Demand, supply, and opportunity for small assisted living homes in St. Louis city — from the RAL Market Scout dataset.
Updated July 2026
St. Louis city, MO scores 7.8/10 (Strong) for assisted living opportunity. It has 15,883 residents aged 75+, growing -2.1%, against 22 licensed homes — a strong small-home market on RAL Market Scout's demand-vs-supply scoring.
Opportunity score
7.8/10
Strong
Population 75+
15,883
-2.1% growth
Licensed homes
22
current supply
Demand rating
3.3/10
Low
Why St. Louis city County ranks here
St. Louis city County scores 7.8/10 (Strong) because its 15,883 seniors 75+ are growing -2.1% against just 22 licensed homes, with referral capacity of 2.5 per 1,000 seniors from nearby hospitals, hospice, and home-health agencies. A senior median income of $41,674 and median home value of $197,500 signal the local private-pay base.
St. Louis city County demand & supply detail
Population 75+
15,883
75+ growth (10-yr)
-2.1%
Dementia prevalence (65+)
9.0%
Licensed assisted living homes
22
Referral facilities nearby (hospital · hospice · SNF · home health · FQHC)
40
Referral capacity / 1k seniors
2.5
Senior median income
$41,674
Median home value
$197,500
Opportunity score
7.8 / 10 (Strong)
Licensed assisted living homes in St. Louis city County
Facility
City
Beds
ST LOUIS HILLS ASSISTED LIVING AND MEMORY CARE
SAINT LOUIS
181
LEGACY HEALTHCARE CENTER LLC
SAINT LOUIS
111
SPRING MANOR
SAINT LOUIS
94
ST ELIZABETH HALL
SAINT LOUIS
50
UNION MANOR, LLC
SAINT LOUIS
50
SUPERIOR MANOR OF DOWNTOWN, LLC
SAINT LOUIS
40
CARE NETWORK AT WATERMAN
SAINT LOUIS
40
SILVER SPUR
SAINT LOUIS
37
COOPER HOUSE
SAINT LOUIS
36
CARONDELET RETIREMENT MANOR
SAINT LOUIS
34
CHEROKEE RESIDENTIAL CARE ACQUISITION, LLC
SAINT LOUIS
34
SMILEY MANOR WEST, LLC
SAINT LOUIS
27
ST LOUIS ALTENHEIM
SAINT LOUIS
23
CHATEAU ANN MARIE
SAINT LOUIS
22
OASIS RESIDENTIAL CARE FACILITY
SAINT LOUIS
20
Frequently asked questions
How many assisted living homes are in St. Louis city?
St. Louis city has 22 licensed assisted living homes, serving 15,883 residents aged 75 and older.
Is St. Louis city a good market for assisted living?
St. Louis city scores 7.8 out of 10 (Strong) on RAL Market Scout, which weighs 75+ demand and projected senior growth against current bed supply. Its 75+ population is growing -2.1%.
How fast is the senior population growing in St. Louis city County?
The 75+ population in St. Louis city is projected to change -2.1% over the coming decade, with dementia prevalence around 9.0% of seniors 65+.
Go deeper on St. Louis city County
RAL Market Scout maps demand and supply down to the ZIP and builds a full site report for any specific address in St. Louis city.
Sources: Licensed-home count from the Missouri state roster (RAL Market Scout pipeline). 75+ population, growth, income, and home value from U.S. Census ACS. Dementia prevalence from CMS chronic-condition data. Opportunity score is RAL Market Scout's model. Snapshot: 2026-07. Informational only — not legal, financial, or investment advice.