Assisted living facility · St. Louis, MO
Avalon Memory Care
5342 Butler Hill Road, St. Louis, MO 63128-4152 · licensed for 30 residents · operated by Avalon Memory Care
State licensedMemory care unit
Latest state inspection27 citedFeb 24, 2026St. Louis-area average 2.4
ALLicense Assisted living facility, #052704, expires May 17, 2027
30Capacity licensed beds
YesAlzheimer's unit 30 beds
3Inspections on file from Show Me Long Term Care
Sources: Missouri DHSS LTC Directory and Show Me Long Term Care.
The latest inspection, in plain English
Missouri inspectors' most recent visit on file was on Feb 24, 2026 (complaint investigation / state licensure). They cited 27 requirements that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class I/II, II, II/III, III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 32 citations in total.
Inspection history
Feb 24, 202627complaint investigation / state licensure
Jul 14, 20254complaint investigation
Feb 19, 20251state licensure
Show all findings
Feb 24, 2026 · Complaint Investigation / State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| Exits, Stairways, and Fire Escapes. (A) Each floor of a facility shall have at least two (2) unobstructed exits remote from each other. | I/II | 4/30/2026 |
| Trash and Rubbish Disposal. (B) Trash shall be removed from the premises as often as necessary to prevent fire hazards and public health nuisance. | II | 4/30/2026 |
| The building shall be substantially constructed and shall be maintained in good repair and in accordance with the construction and fire safety rules in effect at the time of initial licensing. | II/III | 4/30/2026 |
| In newly licensed facilities or if a new heating system is installed in an existing licensed facility, the heating of the building shall be restricted to steam, hot water, permanently installed electric heating devices or a warm air system employing central heating plants with installation such as to safeguard the inherent fire hazard, or approved installation of outside wall heaters which bear the approved label of the American Gas Association or National Board of Fire Underwriters. The foregoing requirements are applicable to residential care facilities. In assisted living facilities, the he | I/II | 4/30/2026 |
| Plumbing fixtures which are accessible to residents and which supply hot water shall be thermostatically controlled so that the water temperature at the fixture does not exceed one hundred twenty degrees Fahrenheit (120��F) (49��C) and the water shall be at a temperature range between one hundred five degrees Fahrenheit (105��F) (41��C) and one hundred twenty degrees Fahrenheit (120��F) (49��C). | I/II | 4/30/2026 |
| General Requirements. (A) If the facility admits or retains any individual needing more than minimal assistance due to having a physical, cognitive or other impairment that prevents the individual from safely evacuating the facility, the facility shall: 5. Include an individualized evacuation plan in the resident ' s individual service plan; | II | 4/30/2026 |
| General Requirements. (A) If the facility admits or retains any individual needing more than minimal assistance due to having a physical, cognitive or other impairment that prevents the individual from safely evacuating the facility, the facility shall: 6. At a minimum the evacuation plan shall include the following components: C. The plan shall evaluate the resident for his or her location within the facility and the proximity to exits and areas of refuge. The plan shall evaluate the resident, as applicable, for his or her risk of resistance, mobility, the need for additional staff support, c | II | 4/30/2026 |
| The facility shall screen residents and staff for tuberculosis as required for long-term care facilities by 19 CSR 20-20.100. | II | 4/30/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (E) The premove-in screening shall be completed prior to admission with the participation of the prospective resident and be designed to determine if the individual is eligible for admission to the assisted living facility and shall be based on the admission restrictions listed at section (29) of this rule; | II | 4/30/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (F) Completes a community based assessment conducted by an appropriately trained and qualified individual as defined in section (4) of this rule: 1. Time frame requirements for assessment shall be: A. Within five (5) calendar days of admission; | II | 4/30/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (F) Completes a community based assessment conducted by an appropriately trained and qualified individual as defined in section (4) of this rule: 1. Time frame requirements for assessment shall be: C. Whenever a significant change has occurred in the resident ' s condition, which may require a change in services. | II | 4/30/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (G) Develops an individualized service plan (ISP), which means the planning document prepared by an assisted living facility which outlines a resident ' s needs and preferences, services to be provided, and goals expected by the resident or the resident ' s legal representative in partnership with the facility; | II | 4/30/2026 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (H) Reviews the ISP with the resident, or legal representative of the resident, at least annually or when there is a significant change in the resident ' s condition which may require a change in services; | II | 4/30/2026 |
| The facility shall not admit or continue to care for a resident who: (A) Has exhibited behaviors that present a reasonable likelihood of serious harm to himself or herself or others; | I/II | 4/30/2026 |
| All medication shall be safely stored at proper temperature and shall be kept in a secured location behind at least one (1) locked door or cabinet. Medication shall be accessible only to persons authorized to administer medications. | II/III | 4/30/2026 |
| Medication Orders. (A) No medication, treatment or diet shall be administered without an order from an individual lawfully authorized to prescribe such and the order shall be followed. | II/III | 4/30/2026 |
| The facility shall maintain a record in the facility for each resident, which shall include the following: (A) Admission information including the resident ' s name; admission date; confidentiality number; previous address; birth date; sex; marital status; Social Security number; Medicare and Medicaid numbers (if applicable); name, address and telephone number of the resident ' s physician and alternate; diagnosis, name, address and telephone number of the resident ' s legally authorized representative or designee to be notified in case of emergency; and preferred dentist, pharmacist and funer | III | 4/30/2026 |
| Staffing Requirements. (A) The facility shall have an adequate number and type of personnel for the proper care of residents, the residents ' social well being, protective oversight of residents and upkeep of the facility. At a minimum, the staffing pattern for fire safety and care of residents shall be one (1) staff person for every fifteen (15) residents or major fraction of fifteen (15) during the day shift, one (1) person for every twenty (20) residents or major fraction of twenty (20) during the evening shift and one (1) person for every twenty-five (25) residents or major fraction of twe | III | 4/30/2026 |
| In addition to the orientation training required in section (62) of this rule any facility that provides care to any resident having Alzheimer ' s disease or related dementia shall provide orientation training regarding mentally confused residents such as those with Alzheimer ' s disease and related dementias as follows: (A) For employees providing direct care to such persons, the orientation training shall include at least three (3) hours of training including at a minimum an overview of mentally confused residents such as those having Alzheimer ' s disease and related dementias, communicatin | II/III | 4/30/2026 |
| In addition to the orientation training required in section (62) of this rule any facility that provides care to any resident having Alzheimer ' s disease or related dementia shall provide orientation training regarding mentally confused residents such as those with Alzheimer ' s disease and related dementias as follows: (B) For other employees who do not provide direct care for, but may have daily contact with, such persons, the orientation training shall include at least one (1) hour of training including at a minimum an overview of mentally confused residents such as those having dementias | II/III | 4/30/2026 |
| Poisonous or toxic materials consist of the following categories: insecticides and rodenticides; disinfectants, sanitizer and related cleaning or drying agents; and caustics, acids, polishes and other chemicals. Each of these three (3) categories set forth shall be stored and physically located separate from each other. All poisonous or toxic materials shall be stored in locked cabinets or in a similar physically separate place used for no other purpose which is not accessible to residents. | II | 4/30/2026 |
| Nonfood-contact surfaces of equipment shall be cleaned as often as is necessary to keep the equipment free of accumulation of dust, dirt, food particles and other debris. | III | 4/30/2026 |
| The facility shall develop and implement written policies and procedures that prohibit mistreatment, neglect, and abuse of any resident and misappropriation of resident property and funds, and develop and implement policies that require a report to be made to the department for any resident or to both the department and the Department of Mental Health for any vulnerable person whom the administrator or employee has reasonable cause to believe has been abused or neglected. | II/III | 4/30/2026 |
| Each resident shall be treated with consideration, respect, and full recognition of his or her dignity and individuality, including privacy in treatment and care of his or her personal needs. All persons, other than the attending physician, the facility personnel necessary for any treatment or personal care, or the department or Department of Mental Health staff, as appropriate, shall be excluded from observing the resident during any time of examination, treatment, or care unless consent has been given by the resident. | II/III | 4/30/2026 |
| Each resident shall be permitted to retain and use personal clothing and possessions as space permits. Personal possessions may include furniture and decorations in accordance with the facility's policies and shall not create a fire hazard. The facility shall maintain a record of any personal items accompanying the resident upon admission to the facility, or which are brought to the resident during his or her stay in the facility, which are to be returned to the resident or responsible party upon discharge, transfer, or death. | II/III | 4/30/2026 |
| (8) If a resident installs and uses an electronic monitoring device, a notice to alert and inform visitors shall be posted at the entrance of the facility and resident's room. (B) The facility shall require the resident to post and maintain a conspicuous notice at the entrance of the resident's room stating: "This room is being monitored by an electronic monitoring device." | III | 4/30/2026 |
| (9) The facility shall require an electronic monitoring device to be installed as follows: (A) In plain view; (B) Mounted in a fixed, stationary position; (C) Directed only on the resident who initiated the installation and use of AEM device; (D) Placed for maximum protection of the privacy and dignity of the resident and the roommate; and (E) In a manner that is safe for residents, employees, or visitors who may be moving about the room. | II/III | 4/30/2026 |
Jul 14, 2025 · Complaint Investigation
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| The operator shall be responsible to assure compliance with all applicable laws and regulations. The administrator shall be fully authorized and empowered to make decisions regarding the operation of the facility and shall be held responsible for the actions of all employees. The administrator ' s responsibilities shall include oversight of residents to assure that they receive care as defined in the individualized service plan. | II/III | 10/6/2025 |
| The facility may admit or retain an individual for residency in an assisted living facility only if the individual does not require hospitalization or skilled nursing placement as defined in this rule, and only if the facility: (G) Develops an individualized service plan (ISP), which means the planning document prepared by an assisted living facility which outlines a resident ' s needs and preferences, services to be provided, and goals expected by the resident or the resident ' s legal representative in partnership with the facility; | II | 10/6/2025 |
| Medication Orders. (A) No medication, treatment or diet shall be administered without an order from an individual lawfully authorized to prescribe such and the order shall be followed. | II/III | 10/6/2025 |
| Staffing Requirements. (A) The facility shall have an adequate number and type of personnel for the proper care of residents, the residents ' social well being, protective oversight of residents and upkeep of the facility. At a minimum, the staffing pattern for fire safety and care of residents shall be one (1) staff person for every fifteen (15) residents or major fraction of fifteen (15) during the day shift, one (1) person for every twenty (20) residents or major fraction of twenty (20) during the evening shift and one (1) person for every twenty-five (25) residents or major fraction of twe | III | 10/6/2025 |
Feb 19, 2025 · State Licensure
| Requirement not met (state wording) | Class | Corrected |
|---|---|---|
| Complete Fire Alarm Systems. (C) All facilities shall test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. | I/II | 3/21/2025 |
From Missouri's Show Me Long Term Care site, in the state's own wording.
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Questions about Avalon Memory Care
Answers computed from Missouri state data for this facility.
What kind of facility is Avalon Memory Care?
Avalon Memory Care is licensed by the Missouri Department of Health and Senior Services as a assisted living facility for up to 30 residents. LIMITED LIABILITY COMPANY
How did Avalon Memory Care do on its last state inspection?
Missouri inspectors' most recent visit on file was on Feb 24, 2026 (complaint investigation / state licensure). They cited 27 requirements that the facility did not meet. Missouri classes violations from I (most serious) to III; the citations here were marked class I/II, II, II/III, III. The average for St. Louis-area assisted living and residential care facilities at their latest inspection is 2.4 citations. Across the 3 inspection dates we collected, 0 visits found nothing to cite and the facility had 32 citations in total.
Does Avalon Memory Care offer memory care?
Yes. The state directory lists an Alzheimer's special care unit with 30 beds.
Does Avalon Memory Care have a Medicare star rating?
No. Medicare rates nursing homes only. Assisted living and residential care in Missouri are licensed and inspected by the state, so we show the state's inspection findings instead.
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Inspection findings reflect conditions on the inspection date and may since have been corrected.