Assisted Living (Option 2) in St. Louis, St. Louis County: 141 licensed beds. Missouri DHSS license 053146.
Missouri's Section for Long-Term Care Regulation licenses Cedarhurst of Tesson Heights (license 053146) as an Assisted Living Facility licensed as Option 2 (ALF**) for 141 residents, with no Alzheimer's special care unit on file.
| Facility | Cedarhurst of Tesson Heights |
|---|---|
| Address | 12335 West Bend Dr, St. Louis, MO 63128 |
| Phone (DHSS record) | (314) 849-1366 |
| Licensing agency | Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation |
| License number | 053146 |
| DHSS facility number | 13663 |
| Level of care | Assisted Living Facility — Option 2 |
| Licensed capacity | 141 beds |
| Alzheimer's special care unit | None disclosed |
| Status | Active — current license term November 13, 2025 to November 12, 2027 |
| First licensed | Not published in the DHSS directory; inspection records on Show Me LTC go back to January 3, 2019 |
| Licensee (operator) | Cedarhurst of Tesson Heights Operator LLC (limited liability company) |
| Administrator of record | Thomas Hornstein |
| Enforcement / disciplinary action | None reported. The DHSS directory lists the license as active; Show Me LTC posts inspection findings but not civil penalties or license actions |
The licensee of record is Cedarhurst of Tesson Heights Operator LLC. Its current license term began November 13, 2025 and runs through November 12, 2027.
Show Me LTC lists 13 inspections and complaint investigations for Cedarhurst of Tesson Heights, 5 of them since October 2023. In the 5 most recent it itemizes, DHSS cited 32 requirements across all 5 of them.
| Date | Inspection type | Plan of correction filed |
|---|---|---|
| October 9, 2025 | Complaint investigation | — |
| July 23, 2025 | Complaint investigation + State licensure inspection | Yes |
| August 29, 2024 | State licensure inspection | Yes |
| August 1, 2024 | Complaint investigation + State licensure inspection | Yes |
| October 24, 2023 | State licensure inspection | Yes |
| May 11, 2023 | Complaint investigation + State licensure inspection | Yes |
The cited requirements cluster in fire safety and evacuation (17), care and service planning (6), staffing, training and screening (3). Examples, in DHSS's wording:
Each rule carries a class tag: Class I standards guard against imminent danger, Class II relate directly to resident health and safety, Class III indirectly (RSMo 198.085). The tag describes the rule, not harm that occurred.
Search Missouri DHSS's Show Me Long Term Care portal by county, then pick Cedarhurst of Tesson Heights from the results to see every inspection date and the requirements cited.
The portal has no per-facility link, so these four steps are the shortest route to the official record. The license number to match is 053146 in the DHSS LTC Directory.
As an Option 2 assisted living facility, Cedarhurst of Tesson Heights may serve residents who can't evacuate the building on their own, as long as it staffs for evacuations and writes an individualized evacuation plan into each such resident's service plan.
DHSS describes this level as a facility that may accept or retain residents with an impairment that prevents their safe evacuation, but only if it meets added staffing requirements to assist in evacuations and includes an individualized evacuation plan in the resident's service plan. Missouri assisted living follows a social model of care and may admit or keep a resident only if that person doesn't need hospitalization or skilled nursing placement (19 CSR 30-86). If your parent's needs grow past that line, the next step is usually a skilled nursing facility.
53 of the 64 assisted living and residential care licenses in St. Louis County hold Option 2. Ask Cedarhurst of Tesson Heights to show you what an evacuation plan would look like for your parent.
No. The DHSS directory shows no Alzheimer's special care unit for Cedarhurst of Tesson Heights, so it doesn't offer a disclosed memory care program.
Residents with mild memory loss may still live there, since an Option 2 license allows residents who need help to evacuate. If dementia is the main concern, compare it with the licenses that have disclosed a special care unit in our St. Louis memory care directory.
Free help from a St. Louis advisor
We can tell you how Cedarhurst of Tesson Heights compares with other licensed options on cost, care level and current openings. Families never pay us.
Talk to an advisor free →Cedarhurst of Tesson Heights is at 12335 West Bend Dr in St. Louis (63128), in South County (St. Louis County). It is one of 29 licensed assisted living or residential care facilities with a St. Louis address.
Hospitals families in this part of the metro use most include Mercy Hospital South, SSM Health St. Clare Hospital in Fenton. Ask which hospital residents are usually sent to, and whether staff send records ahead.
Other licensed communities nearby:
Assisted living in Greater St. Louis typically runs $3,400–$5,200/mo in 2026 and memory care $4,400–$6,400/mo; Cedarhurst of Tesson Heights doesn't report its rates to DHSS, so ask for a written rate sheet.
At 141 beds, Cedarhurst of Tesson Heights is one of the larger communities in the metro. Larger buildings often price care in levels or points, while smaller ones lean toward all-inclusive rates, so ask which model is used and what moves a resident to the next level. Missouri's Aged and Disabled Waiver can help pay for personal care for eligible residents but never covers room and board, and not every facility accepts it. See St. Louis assisted living costs for the full breakdown.
Start with the topics DHSS has cited at Cedarhurst of Tesson Heights, then confirm staffing, the move-out line, and the full monthly cost.
By licensed capacity, Cedarhurst of Tesson Heights is the 4th-largest of 64 assisted living and residential care licenses in St. Louis County, and 40 of those 64 have disclosed an Alzheimer's special care unit.
| Community | City | Beds | Level | Alzheimer's unit | Inspections on record |
|---|---|---|---|---|---|
| Cedarhurst of Tesson Heights | St. Louis | 141 | Assisted Living (Option 2) | No | 13 |
| Mattis Pointe Assisted Living | St. Louis | 120 | Assisted Living (Option 2) | Yes | 12 |
| Nazareth Living Center (Assisted Living (Option 2)) | St. Louis | 114 | Assisted Living (Option 2) | Yes | 14 |
| Southview Assisted Living | Affton | 111 | Assisted Living (Option 2) | Yes | 15 |
See every licensed option in the St. Louis assisted living directory.
Data source + refresh cadence
Licenses, levels of care, capacity, Alzheimer's special care unit flags, operators and administrators come from the Missouri Department of Health and Senior Services (DHSS) LTC Directory, published for the Section for Long-Term Care Regulation (file updated October 5, 2026). Inspection and complaint-investigation history comes from DHSS Show Me Long Term Care. Itemized citations cover the 5 most recent inspections since October 2023 that Show Me LTC details. Area cost ranges are STL Senior Advisor's metro estimates, not this facility's prices.
Listings are active licenses only. We re-pull both sources quarterly. Last updated: October 23, 2026 · Last verified: October 2026.
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