About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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NON -CHALLENGER h1 from CMS10 Best Assisted Living Facilities in Preston, IL

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If you’re looking for assisted living in Preston, our local senior living advisors can help you find a safe, welcoming community for you or your loved one. Whether you’re searching for luxury assisted living in Preston or sticking to a budget, we’ll work with you to understand the cost of assisted living in Preston.

From there, we’ll show you the best assisted living communities in Preston for your family member’s budget, lifestyle, and personal care needs. With 156 assisted living facilities in the Preston area, A Place for Mom makes it easier to find a secure and social community for this next stage of life.

We are also serving Assisted Living facilities in surrounding neighborhoods like Old Marissa.
You may also consider nearby communities such as Sparta, Chester and Ste. Genevieve.

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top3CommunitiesWithLinks: Villas at St. James, Avalon Memory Care - St. Louis and Keystone Place at Magnolia Commons
zipAveragecost: $4,853

Preston Assisted Living Facilities | 1682 Reviews

Showing 133 communities
Last Updated: 1/2/26
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Photo of Maple Ridge Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of My Place Too, Inc
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
My Place Too is a level 2 residential care facility located in De Soto, MO. We specialize in individuals with developmental and intellectual disabilities. For this reason, we are not a good fit for your average senior. We ARE an excellent fit for individuals with Down Syndrome, Autism, TBI, and...
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We just moved my mom in here. It's really good so far. We like it because it's close by for one thing. It's not quite as nice as were she was but it's more affordable. They have lots of activities. They have...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of The Arbors at Maplebrook
Provides: Memory Care
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
The Arbors at Maplebrook is an Alzheimer's memory care community located in Farmington, Missouri in the Saint Francois county. Senior residents of the Arbors at Maplebrook feel a little more secure because they live just down the block from Parkland Health Center. The location of Parkland ensures...
Photo of Cherokee Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Mattis Pointe
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Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Watts Street Manor
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Photo of St Joe Manor
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Farmington Manor
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Photo of Loving Care Assisted Living(Mental Health)
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
5 star
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The staff at this community are friendly and helpful. She loves the food and they keep the community clean. They offer daily activities. I would have to say the administration is a two. If the nurses need...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Carbondale, Illinois is known for its community celebrations. Prairie Living at Chautauqua is an assisted living community whose residents have abundant opportunities for activities and community involvement, as well as a variety of religious and spiritual options. Known as 'Town of Poets' due to...
Photo of Wilbar Boarding Home
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Doorways Supportive Living
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Oasis Residential Care Fclty
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Allways Kare Residential Care
Provides: Assisted Living, Residential Care Home
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Richmond Terrace
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4 star
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My sister Becky lived at Durberg House. We found out at the last minute they were closing the home. I had to find a place for [name removed] in two weeks before I went to Florida for a month. I called [name...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Provides: Assisted Living, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Saddler Residential Care
11 Photo available
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
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Photo of Union Manor Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Century Assisted Living
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Oasis Residential Care
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.

Cost of assisted living in Preston, IL

The average cost of senior living in Preston is $4,853 per month. Cheaper nearby regions include Prairie du Rocher, IL with an average of $3,933 per month.

Assisted living costs in Preston, IL, vs. nearby cities

Preston, IL
$4,853/mo
$4,830/mo

Assisted living costs in Preston, IL, vs. state and national averages

Preston, IL
$4,853/mo
U.S. national average
$4,558/mo

Assisted living costs in Preston, IL, vs. other senior living options

Assisted Living
$4,853/mo
$4,824/mo

Assisted living costs in Preston, IL, by floor plan type

Semi-Private
$4,923/mo
Studio
$5,151/mo
1 Bedroom
$5,008/mo
2 Bedroom
$5,772/mo

Senior living costs in Preston vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Preston, IL
Column state: Illinois
Column national: U.S.
Community typePreston, ILIllinoisU.S.
Assisted Living$4,853/mo$5,149/mo$4,558/mo
Memory Care$4,824/mo$5,166/mo$4,794/mo
Independent Living$3,856/mo$4,331/mo$4,016/mo
Assisted Living
Preston, IL:$4,853/mo
Illinois:$5,149/mo
U.S.:$4,558/mo
Memory Care
Preston, IL:$4,824/mo
Illinois:$5,166/mo
U.S.:$4,794/mo
Independent Living
Preston, IL:$3,856/mo
Illinois:$4,331/mo
U.S.:$4,016/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Preston, IL, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Preston and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Preston, ILIL stateNational

Assisted living cost trends in Preston, IL

The table below shows how monthly assisted living costs in Preston have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Preston, IL$4,221/mo$3,864/mo+9.2%
Illinois$5,633/mo$5,386/mo+4.6%
National$5,368/mo$5,120/mo+4.8%
Preston, IL
2024 average cost:$4,221/mo
2023 average cost:$3,864/mo
Percent change:+9.2%
Illinois
2024 average cost:$5,633/mo
2023 average cost:$5,386/mo
Percent change:+4.6%
National
2024 average cost:$5,368/mo
2023 average cost:$5,120/mo
Percent change:+4.8%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Preston, IL

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Preston.

What families are saying about assisted living in Preston

Recent reviews for assisted living in Preston

Meridian Village in Glen Carbon, IL

4.5
After residing in the Independent Living area of Meridian Village for just over 5 years I have absolutely no regrets. It is a pleasure to call Meridian Village my home. We are supported by a very capable and caring staff. There are numerous quality activities and opportunities available that ...
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Cambridge House of Maryville

3.7
We chose Cambridge House of Maryville because it was recommended to us through family members, they said that it was a well-managed facility. The room sizes here are good, but I do think the kitchen could use some more space. Overall, it is a small community and everyone gets along well here. I ...
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Reviews mention these favorite features of communities

Caring and attentive staff. Many reviews praise the staff for their kindness and attention towards residents at different communities like Cedarhurst of Des Peres, The Grande at Laumeier Park, and Allegro Richmond Heights. The staff members are responsive to residents' needs and create a warm and welcoming environmen ...
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Variety of activities for residents. Residents at various communities such as The Grande at Laumeier Park, Sunrise of Webster Groves, and Charter Senior Living of Troy enjoy a wide range of activities designed to keep them engaged and active. These include games, puzzles, movies, and even wine tasting events.
Home-like atmosphere and cleanliness. Reviews at multiple communities like Southview Assisted Living and Memory Care, Promenade Senior Living, and Cedarhurst of Arnold highlight the cleanliness and homelike atmosphere. Residents appreciate the updated bathrooms and private living spaces, which contribute to a comfortable and i ...
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Frequent and clear communication between families and staff. Communication is highly valued among families and staff at Cedarhurst of Granite City, Addington Place of Shiloh, and Charter Senior Living of Shiloh, as described in several reviews. Regular meetings and updates ensure that care needs are being met and families remain informed.
Delicious and accommodating meals. Residents at communities like Garden Villas South, Sunrise of Webster Groves, and Addington Place of Collinsville express satisfaction with the food quality and accommodations made for dietary restrictions. Meals are a highlight for many, and residents look forward to dining experiences.
Secure and attentive memory care. Security and safety are priorities at communities like The Grande at Laumeier Park, The Landings at Reed Station Crossing, and Cedarhurst of Arnold, with memory care units designed to provide a secure environment for residents with Alzheimer's and dementia. Staff members are trained to mee ...
Read more
AI generated from the text of family reviews

Preston review score based on 467 family reviews

7.8
Review score133 facilities467 reviewsWrite a review
This proprietary review score is based on 467 reviews of 133 Preston assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Preston review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Preston review score compared against nearby cities

7.8
Preston, IL133 facilities
8.2
Evansville, IL7 facilities
7.7
Baldwin, IL192 facilities

Review subcategories for Preston assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 467 reviews of 133 Preston assisted living communities. This chart helps you compare Preston resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Preston, IL averageNational average
Cleanliness
3.7
4.0
Friendliness
3.8
4.1
Care services
3.3
3.8
Staff
3.6
4.0
Meals & dining
3.3
3.6
Activities
3.4
3.7
Value for cost*
3.4
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Preston assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Preston assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Preston, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Preston assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Preston that offer these care services compared to the percentage of partners that offer them nationally.
Preston, ILNational
Full medication management
Full medication management
48.9%
53.2%
Doctor on call
Doctor on call
37.6%
34.1%
24-Hour awake staff
24-Hour awake staff
97.7%
98.9%
Diabetic care
Diabetic care
99.2%
99.4%
*Visiting health care professionals
*Visiting health care professionals
58.6%
57.9%
Home care agency on-site
Home care agency on-site
21.8%
30.8%
Non-ambulatory care
Non-ambulatory care
97%
99.1%
Respite or short term stays
Respite or short term stays
39.1%
49.1%
Hospice available on-site
Hospice available on-site
57.1%
54.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Preston assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Preston Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Preston, ILNational
Dementia behaviors care
Dementia behaviors care
48.9%
52%
Specialized memory care training for staff
Specialized memory care training for staff
36.1%
32.8%
Secured community and/or wander guard
Secured community and/or wander guard
42.9%
42.1%
Memory care only community
Memory care only community
19.5%
14%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Preston assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Preston partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Preston, ILNational
Nutritionist / dietician
Nutritionist / dietician
32.3%
27.4%
Low / no sodium
Low / no sodium
38.3%
40.6%
No sugar
No sugar
34.6%
37.5%
Vegetarian
Vegetarian
28.6%
36%
Pureed meals
Pureed meals
9.8%
13.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Preston assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Preston communities that offer dining options to their discerning residents compared to our partners nationally.
Preston, ILNational
Professional chef
Professional chef
26.3%
31.5%
Restaurant style dining
Restaurant style dining
42.1%
42.6%
Room service
Room service
33.1%
36.3%
Anytime dining
Anytime dining
22.6%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Preston assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Preston offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Preston, ILNational
Activity director
Activity director
43.6%
46.8%
Pet-focused programs
Pet-focused programs
31.6%
31.5%
Community service programs
Community service programs
27.1%
30.4%
Devotional activities on-site
Devotional activities on-site
52.6%
50.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
48.9%
49.6%
Outings / off-site activities
Outings / off-site activities
52.6%
53.5%
Piano or organ
Piano or organ
41.4%
41.7%
Arts and crafts center
Arts and crafts center
32.3%
34.6%
Educational speakers / life long learning
Educational speakers / life long learning
35.3%
38%
Clubs / games / karaoke
Clubs / games / karaoke
44.4%
47.1%
Live performances
Live performances
45.9%
47.4%
Dances
Dances
30.1%
29.9%
Fitness center
Fitness center
30.1%
24.4%
Fitness classes
Fitness classes
42.9%
46.3%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Preston

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Illinois assisted living regulations will help you understand how assisted living communities in Preston protect seniors.
Learn about Illinois assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Villas at St. James, Avalon Memory Care - St. Louis and Keystone Place at Magnolia Commons are the top-rated assisted living facilities near Preston, Illinois. See full list of communities.
There are 156 assisted living facilities near Preston, Illinois. See the full list.
The best assisted living facility near you in Preston, Illinois is Avalon Memory Care - St. Louis. This assisted living community received the highest ranking based on verified family reviews.
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