Nursing Homes in St. Louis

STL Senior Advisor lists licensed nursing homes across Greater St. Louis — the City of St. Louis, St. Louis County, St. Charles County, and Jefferson County. Typical cost in 2026: $6,000–$8,500/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.