Best Senior Living in St Louis, Missouri
89 communities found
St. Louis lists 132 senior living options, including 93 residential communities and 39 home health agencies. Across 109 rated communities, families have left 5,415 reviews, with an average rating of 4 out of 5. Published pricing is limited, with three communities reporting rates from $4,400 up to a median of $8,250 per month.
- 128options listed
- 4average rating, 106 rated
- 5,200family 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
Magnolia Wellness Center
St. Louis, Missouri
4.6(80)
Skilled Nursing / Long Term Care
Emerald Villas
St. Louis, Missouri
5(7)
Assisted LivingIndependent Living
Our Lady of Life Apartments
St. Louis, Missouri
4.8(12)
Independent Living
Pacific Place Senior Living
St. Louis, Missouri
4.8(10)
Independent Living
Cooperative Home Care
St. Louis, Missouri
4.6(29)
Medicare home health · 3.5★
Village North Retirement Community
St. Louis, Missouri
4.6(20)
Independent LivingSkilled Nursing / Long Term Care
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
Crown Center For Senior Living
St. Louis, Missouri
4.8(5)
Independent Living
Avalon Memory Care
St. Louis, Missouri
4.5(18)
Memory Care
Best-rated senior 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 Brentmoor's warm, attentive staff, clean environment, quality dining, and spacious apartments, though a few note the building's age and turnover.
- 2
4.8 (25 reviews)· Assisted Living, Memory Care0
Bethesda Hawthorne Place is praised as a small, close-knit community with compassionate staff and strong communication with families.
- 3
4.6 (80 reviews)· Skilled Nursing / Long Term Care· 120 units
Magnolia Wellness Center earns praise for its warm atmosphere, attentive nursing staff, social workers, and recent building improvements.
- 4
5 (7 reviews)· Assisted Living, Independent Living0
Emerald Villas, a gated 55+ villa community, is praised for construction quality, spacious floor plans, and attentive on-site owners.
- 5
4.8 (12 reviews)· Independent Living
Our Lady of Life Apartments holds a 4.8 rating, emphasizing active senior living, social connection, and maintenance-free apartments.
- 6
4.8 (10 reviews)· Independent Living
Pacific Place Senior Living, a small independent living community in Webster Groves, holds a 4.8 rating from 10 reviews.
- 7
4.6 (29 reviews)· Home Health, Skilled Nursing / Long Term Care
Cooperative Home Care is praised for reliable, professional caregivers and a smooth orientation and training process for families.
- 8
Village North Retirement Community
4.6 (20 reviews)· Independent Living, Skilled Nursing / Long Term Care
Village North is praised as a warm, well-maintained community with attentive staff, good food, grounds, and social activities.
- 9
Cedarhurst Senior Living of Tesson Heights
4.5 (79 reviews)· Assisted Living, Independent Living
Cedarhurst of Tesson Heights receives strong overall praise for its caring staff, active social calendar, and dining, with many families noting visible improvements in residents' health and happiness. However, a handful…
- 10
4.5 (23 reviews)· Assisted Living, Memory Care, Respite / Short-Term Care
Most families describe Mattis Pointe as a warm, small-scale community where staff go out of their way to help residents feel at home, and many say they wouldn't hesitate to recommend it. A few reviewers raise serious…
What families say about senior living in St. Louis
Counted across the review summaries of 122 St. Louis communities: the share whose families mention each theme.
Families most often praise caring, attentive staff, noted by 81% of 118 communities, along with building and grounds (37%) and activities and social life (32%). At the same time, 51% raise concerns about communication with families, 45% about cost and billing, and 42% about staff attitude.
Praised most
- Caring, attentive staff 80%
- Medical and nursing care 34%
- Activities and social life 32%
- Building and grounds 32%
- Communication with families 30%
Concerns raised
- Communication with families 48%
- Cost and billing 47%
- Staff attitude 42%
- Safety 23%
“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!”
“Recently toured the facility was really impressed with the smell. It smelled really nice and not that nursing home smell. Rooms clean and staff was friendly.”
Senior Living in St. Louis: the figures
- •Of the 55 with a known size, 2 have ten residents or fewer, 21 have 11 to 60, and 32 have more than 60.
- •30 nursing homes carry a Medicare star rating, averaging 1.8 out of 5: 3 rated four stars or better, 18 rated one star.
- •Among the 6 that publish a starting price, prices start at $2,769 a month with a median of $4,390.
- •Most common amenities: medication management (78), 24-hour staff (77), housekeeping (65), social activities (57), gathering / activity spaces (56), emergency call system (56).
How families pay for senior 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: Senior Living in Missouri.
Senior 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: Senior Living in Missouri. Closer to home? Compare senior living near you, sorted by distance.
About these figures
Computed on October 20, 2026 from the 128 communities listed in St. Louis, 5,200 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? Senior living near me finds communities around wherever you are.
Senior Living in St Louis: Common Questions
How many senior living communities are in St Louis, Missouri?
MyLivingChoice lists 128 senior living communities in St Louis, Missouri, each with photos, care details, and reviews from families.
How much does senior living cost in St Louis?
Among St Louis communities that publish pricing, senior living starts around $2,769/month, with an average published starting rate near $5,221/month. Final costs depend on care needs and apartment choice.
Which senior living communities in St Louis are rated highest?
Based on combined ratings across Google, Yelp, and MyLivingChoice reviews, top-rated options include LB Home Health Caregivers (5★, 29 ratings), Visiting Angels Webster Groves (5★, 29 ratings), Accessible Home Health Care (5★, 23 ratings).
What types of senior care are available in St Louis?
Beyond senior living, St Louis has assisted living (51 communities), skilled nursing / long term care (44 communities), home health (29 communities), independent living (24 communities), memory care (21 communities). Every option is listed with photos, reviews, and contact details.
How do families rate senior living in St Louis?
Families rate St Louis senior living communities 4 out of 5 on average, across 5,200 public Google reviews of local communities.
What do families praise, and complain about, in St Louis senior living communities?
Across the review summaries of 122 St Louis communities, the most common praise is caring, attentive staff (mentioned for 80%), medical and nursing care (mentioned for 34%), activities and social life (mentioned for 32%). The most common concerns are communication with families (48%), cost and billing (47%), staff attitude (42%).
Are there small senior living homes in St Louis?
Yes. Of the 55 St Louis communities with a known size, 2 have ten residents or fewer, 21 have 11 to 60, and 32 have more than 60. Small licensed homes are listed here alongside large communities, which most directories skip.
How do St Louis nursing homes score on Medicare's star ratings?
30 Medicare-certified nursing homes in St Louis carry an overall star rating, averaging 1.8 out of 5. 3 are rated four stars or better and 18 are rated one star. Each listing shows its rating and three years of inspection history from CMS Care Compare.
Prefer to stay home?
Home care agencies serving St Louis bring help to the house: daily living, companionship, and respite for family caregivers.
