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Why trust this guide?
Our editorial team analyzed 289 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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.
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 to lowest based on our ranking 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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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.
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.
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.
At Laclede Groves, the premier life plan and assisted living community nestled within Webster Groves, Missouri, residents experience purpose, joy, and choice. In a close-knit and caring environment, the community prioritizes seniors’ well-being, fostering meaningful connections and worry-free living. Laclede Groves’ mission is to empower older adults in Webster Groves and beyond, promoting a lifestyle that enhances the mind, body, and spirit.
Residents discover a comprehensive continuum of quality senior and assisted living facilities and care conveniently located all in one place. Laclede Groves offers independent living, assisted living, memory care assisted living, skilled nursing, and long-term care options. The community features multiple dining venues, indoor pools, fitness centers, a movie theater, an ice cream parlor, an art studio, a historic chapel, a health clinic, and more. Situated near Webster Groves, Kirkwood, Shrewsbury, and St. Louis attractions, Laclede Groves ensures a harmonious and fulfilling senior living experience.
The Linden Woods Village offers different levels of care for its residents: independent living, assisted living, short-term rehabilitation, and long-term care. Focusing on its nursing services, Linden Woods is able to provide a community that is warm and welcoming in a cozy and nurturing environment. Linden Woods is the home where residents are looking for “purpose, passion, and joy in life”. Linden Woods offers an array of comprehensive services that cater to different levels of care. Residents of short-term rehabilitation and long-term care are eligible for a list of stimulating and results-driven activities that focus on recovery. Independent living and assisted living residents are also given ADLs; and community features for all housing options get seamless access to exciting social activities, quality dining, and outdoor spacious areas.
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.
Committed to providing the care and support that seniors need, Farmington Presbyterian Manor in Cayce Street, Farmington, MO, is a distinct senior living community offering assisted living, independent living, memory care, long-term care, and short-term rehabilitation. Featuring specially designed and snug accommodations, the community ensures seniors’ comfort and convenience. Onsite therapy services are also provided for seniors’ betterment, alongside, personalized care plans, to meet special needs and aspirations.
Learn new things and immerse yourself in diverse cultures with a variety of educational and cultural opportunities. Here, residents delight in restaurant-style dining that satisfies their cravings and dietary needs. Farmington Presbyterian Manor is ideal for a peaceful and worry-free retirement with its serene campus filled with incredible amenities.
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.
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.
Bask in the warmth of Barnes Street, Piedmont, MO, with the blissful senior living community of Clark’s Mountain Nursing Center Skilled Nursing by Americare offering skilled nursing, hospice care, home health care, and rehabilitation. The community strives to provide a haven for seniors to keep their peace of mind with several studio floor plans, carefully designed for unparalleled comfort and safety. Flourish and let go of your worries with a team of compassionate and highly trained professionals providing top-notch care and support.
The community utilizes a holistic approach to ensure every aspect of residents’ well-being is well-cared for. Moreover, enjoyable activities and engaging programs accompany seniors as they strive to make the most out of their day. Enjoy mealtimes with friends and indulge in delicious and healthy dining options. Clark’s Mountain Nursing Center is a good place for seniors to spend their healing journey with its amazing amenities and exceptional quality.
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.
Nhc Healthcare, Kennett is a 170-bed skilled nursing facility offering rehabilitation, memory care, and respite care at 1120 Falcon in Kennett, Missouri, operated by NHC Healthcare/Kennett, LLC, in Dunklin County. Medicare, Medicaid, and private pay are welcome. The facility serves primarily long-term residents with an average stay of 67 days.
CMS grades the facility 5 stars, 90.1 percent above Missouri’s average, with all four sub-ratings above the state mean. Health inspection performance leads at 72.4 percent above Missouri’s average. Across 3 inspections since 2022, the facility recorded 11 total citations, all moderate in severity, all from standard inspections, with no critical or serious findings, fines, and payment denials. Nurse hours run 3h 45m per resident per day, aligned with the Missouri average, with CNA hours 9 percent above the state figure. The facility typically has availability at 58 percent occupancy, below Missouri’s 66.6 percent average.
Amenities feature an on-site beauty and barber shop, a dedicated outdoor area, and daily activities programming. Present are on-site nurse aide training and an active resident council.
Nhc Healthcare, Kennett is well-suited for long-term skilled nursing and memory care residents in rural Dunklin County seeking a clean inspection record and above-average staffing.
Aberdeen Heights is a 91-bed skilled nursing and rehabilitation facility under administrator Anthony Altobella at 505 Couch Ave in Kirkwood, Missouri. Operated by Ashfield Active Living and Wellness Communities, Inc, it takes Medicare, Medicaid, and private pay, which gives families several routes to afford short-term rehabilitation and ongoing nursing care. The highly walkable neighborhood has a score of 89, making it easy for visiting family to reach nearby amenities and services on foot.
The facility spotlights rehabilitation and respite services, with an average resident stay of 106 days, reflecting its focus on post-acute care and recovery. Daily nursing support is significant, averaging 5 hours 11 minutes per resident, with registered nurses providing an average of 59 minutes of direct care per resident day. Nurse aides contribute 3 hours 19 minutes per day, anchored by LPN/LVN care. This staffing pattern supports hands-on support across therapy, medication management, and daily activities. Dining here features a three-course meal service with changing entrées, side dishes, and desserts, alongside healthy dining options. The community offers occupants activities via clubs and committees, along with dining room and café amenities that bolster social engagement and daily life.
Resident safety procedures, medication management, infection control practices, and the accessibility of care equipment have been the state inspections’ focus. Such themes mirror areas that are regularly monitored to ensure resident welfare and quality protocols.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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 289 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
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