Licensed facilities across Greater St. Louis.
STL Senior Advisor lists licensed assisted living facilities across Greater St. Louis — the City of St. Louis, St. Louis County, St. Charles County, and Jefferson County. Typical cost in 2026: $3,400–$5,200/mo.
Missouri facilities are licensed by the Missouri Department of Health and Senior Services (DHSS), Section for Long-Term Care Regulation. Missouri licenses a three-tier system under Chapter 198 RSMo and 19 CSR 30-86: Residential Care Facility I (RCF I) for the lowest acuity, Residential Care Facility II (RCF II) for moderate acuity, and Assisted Living Facility (ALF) for the highest acuity of the three non-skilled categories. Nursing homes are licensed as Skilled Nursing Facilities (SNF) or Intermediate Care Facilities (ICF) under Chapter 198 RSMo and CMS certification (verify at the Missouri DHSS Section for Long-Term Care Regulation facility search). Medicaid long-term care support is delivered through Missouri's Aged and Disabled Waiver (ADW) and Missouri Care Options (MCO) through MO HealthNet. Neither program pays for RCF/ALF room and board.
Assisted Living · Clayton, MOUpscale independent living, assisted living, and CCRC-style senior community serving the Clayton/University City area. DHSS-licensed Assisted Living Facility un
View details →Assisted Living · Chesterfield, MOContinuing Care Retirement Community (CCRC) offering independent living, assisted living, memory care, and skilled nursing, serving West County and the Sunset H
View details →Assisted Living · Webster Groves, MOA Lutheran Senior Services CCRC campus in Webster Groves offering independent living, assisted living, memory care, and skilled nursing. DHSS-licensed Assisted
View details →Assisted Living · Chesterfield, MOA Lutheran Senior Services CCRC campus near Town & Country/West County, offering independent living, assisted living, and memory care. DHSS-licensed Assiste
View details →Assisted Living · Creve Coeur, MOSenior living community in Creve Coeur offering residential care and skilled nursing. DHSS-licensed Residential Care Facility II under Chapter 198 RSMo and 19 C
View details →Assisted Living · Chesterfield, MOSenior living and skilled nursing campus in Chesterfield, part of the Delmar Gardens network across the St. Louis metro. DHSS-licensed Residential Care Facility
View details →Assisted Living · Chesterfield, MOAssisted living community in Chesterfield, part of the national Brookdale network. DHSS-licensed Assisted Living Facility under Chapter 198 RSMo and 19 CSR 30-8
View details →Assisted Living · Kirkwood, MOAssisted living and memory care community serving Kirkwood and Webster Groves. DHSS-licensed Assisted Living Facility under Chapter 198 RSMo.
View details →Assisted Living · Clayton, MOIndependent living, assisted living, and memory care community near Clayton and Richmond Heights. DHSS-licensed Assisted Living Facility under Chapter 198 RSMo
View details →Assisted Living · Ballwin, MOAssisted living and memory care community in Ballwin, part of the Cedarhurst Senior Living network across the St. Louis metro. DHSS-licensed Assisted Living Fac
View details →Assisted Living · Wentzville, MOAssisted living and memory care community serving Wentzville and St. Charles County. DHSS-licensed Assisted Living Facility under Chapter 198 RSMo and 19 CSR 30
View details →Assisted Living · St. Louis, MOA Bethesda Health Group community serving South St. Louis City, offering residential care. DHSS-licensed Residential Care Facility II under Chapter 198 RSMo.
View details →Assisted Living · Clayton, MOA Bethesda Health Group CCRC campus near Clayton and Brentwood, offering independent living, assisted living, memory care, and skilled nursing. DHSS-licensed As
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