Trustwell Living at Richmond Heights

What is Trustwell Living at Richmond Heights's Missouri license record?

Trustwell Living at Richmond Heights holds Missouri DHSS license 052331 as an Assisted Living Facility licensed as Option 2 (ALF**), with 88 licensed beds and an Alzheimer's special care unit of 26 beds.

The licensee of record is HSRE-ASL Richmond Heights TRS, LLC. Its current license term began December 6, 2024 and runs through December 5, 2026.

What did Missouri DHSS inspectors find at Trustwell Living at Richmond Heights?

Show Me LTC lists 14 inspections and complaint investigations for Trustwell Living at Richmond Heights, 5 of them since October 2023. In the 5 most recent it itemizes, DHSS cited 24 requirements across all 5 of them.

The cited requirements cluster in fire safety and evacuation (10), medication management (4), staffing, training and screening (4). Examples, in DHSS's wording:

• December 10, 2025 — 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 2. For a facility whose… (rule class I/II) Corrected January 13, 2026.
• October 30, 2024 — General Requirements. (D) The department shall have the right of inspection of any portion of a building in which a licensed facility is located unless the unlicensed… (rule class I/II) Corrected January 31, 2025.
• October 30, 2024 — 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… (rule class I/II) Corrected January 31, 2025.
• October 21, 2024 — Complete Fire Alarm Systems. (C) All facilities shall test and maintain the complete fire alarm system in accordance with NFPA 72, 1999 edition. (rule class I/II) Corrected December 2, 2024.

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.

How do you verify Trustwell Living at Richmond Heights on Show Me Long Term Care?

Search Missouri DHSS's Show Me Long Term Care portal by county, then pick Trustwell Living at Richmond Heights from the results to see every inspection date and the requirements cited.

1. Open Show Me Long Term Care (Missouri DHSS).
2. Choose SAINT LOUIS in the County box and click ShowMeResults!
3. Select TRUSTWELL LIVING AT RICHMOND HEIGHTS at level ASSISTED LIVING FACILITY OPTION 2.
4. Click any inspection date to read the requirements DHSS cited and the dates they were corrected.

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 052331 in the DHSS LTC Directory.

What does an Option 2 assisted living license mean for residents at Trustwell Living at Richmond Heights?

As an Option 2 assisted living facility, Trustwell Living at Richmond 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 Trustwell Living at Richmond Heights to show you what an evacuation plan would look like for your parent.

Does Trustwell Living at Richmond Heights have a memory care unit?

Yes. Trustwell Living at Richmond Heights has disclosed an Alzheimer's special care unit to DHSS covering 26 of its 88 licensed beds (30%).

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.

Where is Trustwell Living at Richmond Heights and what's nearby in Richmond Heights, MO?

Trustwell Living at Richmond Heights is at 1055 Bellevue Avenue in Richmond Heights (63117), in Central County (St. Louis County). It is the only licensed assisted living or residential care facility with a Richmond Heights address.

Hospitals families in this part of the metro use most include SSM Health St. Mary's Hospital, Barnes-Jewish Hospital, Missouri Baptist Medical Center. Ask which hospital residents are usually sent to, and whether staff send records ahead.

Other licensed communities nearby:

• Laclede Commons — St. Louis, 232 beds, Assisted Living (Option 2), Alzheimer's unit
• Mother of Perpetual Help Residence — St. Louis, 160 beds, Assisted Living (Option 2), Alzheimer's unit
• McKnight Place Assisted Living and Memory Care (Assisted Living (Option 2)) — St. Louis, 120 beds, Assisted Living (Option 2)
• Dougherty Ferry Assisted Living & Memory Care — St. Louis, 110 beds, Assisted Living (Option 2), Alzheimer's unit

What does assisted living cost at a community like Trustwell Living at Richmond Heights?

Assisted living in Greater St. Louis typically runs $3,400–$5,200/mo in 2026 and memory care $4,400–$6,400/mo; Trustwell Living at Richmond Heights doesn't report its rates to DHSS, so ask for a written rate sheet.

At 88 beds, Trustwell Living at Richmond Heights is a mid-sized community. 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.

What should you ask when touring Trustwell Living at Richmond Heights?

Start with the topics DHSS has cited at Trustwell Living at Richmond Heights, then confirm staffing, the move-out line, and the full monthly cost.

• DHSS cited fire-safety or evacuation rules here. Ask to see the current fire drill log and the plan of correction, and how night staff would evacuate a resident who can't walk.
• Medication rules were cited. Ask who passes medications on each shift, how errors are logged, and what changed after the citation.
• Staffing or training rules were cited. Ask for the awake-overnight staffing level and how new hires are screened and trained.
• Ask to see a sample individualized evacuation plan and the overnight staffing that supports it.
• Ask for the Alzheimer's special care disclosure filed with DHSS and how many residents live in the unit today.
• What is included in the base rate, and what triggers a higher care level?
• Does the community accept the Aged and Disabled Waiver or VA Aid and Attendance?

How does Trustwell Living at Richmond Heights compare with other assisted living in St. Louis County?

By licensed capacity, Trustwell Living at Richmond Heights is the 29th-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.

See every licensed option in the St. Louis assisted living directory or the memory care directory.