St. Louis, MO has 39 licensed nursing homes listed on ElderCareCosts. The median estimated cost is $6,872/mo. That's roughly in line with the Missouri state median. St. Louis nursing homes runs large: 75% of licensed providers have 100 beds or more, and the typical one has 120.
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Median monthly price, St. Louis
$6,872/mo
Estimated range $5,698 – $7,752
● St. Louis $6,872 ○ National median $10,205
2025 figures
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Home care in St. Louis runs about $34 an hour. Here is what common schedules cost a month:
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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.
Here is what different monthly budgets cover in St. Louis.
St. Louis is a market of larger communities. 75% have 100 beds or more, and the typical one has 120 beds, against 97 across Missouri.
On the most recent inspection on file, federal inspectors recorded an average of 37.9 findings per provider here, above the Missouri average of 26.7.
5 of the 34 nursing homes here with a current CMS rating hold four or five stars, 15% against 28% across Missouri.
St. Louis, in St. Louis city, has about 288,512 residents. About 44,707 of them (15%) are 65 or older. The median household income is $56,160.
Source: US Census BureauCity of St. Louis AAA (Region 9). Contact from Missouri Association of Area Agencies on Aging directory (linked from DHSS).
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Statewide help for older adults, people with disabilities and caregivers.
VA Medical Center in St. Louis.
Can help pay for care if your parent qualifies.
3 VA Community Living Centers or State Veterans Homes nearby.
MISSOURI VETERANS HOME - ST. LOUIS · MISSOURI VETERANS HOME - ST. LOUIS · St. Louis MO CLC
VA Aid & Attendance overview →National helplines, including the Eldercare Locator and 211, are listed on paying for care.
Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →
St. Louis's median nursing home cost is about 2% higher than the Missouri state median.
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Reading up first? Nursing Homes across Missouri → · Nursing Homes cost across Missouri → · Assisted Living vs Nursing Homes →
Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.