Nursing homes and senior care in St. Louis, MO

97 nursing homes and 113 assisted living or residential care facilities in St. Louis City, St. Louis County and St. Charles County. Nursing homes here average 2.1 stars on Medicare's 5-star scale, compared with 2.5 across Missouri and 3.0 nationwide. 59 of the 97 nursing homes were fined by Medicare in the past three years.

Average rating2.1 / 5across 94 rated nursing homesMissouri 2.5 · U.S. 3.0

5 stars8

4 stars10

3 stars12

2 stars19

1 star45

Sources: CMS Provider Data (processed Sep 1, 2026); Missouri DHSS LTC Directory and Show Me Long Term Care.

What kind of care are you looking for?

Highlights

Highest rated nursing homes

Medicare overall rating, then fewest serious citations.

Recent fines

Most recent Medicare fines in the past three years.

All facilities

SortTown Fined in past 3 years Serious citations

Numbers are Medicare ratings; AL and RC mark assisted living and residential care. Map data © OpenStreetMap contributors.

Fines and serious citations (actual harm or immediate jeopardy) are from CMS and apply to nursing homes only. Assisted living inspection findings are on each facility's page.

Browse by town: Chesterfield · St. Charles · St. Peters · Florissant · O'Fallon · More: Homes that take Medicaid · Rehab and skilled nursing

How to choose

1. Pick the type of care

Nursing homes are for 24-hour medical needs or rehab. Assisted living suits people who mostly need help with daily tasks.

2. Check the record

Look at the star rating, then read the latest inspection. A serious citation or a recent fine deserves a direct question.

3. Visit more than once

Go at different times, including a meal. Watch how staff talk with residents and how quickly call lights get answered.

4. Ask about money

Ask what is included, how prices rise as care needs grow, and whether the facility accepts Medicaid.

What care costs

National medians from the CareScout 2025 Cost of Care Survey. We have not yet verified St. Louis-area figures.

$9,581Nursing home, semi-private room, per month

$10,798Nursing home, private room, per month

$6,200Assisted living, per month

Costs and how people pay →

Not sure where to start?

Ratings and inspections are a starting point. Visit in person, ask about staffing and costs, and read the latest inspection report.

Get help choosing

St. Louis questions

Answers computed from the same data as this page.

How many nursing homes are in the St. Louis area?

There are 97 Medicare-certified nursing homes in St. Louis City, St. Louis County and St. Charles County, plus 113 state-licensed assisted living and residential care facilities. 60 of those report an Alzheimer's special care unit.

How do St. Louis nursing homes compare?

The average Medicare overall rating here is 2.1 out of 5, versus 2.5 for Missouri and 3.0 nationally. 8 local homes have 5 stars and 45 have 1 star.

What counts as a serious citation?

We flag citations that Medicare rates at the level of actual harm or immediate jeopardy (scope and severity codes G through L) in the inspection data CMS publishes.

Why do some facilities have no star rating?

Assisted living and residential care facilities are licensed by the state, not Medicare, so they have no star rating. We show their license and state inspection findings instead. A few nursing homes are also unrated because they are new or lack enough data.

Where can I check the latest inspection?

Each facility page links to Medicare Care Compare or Missouri's Show Me Long Term Care site, where new inspection reports post first.