Pricing ranges from
    $4,123 – 4,947/month

    Avalon Memory Care

    5342 Butler Hill Rd, St. Louis, MO, 63128
    4.3 · 53 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    4.0

    Compassionate memory care, sometimes inconsistent

    I liked the small, family-style memory care here - kind, professional staff, a high staff-to-resident ratio, quick responses from the director, easy move-in, and genuinely attentive, sometimes above-and-beyond care that gave us peace of mind. The facility is attractive, home-like (open kitchen, sunny rooms, courtyard) and generally clean. That said, communication was inconsistent, staff turnover and shortages caused uneven care, and we had occasional laundry/cleanliness issues; management could be better. Overall excellent, compassionate memory care but pricey and sometimes inconsistent.

    Pricing

    $4,123+/moSemi-privateAssisted Living
    $4,947+/mo1 BedroomAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.32 · 53 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.8
    • Staff

      4.2
    • Meals

      4.4
    • Amenities

      4.4
    • Value

      2.8

    Pros

    • Caring, attentive and compassionate staff
    • Kind, professional and patient caregivers
    • Staff frequently described as going above and beyond
    • Quick responses and good communication from the facility director
    • High-quality, experienced nursing (including RNs)
    • Low resident-to-staff ratios (examples like 1:3–1:5)
    • Small, home-like / family-like community atmosphere
    • Specialized dementia and memory-care expertise
    • Personalized, family-style meals and individualized cooking
    • Open home concept with open kitchen visible to residents
    • Clean, neat and odor-free facility in many reports
    • Beautiful, new or well-maintained building and décor
    • Spacious, nicely sized rooms and luxurious bathrooms / walk-in showers
    • Inviting dining and activity areas with sunny rooms and big TVs
    • Lovely outdoor courtyard and secure access
    • Strong safety monitoring and fall-prevention practices (in many reports)
    • Flexible and helpful admissions/registration process
    • Supportive during transitions (hospital stays, move-ins, end of life)
    • Staff helped with personal care and hygiene (hair, clothing, grooming)
    • Activities offered (crafts, bingo, manicures mentioned)
    • COVID precautions enforced and communication during pandemic
    • Peace of mind for families and positive outcomes reported (regained appetite, reduced wandering)
    • Prompt availability and willingness to accept residents quickly
    • Smaller community enabling individualized or intensive care when needed

    Cons

    • Staffing shortages and inconsistent staffing levels
    • High staff turnover and reports of poor management
    • Inconsistent care across shifts (day vs evening/weekend variability)
    • Reports of cleanliness problems in some visits (sticky floors, stained furniture, trash)
    • Occasional laundry, missing belongings, or personal items issues
    • Some reviewers felt the price was high or not justified (poor value)
    • Limited or reduced activities (sometimes due to COVID or layout)
    • Dining quality/variety concerns (cold cereal breakfasts, limited meal variety)
    • Some safety/elopement concerns reported
    • Instances of rude or unfriendly tour staff
    • Some visitors reported dark ambiance or poorly maintained common areas
    • At least one report of refusal to show inspection reports
    • Shared rooms and occasional lack of privacy mentioned
    • Limited parking availability
    • Management complaints including gaslighting or dishonest behavior
    • Discrepancy between marketing claims and observed reality (e.g., open kitchen not in use)
    • Some reviewers experienced an early negative setup or rocky start
    • A few reviewers strongly not recommending the facility (very negative experiences)
    • Certain areas/layout criticized for not promoting interaction
    • Inconsistent enforcement of cleanliness in dining/common areas

    Summary review

    Overall sentiment across the reviews of Avalon Memory Care is mixed but leans positive with strong, repeated praise for the quality of hands-on caregiving and the small, family-like environment. The most frequent and emphatic theme is staff compassion and attentiveness: multiple reviewers described caregivers and nurses as caring, patient, and willing to go "above and beyond," and several families reported measurable improvements in resident well-being (regained appetite, reduced wandering, maintained personal hygiene). The facility’s memory-care focus and dementia expertise are repeatedly cited, with specific mentions of favorable staff-to-resident ratios (examples like 1:3–1:5) and experienced RNs providing specialized care. Many families reported peace of mind, quick acceptance during urgent placements, and ongoing, supportive communication from the director and administrative staff.

    Facility features also receive repeated positive notes. Numerous reviewers praised the appearance and layout: a beautiful, often-new building with attractive décor, open kitchen/home concept, sunny common rooms with big-screen TVs, and a lovely secure courtyard. Room accommodations were frequently described as spacious with luxurious bathrooms or walk-in showers. The open kitchen concept, family-style meals, and personalized cooking are highlighted by several reviewers as contributing to a home-like atmosphere. COVID precautions and secure access were also noted as strengths, and many families appreciated flexibility in housing options (shared rooms or studios) and helpfulness during transitions, hospital stays, and end-of-life care.

    However, these positive impressions are tempered by consistent operational and management concerns raised by multiple reviewers. Staffing shortages and high turnover appear repeatedly, with some accounts describing only a single staff member on duty, daytime-evening inconsistency, and good workers leaving because of management issues. Several reviewers described variability in care quality between shifts and over time, suggesting that the small, high-touch model can suffer when staffing is inconsistent. Management complaints include reports of a rocky start, perceived dishonesty or "gaslighting," and at least one allegation of refusing to produce inspection records. These managerial issues, when combined with staffing instability, have led some families to question reliability despite excellent caregivers on the floor.

    Cleanliness and maintenance show a split in experiences. Many families described the facility as immaculately clean and odor-free, but a notable minority reported serious cleanliness problems on visits or during stays — sticky floors, urine-stained furniture, trash left on floors, broken fixtures, and dark or unkept dining areas. Laundry and missing-belongings issues were also mentioned by multiple reviewers. These discrepancies suggest that cleanliness and housekeeping may be inconsistent, possibly tied to staffing levels or management oversight.

    Dining, activities, and social opportunities are also mixed. Multiple reviewers appreciated family-style meals, individualized cooking and visible food prep in the open kitchen, and activity options such as crafts, bingo, and manicures. Others noted limited meal variety, occasional reports of cold or basic breakfasts (e.g., cereal), and activity limitations due to COVID or layout. A few reviewers questioned whether the central layout supported interaction, describing recliner-centered spaces that were less conducive to group activities. Parking constraints and some issues with the availability of communal engagement were also cited.

    Price and value perceptions vary: several reviewers accept the higher cost as justified by specialized, attentive care and a small community feel, while others explicitly called the facility expensive and questioned the value, particularly when they observed staffing shortages, limited activity, or cleanliness lapses. Safety concerns include reports of elopement risk in at least one case and differing views on security — some praise the strong monitoring and fall-prevention while others reported safety incidents or raised concerns about inconsistent supervision.

    In summary, Avalon Memory Care is frequently praised for outstanding frontline caregiving, dementia expertise, and a warm, small-home atmosphere that many families found comforting and effective. The facility’s physical environment — new/gorgeous building, open kitchen, roomy accommodations, and courtyard — is often highlighted as a major plus. At the same time, prospective families should weigh recurring operational issues: staffing shortages and turnover, management concerns, and inconsistent cleanliness or administrative responsiveness have been reported enough times to be notable. These operational inconsistencies appear to be the main drivers of the negative reviews and the source of the strongest criticisms. For families prioritizing individualized, compassionate dementia care in a small, home-like setting, Avalon may be a strong fit, but it would be prudent to ask specific, recent questions about staffing patterns, turnover, housekeeping procedures, inspection records, and how the facility handles evenings/weekends and emergencies during a tour or pre-admission discussion.

    Location

    Map showing location of Avalon Memory Care

    About Avalon Memory Care

    Avalon Memory Care gives seniors with Alzheimer's and dementia a safe place to live, offering assistance with daily needs like bathing, dressing, and transferring, help with medications, and specialized dementia care that looks after both physical and mental health as best as possible, and you'll notice that they've designed their ranch-style, single-level homes with magnetic locks on the doors, roomy backyards, and secure patios for safety but also for spending time in the open air, and there's a comfortable family atmosphere that encourages residents to bond with each other and the staff in a way that's supporting but also gives privacy in both private and semi-private rooms that come furnished and ready for familiar belongings, and there's emergency alert systems in place along with 24-hour supervision and on-call help so no one's left alone if they need anything, and there's community areas like libraries, lounges, and dining rooms where meal choices work around dietary restrictions including diabetes or allergies, with all-day dining, set menus, and restaurant-style options available, and the housekeeping and laundry staff take care of cleaning clothes, linens, and rooms while residents can take part in walking paths, garden time, arts and crafts, musical activities, and even resident-run groups or movie nights, and there's also general transportation services for outings or appointments, fitness and wellness programs in the gym for those who like to stay moving, salon and hairstylist options, and on-site religious services for spiritual needs, and the staff is trained-including many Certified Nursing Assistants-who receive regular training and background checks, taking care with each resident's medications, personal routines, and needs, keeping things as personal as they can so each person has a bit of autonomy and dignity, and the homes have both Wi-Fi and phones in rooms so families can stay in touch, with Kosher meals available plus common areas featuring TV and space for gatherings, and there's a focus on making each day meaningful with a full schedule of social, educational, and recreational activities, hospice services for those who need it, and support for complex care including insulin administration, and pets are sometimes allowed by the community, space allowing, with parking available for guests, and the property is licensed by the State and has received good reviews online, tending to average about 4.2 out of 5 stars from verified families, and while prices aren't published, there's a system for families to connect with local advisors and get help finding out more if they wish, with the staff aiming to give both residents and their relatives honest care, good communication, and a supportive, home-like environment designed to meet the unique challenges of memory loss.

    About Avalon Memory Care

    Avalon Memory Care is managed by Avalon Memory Care.

    Founded in 1995 by Richard Seib and Dr. Dan Griffin, Avalon Memory Care is a Dallas-based family-owned provider operating over 30 boutique memory care communities across Texas and Missouri. Specializing in Alzheimer's and dementia care, Avalon focuses on individualized treatment addressing physical, emotional, social, and spiritual needs.

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