We understand that selecting a senior residential community comes with many questions. Please use our FAQ or contact us to answer any questions.

Our experience: The Altenheim is well established with deep roots in the community. Our residence has provided a quality home to our residents for more than 100 years. The Altenheim takes pride in providing each resident high quality care.

Not part of a large chain: The Altenheim is a free-standing, local, not-for-profit residence. Residents receive a good value for the cost because we keep fees in line with the cost of living and offer services that do not cost extra.

Each applicant who applies for residency at the Altenheim is individually assessed by Altenheim’s Director of Nursing to determine the appropriate level of living:

Independent Living which includes meals, laundry and housekeeping
Supportive Care provides additional assistance or nursing care
Continuing Care offers around-the-clock nursing care on a temporary or long-term basis

Some things you may want to consider:

  • Your doctor suggests you need more help, or you should not live alone, or you would benefit from a residential care community
  • Others express concerns about your living alone
  • You depend on others for the basics: ordering drugs, food shopping, meal preparation, laundry, finances, doctor appointments, etc.
  • You’re concerned about an increase in forgetfulness
  • Climbing stairs is becoming increasingly difficult or frightening
  • Home maintenance and cleaning are a burden
  • You experience a regular loss of appetite
  • Going out to get the mail and newspaper is a chore
  • You have difficulty knowing if you’ve taken your pills
  • The TV has become your best friend

Here are some signs to look for, in deciding whether a loved one may need to move to an elder care community:

Weight loss
Declining eyesight/hearing
Recent fall(s) or problems with balance
Dizzy spells
Hygiene or incontinence problems
Loss of ability to communicate or articulate

Increasing forgetfulness
Lack of interest in food shopping, cooking or preparing meals
Anxiety, depression, fear
Withdrawal from hobbies or interests
Poor decision-making or diminished judgement
Problems maintaining a train of thought; groping for words
Loss of time/events

Increasing isolation
Inability to deal with personal finances
Input from friends/neighbors, “Your mother fell”, or “I’m glad you’re here – she shouldn’t be left alone.”
Uneasy or guilty gut feeling you have when you leave your parent alone.

Close family or friends moved away recently
Diminishing social circle of friends
Health care workers raise their eyebrows when told your parent lives alone.

The Altenheim offers furnished rooms for a short-term stay anywhere from 5 to 90 days. This service includes meals and the same amenities that our full-time residents enjoy at a reasonable cost.

Start with any referrals from friends or professionals including your minister, lawyer, or doctor. Check the Internet or Yellow Pages. Phone around and ask about levels of care, activities, transportation, available doctor, cost and general layout, and for an information packet. Visit the facilities you are interested in more than once. Limit your selection to perhaps two or three for your loved one to visit and choose among.

We care for residents with different degrees of dementia or Alzheimer’s, depending on the person’s ability to function. The determining factor is not the diagnosis – it’s the behavior the patient exhibits. For the person’s own safety, there are certain behaviors we are unable to accommodate. We are not equipped to handle people who engage in persistent wandering or aggressiveness, nor do we have a locked area specifically for Alzheimer’s patients.

Residents may use our doctor or keep their own. Their doctor may see them here if they choose to do so.

Because we offer a life care contract, we do have a $5,000 admission fee. We waive this fee if you move directly into our 24-hour Nursing area.

The monthly fee is based on the resident’s level of care as determined by our medical staff. Every resident at the Altenheim receives three meals daily, laundry services, housekeeping and medication management. Resident activities and outings are included in the fee. Depending on the level of care, the fees include providing assistance with everyday needs (i.e. bathing & dressing) and nursing care.

Telephone and Cable TV
Personal health care items
Dry cleaning
Beauty or barber shop expenses

Fees may be increased annually by approval of our local Board of Directors. These increases have been moderate and in line with the rate of inflation. We strive to keep our fees in the mid- range to provide excellent value to our residents.

Our residents enjoy a large variety of activities including exercise, games, music, socials, movies, and more — at no extra charge. Plus, we have day trips. Residents buy their own lunch on some of these outings. Our events and parties are so much fun, residents often invite friends, family and people in our local neighborhood. Please see our activities listed at www.altenheim-stlouis.com.

Yes, we have residents with different Long-Term Care insurance policies in effect.


We are licensed by the State of Missouri as a Life Care Facility and Intermediate Care Facility.

No. As a small, not-for-profit organization, we have not sought national accreditation.

Our building is very secure. We have staff on duty 24 hours each day, including licensed nurses and a licensed security guard. We provide around-the-clock supervision at the front entrance where visitors sign in. All doors are locked, with security cameras monitored at the front desk. Our security guard makes several rounds checking the building and grounds throughout the night.

We consistently meet and exceed all state- required minimums.

Our Medical Director has served us for 30 years, and most management staff has been here more than 10 years. Like most other nursing homes, turnover in some positions is higher than we like.


Yes, we have guest rooms with private baths that may be reserved by our residents. There is no set charge for these guest rooms; however, most visitors make a donation when they stay with us.

Family and friends are encouraged to visit often for meals in our lovely dining room – simply make a reservation. There is a modest charge for guests’ meals.

Yes, we ask that they sign out/in so we know when they are not in the building.

Spend some time with us. Come for lunch, or one of our many social events. Try us out – come for a short-term stay. We will be happy to put you in contact with residents and families, so you can hear from them how we’re doing.

We have a bus and van for trips to Schnucks and Dierbergs grocery stores, Wal-Mart, and lunch and social outings. We often are able to accommodate physician appointments and transportation to special family events.

Our residents are welcome to have visitors whenever they would like.

Pets are welcome to visit. We have several Altenheim pets living here, and several who come every day.

Yes, and you will have a reserved parking space just for your car.

Yes, at every care level we can help you with your medications. You can use any pharmacy you wish, but if we are dispensing the medications we require certain standardized packaging.

Yes, we have Protestant and Catholic services.

No. We hold your room for you during hospital and rehabilitation stays.

Definitely. You may bring your own selection of furniture and personal decorations. You may also bring a refrigerator and microwave oven if you wish.

We have several rooms of different sizes where you may have a private party of a few guests or as many as a hundred. Our chef is very flexible in providing your party with food and drinks at a very reasonable cost, if you wish.

We are located on the historic bluffs overlooking the Mississippi River. We are about two miles south of downtown St. Louis, conveniently located a block from Interstate 55.

Learn how boutique senior living is perfect for you

For more than a century, seniors have made the Altenheim their choice for supportive living in St. Louis. With exceptional care, treasured friendships and an abundance of activities, the Altenheim offers opportunities for seniors to remain active and independent.