susan cejka
Jun 2026
The senior living is terrible
The Gatesworth
One McKnight Pl4.4(69 ratings)· St. Louis average: 4.1
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1 / 6Quick Facts
- Care continuum
- Skilled nursing (Extended Care) located on same campus
What Families Think
An automated summary of family reviews and public information. Not verified by MyLivingChoice; confirm services, staffing and pricing with the community.
Families generally describe The Gatesworth as an upscale, resort-like senior living community in St. Louis with attentive staff, good food, and active programming. Most reviewers are highly satisfied, though a handful raise serious concerns about rude staff interactions with visitors and, in a few cases, troubling lapses in care.
What reviewers praise
- Friendly, helpful staff frequently praised
- Food and dining experience often called excellent
- Wide variety of activities and entertainment
- Beautifully maintained grounds and facility
- No entrance/buy-in fee required
- Smooth, low-pressure move-in and tour process
What reviewers flag
- Several reviewers describe rude or unkind staff toward residents and guests
- One report of severe neglect, malnutrition, and bedsores
- One report of a resident being overly medicated and sedated
- One report of musty odor from uncleaned carpets
AI-generated from reviews and community data.
The Gatesworth is a senior living community in St. Louis, Missouri offering Assisted Living, Independent Living and Skilled Nursing / Long Term Care. Amenities include Guest Meals, Restaurant style Dining Room and Outdoor Patio. Families rate it 4.4 out of 5 across 69 reviews.
About The Gatesworth
The Gatesworth is a senior living community in St. Louis offering independent living, assisted living, and skilled nursing with long-term care. The community features 24-hour staff, on-site nursing, private rooms with private bathrooms, medication management, housekeeping, laundry service, and an emergency call system.
Amenities include a restaurant, gathering and activity spaces, outdoor patio, cable or satellite TV, dietary accommodations, guest meals, and organized day trips and outings. Birthday and holiday parties are part of the community calendar. The community operates without an entrance fee, instead charging monthly rent.
Most reviewers praised the vibrant community atmosphere, describing an engaged and active resident population with diverse programming. Visitors and residents highlighted the quality of food service, professional and helpful staff, well-maintained facilities and grounds, and a friendly social environment. Several reviewers noted the community feels like living on a cruise ship due to the range of activities and amenities. A small number of reviews raised concerns about visitor treatment and management responsiveness in specific situations.
Types of Care at The Gatesworth
Assisted LivingIndependent LivingSkilled Nursing / Long Term Care
Amenities
Room Amenities
- Cable or Satellite TV
- Emergency Call System
- Private Bathroom
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
- Guest Meals
- Restaurant style Dining Room
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
- Outdoor Patio
- Security
- Transportation Services
Activities
- Birthday / Holiday Parties
- Day Trips and Outings
- Religious Services
- Social Activities
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Help Me ChooseReviews of The Gatesworth
4.4overall · 69 ratings combined
4.4★ on Google (69)
Lucy Carmody
Jun 2026
Last week my daughter and I visited The Gatesworth and toured the facility for two hours. We were very impressed with both the host and hostess that showed us around and with facility and the grounds around it. Everyone was kind and helpful and friendly and we saw no downside. It is a wonderful place for an older person to spend their twilight years.
Margot Connaughton
Jun 2026
Keith Koehler is an incredible asset to the Gatesworth. His care and attention are unparalleled. I’ve been in the hospitality industry for many years and this man is a natural, sensitive, service oriented gift to the Gatesworth. The property is beautiful and the inclusions are outstanding. Their interest in serving the individual is at the heart of all interactions. This level of care is really touching.
Paula Meyer
May 2026
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.
Karen Jansen
May 2026
I am moving this month into The Gatesworth and I am so excited. I am 80 and know that they will take very good care of me because they truly care about their residents and me. Karen Jansen
Frequently Asked Questions
What types of care does The Gatesworth offer?
The Gatesworth offers Assisted Living, Independent Living and Skilled Nursing / Long Term Care.
How much does The Gatesworth cost?
The Gatesworth has not published its pricing. For context, communities in St. Louis that publish rates start around $4,390 per month at the median. Final costs depend on care needs and apartment selection, so contact the community for a quote.
Where is The Gatesworth located?
The Gatesworth is located at One McKnight Pl in St. Louis, Missouri.
What do families say about The Gatesworth?
The Gatesworth carries a 4.4 out of 5 rating from 69 Google reviews. Families generally describe The Gatesworth as an upscale, resort-like senior living community in St. Louis with attentive staff, good food, and active programming. Most reviewers are highly satisfied, though a handful raise serious concerns about rude staff interactions with visitors and, in a few cases, troubling lapses in care. Reviews on MyLivingChoice come from families who confirmed a connection to the community and appear with the reviewer's first name and last initial.
How can families visit The Gatesworth?
Submit the Request Information form on this page, or contact The Gatesworth directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
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