St. Louis is a major American city that retains its friendly Midwestern charm. The city has a population of 300,576, 13.1% of whom are senior citizens. As home to two major research universities, the city has a variety of high-quality medical care options, including the Barnes-Jewish Hospital, which is ranked the best in the state and #18 in the entire country by U.S. News. According to Genworth’s 2020 Cost of Care Survey, nursing home costs in the area are low compared to the U.S. median. While a semiprivate room costs $5,355 per month in St. Louis, the national median is much higher at $7,756.

Nursing homes are designed for seniors who need high levels of care 24/7. Staff in these communities can help with medication, mobility and morning hygiene routines, and skilled nurses and rehabilitative therapists are available on-site. Because nursing homes tend to be more expensive than other types of senior care, people who only need some of these services may be more comfortable with assisted living or home health care.

This guide provides information on the cost of nursing homes in St. Louis and surrounding cities and the resources available to seniors in the area.

Directory of Nursing Homes in Saint Louis, Missouri

The Gatesworth

One McKnight Place, Saint Louis, MO, 63124


Bethesda Southgate

5943 Telegraph Road, Saint Louis, MO, 63129

Most of the people at Bethesda were in wheelchairs and a lot worse off than my mother. They have a daycare place, which is one thing we were considering. They were doing a lot of construction, but it … (read more)
Most of the people at Bethesda were in wheelchairs and a lot worse off than my mother. They have a daycare place, which is one thing we were considering. They were doing a lot of construction, but it … (read more)

St. Louis Altenheim

5408 South Broadway, Saint Louis, MO, 63111

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Nazareth Living Center

#2 NAZARETH LANE, Saint Louis, MO, 63129

Our experience with Nazareth Living Center was not good. We ended up taking my father out from there right away. They were so understaffed. People would wait for hours to go to the bathroom, and there … (read more)
Our experience with Nazareth Living Center was not good. We ended up taking my father out from there right away. They were so understaffed. People would wait for hours to go to the bathroom, and there … (read more)

Bentleys Extended Care

3060 ASHBY ROAD, Saint Louis, MO, 63114

I’ve been in rehab at Bentleys Extended Care. The nurses are good and everything. The food is not good because I’m vegetarian and lactose intolerant. Some of the people here are OK, but most of them d … (read more)
I’ve been in rehab at Bentleys Extended Care. The nurses are good and everything. The food is not good because I’m vegetarian and lactose intolerant. Some of the people here are OK, but most of them d … (read more)

Royal Oak Nursing & Rehabilitation

4960 Laclede Avenue, Saint Louis, MO, 63108

The staff seemed to be pretty friendly. At times, they come across and somewhat cold, but I do think part of it was due to the fact that it was so busy there. But for the most part, they were useful i … (read more)
The staff seemed to be pretty friendly. At times, they come across and somewhat cold, but I do think part of it was due to the fact that it was so busy there. But for the most part, they were useful i … (read more)

St. Anthony’s Medical Center

10010 Kennerly Rd, , Saint Louis, MO, 63128

We had to put my husband in the hospital, and they are going to put him in a nursing home. He was in there about eight years ago for rehab. I liked it because they never knew when I was going to pop i … (read more)
We had to put my husband in the hospital, and they are going to put him in a nursing home. He was in there about eight years ago for rehab. I liked it because they never knew when I was going to pop i … (read more)

Laclede Groves

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

My mother with dimensia broke her hip. Her care was superb. The care providers were loving. The therapy provided great results and was reinforced by the rest of the care providers. The facilities … (read more)
My mother with dimensia broke her hip. Her care was superb. The care providers were loving. The therapy provided great results and was reinforced by the rest of the care providers. The facilities … (read more)

Friendship Village Sunset Hills

12503 Village Circle Dr., Saint Louis, MO, 63127

My father was at Friendship Village. He came home with COVID and all of us got it. They made a lot of mistakes with their medicines when they sent him home that was not supposed to happen. There were … (read more)
My father was at Friendship Village. He came home with COVID and all of us got it. They made a lot of mistakes with their medicines when they sent him home that was not supposed to happen. There were … (read more)

Delmar Gardens South

5300 BUTLER HILL ROAD, Saint Louis, MO, 63128

I was at Delmar after I fell and broke my leg. I wasn’t happy about needing rehab but wasn’t surprised at how nice my stay was. Though I would have preferred a private room they took into consideratio … (read more)
I was at Delmar after I fell and broke my leg. I wasn’t happy about needing rehab but wasn’t surprised at how nice my stay was. Though I would have preferred a private room they took into consideratio … (read more)

Barnes-jewish Extended Care

401 CORPORATE PARK DRIVE, Saint Louis, MO, 63105

My mom was at Barnes-Jewish Extended Care. Almost all the staff, except for one person, were wonderful. The care was excellent, and they were very attentive. It was very expensive and was $610 per n … (read more)
My mom was at Barnes-Jewish Extended Care. Almost all the staff, except for one person, were wonderful. The care was excellent, and they were very attentive. It was very expensive and was $610 per n … (read more)

Garrison Care Center

2939 MAGAZINE AVE, Saint Louis, MO, 63106

Everything is nice at Garrison Care Center. My brother is getting what he needs there. It is small, yet big enough to do what they have to do. They have bingo, and he goes fishing. The food is great; … (read more)
Everything is nice at Garrison Care Center. My brother is getting what he needs there. It is small, yet big enough to do what they have to do. They have bingo, and he goes fishing. The food is great; … (read more)

Garden View Care Center of Dougherty Ferry

13612 Big Bend Road, Saint Louis, MO, 63088

Garden View Center Center is a great place for your loved one. My Mom is very happy there and the staff is great. Thank you for all you do.
Garden View Center Center is a great place for your loved one. My Mom is very happy there and the staff is great. Thank you for all you do.

Christian Extended Care & Rehabilitation

11160 Village North Drive, Saint Louis, MO, 63136

My mom is at Christian Extended Care & Rehabilitation for rehab. Majority of the staff is fine and very attentive. I just think they’re very short-staffed. She doesn’t get changed as quickly as I … (read more)
My mom is at Christian Extended Care & Rehabilitation for rehab. Majority of the staff is fine and very attentive. I just think they’re very short-staffed. She doesn’t get changed as quickly as I … (read more)

Green Park Senior Living Community

9350 Green Park Road, Saint Louis, MO, 63123

Terrible place for your loved one and you… nothing but disappointment and they use covid as a cover to be even more negligent.. don’t go here if you dont have to.. rooms are 8n decent shape from wha … (read more)
Terrible place for your loved one and you… nothing but disappointment and they use covid as a cover to be even more negligent.. don’t go here if you dont have to.. rooms are 8n decent shape from wha … (read more)

Lansdowne Place

4624 LANSDOWNE AVENUE, Saint Louis, MO, 63116

some of the staff are rude! Not helpful at all! The Lady at the front desk was very nice and friendly. The place is falling apart. The response for help is not answered or it takes 30 mins to … (read more)
some of the staff are rude! Not helpful at all! The Lady at the front desk was very nice and friendly. The place is falling apart. The response for help is not answered or it takes 30 mins to … (read more)

Charless Place

4431 South Broadway, Saint Louis, MO, 63111

My aunt stayed here after a terrible car accident because she was unable to care for herself. I thought this facility was very nice overall. It was clean and well-maintained. The staff was helpful … (read more)
My aunt stayed here after a terrible car accident because she was unable to care for herself. I thought this facility was very nice overall. It was clean and well-maintained. The staff was helpful … (read more)

Green Valley Nursing & Rehabilitation Center

610 PRIGGE ROAD, Saint Louis, MO, 63138

GREAT PLACE , MY GREAT GRANDMOTHER LOVES IT THERE
GREAT PLACE , MY GREAT GRANDMOTHER LOVES IT THERE

The Riverview Care Center

5500 SOUTH BROADWAY, Saint Louis, MO, 63111


St Johns Place

3333 BROWN ROAD, Saint Louis, MO, 63114

My sister put my mother in St. Johns Place. I’ve visited her a few times and the facility is always clean. It’s well maintained and it doesn’t smell, and that was a big thing that surprised me because … (read more)
My sister put my mother in St. Johns Place. I’ve visited her a few times and the facility is always clean. It’s well maintained and it doesn’t smell, and that was a big thing that surprised me because … (read more)

Nursing Home Costs in Saint Louis, Missouri

Semiprivate rooms in St. Louis nursing homes have an average monthly cost of $5,355. For a private room, this price increases to $6,479.

The Cost of Nursing Home Care in Nearby Cities

Compared to the cost of a semiprivate nursing home room in St. Louis, the state average is slightly more affordable at $5,080. However, the national average cost is much higher at $7,756.

Nursing home costs in St. Louis are similar to those in nearby Cape Girardeau, which averages $5,171. Joseph is more affordable at $4,867, as is capital city Jefferson, which has an average semiprivate nursing home room cost of $5,019 per month. Kansas City has some of the highest costs in the state, averaging $6,844 per month.

$5355

St. Louis

$5080

Missouri

$7756

The United States

$4867

Joseph

$5019

Jefferson

$5171

Cape Girardeau

$6844

Kansas City

The Cost of Other Types of Senior Care

Nursing home care is the most expensive care option in St. Louis, while other types of senior care in St. Louis are more affordable. Assisted living placement costs $3,750 per month. Adult day health care is the most affordable option, averaging $1,842. Those who would like to remain in their homes can use homemaker and home health aide services, which both average $4,481. In comparison, a semiprivate room in a nursing facility costs an average of $5,355, while a private room averages $6,479.

$4481

Home care

$4481

Home health care

$1842

Adult day health care

$3750

Assisted living

$5355

Nursing home (semiprivate room)

$6479

Nursing home (private room)

Financial Assistance for Nursing Home Care in Saint Louis, Missouri

Many seniors and their families use some form of financial assistance to help them pay for nursing care. The main options available are Medicare, Medicaid, and veterans benefits. These programs can be complicated, especially when it comes to benefit terms. Below, we give a brief overview of how these programs may be used towards paying for skilled nursing care.

  • Medicare: Medicare will typically cover all skilled nursing costs for the first 20 days of one’s stay in a nursing home and a portion of the costs until day 100. After 100 days in a skilled nursing facility, Medicare will not cover any part of the cost of the stay. While this is adequate when short-term care is needed, those in need of long-term care will need to either pay out-of-pocket or use another source of financial assistance.
  • Medicaid: Medicaid covers most of the costs of living in a skilled nursing facility for those who qualify. Care, room, and board are covered with no time limit, but residents may be charged for extras like specially prepared food or cosmetic services. Medicaid eligibility standards are strict and complex, so not all seniors are eligible for Medicaid benefits.
  • Veterans Benefits: Veterans receiving a VA pension may also be eligible for the Aid and Attendance benefit administered by the VA. Aid and Attendance is a monthly allowance that beneficiaries may use to pay for their long-term care, including skilled nursing care.

If these options aren’t available to you, check if your loved one has long-term care insurance or contact your Area Agency on Aging to ask about any local financial assistance programs for seniors.

Free Resources for Seniors in Saint Louis, Missouri

A variety of free resources are available for seniors and their family in Saint Louis to help aging loved ones stay at home as long as possible, even with some in-home services. When a transition into a skilled nursing home is necessary, other resources listed below can help with that process. 

ResourceContactService
St. Louis Area Agency on Aging(314) 612-5918This organization offers a variety of services that can help seniors maintain their independence or find placement in a long-term care community. A home repair and chore program offers basic home modifications, such as ramps and handrails, and a transportation program helps seniors get to appointments and errands. Seniors can also access assistance with tax preparation, rent rebates and home-delivered meals.
Catholic Charities’ Archdiocese of Saint Louis(314) 367-5500The Cardinal Ritter Senior Services division offers a day program where seniors can get assistance and supervision during the day. The program offers housing services, including assisted living and skilled nursing. Seniors can also access mental health counseling, case management and legal aid, as well as emergency assistance and spiritual activities.
Legal Services of Eastern Missouri1 (800) 444-0514Low-income adults and seniors can get free help with civil matters, such as consumer and housing issues. An elder law initiative helps seniors gain access to federal benefits and can also help create wills and health care directives. Experts are available to provide advice and representation in cases relating to tax collection, consumer fraud and identity theft.
Missouri Department of Health & Senior Services(573) 751-6400Seniors can access educational workshops to help them age safely in their homes, including fall prevention and chronic disease management classes. This organization also offers information and placement for long-term care services, such as assisted living and nursing homes. The long-term care ombudsman program protects residents of nursing homes and assisted living facilities from neglect and exploitation.