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.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
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).
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 reviews are listed first, then by size.
50 shown
| Community | Size | Price |
|---|---|---|
| Laclede Commonsmemory care727 S Laclede Station Rd | Large232 residents | Get pricing |
| St Louis Hills Assisted Living and Memory Carememory care6543 Chippewa St | Large181 residents | Get pricing |
| Mother of Perpetual Help Residence, INCmemory care7609 Watson Road | Large160 residents | Get pricing |
| Cedarhurst of Tesson Heights12335 West Bend Dr | Large141 residents | Get pricing |
| Mattis Pointe Assisted Livingmemory care4962 Mattis Road | Large120 residents | Get pricing |
| Mcknight Place Assisted Living and Memory CareThree Mcknight Pl | Large120 residents | Get pricing |
| Nazareth Living Centermemory care2 Nazareth Ln | Large114 residents | Get pricing |
| Legacy Healthcare Center LLC3715 Jamieson Ave | Large111 residents | Get pricing |
| Autumn View Gardens at Schuetz Roadmemory care11210 Schuetz Rd | Large110 residents | Get pricing |
| Dougherty Ferry Assisted Living & Memory Carememory care2929 Dougherty Ferry Rd | Large110 residents | Get pricing |
| Spring Manor3610 Palm St | Large94 residents | Get pricing |
| Promenade Senior Livingmemory care8825 Eager Road | Large90 residents | Get pricing |
| Sunrise of Webster Grovesmemory care45 East Lockwood | Large90 residents | Get pricing |
| Dolan Memory Care at Waterford Crossingmemory care11350 Dolan Way | Large88 residents | Get pricing |
| Sherbrooke Villagememory care4005 Ripa Ave | Large88 residents | Get pricing |
| Friendship Village Assisted Living & Memory Carememory care12777 Pointe Dr | Large84 residents | Get pricing |
| Garden Villas South13457 Tesson Ferry Rd | Large83 residents | Get pricing |
| Cedarhurst of Des Peresmemory care12826 Daylight Circle | Large76 residents | Get pricing |
| Bethesda Hawthorne Placememory care1111 South Berry Road | Large66 residents | Get pricing |
| St Elizabeth Hall325 North Newstead Ave | Large50 residents | Get pricing |
| Union Manor, LLC2711 North Union Blvd | Large50 residents | Get pricing |
| Dolan Memory Care at Calaismemory care1225 Tennant Rd | Mid-size44 residents | Get pricing |
| Care Network at Waterman5143 Waterman Blvd | Mid-size40 residents | Get pricing |
| Gables at Brady Circle, LLC the11 Brady Circle | Mid-size40 residents | Get pricing |
| Superior Manor of Downtown, LLC1501 Clinton Street | Mid-size40 residents | Get pricing |
| Sylvan House30 Sherman Rd | Mid-size40 residents | Get pricing |
| Care Network of South County1204 Telegraph Rd | Mid-size38 residents | Get pricing |
| Hidden Lake Health Care Center11728 Hidden Lake Dr | Mid-size38 residents | Get pricing |
| Cooper House4385 Maryland Ave | Mid-size37 residents | Get pricing |
| Silver Spur3300 Texas Ave | Mid-size37 residents | Get pricing |
| Brentmoor Retirement Community8600 Delmar Blvd | Mid-size36 residents | Get pricing |
| Carondelet Retirement Manor6811 Michigan | Mid-size34 residents | Get pricing |
| Cherokee Residential Care Acquisition, LLC3409 Missouri Ave | Mid-size34 residents | Get pricing |
| Avalon Memory Carememory care5342 Butler Hill Road | Mid-size30 residents | Get pricing |
| Smiley Manor West, LLC1119 Goodfellow Blvd | Mid-size27 residents | Get pricing |
| St Louis Altenheimmemory care5408 South Broadway | Mid-size23 residents | Get pricing |
| Chateau Ann Marie7700 Minnesota Ave | Mid-size22 residents | Get pricing |
| Akins Health Care, INC4432 West Belle Pl | Mid-size20 residents | Get pricing |
| Dolan Memory Care at Frontiermemory care11566 Frontier Dr | Mid-size20 residents | Get pricing |
| Living Life Long Residential Care, LLC5076 Waterman | Mid-size20 residents | Get pricing |
| Newstead Place19 North Newstead | Mid-size20 residents | Get pricing |
| Oasis Residential Care Facility3508 Prairie Ave | Mid-size20 residents | Get pricing |
| Provision of Promise4528 North Market St | Mid-size20 residents | Get pricing |
| Smiley Manor LLC5415 Thekla Ave | Mid-size20 residents | Get pricing |
| Assisted Living at Charless Village5943 Telegraph Rd | Mid-size18 residents | Get pricing |
| Benedict Joseph Labre Center3863 Cleveland | Small home15 residents | Get pricing |
| Holly Hills Retirement Home6421 Minnesota | Small home15 residents | Get pricing |
| Dolan Memory Care at Schuetzmemory care1706 Schuetz Rd | Small home10 residents | Get pricing |
| Dunn-dunn House LLC2133 Jannette Dr | Small home10 residents | Get pricing |
| Dolan Memory Care at Mason Manormemory care12740 Mason Manor | Small home8 residents | Get pricing |
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. 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
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
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.
Missouri licenses 50 assisted living communities in Saint Louis as of September 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, or ask a Lilisity advisor for current prices.
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.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
