Page 10 of Best Nursing Homes in Missouri

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
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every nursing home provider in Missouri.
289 homes
Other senior care options in Missouri:
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

Compare Nursing Homes around Missouri

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 Table AL (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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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.
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.
Life Care Center of Sullivan
NH
SNF
Sullivan
120
Facility 120
MO AVG 96
Rank #87 / 450
55.8%
Facility 55.8%
MO AVG 66.5%
Rank #302 / 407
-16%
3.42
Facility 3.42
MO AVG 3.74
Rank #163 / 268
+14%-9%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
30
Facility 30
MO AVG 36.5
Rank #135 / 274
5.0
Facility 5.0
MO AVG 5.7
Rank #121 / 274
167-
60
Facility 60
MO AVG 46
Rank #161 / 545
Sullivan Operations, LLC
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
MO AVG $7.4M
Rank #92 / 251
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #73 / 251
60.1%Fiscal year ending 12/2023
Facility 60.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #70 / 251
265340
Abbey Senior Health
NH
AL
HOS
IL
PC
RC
SNF
O'fallon
65
Facility 65
MO AVG 96
Rank #327 / 450
81.5%
Facility 81.5%
MO AVG 66.5%
Rank #95 / 407
+23%
5.13
Facility 5.13
MO AVG 3.74
Rank #24 / 268
-43%+37%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
28
Facility 28
MO AVG 36.5
Rank #120 / 274
5.6
Facility 5.6
MO AVG 5.7
Rank #160 / 274
153-
65
Facility 65
MO AVG 46
Rank #124 / 545
Abbey Health Group LLC
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
MO AVG $7.4M
Rank #81 / 251
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
MO AVG $3.9M
Rank #65 / 251
59.4%Fiscal year ending 12/2023
Facility 59.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #78 / 251
265839
Life Care Center of Carrollton
NH
MC
SNF
Carrollton
120
Facility 120
MO AVG 96
Rank #87 / 450
47.5%
Facility 47.5%
MO AVG 66.5%
Rank #338 / 407
-29%
3.87
Facility 3.87
MO AVG 3.74
Rank #99 / 268
-9%+4%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
30
Facility 30
MO AVG 36.5
Rank #135 / 274
6.0
Facility 6.0
MO AVG 5.7
Rank #173 / 274
-57-
46
Facility 46
MO AVG 46
Rank #282 / 545
Mary Hayes
$5.0MFiscal year ending 04/2024
Facility $5.0MFiscal year ending 04/2024
MO AVG $7.4M
Rank #157 / 251
$3.7MFiscal year ending 04/2024
Facility $3.7MFiscal year ending 04/2024
MO AVG $3.9M
Rank #95 / 251
74.6%Fiscal year ending 04/2024
Facility 74.6%Fiscal year ending 04/2024
MO AVG 54.9%
Rank #12 / 251
265294
Riverside Nursing &Amp; Rehabilitation Center, LLC
NH
MC
SNF
Riverside
180
Facility 180
MO AVG 96
Rank #26 / 450
62.2%
Facility 62.2%
MO AVG 66.5%
Rank #246 / 407
-6%
4.25
Facility 4.25
MO AVG 3.74
Rank #65 / 268
-62%+14%
$145.6k
Facility $145.6k
MO AVG $76.9k
Rank #257 / 276
45
Facility 45
MO AVG 36.5
Rank #204 / 274
9.0
Facility 9.0
MO AVG 5.7
Rank #256 / 274
1112-
52
Facility 52
MO AVG 46
Rank #231 / 545
Riverside Nursing And Rehabilitation Center, LLC
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #84 / 251
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
MO AVG $3.9M
Rank #22 / 251
92.4%Fiscal year ending 12/2023
Facility 92.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #4 / 251
265379
Delmar Gardens of Chesterfield
NH
AL
IL
MC
RC
SNF
Chesterfield (Walnut Hill Plaza)
237
Facility 237
MO AVG 96
Rank #5 / 450
76.4%
Facility 76.4%
MO AVG 66.5%
Rank #136 / 407
+15%
4.10
Facility 4.10
MO AVG 3.74
Rank #77 / 268
-62%+10%
$17.2k
Facility $17.2k
MO AVG $76.9k
Rank #188 / 276
42
Facility 42
MO AVG 36.5
Rank #187 / 274
8.4
Facility 8.4
MO AVG 5.7
Rank #247 / 274
1173-
36
Facility 36
MO AVG 46
Rank #347 / 545
Kavitha Nallabelli
$20.8MFiscal year ending 03/2024
Facility $20.8MFiscal year ending 03/2024
MO AVG $7.4M
Rank #5 / 251
$11.0MFiscal year ending 03/2024
Facility $11.0MFiscal year ending 03/2024
MO AVG $3.9M
Rank #6 / 251
53.1%Fiscal year ending 03/2024
Facility 53.1%Fiscal year ending 03/2024
MO AVG 54.9%
Rank #134 / 251
265170
Westwood Hills Health and Rehabilitation Center
NH
SNF
Poplar Bluff
132
Facility 132
MO AVG 96
Rank #71 / 450
60.0%
Facility 60.0%
MO AVG 66.5%
Rank #267 / 407
-10%
2.29
Facility 2.29
MO AVG 3.74
Rank #246 / 268
+48%-39%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
16
Facility 16
MO AVG 36.5
Rank #51 / 274
5.3
Facility 5.3
MO AVG 5.7
Rank #143 / 274
-79-
4
Facility 4
MO AVG 46
Rank #527 / 545
Joetta Martin
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #123 / 251
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #150 / 251
49.5%Fiscal year ending 12/2023
Facility 49.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #168 / 251
265193
Willard Care Center
NH
HOS
SNF
Willard
66
Facility 66
MO AVG 96
Rank #317 / 450
87.9%
Facility 87.9%
MO AVG 66.5%
Rank #49 / 407
+32%
3.33
Facility 3.33
MO AVG 3.74
Rank #180 / 268
-6%-11%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
21
Facility 21
MO AVG 36.5
Rank #76 / 274
3.0
Facility 3.0
MO AVG 5.7
Rank #23 / 274
-58A+
47
Facility 47
MO AVG 46
Rank #274 / 545
Joshua Groce$479.9k*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$238.5k*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.49.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.265455
Delhaven Manor
NH
SNF
Saint Louis
156
Facility 156
MO AVG 96
Rank #45 / 450
38.5%
Facility 38.5%
MO AVG 66.5%
Rank #373 / 407
-42%
7.54
Facility 7.54
MO AVG 3.74
Rank #1 / 268
+26%+102%
$73.0k
Facility $73.0k
MO AVG $76.9k
Rank #233 / 276
52
Facility 52
MO AVG 36.5
Rank #224 / 274
4.7
Facility 4.7
MO AVG 5.7
Rank #108 / 274
260A+
92
Facility 92
MO AVG 46
Rank #23 / 545
Thomas Jackson
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #209 / 251
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
MO AVG $3.9M
Rank #180 / 251
62.7%Fiscal year ending 12/2023
Facility 62.7%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #56 / 251
265392
Hickory Manor
NH
HOS
RC
SNF
Licking
60
Facility 60
MO AVG 96
Rank #340 / 450
65.0%
Facility 65.0%
MO AVG 66.5%
Rank #228 / 407
-2%
3.84
Facility 3.84
MO AVG 3.74
Rank #116 / 268
+44%+3%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
29
Facility 29
MO AVG 36.5
Rank #128 / 274
4.1
Facility 4.1
MO AVG 5.7
Rank #84 / 274
-39A+
50
Facility 50
MO AVG 46
Rank #243 / 545
The Licking Exempt Trust
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
MO AVG $7.4M
Rank #235 / 251
$1.2MFiscal year ending 12/2023
Facility $1.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #245 / 251
41.8%Fiscal year ending 12/2023
Facility 41.8%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #223 / 251
265632
Potosi Manor
NH
SNF
Potosi
90
Facility 90
MO AVG 96
Rank #225 / 450
68.9%
Facility 68.9%
MO AVG 66.5%
Rank #186 / 407
+4%
3.75
Facility 3.75
MO AVG 3.74
Rank #116 / 268
+1%0%
$13.6k
Facility $13.6k
MO AVG $76.9k
Rank #175 / 276
21
Facility 21
MO AVG 36.5
Rank #76 / 274
5.3
Facility 5.3
MO AVG 5.7
Rank #143 / 274
162A+
62
Facility 62
MO AVG 46
Rank #150 / 545
Potosi Manor, Inc
$4.1MFiscal year ending 12/2023
Facility $4.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #201 / 251
$1.7MFiscal year ending 12/2023
Facility $1.7MFiscal year ending 12/2023
MO AVG $3.9M
Rank #227 / 251
41.4%Fiscal year ending 12/2023
Facility 41.4%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #224 / 251
265681

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 289 on this page.

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Independence Manor Care Center

1600 South Kings Highway, Independence, MO 64055-1853
Overview of Independence Manor Care Center

Independence Manor, Inc. and administrator Jeanette Sportsman direct the daily operations at Independence Manor Care Center, a 99-bed facility at 1600 South Kingshighway in Independence, Missouri. The billing office works through standard coverage tracks, routing care expenses through private funds, Medicaid, and Medicare. Family members checking out the local neighborhood will find a walkability score of 81 out of 100, which notes a highly pedestrian-friendly layout where visitors can complete tasks or walk to area services on foot.

The building runs at a 55 percent occupancy level, while resident stays average of 128 days. This timeframe demonstrates a balanced daily routine that handles both quick post-hospital rehabilitation tracks and ongoing residential care. Around-the-clock staffing schedules provide an average of 4 hours of direct nursing care per resident each day, with a dedicated staff physician coordinating medical targets alongside registered nurses and aides.

Past standard evaluations have focused on medication handling, nursing schedules, infection control protocols, and kitchen operations as areas for routine employee updates, keeping the overall citation rate above zero.

Interested individuals can review the internal physical, occupational, and speech therapy setups, along with the on-campus rehabilitation center. The building features modern setups like building-wide Wi-Fi access and dedicated personal phones within the short-term recovery wings.

Contact Independence Manor Care Center

Overview of Miller County Care and Rehabilitation Center

Miller County Nursing Home District and owner Linda Beckham oversee Miller County Care and Rehabilitation Center, an 86-bed nursing community located at 1157 Highway 17 in rural Tuscumbia, Missouri. The administrative office routes resident bills through typical payment setups, including private pay, Medicaid, and Medicare. Because the building sits in an entirely car-dependent rural location, visiting relatives will need a vehicle for all travel and local errands.

Data sheets report a 70 percent occupancy rate alongside an average length of stay of 184 days. This operational timeline shows that the everyday routine balances multi-month residential care with conventional short-term post-hospital therapy. To monitor physical needs and medical treatments, the 24-hour staffing framework provides an average of 3 hours and 33 minutes of total nursing care per resident each day, with an on-site doctor, registered nurses, practical nurses, and aides handling standard shift rotations.

Inspection logs note that recent surveys flagged specific procedural items regarding specialized resident screening reviews, physical mobility care planning, food service staffing competencies, and basic infection control steps, meaning the building’s cumulative citations-per-inspection rate is above zero.

Prospective families can explore an internal layout featuring a specialized Alzheimer’s and dementia unit, inpatient and outpatient therapy spaces, and hospice services. Living choices include standard private or semi-private room layouts backed by an around-the-clock clinical team.

Contact Miller County Care and Rehabilitation Center

Overview of Life Care Center of Sullivan

Life Care Center of Sullivan is a 120-bed skilled nursing and rehabilitation facility at 875 Dunsford Drive in Sullivan, Missouri. Operated by Sullivan Operations, LLC, in Franklin County, the facility accepts Medicare, Medicaid, and private pay, with stay length averaging 52 days, reflecting a primarily short-term rehabilitation orientation. Alzheimer’s and dementia care is a confirmed program alongside skilled nursing.

CMS grades the facility 3 stars, 14.1 percent above Missouri average, with all four sub-ratings above state average, an uncommon profile. Staffing leads at 38.9 percent above Missouri average. Across 6 inspections since 2022, the facility recorded 30 total citations, all low to moderate in severity, with no critical findings, fines, and payment denials. Nurse hours reach 3h 58m per resident per day, 5 percent above Missouri average. At 77 percent occupancy that’s above Missouri’s 66.6 percent average, the facility has some availability.

Amenities include a community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a beauty salon and barber shop. On-site nurse aide training and an active resident council exist.

With a clean enforcement record and above-average performance across all CMS rating categories, Life Care Center of Sullivan is built for short-term post-acute rehabilitation and dementia care in Franklin County.

Contact Life Care Center of Sullivan

Overview of Abbey Senior Health

Abbey Senior Health is a 10-bed continuing care retirement community at 206 North Main Street, O’Fallon, Saint Charles County, Missouri, operated by Mount Carmel Communities-O’Fallon, LLC under the administration of C Christopher Brown. The facility provides independent living, assisted living, skilled nursing, and short-term rehabilitation services with a minimum age requirement of 55 for residents. The facility received U.S. News and World Report recognition as a Best Nursing Home in 2026.

The walk score is 65, indicating moderate walkability where some errands do not require a car.

Registered nurses provide 48 minutes per resident per day, representing a 71% increase above Missouri’s state average of 28 minutes. Licensed practical nurses provide 1 hour 1 minute per day, 49% above state average. Certified nursing aides provide 2 hours 45 minutes per day, 19% above state average. Weekend nursing totals 3 hours 49 minutes per day, 25% above state average, with weekend RN presence at 28 minutes per day, which is 40% above the state average.

Physical therapists provide 6 minutes per day, representing a 200% increase above the state average of 2 minutes.

Quality outcomes for long-stay residents demonstrate considerable strength. Long-stay hospitalizations average 1.48 per 1,000 days, representing a 29% improvement over Missouri’s state average of 2.08. Emergency department visits for long-stay residents average 0.33 per 1,000 days, 86% better than state average of 2.35.

Short-stay rehabilitation outcomes are mixed. Successful return to home or community is 56.9%, 12% better than the state average. Re-hospitalization rates are 27.2%, 8% worse than state average. Falls with major injury occur at 2.9% of short-stay residents, representing a concerning 271% increase over Missouri’s average of 0.8%.

Ability to care for self at discharge is 48.6%, 9% worse than state average.

Abbey Senior Health emphasizes faith-based programming with Catholic Mass, Communion, Chapel access, Reconciliation, Prayer, and Bible Study. Social and recreational amenities include food and drink tastings, happy hours, guest events, movie nights, birthday parties, sports watch parties, spa treatments, walking club, exercise classes, library, and art classes. Meals are offered on an optional purchase basis.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven. This unusually sparse inspection history requires explanation. Current licensing status and any available regulatory documentation should be reviewed.

Families should request fall prevention protocols and admission assessment procedures, and licenses and inspection reports from Missouri Department of Health and Senior Services.

Contact Abbey Senior Health

Overview of Life Care Center of Carrollton

Life Care Center of Carrollton is a 120-bed skilled nursing facility at 300 Life Care Lane in Carrollton, Missouri, operated by United Investors Limited Partnership in Carroll County. An Alzheimer’s unit is a confirmed care offering. Accepted are Medicare, Medicaid, and private pay, with a mix of rehabilitation and long-term care stays averaging 139 days. The facility has significant availability at 48 percent occupancy, well below Missouri’s 66.6 percent average and ranked 253rd out of 283 state facilities.

CMS grades the facility 4 stars overall, 52.1 percent above Missouri average, with quality measures as the defining strength at 79.2 percent above state average, reflecting strong clinical outcomes for long-stay residents. Across 7 inspections since 2021, the facility totaled 30 citations, all moderate in severity, with no critical or serious findings, fines, and payment denials. Nurse hours run 15 percent above Missouri average, ranked 56th out of 276 Missouri skilled nursing facilities.

Amenities feature a dedicated Alzheimer’s unit, beauty salon and barber shop, and a fine dining program, with an active resident council in place.

With above-average quality outcomes and immediate capacity for new residents, Life Care Center of Carrollton is built for those needing long-term skilled nursing and memory care in Carroll County.

Contact Life Care Center of Carrollton

Overview of Riverside Nursing & Rehabilitation Center

Riverside Nursing & Rehabilitation Center, LLC is a 180-bed skilled nursing facility at 4700 NW Cliffview Drive, Riverside, Platte County, Missouri, providing long-term care and short-term rehabilitation with veteran care focus. Administered by Brent Lawler and Medicare/Medicaid certified, the facility operates in a moderately walkable area with walk score 52.

Total nursing hours average 4 hours 31 minutes per resident per day, with weekend coverage of 3 hours 10 minutes per day. Staffing includes 356 personnel (157 employees, 199 contractors), with significant contractor reliance: registered nurses 20 (mostly contractors), licensed practical nurses 87, and certified nursing aides 201. Contractors provide 16.2% of total staffing hours.

High-risk clinical events score 9.6 (12% better than state average of 10.9). Functional decline score 15.0 (23% better than state average of 19.5). Falls with major injury 2.4% (41% better than state average of 4.0%). Pressure ulcers 2.8% (45% better than state average of 5.0%).

Depressive symptoms 0.6% (96% better than state average of 12.8%). Walking ability decline 17.4% (15% better than state average of 20.6%).

Influenza vaccine coverage is 5.9% (91% worse than state average of 63.5%). Antipsychotic medication initiation in short-stay residents is 11.1% (401% worse than state average of 2.2%).

Since 2023, 5 inspections by the Missouri Department of Health and Senior Services have resulted in 45 total citations versus state average of 36.5. Citations per inspection average 9 versus state average 5.67. Top deficiencies include resident rights (10 citations) and quality of life and care (10 citations). Federal penalties total 146,000 dollars in fines (99% higher than state average) and 2 payment denials resulting in temporary reimbursement suspension.

Operating loss reached 5.3 million dollars. Payroll of 7.8 million dollars exceeds gross revenue of 7.3 million dollars, indicating unsustainable operations. Occupancy is 50.9% versus state average 66.6%. Payer mix heavily weights Medicaid (78.7% revenue), creating financial vulnerability.

Profit margin declined to negative 73.6% in 2023 from negative 56.7% in 2022.

The facility accepts Medicare, Medicaid, and private pay. Amenities include physical, occupational, and speech therapies, dedicated dining room, in-room television with cable and Wi-Fi, private outdoor patio, and family lounge.

Families should request explanation for 91% influenza vaccine deficit and 401% elevated antipsychotic use and verify financial sustainability and current inspection status before placement.

Contact Riverside Nursing &Amp; Rehabilitation Center, LLC

Overview of Delmar Gardens of Chesterfield

Delmar Gardens of Chesterfield is a nursing home in Chesterfield, MO, offering memory care, rehabilitation, and skilled nursing. Fostering comfort and healing, the community has thoughtfully furnished amenities in a supportive and home-like environment. Residents can also experience maintenance-free living with 24-hour care, dietitian-planned meals, and therapies. Through personalized care plans, residents receive the utmost attention and care tailored to their unique needs and habits.

Social events, sensory-stimulating activities, and dance classes help enhance residents’ cognition and maintain their holistic well-being. A dining room, a spacious activity room, and a beauty salon are among the state-of-the-art amenities dedicated to residents’ relaxation and wellness. Situated along Blues Highway, near bus stops in the quiet neighborhood of Chesterfield, the community guarantees accessibility. This nursing home is a great choice for senior living in Missouri, especially with its comprehensive care options.

Contact Delmar Gardens of Chesterfield

Overview of Westwood Hills Health and Rehabilitation Center

Westwood Hills Health and Rehabilitation Center is a nursing home in Poplar Bluff, MO, offering rehabilitation and skilled nursing. With a supportive and welcoming environment, the community ensures older adults are well-cared for during their stay. 24-hour care, therapies, and well-balanced meals are among the exceptional services dedicated to improving residents’ quality of life. The community also focuses on residents’ holistic well-being, providing personalized care plans tailored to their needs and preferences.

Social events, light exercises, and fun games encourage residents to live actively and gain meaningful moments. Top-notch rehabilitation equipment and lively gathering areas also ensure residents can freely interact with friends and rest comfortably. Residents also experience a stress-free retirement, as it is conveniently located in the tree-lined neighborhood of Poplar Bluff. This nursing home has high-quality services that aim to help older adults thrive in retirement, making it a good option for senior living in Missouri.

Contact Westwood Hills Health and Rehabilitation Center

Overview of Willard Care Center

Willard Care Center is a nursing home located in Willard, Missouri. The 66-bed facility is operated by N & R Of Willard, LLC under the ownership of Joshua Groce, with Denna Henderson serving as administrator. Medicare and Medicaid are accepted, giving families multiple options to cover care costs. The home currently operates at 88% occupancy. Residents stay an average of 43 days, including those receiving short-term rehabilitation and who need ongoing skilled nursing care.

Residents receive an average of 4 hours and 48 minutes of nursing care each day. Registered nurses, licensed nurses, and nursing aides provide hands-on support across all shifts. There’s a doctor on staff, and 24-hour staffing ensures medical and nursing care are available all day and night. For residents recovering after surgery or a hospital stay, this level of clinical support can be an important part of the recovery process.

The home focuses on rehabilitation services, supported by amenities including professional medical care and on-site therapy facilities. The facility is the only nursing home in its immediate area to offer free CNA and CMT training classes. This can be valuable for residents and families interested in healthcare training.

Residents also have access to complete dining services with various nutritious meals and snacks tailored to their preferences. Beyond clinical care, the center offers resident transportation and bill-payment assistance, practical features that make it easier for families managing multiple touchpoints.

The facility’s location on West Walnut Lane is in a somewhat walkable area. A few nearby services are reachable on foot, but most trips will require a car. The neighborhood setting suits families who visit regularly and want easy driving access.

Over the past 8 years, inspections conducted by the Missouri Department of Health and Senior Services have centered on communication and documentation practices, including how facility staff handles notification of health changes and medication tracking. Families touring the home should ask how these processes are managed daily.

Contact Willard Care Center

Delhaven Manor

5460 Delmar Blvd, Saint Louis, MO 63112-3104
Overview of Delhaven Manor

Delhaven Manor provides a 156-bed skilled care environment on Delmar Boulevard in Saint Louis, Missouri, under owner Thomas Jackson and operator Delhaven Manor No 2, Inc. The administration processes daily resident transactions across multiple financial tracks, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the urban location boasts an exceptional walkability score of 92 out of 100, indicating a highly pedestrian-friendly grid where visitors can easily manage local errands or walk to nearby dining spots without needing a car.

Records show a 38 percent occupancy rate coupled with an average length of stay of 210 days, reflecting an operational routine that balances multi-month residential placements with short-term post-hospital therapy. To monitor continuous clinical care and daily movement, the around-the-clock staffing schedule averages 3 hours and 28 minutes of total nursing care per resident each day. This shared workload incorporates 2 hours and 40 minutes from nurse aides who handle direct physical transfers, hygiene tasks, and medication updates supervised by an on-staff physician.

Publicly available survey results show that recent checks noted specific procedural deficiencies involving standard infection control protocols, resident funds management, and staffing credentials, meaning the home’s long-term cumulative citations-per-inspection rate is above zero.

Interested individuals can evaluate how the facility coordinates daily occupational, speech, and physical therapy loops to meet target recovery milestones. The physical layout features dedicated treatment spaces, standard shared dining options, and indoor community rooms designed for localized clinical care. Family members can contact the front desk directly to secure a walk-through of the wings, check private room configurations, and go over standard insurance clearances face-to-face.

Contact Delhaven Manor

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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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.