Assisted Living in Saint Louis, MO
Saint Louis has 50 state-licensed assisted living communities: 45 larger communities and 5 small residential homes (16 or fewer residents). The median cost of assisted living in Missouri is $5,400 a month (CareScout 2025), against $6,200 nationally.
Free guide · 14 pages
Choosing Assisted Living
A practical guide for families, with checklists to take on your tours.
- What assisted living costs and the ways to pay
- Signs it may be time
- Tour checklists to print and take with you
- What residents and families told us matters most
Two kinds of assisted living in Saint Louis
Both are licensed by Missouri as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. Missouri words these licenses as “Assisted Living Facility (evacuation assistance)” (27), “Residential Care Facility” (10), “Residential Care Facility (former RCF II standard)” (9).
All 50 licensed assisted living communities in Saint Louis
Every assisted living community Missouri licenses in Saint Louis, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified testimonials are listed first, then by size.
50 shown
| Community | Size | Price |
|---|---|---|
| Laclede Commonsmemory care727 S Laclede Station Rd | Large232 residents | $3,350 to $5,400/moLilisity estimate |
| St Louis Hills Assisted Living and Memory Carememory care6543 Chippewa St | Large181 residents | from $3,799/mo |
| Mother of Perpetual Help Residencememory care7609 Watson Road | Large160 residents | about $4,137/moLilisity estimate |
| Cedarhurst of Tesson Heights12335 West Bend Dr | Large141 residents | from $2,975/mo |
| Mattis Pointe Assisted Livingmemory care4962 Mattis Road | Large120 residents | from $4,380/mo |
| Mcknight Place Assisted Living and Memory CareThree Mcknight Pl | Large120 residents | from $9,755/mo |
| Nazareth Living Center, Nazareth Lnmemory care2 Nazareth Ln | Large114 residents | $3,350 to $5,400/moLilisity estimate |
| Legacy Healthcare Center3715 Jamieson Ave | Large111 residents | $3,350 to $5,400/moLilisity estimate |
| Autumn View Gardens at Schuetz Roadmemory care11210 Schuetz Rd | Large110 residents | $3,350 to $5,400/moLilisity estimate |
| Dougherty Ferry Assisted Living & Memory Carememory care2929 Dougherty Ferry Rd | Large110 residents | from $4,745/mo |
| Spring Manor3610 Palm St | Large94 residents | $3,350 to $5,400/moLilisity estimate |
| Promenade Senior Livingmemory care8825 Eager Road | Large90 residents | from $4,999/mo |
| Sunrise of Webster Grovesmemory care45 East Lockwood | Large90 residents | from $3,700/mo |
| Dolan Memory Care at Waterford Crossingmemory care11350 Dolan Way | Large88 residents | $3,350 to $5,400/moLilisity estimate |
| Sherbrooke Village (Assisted Living and Memory Care)memory care4005 Ripa Ave | Large88 residents | $3,350 to $5,400/moLilisity estimate |
| Friendship Village Assisted Living & Memory Carememory care12777 Pointe Dr | Large84 residents | $3,350 to $5,400/moLilisity estimate |
| Garden Villas South13457 Tesson Ferry Rd | Large83 residents | $3,350 to $5,400/moLilisity estimate |
| Cedarhurst of Des Peresmemory care12826 Daylight Circle | Large76 residents | from $4,700/mo |
| Bethesda Hawthorne Placememory care1111 South Berry Road | Large66 residents | $3,350 to $5,400/moLilisity estimate |
| St Elizabeth Hall325 North Newstead Ave | Large50 residents | $3,350 to $5,400/moLilisity estimate |
| Union Manor2711 North Union Blvd | Large50 residents | $3,350 to $5,400/moLilisity estimate |
| Dolan Memory Care at Calaismemory care1225 Tennant Rd | Mid-size44 residents | $3,350 to $5,400/moLilisity estimate |
| Care Network at Waterman5143 Waterman Blvd | Mid-size40 residents | $3,350 to $5,400/moLilisity estimate |
| Superior Manor of Downtown1501 Clinton Street | Mid-size40 residents | $3,350 to $5,400/moLilisity estimate |
| Sylvan House30 Sherman Rd | Mid-size40 residents | $3,350 to $5,400/moLilisity estimate |
| The Gables at Brady Circle11 Brady Circle | Mid-size40 residents | $3,350 to $5,400/moLilisity estimate |
| Care Network of South County1204 Telegraph Rd | Mid-size38 residents | $3,350 to $5,400/moLilisity estimate |
| Hidden Lake Health Care Center (Assisted Living)11728 Hidden Lake Dr | Mid-size38 residents | $3,350 to $5,400/moLilisity estimate |
| Cooper House4385 Maryland Ave | Mid-size37 residents | about $7,098/moLilisity estimate |
| Silver Spur3300 Texas Ave | Mid-size37 residents | $3,350 to $5,400/moLilisity estimate |
| Brentmoor Retirement Community8600 Delmar Blvd | Mid-size36 residents | from $4,860/mo |
| Carondelet Retirement Manor6811 Michigan | Mid-size34 residents | $3,350 to $5,400/moLilisity estimate |
| Cherokee Residential Care Acquisition3409 Missouri Ave | Mid-size34 residents | $3,350 to $5,400/moLilisity estimate |
| Avalon Memory Carememory care5342 Butler Hill Road | Mid-size30 residents | $3,350 to $5,400/moLilisity estimate |
| Smiley Manor West1119 Goodfellow Blvd | Mid-size27 residents | $3,350 to $5,400/moLilisity estimate |
| St Louis Altenheim (Assisted Living and Memory Care)memory care5408 South Broadway | Mid-size23 residents | $3,350 to $5,400/moLilisity estimate |
| Chateau Ann Marie7700 Minnesota Ave | Mid-size22 residents | $3,350 to $5,400/moLilisity estimate |
| Akins Health Care4432 West Belle Pl | Mid-size20 residents | $3,350 to $5,400/moLilisity estimate |
| Dolan Memory Care at Frontiermemory care11566 Frontier Dr | Mid-size20 residents | $3,350 to $5,400/moLilisity estimate |
| Living Life Long Residential Care5076 Waterman | Mid-size20 residents | $3,350 to $5,400/moLilisity estimate |
| Newstead Place19 North Newstead | Mid-size20 residents | $3,350 to $5,400/moLilisity estimate |
| Oasis Residential Care Facility3508 Prairie Ave | Mid-size20 residents | $3,350 to $5,400/moLilisity estimate |
| Provision of Promise4528 North Market St | Mid-size20 residents | $3,350 to $5,400/moLilisity estimate |
| Smiley Manor5415 Thekla Ave | Mid-size20 residents | $3,350 to $5,400/moLilisity estimate |
| Assisted Living at Charless Village5943 Telegraph Rd | Mid-size18 residents | $3,350 to $5,400/moLilisity estimate |
| Benedict Joseph Labre Center3863 Cleveland | Small home15 residents | $3,350 to $5,400/moLilisity estimate |
| Holly Hills Retirement Home6421 Minnesota | Small home15 residents | $3,350 to $5,400/moLilisity estimate |
| Dolan Memory Care at Schuetzmemory care1706 Schuetz Rd | Small home10 residents | $3,350 to $5,400/moLilisity estimate |
| Dunn-Dunn House2133 Jannette Dr | Small home10 residents | $3,350 to $5,400/moLilisity estimate |
| Dolan Memory Care at Mason Manormemory care12740 Mason Manor | Small home8 residents | $3,700 to $5,950/moLilisity estimate |
How much does assisted living cost in Saint Louis?
The median cost of assisted living in Missouri is $5,400 a month ($64,800 a year), below the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. 9 Saint Louis communities publish a starting price on Lilisity, from $2,975 to $9,755 a month. If more care is needed: nursing home costs in Missouri, with CareScout medians and the private-pay rates nursing homes publish. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
Three questions to ask on every Saint Louis tour
From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- Who is my main contact, and how often will I hear from them?Communication with management was 15%.
All 8 tour questions, with a free printable tour card (PDF).
Check a Saint Louis community’s license
Missouri publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: data.mo.gov. Ask the community for its most recent inspection report too; they have to keep it.
Saint Louis assisted living questions
Missouri licenses 50 assisted living communities in Saint Louis as of November 2026: 45 larger communities and 5 small residential homes of 16 or fewer residents, with about 3,034 licensed spots in all.
The median cost of assisted living in Missouri is $5,400 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. Missouri's Medicaid agency or your local Area Agency on Aging can tell you what's available.
Missouri publishes its licensing records at data.mo.gov. You can also ask any community for its most recent state inspection report.