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Why trust this guide?
Our editorial team analyzed 301 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
60.3%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 301 on this page. See how we rank facilities
Ninety beds make up Ignite Medical Resort Blue Springs in Blue Springs, Missouri. Rehabilitation carries two named programs: Rapid Rehabilitation/Recoverty and Specialty Clinical Programs. Both point towards a recovery focus rather than long residences.
A Hospital decides someone is ready to leave on a Tuesday. When the family is not ready on that Tuesday, a recovery stay can cover the distance left open between that Tuesday and the date the family is ready.
Skilled nursing means the licensed nurse does not leave when the visit ends, the way a home health nurse does. Palliative care operates at the same time as treatment for a serious illness. Nobody stops pursuing a cure to get help with pain or breathing.
Medicare and private pay are both accepted. What Medicare raises is a question of duration rather than eligibility, since it pays for a stretch after a hospital admission. Nursing time breaks down to 3 hours and 1 minute per resident daily.
Ignite Medical Resort Independence operates the building, with Kyla Griffitt as the administrator. The kind of person this fits best needs daily nursing, with therapy or comfort care on top.
Administered by Jennifer Hammond, Nhc Healthcare, Kennett provides nursing home, home care, hospice care, nursing care, and skilled nursing services in Kennett, MO. The community also provides a dedicated Alzheimer’s unit for those with memory-related conditions, ensuring a secure and supervised setting. 24-hour staffing is also available to ensure accessibility of care at all times.
Rehabilitation services, including short-term rehab, are also provided to help improve residents’ functionality, particularly those recovering from an illness or injury. The community’s multiple levels of care can accommodate a wide range of older adults’ needs, including those seeking temporary stays and end-of-life care. This also allows residents to stay in the community even when their needs grow.
The community has 170 beds, with an occupancy of 57.6%. Additionally, total nurse staffing is 3 hours and 23 minutes per resident per day. Payment options also include Medicare, Medicaid, and private pay, giving families public coverage pathways or the option to fund care directly.
An on-site salon lets residents receive grooming services on-site. Moreover, dietitian- and chef-approved meals are tailored to nutritional needs, so dining can reflect those needs. Live entertainment and activities are available, along with housekeeping and laundry services to support residents’ daily living and provide opportunities for socialization.
Nestled in the peaceful grounds of Plaza Court North, Saint Clair, MO, is the esteemed senior living community of St. Clair Nursing Center Skilled Nursing by Americare, which offers skilled nursing, hospice care, home health care, and rehabilitation. Featuring private and semi-private studio accommodations, the community ensures seniors have a peaceful and safe stay on its premises. Let go of your worries with a team of dedicated and well-trained professionals caring for your special needs and aspirations.
Live an active and connected life with enjoyable activities and exciting events. Moreover, the community utilizes a holistic approach to ensure residents are taken care of in every aspect of their well-being. St. Clair Nursing Center strives to provide a haven for seniors to make the most out of their best years without worries.
Republic Nursing and Rehabilitation is a dedicated nursing home in Republic, MO, that offers medical care and rehabilitation. With its home-like atmosphere, the community ensures older adults find the right place to spend their retirement. 24-hour care, daily activities, and transportation services are also offered to enrich residents’ living experiences. The community also participated in Medicare and Medicaid, following high standards of care and striving to ease residents’ financial burdens.
Religious, pharmaceutical, and beauty and barber services are among the community’s offerings, dedicated to residents’ well-being. With private and semi-private living spaces, residents’ preferences are taken into consideration. Set in the quiet residential area of Republic, the community ensures a stress-free living. As one of Missouri’s trusted choices for nursing care, this nursing home goes above and beyond in providing exceptional care to help older adults live to their potential.
Camelot Nursing & Rehab Center offers nursing home, assisted living, and skilled nursing care in Farmington, MO. Nursing home and skilled nursing services provide licensed nursing care for residents who need ongoing clinical support, while assisted living helps with daily tasks.
Respite care and short term rehabilitation are also available. These options can support someone recovering from an illness or injury, or provide care while a usual caregiver is away.
The community has 97 beds and offers shared rooms. Residents share their sleeping space with another person rather than having a private room.
Care needs can change over time. The combination of assisted living, nursing home, and skilled nursing services may suit a resident whose needs could increase without requiring a move to a different community.
Nursing time averages 3 hours and 35 minutes per resident each day. This represents the daily hands on nursing time assigned to each resident.
Several payment options are listed. Medicare, Medicaid, and private pay are accepted.
Activities have a structured side. Personalized therapy programs, exercise classes, art workshops, and social events provide opportunities for rehabilitation, movement, creativity, and connection on site.
A shuttle provides community transportation, and wheelchair accessibility supports residents who use mobility equipment. These features can help residents take part in activities and move through the community more easily.
Camelot Nursing & Rehab Center is in the Sleepy Hollow Run neighborhood of Farmington, MO. With a Walk Score of 55, the area is somewhat walkable, so some errands may be possible on foot for a resident who no longer drives and can travel independently.
Located in the harmonious neighborhood of MO-77, Chaffee, MO, is the unique senior living community of Chaffee Nursing Center Skilled Nursing by Americare provides skilled nursing, hospice, home health care, and rehabilitation. Enjoy unmatched comfort and convenience with carefully built and sophisticated studio accommodations. The community takes pride in a team of kind and highly skilled professionals delivering top-tier care and assistance for seniors to flourish and live to their potential.
Explore new interests and relive old hobbies through fun activities and stimulating programs for a joyful and well-engaged retirement. Interact with the community over delightful and healthy meals for an unforgettable dining experience. Chaffee Nursing Center strives to provide a safe place for seniors who want to maximize their freedom while receiving support for their special needs.
Monroe Manor is a nursing home and skilled nursing facility in Paris, MO. The community opened in 1973 and has 119 beds for residents who need ongoing nursing care. Skilled nursing provides licensed nursing care on site around the clock, so Monroe Manor may be a good fit for someone whose medical needs require more support than daily assistance alone.
Medicare, Medicaid and private pay are accepted. Medicare can help cover skilled care for a limited time after a hospital stay, Medicaid can support a longer stay when eligibility requirements are met, and private pay means the resident or family pays directly. Total nurse staffing is 4h 28m per resident per day, representing the recorded amount of nursing staff time available for each resident across a day.
Shari Embree serves as administrator, and Monroe County Nursing Home District operates the community. Rehabilitation services are available to support recovery or help residents maintain physical function during care. Private accommodations include a private bedroom and full bathroom. A zero entry shower allows entry without stepping over a raised threshold, while residents also have access to a large sun porch and spa room.
Peacefully settled in Farmington, MO, Southbrook is a trusted senior living community that offers a wide range of care options, including skilled nursing, rehabilitation, hospice care, and home health care. Residents can comfortably rest in their comfortable and spacious studios apartments. A skilled nursing team works hard to provide residents with compassionate and comprehensive care services that help them regain their strengths and maintain independence.
Offering a person-centered approach to care and access to various therapies, including physical, occupational, and speech therapy, the community ensures residents are able to recover quickly. Residents’ healing journey is made vibrant and comfortable with a wide range of amenities and activities offered by the community. Delicious and nutritious meals are also provided to guarantee residents receive the sustenance and nourishment they need to stay healthy.
Shady Oaks Healthcare Center is a 120-bed nursing home administered by Tiffani Weaver in Thayer, Missouri, offering hospice care, memory care, respite care, and skilled nursing. With 24-hour staffing, residents have access to services around the clock. The community can also accommodate older adults with various conditions, including those living with Alzheimer’s and other forms of dementia, terminally ill residents, and those seeking short-term stays.
Occupancy is at 54.2%, with residents receiving a toral of 2 hours and 51 minutes of nursing care daily. Rehabilitation services are also available, providing residents with recovery support to improve residents’ ability to function. The community also accepts Medicare, Medicaid, and private pay, allowing multiple options to cover expenses.
The area has a Walk Score of 49 and is car dependent, so most errands require a car or a personal transportation, suggesting that a resident who no longer drives would generally need transportation for errands.
Full occupancy, 27-day average stay, and a 38-bed census tell a clear story: this is a short-term rehabilitation operation, not a permanent-placement community. Sunterra Springs Independence, in Independence, Missouri, moves residents through the system; the community is designed for people in post-acute recovery, not long-term nursing care.
Registered nurses run 54 minutes per resident per day, which is substantive. Total nursing hours sit at 3 hours 22 minutes per resident per day. Physical therapy is unusually present at 19 minutes per resident per day, a signal that PT is built into the operation rather than contracted or sporadic. For a short-stay rehab facility, that makes sense; the place is designed for people who need to recover and leave, not settle.
The neighborhood is somewhat walkable with a Walk Score of only 30. Visiting family and staff can handle some errands on foot, but a car is the baseline expectation. The facility takes Medicare and private pay, which means families working through either pathway should find coverage options available.
State inspections have focused on staffing credentials and care planning. What this facility appears to be: a short-term rehab operation built for throughput, with staffing and PT directed toward getting residents mobile and functional again. That is a specific care model and a specific resident profile.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Missouri
What's the difference between assisted living and a nursing home in Missouri?
Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Missouri Medicaid cover nursing home care?
Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 301 nursing homes in Missouri. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Missouri?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Missouri?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Missouri at a glance
Avg Overall CMS Rating:2.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Missouri. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Missouri. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Missouri. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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