Page 11 of Best Nursing Homes in Missouri

Located in rural Hermitage, Missouri, Hermitage Nursing & Rehab is a skilled nursing facility operated by N & R of Hermitage, LLC, under the ownership of Jaquelyne Spence, with Shawnna Wood serving as the administrator. Medicare, Medicaid, and private pay are accepted, offering families multiple ways to cover rehabilitation and longer-term nursing care. The 120-bed facility has an occupancy rate of 50%, making it a newer option in the area with room for growth.

Rehabilitation and medical support are central parts of the home’s care program. Total nursing care averages 3 hours and 27 minutes per resident each day, providing consistent hands-on support across a team of registered nurses, nurse aides, and licensed practical nurses.

A doctor is on call 24 hours a day, and clinical support is available around the clock through the facility’s 24-hour staffing. Professional rehabilitation services and on-site pharmaceutical services are also available. Residents stay an average of 138 days, including those in short-term rehabilitation following hospital discharge and those in longer-term care.

Residents can choose from semi-private and private room options. Housekeeping and laundry services are provided daily. The home also offers free CNA and CMT (Certified Medical Technician) classes for staff, a sign of investment in ongoing professional development.

The home’s location in Hermitage has a Walk Score of 30, so some local services are within walking distance; however, most errands and appointments require transportation. The quiet rural setting may appeal to families looking for a calmer environment rather than a busier suburban or urban location.

Puxico Nursing & Rehabilitation Center is a skilled nursing home in Puxico, Missouri, operated by Puxico #1, Inc., owned by Chelsey Van De Ven, with Bobbi King serving as administrator. The facility accepts Medicare, Medicaid, and private pay, giving families several options to cover rehabilitation and ongoing nursing care. The 60-bed community has a current occupancy rate of 67%. Most residents stay an average of 122 days, with placements spanning post-acute rehabilitation and longer-term care.

The facility provides a solid level of daily nursing support. Daily nurse staffing averages 3 hours and 13 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses work across the day, so residents can receive consistent hands-on support. This staffing mix supports the kind of close monitoring families expect in skilled nursing.

State inspections have identified areas related to food safety, medication administration, infection control, and documentation. These are common areas of review in nursing home inspections. Families touring the facility can ask how these areas are monitored and managed daily.

Located on Highway 51 in Puxico, the facility is in a somewhat walkable area with a Walk Score of 45. Some errands can be handled on foot, while most trips will require a vehicle. The area is can be accessed by families visiting from out of town.

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.

Located on North West Street in Sikeston, Missouri, Hunter Acres Caring Center is a nursing home operated by Hunter Acres Caring Center, Inc., owned by Lisa Kelley and directed by administrator Melissa Pennington. The facility accepts Medicare, Medicaid, and private pay, offering families several payment options to cover short-term rehabilitation and longer-term skilled nursing care. The surrounding area has a Walk Score of 73 out of 100, so it’s very walkable. Many services and daily essentials are within walking distance.

The 120-bed community opened recently and has established itself. It has a current occupancy rate of 73%. Residents stay an average of 300 days, reflecting a mix of post-acute rehabilitation and long-term nursing care. The facility maintains round-the-clock staffing with total nursing care averaging about 3 hours and 16 minutes per resident each day. Registered nurses, nurse aides, and licensed practical nurses provide care around the clock to support residents’ medical and personal care needs.

State inspections have identified areas for improvement related to medication handling, personnel background screening, facility cleanliness, and pest management. Complaint investigations have also documented concerns regarding clinical responsiveness. These include the timing of physician notification and resident supervision protocols. Families considering the home can ask how these operational areas are being managed and improved.

Clarence Care Center is a 60-bed skilled nursing home on North Front Street in Clarence, Missouri, run by owner Tim Chinn, administrator Mark Walker, and the Clarence Nursing Home District. Financial billing is distributed across several standard coverage networks, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility is situated in a car-dependent neighborhood with a walkability score of 24 out of 100, meaning family members will need a vehicle for visits and local errands.

The property runs at a 57 percent occupancy rate, while an average resident stay of 523 days points to an everyday operational routine focused primarily on long-term residential placements alongside standard post-hospital therapy tracks. Daily clinical protocols are managed through a 24-hour setup that averages 4 hours and 39 minutes of total nursing care per resident each day. This continuous coverage is shared among registered nurses, licensed practical nurses, and nurse aides who handle direct physical assistance and medication tracking.

Public data shows how the administrative team responds to routine state regulatory reviews. Recent state inspection survey records show that the facility has logged specific compliance deficiencies concerning clinical care protocols, staff training routines, safety supervision, and financial paperwork management, meaning the home’s total cumulative citations-per-inspection rate is not zero, and families should review these corrections directly with the administration.

Interested individuals can participate in structured physical conditioning tracks, short-term rehabilitation, and temporary respite care loops. The kitchen staff prepares home-cooked meals fresh daily, giving residents the choice to gather in the central dining hall or receive meal trays in their rooms.

Sunset Home is a 60-bed nursing home at 1201 South Polk in Maysville, Missouri, operated by N & R of Maysville, LLC in DeKalb County. The facility has availability at 56 percent occupancy, below Missouri’s 66.6 percent average. Accepted are Medicare, Medicaid, and private pay, averaging 153 days stay length, geared toward long-term skilled nursing care. Resident transportation to medical appointments exists.

The facility is rated 1 star by CMS, 62 percent below Missouri average, driven by below-average health inspection and staffing sub-ratings. Quality measures run modestly above state average. Across 5 inspections since 2023, the facility recorded 34 total citations, 1 serious and 33 moderate, with no critical findings, recent fines, and recent payment denials. Nurse hours run 3h 48m per resident daily, aligned with Missouri’s average.

Sunset Home suits long-term Medicaid residents in rural DeKalb County needing ongoing skilled nursing care.

Laverna Manor Health & Rehabilitation is a nursing home focused on short-term rehabilitation at South Hall Avenue in Savannah, Missouri. Owned by Kimberly Marshall and administered by Karen Fletchall, it’s a 120-bed community that currently operates at 46 percent occupancy. With an average stay length of about 196 days, the home takes Medicare, Medicaid, and private pay, making it accessible to families with different coverage options.

Staffing support includes 5 hours 37 minutes of total nursing care per resident day, alongside registered nurses, nurse aides, and LPN/LVN staff. The home’s location in a moderately walkable area, with a Walk Score of 53, means most visits need a quick drive, with some nearby errands doable on foot.

Medication management, fall prevention and resident safety, abuse prevention, and food service practices have been the concerns identified by state inspections.

To ensure resident protection and well-being, families considering Laverna Manor Health & Rehabilitation may want to ask about how it addresses the identified areas of concern and what safeguards are present.

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 Valley View Health & Rehabilitation

Under administrator Michelle Perkins and owner Zelig Friedman’s leadership, Valley View Health & Rehabilitation is a 96-bed skilled nursing home operated by Valley View Health & Rehabilitation LLC in Moberly, Missouri. It takes Medicare, Medicaid, and private pay, so families have multiple routes to cover short-term rehabilitation and longer-term care. The community maintains steady occupancy at around 79 percent and serves a mix of residents, averaging a stay length of about 80 days.

The facility spotlights rehabilitation and skilled nursing care, supporting occupants via recovery and ongoing medical needs. Total nursing care averages around 3 hours 24 minutes per resident day, distributed across registered nurses, nurse aides, and licensed practical nurses. That staffing presence means diligent support is woven into daily routines. The home sits on East Rollins Street in an average walkable location, with a Walk Score of 68, so some errands can be managed on foot, and most trips involve a quick drive. Daily amenities include a beauty salon and barbershop, cable television, and access to a courtyard where residents can enjoy the outdoors. Families visiting regularly from out of town will find the location manageable.

Inspections by Missouri’s Department of Health and Senior Services have marked areas for continued attention in direct care practices, infection control, and pressure ulcer management. Such findings are typical of the kind that facilities work to solve through staff training and protocol review.