Assisted Living (Option 2) in Ballwin, St. Louis County: 110 licensed beds, Alzheimer's special care unit. Missouri DHSS license 053931.
Missouri's Section for Long-Term Care Regulation licenses Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) (license 053931) as an Assisted Living Facility licensed as Option 2 (ALF**) for 110 residents, with an Alzheimer's special care unit of 20 beds.
| Facility | Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) |
|---|---|
| Address | 50 Meramec Trail Dr, Ballwin, MO 63021 |
| Phone (DHSS record) | (636) 861-0600 |
| Licensing agency | Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation |
| License number | 053931 |
| DHSS facility number | 23643 |
| Level of care | Assisted Living Facility — Option 2 |
| Licensed capacity | 110 beds |
| Alzheimer's special care unit | Yes — 20 beds disclosed |
| Status | Active — current license term August 2, 2026 to August 1, 2028 |
| First licensed | Not published in the DHSS directory; inspection records on Show Me LTC go back to February 15, 2019 |
| Licensee (operator) | Lutheran Senior Services (not for profit corporation) |
| Administrator of record | Melissa Vann |
| 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 Lutheran Senior Services. Its current license term began August 2, 2026 and runs through August 1, 2028.
Show Me LTC lists 12 inspections and complaint investigations for Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)), 4 of them since October 2023. In the 4 most recent it itemizes, DHSS cited 6 requirements, and 2 of those 4 inspections were deficiency-free.
| Date | Inspection type | Plan of correction filed |
|---|---|---|
| November 14, 2025 | State licensure inspection | Yes |
| June 9, 2025 | State licensure inspection | — |
| December 16, 2024 | State licensure inspection | Yes |
| May 23, 2024 | State licensure inspection | — |
| July 12, 2023 | State licensure inspection | — |
| June 28, 2023 | Complaint investigation + State licensure inspection | — |
The cited requirements cluster in care and service planning (3), staffing, training and screening (2), medication management (1). 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 Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) 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 053931 in the DHSS LTC Directory.
As an Option 2 assisted living facility, Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) 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 Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) to show you what an evacuation plan would look like for your parent.
Yes. Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) has disclosed an Alzheimer's special care unit to DHSS covering 20 of its 110 licensed beds (18%).
Missouri has no separate memory care license. Under RSMo 198.510, a facility that offers an Alzheimer's special care unit or program must file a disclosure with DHSS describing what makes the care suited to people with dementia, and must give a copy to the resident and family at admission. Ask for that disclosure before you tour, then compare it with what you see: secured doors, daily structure, and how staff redirect someone who is anxious or trying to leave.
Free help from a St. Louis advisor
We can tell you how Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) compares with other licensed options on cost, care level and current openings. Families never pay us.
Talk to an advisor free →Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) is at 50 Meramec Trail Dr in Ballwin (63021), in West County (St. Louis County). It is one of 2 licensed assisted living or residential care facilities with a Ballwin address.
Hospitals families in this part of the metro use most include Mercy Hospital St. Louis, St. Luke's Hospital, Missouri Baptist Medical Center. Ask which hospital residents are usually sent to, and whether staff send records ahead.
Other licensed communities nearby:
More on care options here: Ballwin assisted living guide.
Assisted living in Greater St. Louis typically runs $3,400–$5,200/mo in 2026 and memory care $4,400–$6,400/mo; Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) doesn't report its rates to DHSS, so ask for a written rate sheet.
At 110 beds, Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) 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. Memory care units usually carry a separate, higher rate. 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 memory care costs for the full breakdown.
Start with the topics DHSS has cited at Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)), then confirm staffing, the move-out line, and the full monthly cost.
By licensed capacity, Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) is the 9th-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 |
|---|---|---|---|---|---|
| Lutheran Senior Services at Meramec Bluffs (Assisted Living (Option 2)) | Ballwin | 110 | Assisted Living (Option 2) | Yes | 12 |
| Autumn View Gardens | Ellisville | 150 | Assisted Living (Option 2) | Yes | 18 |
| Autumn View Gardens at Schuetz Road | St. Louis | 110 | Assisted Living (Option 2) | Yes | 17 |
| Creve Coeur Assisted Living and Memory Care | Creve Coeur | 110 | Assisted Living (Option 2) | Yes | 15 |
See every licensed option in the St. Louis assisted living directory or the memory care 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 4 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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