Assisted Living Community Fees & Care Charges

We believe in complete transparency—no hidden fees, no surprises. From the start, you’ll know exactly what you’re paying for, with every charge thoughtfully designed to support your lifestyle here. Our fee structure is clear, straightforward, and flexible, putting you in control every step of the way.

For our St. Louis Assisted Living residents, we offer one straightforward monthly fee that covers all the essentials—no surprises, just a dependable foundation to create the lifestyle you’ve always dreamed of.

If you or your loved one needs more personalized support, our Memory Care neighborhoods provide just the right level of support to make daily life easier and more rewarding. With flexible plans tailored to your needs, you pay only for the care you require, when you need it, giving you the freedom to live confidently and with peace of mind.

Take a look at our full fee breakdown below—designed to offer clear, transparent information so you can feel secure from day one.

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In Assisted Living, Spectrum employs a unique five-tiered level of care rate structure combined with a tiered approach to medication management and insulin support. This is designed to enhance our existing services by presenting a comprehensive approach to how we evaluate levels of care.

By using this unique tiered program, we can provide the supportive health services that best suit our residents’ wants and needs.

The base rate in the community, whether Assisted Living or Memory Care, includes two elements: rent and the Service Fee, which provides for the provision of those service and care components that are not connected to the resident’s personalized care plan.

As care needs elevate, there is an increased cost for each additional level of care up to Level Five. Our transparency ensures residents and families know what part of their cost is connected to their personalized care, specific medication management and/or insulin support needs.

Monthly Charges

Ensures access to essential services that enhance your daily living experience, including delicious meals, housekeeping, maintenance, minimum staffing standards, and overall care oversight beyond your personalized care plan.

* Services provided by a third party vendor and billed separately.

per level of care $500

per level of care $150

Our medication management program is designed to provide personalized, transparent, and fair support for each resident. Using a points-based model, we assess two key components to determine service levels: the number of daily medication passes (scheduled administration times) and the total number of medications managed, including both routine and PRN (as-needed) medications. Insulin management is evaluated separately due to its complexity. This structure provides families with greater clarity and confidence, as pricing is directly aligned with the time and support involved in managing medications. Quarterly assessments, as well as evaluations following any significant change in a resident’s condition, ensure care remains responsive and appropriate.

without sliding scale $300

With or without sliding scale $500

One-Time Fee

The Community Fee equals your first month’s rent (excluding care), up to a $5,000 maximum. It supports apartment preparation, community upkeep and amenities, and key administrative services to ensure a smooth move-in experience.

Covers the impact of pets on community spaces and common areas.

Included Amenities

Included in the Monthly Rent

24-hour emergency response system
24-hour staffing
All utilities except telephone and personal WiFi
Apartment maintenance
Daily activities
Scheduled transportation
Resident dining experience
Housekeeping

Amenities

Beauty salon and barber*
Bistro
Community room
Complimentary WiFi in all common areas
Courtyards
Demonstration kitchen
Wellness Center
Library
Private dining room
Resident lounges
Theater
Washer & dryers in select apartments

Note: these services are provided by a third-party vendor and are billed separately.

What’s Offered? How Are We Different? Find Out More.

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St. Louis Area Senior Living Community

If you are considering a move to senior living in a community where you will feel at home and included, schedule a tour of Dougherty Ferry Assisted Living & Memory Care. Our state of the art facilities and a full list of activities will fill your days and keep you busy. We offer Assisted Living and Memory Care to St. Louis residents and surrounding areas such as Webster Groves, Clayton, Chesterfield, Kirkwood, and more.