Best Assisted Living in St Louis, Missouri
51 communities found
St. Louis offers 55 assisted living communities, with 42 of them rated and an average score of 3.9 based on 1,543 reviews read. Among the three communities with published pricing, monthly rates range from $4,400 to a median of $8,250.
- 51communities
- 3.8average rating, 38 rated
- 1,366family reviews read
- 2small homes, 10 or fewer
Brentmoor Retirement Community
St. Louis, Missouri
4.8(35)
Assisted LivingIndependent Living
Bethesda Hawthorne Place
St. Louis, Missouri
4.8(25)
Assisted LivingMemory Care
Emerald Villas
St. Louis, Missouri
5(7)
Assisted LivingIndependent Living
From $2,975/moCedarhurst Senior Living of Tesson Heights
St. Louis, Missouri
4.5(79)
Assisted LivingIndependent Living
From $4,380/moMattis Pointe Senior Living
St. Louis, Missouri
4.5(23)
Assisted LivingMemory CareRespite / Short-Term Care
The Gatesworth
St. Louis, Missouri
4.4(69)
Assisted LivingIndependent LivingSkilled Nursing / Long Term Care
Fairmont Senior Living on Clayton
St. Louis, Missouri
4.4(50)
Assisted LivingIndependent Living
St. Elizabeth Hall
St. Louis, Missouri
4.6(5)
Assisted LivingIndependent LivingSkilled Nursing / Long Term Care
Union Manor Residential Care
St. Louis, Missouri
4.4(7)
Assisted Living
Akins Health Care East Inc
St. Louis, Missouri
5(1)
Assisted Living
Spring Manor
St. Louis, Missouri
4.3(6)
Assisted Living
Assisted Living at Charless Village
St. Louis, Missouri
Assisted LivingMemory CareRespite / Short-Term Care
Best-rated assisted living in St. Louis
Ranked by family rating, weighted by how many families have reviewed each one. No community pays to appear here.
- 1
Brentmoor Retirement Community
4.8 (35 reviews)· Assisted Living, Independent Living0
Families praise warm, attentive staff, quality dining, and spacious apartments, though a few note the building's age and occasional turnover.
- 2
4.8 (25 reviews)· Assisted Living, Memory Care0
This small, close-knit community draws praise for compassionate care, strong family communication, and support through health changes and hospice.
- 3
5 (7 reviews)· Assisted Living, Independent Living0
This gated 55+ villa community earns praise for construction quality, spacious floor plans, and attentive on-site owners who residents trust.
- 4
Cedarhurst Senior Living of Tesson Heights
4.5 (79 reviews)· Assisted Living, Independent Living
Staff, activities, and dining earn strong praise here, though a handful of reviews raise concerns about medication administration and cleanliness.
- 5
4.5 (23 reviews)· Assisted Living, Memory Care, Respite / Short-Term Care
Most families describe a warm, small-scale community with attentive staff, though a few report serious concerns about care and leadership.
- 6
4.4 (69 reviews)· Assisted Living, Independent Living, Skilled Nursing / Long Term Care
This upscale, resort-like community draws praise for attentive staff and good food, though some cite rude interactions and care lapses.
- 7
Fairmont Senior Living on Clayton
4.4 (50 reviews)· Assisted Living, Independent Living
Reviewers describe a lively, friendly community with strong memory care, though several report staffing shortages and slow office response.
- 8
4.6 (5 reviews)· Assisted Living, Independent Living, Skilled Nursing / Long Term Care
- 9
4.4 (7 reviews)· Assisted Living· 50 units
Union Manor is a small, family-owned assisted living community in Saint Louis with a 4.4 rating from a handful of Google reviews. Most reviewers describe warm, attentive staff and home-cooked meals, though one reviewer…
- 10
4.3 (6 reviews)· Assisted Living· 94 units
Spring Manor is a small assisted living community in Saint Louis that several reviewers say specializes in caring for residents with mental illness, with warm praise for the admissions staff and food. However, one family…
What families say about assisted living in St. Louis
Counted across the review summaries of 46 St. Louis communities: the share whose families mention each theme.
Families most often praise caring, attentive staff, noted by 76% of 50 communities, along with the building and grounds at 48% and cleanliness at 38%. Common concerns include staff attitude at 58%, communication with families at 52%, and cost and billing at 44%.
Praised most
- Caring, attentive staff 74%
- Building and grounds 43%
- Food and dining 33%
- Cleanliness 33%
- Medical and nursing care 28%
Concerns raised
- Staff attitude 54%
- Communication with families 50%
- Cost and billing 48%
- Building and upkeep 30%
“I have been add Cedarhurst for almost a year everything has met my expectations from food to apartment staff activities and kindness and friendliness”
“The team at Fairmont has been wonderful to partner with. I love visiting the community as I am always welcomed by their community dog. Residents always seem happy!”
“We have looked at several units at The Gatesworth and have appreciated the helpfulness, patience, and courtesy of the staff that showed them to us. In addition, we were impressed by what we saw. It is a beautiful facility. We are seriously considering relocating to The Gatesworth.”
Assisted Living in St. Louis: the figures
- •Of the 27 with a known size, 2 have ten residents or fewer, 19 have 11 to 60, and 6 have more than 60.
- •Among the 5 that publish a starting price, prices start at $2,975 a month with a median of $4,400.
- •Most common amenities: medication management (36), 24-hour staff (36), housekeeping (35), gathering / activity spaces (33), laundry service (32), dietary accommodations (32).
How families pay for assisted living in Missouri
Most families in Missouri pay for assisted living, memory care and independent living out of pocket, at least at first. That often means monthly income combined with savings, and many households also draw on the proceeds from selling a home to help cover costs. Long-term care insurance, when a parent or spouse purchased a policy years ago, can offset some of the monthly fee as well, though it's worth reviewing the policy's terms closely since coverage for assisted living versus memory care can differ. Veterans and surviving spouses may also qualify for VA Aid and Attendance, a benefit that can be applied toward the cost of care, and it's worth asking a veterans service officer whether a particular situation meets the requirements.
The full picture for the state: Assisted Living in Missouri.
Assisted Living near St. Louis
Cities within about 35 miles with senior living inventory, and how families rate it.
| City | Communities | RatingAverage rating | Distance |
|---|---|---|---|
| Creve Coeur6.4 mi | 10 | 3.9 / 5 | 6.4 mi |
| Maryland Heights8.7 mi | 5 | 3.2 / 5 | 8.7 mi |
| Town and Country9.4 mi | 5 | 4 / 5 | 9.4 mi |
| Ballwin9.6 mi | 10 | 4.3 / 5 | 9.6 mi |
| Bridgeton10.2 mi | 21 | 4 / 5 | 10.2 mi |
| Chesterfield10.6 mi | 18 | 4 / 5 | 10.6 mi |
| Ellisville12.7 mi | 13 | 4.6 / 5 | 12.7 mi |
| Florissant13.2 mi | 36 | 3.9 / 5 | 13.2 mi |
All of Missouri: Assisted Living in Missouri. Closer to home? Compare assisted living near you, sorted by distance.
About these figures
Computed on October 23, 2026 from the 51 communities listed in St. Louis, 1,366 public family reviews on Google, Yelp and MyLivingChoice, state licensing records and, for nursing homes, CMS Care Compare. The best-rated list ranks communities by average family rating weighted by how many families have reviewed each one, so a 4.9 from three reviews does not outrank a 4.7 from two hundred. No community pays to appear in the best-rated list or in these figures; sponsored and partner listings in the directory results are marked as such. Figures refresh as listings and reviews change; the written summary was last revised September 25, 2026.
Reading on this
Guides from MyLivingChoice that families in St Louis ask about.
- Home Care in Missouri: Agencies, Medicare Home Health Ratings, and What It Costs
- Nursing Home vs. Assisted Living: Which Level of Care Does Your Loved One Actually Need?
- Signs It Is Time to Move From Home Care to Assisted Living
Not in St Louis? Assisted living near me finds communities around wherever you are.
Assisted Living in St Louis: Common Questions
How many assisted living communities are in St Louis, Missouri?
MyLivingChoice lists 51 assisted living communities in St Louis, Missouri, each with photos, care details, and reviews from families.
How much does assisted living cost in St Louis?
Among St Louis communities that publish pricing, assisted living starts around $2,975/month, with an average published starting rate near $5,711/month. Final costs depend on care needs and apartment choice.
Which assisted living communities in St Louis are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include Emerald Villas (5★, 7 ratings), Brentmoor Retirement Community (4.8★, 35 ratings), Bethesda Hawthorne Place (4.8★, 25 ratings).
What types of senior care are available in St Louis?
Beyond assisted living, St Louis has skilled nursing / long term care (44 communities), home health (29 communities), independent living (24 communities), memory care (21 communities), at-home care (14 communities). Every option is listed with photos, reviews, and contact details.
How do families rate assisted living in St Louis?
Families rate St Louis assisted living communities 3.8 out of 5 on average, across 1,366 public Google reviews of local communities.
What do families praise, and complain about, in St Louis assisted living communities?
Across the review summaries of 46 St Louis communities, the most common praise is caring, attentive staff (mentioned for 74%), building and grounds (mentioned for 43%), food and dining (mentioned for 33%). The most common concerns are staff attitude (54%), communication with families (50%), cost and billing (48%).
Are there small assisted living homes in St Louis?
Yes. Of the 27 St Louis communities with a known size, 2 have ten residents or fewer, 19 have 11 to 60, and 6 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.
Prefer to stay home?
Home care agencies serving St Louis bring help to the house: daily living, companionship, and respite for family caregivers.
