The city of Saint Louis is located on the banks of the Mississippi River in the state of Missouri. It is home to 300,576 residents, and about 14.3% of the population are aged 65 and over. Saint Louis has a low cost of living and below-average property taxes, making the city a good choice for budget-conscious seniors. Active seniors will enjoy the mild winters that are perfect for enjoying a range of outdoor pursuits.

Assisted living facilities provide support with the tasks of daily living to seniors who are still active but require a little bit of help to remain independent. This option is ideal for seniors no longer able to live in their own homes but who don’t require medical care. Seniors in Saint Louis pay an average of $3,750 for assisted living per month, which is higher than the Missouri state average of $3,000. 

This guide offers a basic introduction to assisted living in Saint Louis. It includes the benefits and drawbacks of retiring in the city, average monthly costs of care and a list of free local resources for seniors. 

Directory of Assisted Living Facilities in Saint Louis, MO

2014, 2021

Autumn View Gardens – St. Louis

11210 Schuetz Rd., Saint Louis, MO, 63146

Autumn View Gardens Assisted Living Creve Coeur is located in St. Louis, Missouri, close to Old Warson Country Club, the St. Louis Zoo and the St. Louis Galleria. Visitors say the staff seem to truly … (read more)
Autumn View Gardens Assisted Living Creve Coeur is located in St. Louis, Missouri, close to Old Warson Country Club, the St. Louis Zoo and the St. Louis Galleria. Visitors say the staff seem to truly … (read more)

St. Louis Altenheim

5408 South Broadway, Saint Louis, MO, 63111

I went to St Louis Altenheim. It was very nice, very well thought out. It was a pristine, very big place, very well kept, well maintained. It looked much like a palace, but it’s very pristine. They ar … (read more)
I went to St Louis Altenheim. It was very nice, very well thought out. It was a pristine, very big place, very well kept, well maintained. It looked much like a palace, but it’s very pristine. They ar … (read more)

Mother of Perpetual Help

7601 Watson Road, Saint Louis, MO, 63119

We’re very happy with Mother of Perpetual Help. My mother is getting good care there. The staff is very friendly. Her room is nice, like a little studio apartment. The food has been very good. The atm … (read more)
We’re very happy with Mother of Perpetual Help. My mother is getting good care there. The staff is very friendly. Her room is nice, like a little studio apartment. The food has been very good. The atm … (read more)

Cedarhurst of Tesson Heights

12335 W. Bend Drive, Saint Louis, MO, 63128

Located just off Interstate 270 in Saint Louis, Missouri, Tesson Heights provides convenient access to Mercy Hospital South and Southfield Center shopping mall. According to guests, this is a clean fa … (read more)
Located just off Interstate 270 in Saint Louis, Missouri, Tesson Heights provides convenient access to Mercy Hospital South and Southfield Center shopping mall. According to guests, this is a clean fa … (read more)

Cape Albeon Lakeside Retirement Living

3380 Lake Bend Drive, Saint Louis, MO, 63088

We’ve already made a decision of where we are going, and the name is Cape Albeon; very attractive. It is probably middle to high-middle cost.
We’ve already made a decision of where we are going, and the name is Cape Albeon; very attractive. It is probably middle to high-middle cost.

2020

Brentmoor Retirement Community

8600 Delmar Boulevard, Saint Louis, MO, 63124

Located in St. Louis, Missouri, Brentmoor Retirement Community is near Interstate 170, Bosley Medical and Irv Zeid Park. According to visitors, the facility is clean and well maintained, and staff mem … (read more)
Located in St. Louis, Missouri, Brentmoor Retirement Community is near Interstate 170, Bosley Medical and Irv Zeid Park. According to visitors, the facility is clean and well maintained, and staff mem … (read more)

Bethesda Southgate

5943 Telegraph Road, Saint Louis, MO, 63129

I have been living in Charles Village for six months now. The staff is excellent. Their attitude is good. My apartment is good. It is average. They serve our food in the dining room. The food is avera … (read more)
I have been living in Charles Village for six months now. The staff is excellent. Their attitude is good. My apartment is good. It is average. They serve our food in the dining room. The food is avera … (read more)

Mattis Pointe Senior Living

4962 Mattis Road, Saint Louis, MO, 63128

Mattis Pointe Senior Living told me that they were different from other places, where my mother has to go straight to memory care because of her diagnosis. Here, she could go to assisted living, and t … (read more)
Mattis Pointe Senior Living told me that they were different from other places, where my mother has to go straight to memory care because of her diagnosis. Here, she could go to assisted living, and t … (read more)

Nazareth Living Center

#2 NAZARETH LANE, Saint Louis, MO, 63129

The staff was NOT helpful! Dad was in this facility for less than 24 hours and I had to remove him. He went in for Rehabilitation for an amputation. He fell and laid in the floor for 3 hours; no one … (read more)
The staff was NOT helpful! Dad was in this facility for less than 24 hours and I had to remove him. He went in for Rehabilitation for an amputation. He fell and laid in the floor for 3 hours; no one … (read more)

Laclede Groves

723 SOUTH LACLEDE STATION ROAD, Saint Louis, MO, 63119

My mom currently lives at Laclede. My family and I are very unhappy with her living situation there. She is in their “Memory Care”, yet they do not help her with self-care like showering, dressing … (read more)
My mom currently lives at Laclede. My family and I are very unhappy with her living situation there. She is in their “Memory Care”, yet they do not help her with self-care like showering, dressing … (read more)

McKnight Place Assisted Living

3 Mcknight Place, Saint Louis, MO, 63124

McKnight Place was very nice. The rooms are OK and alright, but they’re very small. It’s an older place, but when they have their new building next year, they’re going to turn that place into memory c … (read more)
McKnight Place was very nice. The rooms are OK and alright, but they’re very small. It’s an older place, but when they have their new building next year, they’re going to turn that place into memory c … (read more)


Green Park Senior Living Community

9350 Green Park Road, Saint Louis, MO, 63123

They are poorly run. We had problems since the first day we put my father in there. They were told and acknowledged he was a medicare patient and never did the paper work and now claim they never knew … (read more)
They are poorly run. We had problems since the first day we put my father in there. They were told and acknowledged he was a medicare patient and never did the paper work and now claim they never knew … (read more)

West Pine Group Home

4232 WEST PINE BOULEVARD, Saint Louis, MO, 63108

I have visited my best friends grandmother here many times. She has been in this home for a couple years. My favorite part of this home is the location. It is right next to forest park so when we v … (read more)
I have visited my best friends grandmother here many times. She has been in this home for a couple years. My favorite part of this home is the location. It is right next to forest park so when we v … (read more)

St Elizabeth Hall

325 N. Newstead, Saint Louis, MO, 63108

This facility is smaller in size, yet it has enough love for all to go around. The4 staqff is wonderful and the well light areas are clean and comfortable. This place is definatly a diamond in the rou … (read more)
This facility is smaller in size, yet it has enough love for all to go around. The4 staqff is wonderful and the well light areas are clean and comfortable. This place is definatly a diamond in the rou … (read more)

Allways Kare Residential Facility, Inc

5076 Waterman Blvd, Saint Louis, MO, 63108

A friend recommended that we visit the Allways Kare Residential Facility in St. Louis while were were there – searching for assisted living facility options for our uncle. He wants to stay in the regi … (read more)
A friend recommended that we visit the Allways Kare Residential Facility in St. Louis while were were there – searching for assisted living facility options for our uncle. He wants to stay in the regi … (read more)

Applegate Retirement Home

1204 Telegraph Road, Saint Louis, MO, 63125

The Applegate Retirement Home was recommended by a friend of our aunt’s, so we decided to make a trip down to visit. The grounds looked like they were well tended and there was plenty of seating outsi … (read more)
The Applegate Retirement Home was recommended by a friend of our aunt’s, so we decided to make a trip down to visit. The grounds looked like they were well tended and there was plenty of seating outsi … (read more)

Hylton Point Apartments

5500 Maple Ave, Saint Louis, MO, 63112

We picked the facility for a friend of mine. Overall everything is fine. I recommend the place as well for other people looking for assisted living. Staff and facilities of the place were generally ok … (read more)
We picked the facility for a friend of mine. Overall everything is fine. I recommend the place as well for other people looking for assisted living. Staff and facilities of the place were generally ok … (read more)

Lindell Manor

4336 LINDELL BOULEVARD, Saint Louis, MO, 63108

We visited Lindell Manor while searching for an assisted living facility in St. Louis for our uncle. He has lived in the region for most of his life – so he has a lot of friends and family there. We w … (read more)
We visited Lindell Manor while searching for an assisted living facility in St. Louis for our uncle. He has lived in the region for most of his life – so he has a lot of friends and family there. We w … (read more)

Mary Ryder Home

4361 Olive Street, Saint Louis, MO, 63108

Mary Ryder Home is OK, and I did get a chance to talk to the director. They have private and semi-private rooms. The semi-private room was OK with two beds and a wardrobe. They have Bingo, a choir, re … (read more)
Mary Ryder Home is OK, and I did get a chance to talk to the director. They have private and semi-private rooms. The semi-private room was OK with two beds and a wardrobe. They have Bingo, a choir, re … (read more)

What to Consider About Assisted Living in Saint Louis

The Missouri Department of Health and Senior Services oversees assisted living facilities in Saint Louis. The department is responsible for licensing all facilities throughout the state and ensuring that they follow all state rules and regulations by conducting surprise inspections. 

Benefits and Drawbacks of Assisted Living in Saint Louis

  • Saint Louis has a violent crime rate of 1,927 per 100,000 people and is ranked as having the second-highest crime rate in the U.S. However, seniors can be assured that the majority of assisted living communities provide 24-hour security services with secure perimeters and cameras.
  • Seniors who earn an income from retirement accounts will pay standard income tax, and the state has slightly higher combined state and local taxes than the U.S. average. Seniors in Saint Louis who live on Social Security benefits and public pension income generally don’t pay any tax on their income. This provides extra money for seniors to enjoy a more comfortable retirement in the city. 
  • Saint Louis has one of the lowest costs of living in the U.S., and several entertainment activities in the city cost less than the U.S. average, making the city a good choice for budget-conscious seniors who still want to take part in a range of activities. 
  • The city has hot and humid summers, and seniors may spend additional funds on cooling their homes. However, the winters are mild and a great time to enjoy all the city’s outdoor activities. 
  • Seniors in Saint Louis have access to a range of activities to do and places to explore. There are restaurants to enjoy, places to shop and neighborhoods to explore as well as visiting the famous arch. 

Paying for Assisted Living in Saint Louis

Assisted living in Saint Louis costs an average of $3,750 per month, according to the Genworth Cost of Care Survey 2020, which is higher than the state average of $3,000 and less than the national median of $4,300.

The Cost of Assisted Living in Nearby Cities

At $3,750 per month, Saint Louis is one of the most expensive cities in Missouri for assisted living. Only Kansas City costs more, with an average monthly cost of $4,460. The cities of Springfield and Joplin are both significantly cheaper, with an average monthly cost of $3,100 and $2,500, respectively.

$3750

Saint Louis

$3000

Missouri

$4300

The United States

$4460

Kansas City

$3100

Springfield

$2500

Joplin

The Costs of Other Types of Senior Care

Seniors living in Saint Louis have access to a variety of senior care options besides assisted living. Those seniors who only require care on days during the working week may find that adult day care is the best option for them at $1,842 per month; it is the cheapest care option available. For those who would prefer in-home care, homemaker services and home health aide services both have an average monthly cost of $4,481. Seniors who require constant supervision and medical care may find that nursing home care is their best choice. In Saint Louis, a nursing home has an average monthly cost of $5,355 for a semiprivate room and $6,479 for a private room.

$3750

Assisted living

$1842

Adult day care

$4481

Homemaker services

$4481

Home health care services

$5355

Nursing home (semiprivate room)

$6479

Nursing home (private room)

Financial Assistance for Assisted Living in Saint Louis

Saint Louis seniors concerned about the cost of assisted living facilities have two choices: the Supplemental Nursing Care Assistance Program and the Missouri Medicaid Aged and Disabled Waiver. Medicaid manages both programs, so income restrictions apply.

Learn more about these programs, plus who’s eligible, on our Assisted Living in Missouri page.

Financial Assistance for Assisted Living in Saint Louis

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in Missouri page.

Free Assisted Living Resources in Saint Louis

There are several free resources in Saint Louis provided by government agencies and non-profit organizations. The resources listed below may be of some interest to seniors living in assisted living facilities and those considering moving to long-term care.

ResourceContactService
Saint Louis Regional Veteran Benefits Office(314) 253-4389The Saint Louis Regional Veteran Benefits Office assists veterans and their spouses in ensuring they receive all the benefits they are eligible for. These benefits may include disability compensation, pensions and supplemental benefits such as the Aid and Attendance Benefit. In addition, the office can assist veterans in finding assisted living housing and support them in any other issues they may face.
Saint Louis Area Agency on Aging(314) 612-5918The Saint Louis Area Agency on Aging provides seniors with information regarding transport, elderly services, food services and medicare benefits. The agency offers a long-term care ombudsman service that protects the rights of seniors in assisted living and other long-term care options. The ombudsman acts on behalf of the seniors if their rights are abused in any way by the care facility.
Saint Louis County Senior Department(314) 615-4516The Saint Louis County Senior Department provides a range of services to assist seniors in the area. These services include tax preparation, claims assistance, volunteer opportunities, transportation and an active aging program. 

Assisted Living Laws and Regulations in Saint Louis

Saint Louis-area assisted living communities must adhere to the comprehensive set of state laws and regulations that all assisted living communities in Missouri are required to follow. Visit our Assisted Living in Missouri page for more information about these laws.

Assisted Living Laws and Regulations in Saint Louis