The Gatesworth

    One McKnight Pl, St. Louis, MO 63124
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Request a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

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

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Community services

    • Fitness programs
    • Move-in coordination

    Activities

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

    Reviews

    4.37·(89)

    Overall rating

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

      3.4
    • Staff

      4.3
    • Meals

      4.3
    • Amenities

      4.6
    • Value

      1.9

    Pros

    • Luxury hotel–style environment
    • Spacious, well-appointed apartments with modern kitchens
    • Multiple on-site restaurants with varied menus
    • Wide range of on-site amenities (fitness center, pool, movie theater, salon)
    • Well-maintained grounds and attractive outdoor spaces
    • Robust activities and educational programs (lectures, classes, music, clubs)
    • Multiple care levels (independent living through nursing care)
    • Housekeeping and hospitality services
    • Concierge and transportation services
    • Guest suites for visitors
    • Engaged dining staff and formal dining options
    • Rental-model residency without a large entrance fee

    Cons

    • High monthly cost relative to alternatives
    • Inconsistent staffing and elevated staff turnover
    • Gaps in clinical-care consistency and medication administration
    • Weak family communication and post-event outreach
    • Visitor-experience and front-desk courtesy inconsistencies
    • Cleanliness and odor concerns in some common areas
    • Logistics and mail/package handling delays
    • Perceptions of operational emphasis on revenue
    • Size-related limits on individualized attention for higher-acuity residents
    • Inadequate and uneven training among some direct-care staff
    • Accountability and management responsiveness weaknesses

    Summary of reviews

    The Gatesworth is consistently described as a high-end, hotel-like senior living community with expansive, condo-style apartments and a broad campus of amenities. Reviewers emphasize the property's polished physical environment: spacious, well-equipped units with modern kitchens and large closets; multiple formal and casual dining venues; extensive recreational facilities including a pool, fitness center, movie theater, salon, and guest suites; and carefully maintained grounds with gardens and water features. The dining program earns frequent praise for its variety, presentation and service style, and hospitality-oriented touches such as white-tablecloth breakfasts and attentive wait staff.

    Activity programming and resident engagement are strong points. The community supports a diverse schedule of lectures, classes, music and entertainment, and formal series that appeal to intellectually and socially active residents. Staff involved in events and hospitality are often characterized as professional, personable and proactive, contributing to a lively social atmosphere described by many as similar to a luxury cruise-ship experience. The facility's rental model with no large entrance fee is also noted as a distinguishing financial structure, even as overall monthly costs tend to be higher than competing options.

    Care quality and staffing are mixed in the reviews. Many families and residents report compassionate, attentive direct-care and excellent assisted-living support; others describe inconsistent staffing, frequent turnover, and variability in training among direct-care personnel. Concerns that emerge across comments include medication-administration inconsistencies, occasional clinical-care lapses affecting nutrition and skin integrity, and limits to individualized attention for residents with higher acuity needs. Relatedly, some reviewers describe weak family communication around clinical events and limited follow-up after critical incidents, which contributes to perceptions of uneven clinical oversight.

    Operational and management themes are similarly mixed. Several reviews compliment management responsiveness, concierge services and individual staff members who go above and beyond; other comments flag issues such as delays and inefficiencies in mail and package handling, intermittent cleanliness or odor concerns in common areas, and inconsistent courtesy to guests and visitors. There are also perceptions among some families that financial considerations are emphasized, which ties back into the discussions about cost versus perceived value.

    For prospective residents and families: The Gatesworth offers an attractive package of luxury facilities, varied dining and a robust activities program, and the convenience of multiple care levels on one campus. At the same time, the community presents higher-than-average pricing and recurring operational concerns—notably around staffing stability, clinical-consistency, family communication and certain housekeeping/logistics functions. A focused tour that includes questions about staff-to-resident ratios, recent turnover, medication-management protocols, policies for family communication and bereavement outreach, housekeeping schedules, and mail/package handling will help clarify whether the community’s strengths align with an individual resident’s care and lifestyle priorities.

    Reviews written on Mirador

    We have no reviews to show about The Gatesworth.

    Help other families by writing a review about your experience with this community.

    Location

    The Gatesworth is located at One McKnight Pl, St. Louis, MO, 63124.

    About The Gatesworth

    The Gatesworth is a senior living community in St. Louis that's been locally owned and operated for over 35 years and is associated with GateCo Development. It's recognized as a top independent living community by U.S. News & World Report several years in a row. The Gatesworth offers several living options, including Independent Living, Assisted Living, Memory Care, and Skilled Nursing, all set up in a Continuing Care Retirement Community (CCRC) structure. There are also services linked with facilities like Peace Villa Senior Living, and support comes in many forms, from Adult Day Club, scheduled care for a few hours or days, to In-Home Services for seniors who want to remain in their own homes, and Respite Care for short-term help or while recovering.

    Residents have access to personalized help with daily living tasks, skilled nursing, and support for those with Alzheimer's disease or other memory conditions. McKnight Place, part of the campus, provides amenities and extra services, with licensed nurses on-site at all hours. There are programs designed for many needs, including adult day care, non-medical home companionship, therapy, wellness, and even long-term or rehabilitation care.

    The Gatesworth stands on 320,404 square feet and has 219 units with many layouts, such as move-in-ready one-bedroom to three-bedroom deluxe apartments, all with patios or balconies, and each can be customized. These apartments are spacious and designed for accessibility, with features like bath tubs, wheelchair-accessible showers, and pet-friendly options, so cats and dogs are welcome. There's a 115-car underground parking garage, and the building itself is four stories tall with luxury finishes.

    Inside, you'll find a library, a billiard room, a 100-seat theater, three restaurants, a commercial kitchen, and plenty of indoor and outdoor common areas for relaxation and social activities. The grounds are beautifully landscaped and are meant for enjoyment and taking in fresh air, and there's also a full schedule of events like recreational, physical, and mental activities to keep everyone engaged and involved. The Gatesworth has chef-prepared meals-nutritious and tailored for dietary needs, including vegetarian options-and meal service is included, as well as amenities like transportation at a cost or complimentary rides, depending on need.

    Extra care is there for those who need higher levels of support, whether for chronic conditions, diabetic or incontinence care, or memory issues, plus a dedicated medical care staff ready to help those with cognitive conditions. Staff stay focused on creating a great environment with a philosophy that supports independence and a yes-minded attitude that welcomes requests and tries to help where possible. For those who want to know more about daily life, a digital magazine, the scene @ The Gatesworth, shares stories about community living.

    The Gatesworth serves people who want a hassle-free, active, and social lifestyle as well as those looking for extra help as they age, and its combination of services, care options, pet policy, activities, luxury setting, and long-standing record in the St. Louis community sets it apart from many other senior living options.

    People often ask...

    The Gatesworth offers independent living, assisted living, memory care, continuing care retirement community, and skilled nursing.

    There are 29 photos of The Gatesworth on Mirador.

    Yes, The Gatesworth allows residents to age in place and adjust their level of care as needed.

    The full address for this community is One McKnight Pl, St. Louis, MO 63124.

    No, The Gatesworth does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of The Gatesworth. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Gatesworth directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of The Gatesworth?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 135 facilities$4,700/mo
    2. 187 facilities$4,740/mo
    3. 194 facilities$4,700/mo
    4. 166 facilities$4,776/mo
    5. 191 facilities$4,746/mo
    6. 162 facilities$4,638/mo
    7. 160 facilities$4,697/mo
    8. 135 facilities$4,695/mo
    9. 187 facilities$4,714/mo
    10. 152 facilities$4,667/mo
    11. 164 facilities$4,704/mo
    12. 153 facilities$4,649/mo
    © 2026 Mirador Living