was treated...
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
11 reviews
6.6
Review score
11 reviews
5 star
27%
4 star
18%
3 star
18%
2 star
0%
1 star
37%
See all reviews
My loved ones has preferences and the food does not always meet their needs. It was the first community that we picked, and the value for the money is great. We picked based on what we saw during the tour,...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
See details
Photo of Ascension Living Sherbrooke Village
44 Photos available
44 Floor plans available
1.5
Review score
31 reviews
1.5
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 Manor Grove
8.0
Review score
1 review
8.0
Review score
1 review
5 star
100%
4 star
0%
3 star
0%
2 star
0%
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0%
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Both my parents received hospice care at Manor Grove. Having experienced other facilities in the area, we were pleasantly surprised how wonderful both the staff and facility were. The nursing staff is...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Richmond Terrace
5 star
67%
4 star
33%
3 star
0%
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0%
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My sister Becky lived at Durberg House. We found out at the last minute they were closing the home. I had to find a place for [name removed] in two weeks before I went to Florida for a month. I called [name...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
5 star
66%
4 star
17%
3 star
17%
2 star
0%
1 star
0%
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Placing a loved one in a nursing home is never an easy decision. But when they can no longer live independently and care for themselves, Delmar Gardens South (DGS) and its staff can be trusted to give them...
Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
UNIQUELY AFFORDABLE CAREFREE RETIREMENT LIVINGCarefree retirement living means knowing that all services are included and available to you.• Fully-equipped alcove, one bedroom, and two bedroom apartments • Superb cuisine • State of-the-art Fitness Centers • Indoor swimming pool and hot...
Photo of Crestwood Health Care Center, L.L.C.
5 star
33%
4 star
33%
3 star
0%
2 star
0%
1 star
34%
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
5 star
0%
4 star
0%
3 star
100%
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of St John's Mercy Medical Ctr
5 star
0%
4 star
0%
3 star
100%
2 star
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Photo of Heritage Care Center of Berkeley, L.L.C.
5 star
50%
4 star
0%
3 star
0%
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50%
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Provides: Nursing Homes
Care types provided by this community
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.

Costs of nursing homes in the St. Louis area

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

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

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

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

Average cost comparisons near St Louis, MO

Average monthly costs

St Louis, MO

$4,961

How people pay for a nursing home in St. Louis

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

Private pay methods

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

Caregiver Resources
Can You Use Your HSA for Long-Term Care Costs?
By Celia Searles
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Reverse Mortgages and Long-Term Care: The Pros and Cons
By Merritt Whitley, senior living writer and editor
VA benefits
45003

Number of veterans who live in St. Louis

About 33% of St. Louis veterans are 75+

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

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

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

Resources for St. Louis veterans

Local veterans resources

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

St. Louis Veterans Services Officers

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

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

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

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

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

Veterans associations

Veterans of Foreign Wars Posts

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

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

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

American Legion

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

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

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

Medicaid

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

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

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

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

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

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

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

St. Louis resident Medicaid resources

Local Medicaid resources

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

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

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

Medicare

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

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

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

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

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

St. Louis resident Medicare resources

St. Louis Medicare assistance and advocacy

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

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

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

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

St. Louis Medicare programs

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

Understand Missouri laws and regulations for nursing homes

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

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

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

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

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

Missouri Department of Health contact information

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

COVID-19 regulations for St. Louis nursing homes

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

An illustration of a syringe

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

An illustration of a protective breathing mask

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

An illustration of a shield

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

An illustration of a person in bed within a house

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

Get to know senior living in St. Louis

18Number of in-network assisted living facilities in market
3.6/5.0 average in-network rating
72% of our St. Louis partner communities are pet-friendly
89% of our St. Louis partner communities offer memory care
72% of our partner communities in St. Louis offer a doctor on call
100% of our partner communities in St. Louis offer full medication management
78% of our partner communities in St. Louis offer on-site nursing
2270
Number of people we have referred to our partner communities in St. Louis
81
Average age of resident we have referred to our partner communities in St. Louis
Gender split:  66% female

What to expect from nursing homes in St. Louis

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

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

The difference between nursing homes and assisted living facilities

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

A place where everything is at your fingertips

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

Attentive care

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

Activities to fill your days

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

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Unfamiliar with St. Louis? Highlights for senior

187,822

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

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

Median annual income for St. Louis seniors 65 and older

Health care for seniors in St. Louis

A graphic of a capital letter H in a circle

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

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

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

A graphic of a capital letter H in a circle

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

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Christian Hospital

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

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St. Louis VA Medical Center

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

Transportation for seniors in St. Louis

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

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

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

Senior activities in St. Louis

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

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

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

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

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

Frequently Asked Questions

are the top-rated Nursing Homes facilities near St Louis, MO. These Nursing Homes facilities received the highest rankings based on verified family reviews. See full list of communities.

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

References

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

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

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

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

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

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

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

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

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

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

2.

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

3.

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

4.

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

5.

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

6.

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

7.

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

8.

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