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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 TableNH (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.
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.
$4.6M*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.
$2.4M*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.
52%*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.
$3.6M*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.
$2.3M*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.
62.8%*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.
$7.4M*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.
$5.8M*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.
77.7%*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.
$4.9M*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.
$1.9M*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.
38.2%*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.
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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.
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.
Sunrise Nursing & Rehabilitation is a 152-bed skilled nursing facility operated by 600 Opco LLC at 600 East Sunrise Drive in Raymore, Cass County, Missouri. Welcomed are Medicare, Medicaid, and private pay, with most of 134 residents on long-term stays averaging 130 days. The facility operates near capacity at 88 percent occupancy, well above Missouri’s 66.6 percent average.
CMS rates the facility 1 star, 62 percent below Missouri average, driven by below-average health inspection and staffing sub-ratings. Quality measures are the one positive sub-rating, running 43.4 percent above state average. Across 6 inspections since 2021, the facility totaled 42 total, including 2 critical findings, with a substantiated immediate jeopardy citation in May 2023 involving resident-to-resident abuse resulting in serious injury. A $10,000 federal fine was issued in April 2024, with no payment denials. Nurse hours run 2h 37m per resident per day, 31 percent below Missouri average.
An active resident council and residents group exist.
The facility serves long-term Medicaid residents in Raymore, in Cass County south of Kansas City.
Southgate Living Center is a 94-bed nursing home at 500 Truman Boulevard in Caruthersville, Missouri, operated by Caruthersville No. 1, Inc. in Pemiscot County. At 62 percent occupancy, modestly below Missouri’s 66.6 percent average, the facility typically has availability. Medicare, Medicaid, and private pay are welcome, with most current residents on long-term Medicaid stays averaging 135 days.
The facility is rated 3 stars by CMS, 14.1 percent above Missouri average, with the health inspection sub-rating running 37.9 percent above state average. Across 4 inspections since 2022, the facility recorded 28 total citations, including a substantiated immediate jeopardy finding in September 2023 involving improper medication administration that resulted in resident hospitalization and a $13,000 federal fine. No further enforcement actions exist. Meanwhile, CNA hours run 32 percent above the Missouri average, the facility’s clearest staffing strength.
On-site therapy, church services four times a week, beauty services, and an active resident council are among the amenities. A state-approved nurse aide training program operates on-site.
Southgate Living Center serves long-term Medicaid residents needing ongoing skilled nursing care in rural Pemiscot County.
John Cole and Sarah Powers handle the daily operations at Campbell Healthcare & Senior Living on US Highway 62 in Campbell. The main office keeps things simple with billing, taking the standard routes like private pay, Medicaid, and Medicare. Since the local area logs a walkability score of 32 out of 100, it is mostly car-dependent, so you will definitely want a vehicle to drop by for a visit or run quick errands nearby.
This 90-bed facility stays about 70 percent full with 63 active residents. Stays average around 141 days, which shows that the staff balances their daily schedules between long-term living and short-term post-hospital rehab. To keep up with regular medical needs, the 24-hour shift framework provides an average of 3 hours and 42 minutes of direct nursing care per resident each day, split up among registered nurses, practical nurses, and nurse aides.
Public files from the state health department track how well the building sticks to regular safety and care guidelines. While one past inspection wrapped up with zero health deficiencies, follow-up surveys flagged a few standard areas needing some adjustment, specifically regarding clinical infection control habits, basic environmental safety, care plan paperwork, and daily staffing records.
Families can check out the specialized rehab-to-home setup, short-term respite stays, and the secured care wing. The indoor layout features both private and semi-private rooms, plus a few extras like an on-site library, a family lounge, an ice cream soda shop, and a barber shop.
Located in Steele, Missouri, River Oaks Care Center is a nursing facility operated by Steele #1, Inc., owned by David Pierce and administered by Lisa Kelley. At 90 beds, the facility supports both short-term rehabilitation and ongoing nursing care. It accepts Medicaid, Medicare, and private pay residents. The facility’s current occupancy rate is 74%. Residents stay for an average of 216 days, placing it between short-term post-acute recovery stays and longer-term care placements.
Residents have access to comprehensive nursing services, with a total of 3 hours of nursing care per resident each day. They are supported by registered nurses, nurse aides, and licensed practical nurses on a 24-hour basis. There are also rehabilitation services and short-term rehab programs alongside routine skilled nursing care.
Nutritious meals are also provided as part of daily life at the facility. The surrounding area in Steele has a walkability score of 47 out of 100, so most daily activities and services require transportation; however, some nearby services can be reached on foot.
River Oaks is a relatively new facility now in its second year of operation. The inspection by the Missouri Department of Health and Senior Services identified areas of focus, including environmental safety, medication management practices, and care planning. The facility maintains review and oversight processes to address these findings and support residents’ safety and quality of care.
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.
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.
Under Crystal Layman’s administration, Greenville Health Care Center is a 60-bed skilled nursing home in Greenville, Missouri, a small rural community in the southeastern part of the state. Owned by Kimberly Mcdaniel and operated by Greenville Health Care Center, LLC, it accepts Medicare, Medicaid, and private pay. This gives families numerous ways to cover care costs.
With 57 of its 60 beds filled, the community is well-occupied at 95 percent capacity. The average stay length hovers around 508 days, indicating a solid focus on longer-term care instead of short-term rehabilitation. Daily nursing support totals around 1 hour 54 minutes per resident, broken down among registered nurses, licensed practical nurses, and certified nursing aides. A doctor is on staff, offering residents easy access to medical oversight and clinical decision-making in the home. The location in Greenville scores 24 on the Walk Score scale, reflecting the car-dependent nature of much of rural Missouri. Visiting family members will then want to plan to drive to the facility rather than walking or taking public transit.
With ongoing inspection data on file since 2018, Greenville Health Care Center is regulated by Missouri’s Department of Health and Senior Services, Division of Regulation and Licensure.
Adair Village is a 120-bed nursing home under owner Mark Vogt in Clinton, Missouri, set at 1801 N Gaines Drive and operated by Clinton No 2, Inc. Medicaid, Medicare, and private pay give families several payment routes for longer-term skilled nursing care. The community currently serves 43 residents at a 36 percent occupancy rate.
The facility highlights short-term rehabilitation and restorative care, offering rehabilitation services plus respite choices for those needing temporary support. Average length of stay runs about 136 days, indicating a mix of post-acute rehabilitation occupants and those with active nursing needs. Daily staffing supports this mission with roughly 3 hours 56 minutes of total nursing care per resident day, comprising registered nurse time, nurse aide support, and LPN/LVN coverage. To manage residents’ medical and personal care needs, the home operates with 24-hour staffing presence. It’s situated in a moderately walkable neighborhood (Walk Score 52), meaning some errands are walkable, though most visits and appointments involve a brief drive. That balance of residential quietness with enough nearby access fits families wanting a serene setting without full isolation. Daily support includes therapy services and salon amenities. As part of their daily care, residents eat nutritious meals.
State inspections have noted areas for strengthening, specifically in medication documentation, resident safety protocols around transfers and fall prevention, and care coordination timing. These are active focus areas as the facility works to refine its processes.
The home’s focus on restorative care and rehabilitation makes it a pragmatic choice for those convalescing from a hospital stay or surgery who need structured nursing support and to regain independence.
La Plata Nursing Home is a nursing home in La Plata, MO, offering rehabilitation and skilled nursing. The community promotes a nurturing and welcoming environment to ensure older adults’ comfort and safety. 24-hour care, housekeeping, and nutritious meals are also offered to enrich residents’ living experiences. Through a holistic approach to care, the community strives to meet residents’ unique needs and preferences.
Light exercises, social events, and various games provide residents with more opportunities to explore new interests and have fun. Thoughtfully furnished rooms and cozy common areas also ensure residents have more spaces to rest and interact with their surroundings. Nestled in the tree-lined residential area of La Plata, residents are guaranteed a stress-free retirement. This nursing home is a good option for senior living in Missouri, as it has dedicated services for older adults’ welfare.
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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