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Why trust this guide?
Our editorial team analyzed 301 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 301 on this page. See how we rank facilities
Stonebridge Florissant, in Florissant, MO, carries skilled nursing, respite care, hospice care, and nursing home care, with 120 beds licensed. Skilled nursing is licensed care given on the premises. Hospice is here for the end of a life rather than the winding down of a stay.
Respite care handles a short stay for a household that needs its arrangement paused instead of replaced. Any of the three could be what brings a family to the door.
Each resident’s share of daily nursing is 3 hours and 32 minutes. Coverage here comes through Medicaid, Medicare, or a family’s own funds.
A Senior Rehabilitation program covers the recovery work, and it covers holding onto function that a resident still has. A salon is on site as well. Rolando Carter is the administrator, and Eldercare Of The Valley operates the home.
Delmar Gardens West in Town and Country, Missouri, maintains a full continuum of care including independent living, assisted living, memory care, nursing home services, skilled nursing, hospice care, and palliative support. Assisted living assists with daily activities like bathing and medication management, whereas independent living offers private residential living without daily assistance. Secured memory care accommodations serve residents living with memory impairments, while short-term rehabilitation features daily physical, occupational, and speech therapy. Respite stays give family caregivers brief temporary coverage.
This 321-bed facility features both private and semi-private room layouts. Community amenities include an on-site beauty salon and regular religious services. Operationally, administrator Richard Taylor and operator Delmar Gardens West Operating direct campus activities. Nurse staffing averages 4 hours and 14 minutes per resident daily.
Interested individuals can get in touch with Delmar Gardens West to inquire about current room choices, set up a campus tour, or review admissions procedures. Payment options incorporate Medicare, Medicaid, and private funds.
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.
Grandview Healthcare Center is a skilled nursing facility in Washington, Missouri. It is set on Grand Avenue in a very walkable neighborhood, so most daily errands can be done on foot. The facility is operated by Washington N & R, LLC, owned by Shelia Lawson, and administered by Christina Jean Gill. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover rehabilitation stays and longer-term nursing care. The 102-bed community has been operating for 28 years and has an occupancy rate of 47%.
The home focuses on rehabilitation and short-term recovery. There are on-site physicians, physical and occupational therapists, and dietitians on staff. This means residents have access to coordinated medical care and won’t need to leave the facility for appointments.
The facility’s specialized services include wound management, IV therapy, complex diabetes management, and ostomy care, making it a practical choice for those recovering from surgery or managing complex medical needs. Families seeking flexible arrangements have access to respite care and hospice services.
Daily nurse staffing averages 2 hours and 56 minutes per resident. Registered nurses, nurse aides, and LPNs work around the clock to support residents. This staffing level helps residents receive hands-on assistance and supervision throughout their stay, particularly during recovery or illness.
Residents also have access to on-site beauty and barber services, as well as a dining program that provides meals tailored to their preferences. A full schedule of daily activities helps keep residents engaged. Laundry and housekeeping services are also available to maintain resident rooms and common areas.
Families managing orthopedic recovery, neurological conditions, amputation rehabilitation, or Alzheimer’s and behavioral care may find the facility’s specialized programs and seasoned staff well-suited to their needs. The home’s clinical services and hands-on support provide a strong foundation while focusing on dignity and daily comfort.
Living Community of St Joseph offers nursing home, assisted living, independent living, respite care, and skilled nursing in Saint Joseph, MO. Nursing home and skilled nursing provide licensed nursing care on site around the clock, assisted living provides help with daily tasks, independent living provides private living with community services and no daily care, and respite care provides a short stay. Several care levels within one community can suit a resident whose needs may grow over time without requiring a move to another community.
The community has 131 beds. Total nurse staffing is 4 hours 8 minutes per resident per day, representing the daily nursing time assigned to each resident. Rehabilitation services and short-term rehab are available for residents who need a time-limited recovery stay.
Medicare, Medicaid, and private pay are accepted. Medicare can apply to short-term skilled care after a hospital stay, Medicaid can help when savings do not cover a long stay, and private pay means the family pays directly. Pets are allowed, so residents may keep pets in the community.
A Walk Score of 76 places the area in the very walkable range, with most errands possible on foot; shops, a pharmacy, or cafes may be reachable by walking for a resident who no longer drives. Katie Johnson serves as the administrator.
The Hilltop at Blue River is a community where residents are sure to thrive during their golden years. The skilled nursing home and rehabilitation center strives in providing all the necessary needs of its residents while striving to balance holistic wellness. The community prides itself on its team of dedicated staff who deliver quality service with compassion and kindness. Hilltop’s unique approach to senior nursing is found in the innovative and creative approach while maintaining a sense of community, individuality, and independence.
The Hilltop’s center of excellence is found in the range of healthcare services offered, activities, and social services; these include wound care and therapy (occupational, physical, and speech). Personalized care is also offered to maximize the potential of its residents by ensuring that their needs are all met.
Life Care Center of Grandview is a nursing home and skilled nursing community with memory care in Grandview, MO. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a supervised setting for someone who needs support related to dementia or memory loss. Rehabilitation services are also available, so a resident can receive therapy as part of care at the community.
The community has 172 beds, which means it serves more residents and has the scale for more staff and programming than a smaller community. Total nurse staffing is 4 hours and 26 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Life Care Center of Grandview may be a good fit for someone who needs nursing care, memory support, or rehabilitation in one setting.
Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care depending on eligibility and resources. The community is administered by Tonja Lofton and operated by United Investors Limited Partnership. Transportation is available, and a beauty salon and barber shop give residents access to hair care on site.
A community re-entry program supports work focused on helping residents return to community living, while the daily activity schedule provides planned activities during the day. The Walk Score is 62, meaning the area is somewhat walkable and some errands can be done on foot, so a resident who no longer drives may be able to reach certain nearby destinations independently.
In Kansas City, MO, The Bishop Spencer Place is licensed for assisted living, memory care, respite care, nursing home care, independent living, and skilled nursing. Assisted living is help with the named tasks and nothing past them: dressing, bathing, medication, in a private apartment. Independent living drops the daily care and keeps the community services, so nobody sets the agenda but the resident. Memory care is supervision that does not lapse once the building goes quiet for the night.
Licensed clinical staffing covers every hour of the day. Short respite stays often work as a trial run, testing whether a permanent move would hold while keeping a way back out. A person whose needs grow can reach the next level here without leaving.
118 beds make the community, and the nursing time stands at 5 hours and 58 minutes for every resident across a full day. Rehabilitation services are available to a resident recovering, and to one working to hold onto what they still have. Pets are allowed at move-in.
Most families arrive on Medicare and finish on Medicaid, and private pay works here as well. Tina Capeder holds the administrator role. A Walk Score of 94 out of 100 earns the neighborhood a walker’s paradise title. Daily errands do not need a car, and a resident who no longer drives can still handle them alone.
Overview of The Jefferson City Nursing and Rehabilitation Center
The Jefferson City Nursing and Rehabilitation Center is a nursing home in Jefferson City, MO, providing nursing care and support with daily needs. The community has 120 beds, and total nurse staffing is 3 hours and 13 minutes per resident per day, representing the daily nursing time assigned to each resident. Payment options include Medicare, Medicaid, and private pay, giving families public program and direct payment pathways to arrange care.
Oakdale Care Center holds three designations at one Poplar Bluff address: skilled nursing, residential care, and assisted living. A resident whose needs increase does not have to change buildings for each step.
Bathing is the usual reason a family starts asking about assisted living. It becomes the thing a whole morning gets planned around, and assisted living hands it to staff, with dressing and medications.
Skilled nursing means nothing about a Tuesday at midnight changes who is on the floor. Nursing time holds at 2 hours and 32 minutes per resident per day; an average drawn across 166 beds. Advanced therapy and rehabilitation services are available where therapy is part of a resident’s care.
Three payment routes work here: Medicare, Medicaid, and private funds. Walk score for the area is 67, which puts it in the somewhat walkable range. Such a number means more to a residential care resident who still goes out alone than to anyone in the nursing wing. Misty Ulmer administers the center for Palladian Senior Care of Poplar Bluff.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 301 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
Nursing Homes in Missouri at a glance
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
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