Best Nursing Homes in Missouri

Overview of Raintree Village

Raintree Village is a 40-bed assisted living and independent living community at 1501 SW Arborwalk Boulevard, Lee’s Summit, Jackson County, Missouri, operated by CCRC of Lee’s Summit LLC, a voluntary non-profit community sponsored by a church. Cody Hughes serves as administrator. The facility is part of a continuing care retirement community and offers independent living, assisted living, and short-term rehabilitation.

Staffing is a clear strength. Registered nurse coverage stands at 1 hour 36 minutes per resident per day, substantially exceeding the Missouri state average of 28 minutes by 243 percent. Licensed practical nurse staffing is 1 hour 11 minutes per resident per day, 73 percent above the state average of 41 minutes. Certified nurse aide hours reach 3 hours 7 minutes per resident per day, 35 percent above the Missouri benchmark of 2 hours 19 minutes.

Weekend total nursing hours are 5 hours 2 minutes per resident per day, 65 percent above the state average of 3 hours 3 minutes, with weekend registered nurse coverage at 55 minutes per resident per day (175 percent above the state average of 20 minutes).

Physical therapist hours are notably elevated at 16 minutes per resident per day, 701 percent above the Missouri state average of 2 minutes, reflecting substantial rehabilitation capacity for post-acute and short-stay residents. The facility operates an active resident council.

Independent living is priced at $3,695 per month; assisted living is $5,990 per month. Current resident census is 10 residents, all private pay.

The facility is located in a highly walkable area (walk score 85), with most daily errands accessible on foot.

No civil money penalties or payment denials were reported in the past three years. Raintree Village’s staffing metrics, particularly elevated weekend and physical therapy hours, are substantially above state benchmarks and distinguish the facility.

Families should request inspection and compliance records, quality outcome data (hospitalizations, ED visits, falls, readmission rates), and clarification of admission criteria and care transitions.

Overview of Independence Court

Independence Court is a 75-bed residential care facility at 121 Independence Drive, Perryville, Perry County, Missouri, operated by Independence Health System, Inc under the administration of Dana Korando. The facility provides memory care, rehabilitation services, and skilled care. It maintains 24-hour staffing and operates continuously. The neighborhood is moderately walkable with a walk score of 69.

The facility has received CMS 5-Star Facility recognition, indicating superior quality performance according to Centers for Medicare and Medicaid Services rating criteria.

The facility indicates 24-hour staffing is maintained.

Rehabilitation services and skilled care are referenced. Religious services and ombudsman services are available.

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 history shows zero total inspections recorded, compared to a Missouri state average of seven for comparable residential care facilities. This unusually sparse inspection history requires explanation.

Before considering placement, families should request staffing documentation, memory care protocols, current licensing records, and clarification of the CMS 5-Star rating basis.

Seneca Healthcare Center LLC is a 30-bed residential care facility at 2400 South Cherokee Avenue, Seneca, Missouri, operated by Seneca Healthcare Center LLC and administrated by Ms. Debra Williams. The facility provides skilled nursing care and rehabilitation services and maintains Joint Commission accreditation, a significant credential indicating compliance with national standards for healthcare quality and safety.

Twenty-four-hour staffing is available, and meals are prepared by a Registered Dietician. The facility accepts both Medicare and Medicaid, broadening payment options for qualifying residents. Beyond these operational details, publicly available data are limited. The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri residential care facilities.

Without access to the complete inspection record and detailed staffing breakdown, independent evaluation of operational performance is not possible. The zero-inspection finding requires clarification regarding facility age, census history, and regulatory standing before placement.

The walk score of 50 reflects moderately walkable surroundings, though most residents will need transportation for daily needs.

Operating hours are Monday through Sunday, 8:00 AM to 8:00 PM.

Missouri residents may access multiple payment assistance programs, including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance. The facility accepts these programs; however, pricing and cost-sharing details are not publicly listed.

Families should request staffing details, occupancy status, license expiration, inspection records, any deficiencies and citations, quality metrics, and staff credentials and training.

Overview of Monroe Manor

Monroe Manor is a 119-bed skilled nursing facility at 200 South Street in Paris, Monroe County, Missouri, administered by Shari Embree and operated by Monroe County Nursing Home District. Established in 1973, it serves Medicare, Medicaid, and private-pay residents,
primarily short-term rehabilitation cases averaging 173 days in length.

Registered nurse time averages only 14 minutes per resident per day, 50% below Missouri’s standard of 28 minutes. Weekend RN coverage drops to 7 minutes per day (65% below the 20-minute state average). Licensed Practical Nurse coverage is at 47 minutes per day, 15% above state average, and Certified Nursing Aide hours match state benchmarks at 2 hours 21 minutes daily. Combined weekend nursing totals 2 hours 30 minutes per day, 18% below Missouri’s state average of 3 hours 3 minutes.

Long-stay residents experience 2.70 hospitalizations per 1,000 days (30% worse than the state average of 2.08 per 1,000). Short-stay ED visits occur in 19.3% of admissions, 44% worse than the state average of 13.4%. Falls with major injury among short-stay residents hit 1.6%, double the state average of 0.8%. High-risk residents with pressure ulcers represent 21.2% of the population, a striking 323% above Missouri’s 5.0% benchmark.

Incontinence management also lags, with 21.4% of low-risk residents experiencing bowel or bladder incontinence (18% worse than state). Pneumococcal vaccination rates (100% of long-stay residents) and depressive symptom identification (0.4%, 97% better than state) represent preventive care and emotional wellness support.

Occupancy stands at 59.5%, below the Missouri average of 66.6%, with a current census of 73 residents in a 119-bed facility. The facility reported a $5.8 million annual operating deficit of $379,000 (negative profit margin of 6.8%), though payroll consumes 79% of revenue.

A complaint investigation completed January 14, 2025 documented a critical infection control failure. Prior regulatory activity includes a November 12, 2024 complaint investigation citing care planning and resident rights deficiencies; a March 14, 2024 standard health inspection identifying deficiencies in catheter justification documentation and pharmacist consultation response requirements; and inspections in April 2022 and March 2019 on record. Across five inspections over the past six years, Monroe Manor accumulated 13 total citations (1 serious, 12 moderate, 0 critical), a rate of 2.6 citations per inspection compared to the Missouri average of 5.67. The facility incurred a single federal civil money penalty of $35,000 in March 2024 and faced no payment denial actions.

The facility provides a Skilled Care Cottage, rehabilitation services, active resident council, and on-site nurse aide training. Private bedrooms, full bathrooms, zero-entry showers, a sun porch, and spa room are available.

Medicare, Medicaid, and private-pay coverage are accepted.

CMS ratings stand at 3/5 overall (14.1% above Missouri average), 2/5 for health inspection (37.9% above state average), 3/5 for staffing (7.4% below state average), and 1/5 for quality measures (64.2% below state average).

Families evaluating Monroe Manor should press for details regarding staffing protocols specifically for behavioral residents, infection control procedures, and preventive care management.

Overview of Lee’s Summit Place

Lee’s Summit Place is a 60-bed skilled nursing facility in Lee’s Summit, Jackson County, Missouri, operated by 3rd Street Healthcare LLC with Amy Bax as administrator. The facility provides skilled nursing care and rehabilitation services, accepting Medicare and private pay residents.

Staffing shows mixed metrics. Registered nurse coverage is 41 minutes/day, 46% above the average of 28 minutes/day, with weekend RN hours at 33 minutes/day (65% above the average of 20 minutes/day). However, total adjusted nursing care is only 2 hours 9 minutes/day; 43% below the average of 3 hours 48 minutes/day; ranking the facility 229th of 239 Missouri skilled nursing facilities. Licensed practical nurse hours are 29 minutes/day (29% below average), and certified nurse aide hours are 1 hour 53 minutes/day (19% below average).

Weekend total nursing is 2 hours 44 minutes/day, 10% below the average of 3 hours 3 minutes/day. Physical therapist hours are 5 minutes/day (150% above average).

Quality measures reveal concerns. Long-stay pressure ulcer rates are 5.8% of high-risk residents, 15% worse than average. Depressive symptoms affect 66.7% of long-stay residents, 419% worse than the average of 12.8%. Short-stay rehospitalization is 32.2% (27% worse than average), and emergency department visits for short-stay residents are 15.8% (18% worse than average).

Functional outcomes show strengths: high-risk clinical events score is 6.0 (45% better than average), and functional decline is 11.5 (41% better than average).

Occupancy is 80% (48 of 60 beds), above the Missouri average of 66.6%. Current resident payer mix is 12.5% Medicare, 70.8% Medicaid, and 16.7% private pay. The facility generated $3.0 million in gross revenue with a $131.4 thousand operating loss; payroll represents $1.1 million, or 37.7% of revenue. Walk score is 85.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections for all long-term care providers. Lee’s Summit Place received four inspections since 2022, with 29 total deficiencies (below the average of 35) but at a higher rate per inspection (7.3 deficiencies per inspection versus the average of 5). The April 7, 2025 routine inspection identified four deficiencies: failure to ensure medications were administered as ordered (one resident received Lorazepam Intensol without a physician’s order), inadequate pressure ulcer care for two residents with wounds untreated for 18 days, failure to assess and educate on self-catheterization, and inaccurate controlled substance documentation and disposal.

A concurrent complaint investigation substantiated deficiencies in pressure injury care, confirming delays in wound assessment and treatment spanning 18 days. Inspection history since 2022 shows recurring deficiencies in quality of life and clinical care (27%), infection control (17%), medication management (10%), and pharmacy services (10%). A May 2023 investigation identified failures in timely payment to vendors providing utilities and essential services.

The record demonstrates no clear improvement trend.

No civil money penalties, immediate jeopardy findings, or license actions have been reported in the past three years.

Families should request corrective action plans addressing April 2025 deficiencies, particularly pressure ulcer assessment and treatment protocols, medication administration procedures, and infection control retraining completion.

Overview of Pleasant View

Pleasant View is a 41-bed skilled nursing and assisted living facility at 641 Euclid Avenue, Hannibal, Missouri, operated by Mennonite Home Association Inc., owned by Megan Twyman, and administrated by Susan Tate. The facility offers a mixed care model; personal care, skilled nursing, rehabilitation services, and long-term residential living, serving a predominantly long-term care population with an average length of stay of 247 days.

Pleasant View’s performance metrics stand out significantly from peers. It holds a 4-star overall CMS rating (52.1% above Missouri average), with 4-star ratings across health inspection (37.9% above state), staffing (38.9% above state), and quality measures (7.5% above state). Total nursing care averages 3 hours 40 minutes per resident per day (ranked #132 of 256 in Missouri), though this runs 3% below the Missouri average of 3 hours 48 minutes. Weekend nursing hours drop to 2 hours 56 minutes per resident per day, which is typical across facilities but worth noting for families requiring high-acuity weekend coverage.

Occupancy is 71% (29 of 41 beds), above the Missouri average of 66.6%, reflecting steady local demand.

The resident mix reflects a business model balanced across payment types: Medicare admissions represent 34% of new residents (typical short-stay rehab of 2-3 months), private pay 41% (typical 1-year stay), and Medicaid 25% (typical 2-year stay). This payer diversification is a strength from a financial stability standpoint. Annual revenue is $3.3M with payroll of $1.9M (56% of revenue), placing the facility at #235 of 263 Missouri facilities by payroll investment. The 56% payroll percentage is below the typical 60-71% range for well-run Missouri skilled nursing facilities, which warrants consideration when evaluating long-term staffing sustainability versus operational costs.

The facility has incurred no penalties or fines in the past 3 years.

Walk score is 80 (very walkable), with most errands possible on foot, which is a significant asset for resident mobility and family visits. The downtown Hannibal location provides immediate access to services and healthcare resources.

Specific quality outcome metrics; hospitalizations, emergency department visits, falls, readmission rates, are not detailed in publicly reported data.

Families should ask about quality metrics directly during a tour, alongside verification of weekend staffing protocols and rehabilitation programming detail.

Overview of Alpine Breeze Health and Wellness

Alpine Breeze Health and Wellness is a 154-bed skilled nursing facility in Raytown, Jackson County, Missouri, operated by Raytown Road Healthcare LLC with Micah Davis as administrator. The facility specializes in memory care and provides rehabilitation services, accepting Medicare, Medicaid, and private pay residents.

Staffing presents critical deficiencies. Registered nurse coverage is 13 minutes/day, 54% below average. Licensed practical nurse hours are 25 minutes/day, 39% below average. Certified nurse aide staffing is 1 hour 51 minutes/day, 20% below average.

Total adjusted nursing care is 2 hours 9 minutes/day, 44% below average, ranking the facility 267th of 276 Missouri facilities. Weekend total nursing is 2 hours 4 minutes/day, 32% below average, with weekend RN coverage at 10 minutes/day, 50% below average. This staffing profile indicates substantially reduced clinical oversight, particularly on weekends.

Quality measures show contrasting patterns. Clinical outcome measures are strong: high-risk clinical events score is 2.9 (74% better than average), functional decline score is 8.1 (58% better), pressure ulcer rates are 2.1% (58% better), hospitalization rates are 1.55 per 1,000 days (25% better), and ED visits are 0.49 per 1,000 days (79% better). Vaccination rates exceed 99%. However, depressive symptoms affect 72.6% of long-stay residents, 465% worse than the average of 12.8%.

Occupancy is 90% (138 of 154 beds), above the Missouri average of 66.6%. Current resident payer mix is 12.1% Medicare, 85.7% Medicaid, and 2.2% private pay. Gross revenue is $4.9 million with an operating loss of $459.6 thousand; payroll represents 64.3% of revenue. Walk score is 73.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections for all long-term care providers. Alpine Breeze received 10 inspections since 2019, with 48 total deficiencies (37% above average). The facility received two critical citations and two serious citations, rates 186% and 100% worse than average, respectively.

Recent inspections identify serious patterns. April 2025: resident-to-resident physical injury resulting in hospitalization. January 2025: water service shutdown due to failure to pay vendors, constituting immediate jeopardy affecting 138 residents. January 2025: substantiated financial exploitation by CNA involving unauthorized Cash App withdrawals of $617.89 from a resident’s account.

October 2024: failure to provide proper discharge notice and refusal to readmit a resident after hospitalization; state appeals unit ordered readmission.

October 2023 routine inspection identified 18 deficiencies including failure to ensure resident privacy, widespread environmental cleanliness failures with mouse droppings, failure to follow wound care orders, unsafe resident transfers, inadequate infection control practices, improper food temperature maintenance, and delayed vendor payments. June 2023 complaint investigation identified three deficiencies: failure to provide behavioral monitoring for dementia residents resulting in resident-to-resident altercation, missing safety signage and handrails.

The inspection record demonstrates recurring deficiencies across six years in environmental maintenance, vendor payment administration, infection control, wound care, safe resident handling, behavioral monitoring for dementia residents, and food safety. The facility received $19,000 in civil money penalties in 2025.

Families considering Alpine Breeze should request corrective action plans addressing the January 2025 water shutdown, financial exploitation incident, and April 2025 resident injury.

Overview of Luther Manor Retirement & Nursing Center

Luther Manor Retirement & Nursing Center is a 64-bed skilled nursing facility at 3170 Highway 61 North in Hannibal, Marion County, Missouri, administrated by Ryan Wright and operated as a nonprofit by Luther Manor Association. Established in 1972, it provides skilled nursing and independent living apartments serving Medicare, Medicaid, and private-pay residents with an average length of stay of 164 days and current occupancy of 79.9%.

Total nursing care averages approximately 1.8 hours per resident per day, 53.7% below Missouri’s state benchmark of 3 hours 48 minutes. Payroll accounts for 66.4% of revenue, yet the absolute hours available per resident remain severely deficient.

Functional decline reaches 22.3 (14% worse than state average), and need for increased assistance with daily activities affects 24.3% of residents (23% worse than state). Urinary tract infection rates of 5.2% are dangerously elevated compared to the state average of 2.7%. Long-stay hospitalization rates of 2.95 per 1,000 days are 42% worse than Missouri’s benchmark. Short-stay re-hospitalization reaches 46.3% (83% worse than state average of 25.3%).

Falls with major injury occur in 4.9% of long-stay residents (21% worse than state average).

Financial performance shows the nonprofit operating at substantial loss with a $392.4 thousand annual deficit (profit margin of -8.0%) against $5.0 million revenue.

Eight inspections since February 2020 identified 27 citations including three serious violations. Four complaint investigations between April 2023 and October 2025 documented actual resident harm. April 2023 found the facility discharged a resident with severe dementia without securing physician coverage. The resident suffered a heart attack and aspiration pneumonia hours after discharge and was permanently denied readmission.

May 2023 found failure to report a humeral shaft fracture requiring two surgeries as a mandated injury. June 2025 established staff failed to notify the physician of hip pain following a fall for 48 hours; imaging revealed a hip fracture requiring surgery that likely would have been diagnosed immediately if reported timely. July 2025 found systemic failure to implement documented fall prevention interventions for a high-risk resident, resulting in a tibia fracture when newly hired aides did not use prescribed wedge cushions. October 2025 standard inspection identified serious citations for quality of care and resident rights violations.

Earlier inspections documented environmental violations including freezer temperature failures, unlabeled expired food, contaminated equipment, and inadequate background screening of staff.

The inspection record across six years demonstrates persistent deficiencies in clinical oversight, fall prevention, injury reporting, and quality assurance without evidence of sustained improvement. Multiple complaint investigations documented actual harm to residents combined with severe understaffing create substantial clinical and regulatory risk.

Luther Manor operates with active resident council and on-site nurse aide training in a very walkable location (Walk Score 80).

CMS ratings reflect the challenges: 1/5 overall, 2/5 for health inspection, 1/5 for staffing, and 2/5 for quality measures.

Families should understand the facility’s sustained compliance failures, critical staffing shortages, and documented instances of actual resident harm before considering placement.

Cedarcrest Manor is a nursing home in Washington, MO, offering long-term care, memory care, hospice care, personal care, palliative care, and rehabilitation. With a warm and nurturing environment, the community ensures older adults are well-cared for throughout their stay. Residents also receive exceptional services, including 24-hour care, nutritious meals, and maintenance services, ensuring they can maintain their independence with ease. Through an evidence-based approach to care, the community focuses on residents’ holistic welfare.

Light exercises, social events, and games provide residents with more opportunities to explore new hobbies and gain meaningful experiences. Residents can also relax and connect with their surroundings, with cozy living areas and lively gathering areas. With its ideal setting in the tree-lined neighborhood of Washington, near restaurants and shops, residents experience a laid-back lifestyle. This nursing home has high standards of care, making it one of the best options for senior living in Missouri.

Mercy Skilled Nursing – Lincoln is a nursing home in Troy, MO, offering rehabilitation and skilled nursing. The community’s nurturing setting ensures older adults can experience the utmost comfort. With comprehensive therapy programs, wound care, and infusion therapy, residents can focus on their recovery and rehabilitation. Along with a multidisciplinary team, personalized care plans are also provided to help residents regain their independence.

Educational programs and emotional support also ensure residents will not feel lonely during their stay. As it is located within a hospital, residents can still freely move around and rest comfortably. The community also guarantees accessibility with its ideal location near highways, restaurants, and shops in Troy. Providing dedicated care for older adults in their later years, this nursing home is a great choice for senior living in Missouri.