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Senior Living in St. Louis, MO: Every Licensed Community & 2026 Costs

Data updated November 2026·State licensing records andRatings from CMS Care Compare

Senior living in St. Louis, Missouri spans 226 state-licensed assisted living, memory care, and independent living communities and 168 Medicare-certified nursing homes across St. Louis, St. Charles, St. Louis, Jefferson, Franklin, Lincoln, and Warren counties in Missouri, plus Madison, St. Clair, Macoupin, Clinton, Monroe, Jersey, Bond, and Calhoun counties in Illinois. 15 area nursing homes hold a 5-star CMS rating. Lilisity publishes no score or ranking for any community that has not earned an award; the licensing and CMS data below are public records.

Free family guideWhat care costs and how families pay

All senior living in St. Louis: 226 licensed communities by county

Every assisted living, memory care, and independent living community licensed by the state in St. Louis, St. Charles, St. Louis, Jefferson, Franklin, Lincoln, and Warren counties in Missouri, plus Madison, St. Clair, Macoupin, Clinton, Monroe, Jersey, Bond, and Calhoun counties in Illinois, from state licensing records. Listing here is not a rating: Lilisity publishes no score for any community that has not earned an award. Communities marked verified testimonials have phone-verified resident and family interviews on file.

Also listed from public records: 10 independent living, life plan or 55+ communities and 145 income-restricted senior apartment buildings. Independent living is not licensed by the state, so they are listed apart on each county page.

Saint Louis County, MO 63 communities

Saint Charles County, MO 29 communities

Saint Louis City County, MO 22 communities

Franklin County, MO 19 communities

Jefferson County, MO 13 communities

Lincoln County, MO 9 communities

St. Louis County, MO 3 communities

Warren County, MO 3 communities

Madison County, IL 26 communities

St. Clair County, IL 15 communities

Monroe County, IL 6 communities

Clinton County, IL 5 communities

Macoupin County, IL 5 communities

Jersey County, IL 4 communities

Bond County, IL 2 communities

Saint Clair County, IL 2 communities

How much does senior living cost in St. Louis?

Assisted living in the St. Louis area typically runs $4,500–$6,500 per month, with memory care $1,000–$1,500 above that and independent living below it; skilled nursing is billed through Medicare, Medicaid, or private pay rather than monthly rent. Rates vary widely by apartment size and care level, so ask for the community’s current rate sheet.

Care typeTypical St. Louis rangeWhat it covers
Independent living$3,000 – $4,500Private apartment or cottage, meals and services optional
Assisted living$4,500 – $6,500Daily personal care, meals, medication management
Memory care$5,500 – $8,000Secured neighborhood, dementia-trained staff
Skilled nursingPayer-based24/7 medical care; Medicare/Medicaid/private pay

Ranges reflect operator-published market rates for the region, November 2026. Missouri’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.

What are the highest-rated nursing homes in St. Louis?

15 of the 168 Medicare-certified nursing homes in the St. Louis metro hold the highest possible 5-star overall rating from CMS — including Lutheran Convalescent Home in Webster Groves. Every facility below links to its full inspection history, staffing hours, and deficiency record.

Facility ↕Location ↕CMS rating ↕Beds ↕Operator ↕
Lutheran Convalescent HomeWebster Groves, MO★★★★★ 5/5251Evertrue
Delmar Gardens of Meramec ValleyFenton, MO★★★★★ 5/5190Delmar Gardens
Scenic Wellness and Rehabilitation CenterHerculaneum, MO★★★★★ 5/5189Independent
Bethesda SouthgateSaint Louis, MO★★★★★ 5/5130Independent
Nhc Healthcare, St CharlesSaint Charles, MO★★★★★ 5/5120National Healthcare Corporation
Eden Village Care CenterGlen Carbon, IL★★★★★ 5/5107Independent
Friendship Village ChesterfieldChesterfield, MO★★★★★ 5/598Independent
Memorial Care CenterBelleville, IL★★★★★ 5/582Independent
St Clair Nursing CenterSaint Clair, MO★★★★★ 5/579Americare Senior Living
Meridian Village Care CenterGlen Carbon, IL★★★★★ 5/570Independent
Mason Pointe Care Center (Skilled Nursing and Continuing Care)Chesterfield, MO★★★★★ 5/563Evertrue
Christian Extended Care & RehabilitationSaint Louis, MO★★★★★ 5/560Bjc Healthcare
Aberdeen Heights (Skilled Nursing and Continuing Care)Kirkwood, MO★★★★★ 5/538Independent
Clinton Manor Living CenterNew Baden, IL★★★★★ 5/537Independent
Lutheran Senior Services at Meramec Bluffs, Meramec Trails DriveBallwin, MO★★★★★ 5/532Evertrue

Source: CMS Care Compare, federal five-star quality rating system, retrieved November 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.

Which St. Louis areas have senior living?

Senior living in the St. Louis metro is spread across St. Louis, St. Charles, St. Louis, Jefferson, Franklin, Lincoln, and Warren counties in Missouri, plus Madison, St. Clair, Macoupin, Clinton, Monroe, Jersey, Bond, and Calhoun counties in Illinois. The cities with the most licensed communities and nursing homes are listed below; most sit within a short drive of the region’s hospital systems, which matters for families coordinating specialist care or hospital discharge.

Missouri

  • Saint Louis (87)
  • Chesterfield (16)
  • Saint Charles (13)
  • Florissant (11)
  • Saint Peters (11)
  • Washington (9)
  • Festus (8)
  • De Soto (7)
  • Creve Coeur (5)

Illinois

  • Glen Carbon (7)
  • Jerseyville (7)
  • Belleville (6)
  • Waterloo (5)
  • Edwardsville (5)
  • Swansea (5)
  • Carlinville (5)
  • Godfrey (5)
  • Alton (4)

How these testimonials were collected and how we’re paid

  1. We interview residents and family members by phone, voice to voice — never web forms, never scraped from other sites.
  2. Every testimonial is named and dated, and verified against the community’s current resident or family list before publishing.
  3. Testimonials are published as given, including critical ones. The only scores or rankings we publish are the Top Communities list and the Excellence Awards.

How Lilisity is paid: Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. CMS ratings come from the federal government, and testimonials come from residents. Read the full methodology → · How we are paid →

Assisted living and memory care by city

Assisted Living in Saint Louis 50Assisted Living in Washington 8Memory Care in Saint Louis 20

St. Louis senior living questions, answered

Most states, including Missouri, offer a Medicaid waiver that covers care costs (not room and board) at participating assisted living communities for people who qualify financially and medically. Not every community accepts the waiver, so ask early. Veterans and surviving spouses may also qualify for VA Aid & Attendance, worth up to roughly $2,300 per month toward care.

Assisted living provides housing, meals, and help with daily tasks like bathing and medications in an apartment setting, state-licensed and mostly private pay. Nursing homes (skilled nursing) provide 24/7 medical care, are federally certified and CMS-rated, and are typically paid through Medicare, Medicaid, or long-term-care insurance.

Every facility in the table above links to its full record — CMS star ratings, health-inspection findings, staffing hours per resident, and any fines or penalties, sourced from Medicare's Care Compare data. 15 St. Louis-area facilities currently hold a 5-star overall rating.

Assisted living moves can happen in days when a community has availability — after a nurse assessment and paperwork. Memory care placements after a crisis often complete within one to two weeks. Ask each community about openings when you call.

Lilisity publishes scores and rankings only for the Top Communities list and the Excellence Awards, both built from phone-verified interviews. The 226 communities listed by county come from state licensing records; CMS ratings apply only to Medicare-certified nursing homes.

Free help with senior living in St. Louis

Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help. We don’t share your information with any community.

Cover of the Lilisity guide Paying for Senior Living

Free guide · 16 pages

Paying for Senior Living

Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.

Get the free guideRead it online
Cover of the Lilisity guide Paying for Senior Living

Free guide · 16 pages

Paying for Senior Living

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Free for families. No community pays Lilisity per inquiry, per referral or per move-in. How we are paid.
Explore more: All Missouri senior livingSt. Louis CountySt. Charles CountySt. Louis CountyJefferson CountyFranklin CountyLincoln CountyHow testimonials are verifiedSenior living costs by state
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