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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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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.
$814.2k*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.
$626.4k*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.
76.9%*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.
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
Granby #1, Inc. operates Granby House, a 60-bed home in Granby, Missouri. Tara Spencer serves as administrator.
Insulin and pain control run on schedules that ignore business hours. Licensed nursing stays on site through the night for exactly that reason.
Hospice and palliative care are both available. Comfort-focused care is largely a set of decisions about what to stop, made once treatment stops being the point.
Respite is the short version, and the end date is the appeal. A family knows the day it stops, which a permanent move never gives.
Nursing time holds at 3 hours and 22 minutes per resident each day. Rehabilitation services are part of what the home handles. Medicare, Medicaid, and private pay can each cover care for families who qualify. Someone needing steady nursing, comfort care, or a temporary stay fits the setup here.
Abbey Senior Health offers independent living, assisted living, nursing home and skilled nursing, hospice care, palliative care, and respite care in O’Fallon, MO. Independent living provides private living with community services and no daily care, while assisted living helps with daily tasks such as bathing, dressing, and medication.
Nursing home and skilled nursing provide licensed nursing care on site around the clock. Hospice care focuses on comfort at the end of life, while palliative care focuses on comfort and symptom relief during serious illness.
Respite care offers a short stay, while short term rehabilitation provides therapy during recovery from illness or injury. Because Abbey Senior Health offers several care levels, it may be a good fit for a resident whose needs may grow over time or for a family needing temporary support while a usual caregiver travels or recovers.
The community has 65 beds. Total nurse staffing is 5 hours 8 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Payment options are Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid can help when savings do not cover a long stay, and private pay means paying directly.
A Walk Score of 65 means the area is somewhat walkable, with some errands possible on foot. A resident who no longer drives may be able to handle certain outings independently.
Residents can attend Catholic Mass and Communion, use the chapel for prayer and Bible study, and participate in exercise classes. Spa treatments are also available, and C Christopher Brown serves as the administrator.
Delmar Gardens of Creve Coeur is an assisted living community in Saint Louis, MO, offering independent living and personal care. With its warm and welcoming environment, the community ensures older adults can feel at home during their stay. Residents can also maintain their independence with ease, with weekly housekeeping, maintenance services, and daily gourmet dining. The community also works closely with residents to provide high-quality care dedicated to their needs and habits.
Outings, fitness exercises, and themed events provide residents with more opportunities to interact with friends and gain meaningful experiences. Parking spaces and cozy living spaces ensure residents can rest without hassles. Residents also experience a stress-free retirement with its ideal location near Westgate Lake, restaurants, shops, and bus stops. This assisted living community is a good option for senior living in Missouri, especially with its high standards of care and clean setting.
Discover Foxwood Springs, an esteemed senior living community situated in the heart of Raymore, Missouri, encompassing a scenic 138-acre campus. Upon stepping onto this tranquil landscape, a sense of warmth and hospitality embraces all who arrive. Foxwood Springs caters to those seeking an independent retirement lifestyle, where purposeful living harmonizes with the freedom of an active retirement. Residents delight in fostering rewarding friendships, pursuing meaningful activities, and cherishing a profound sense of community.
The community’s commitment extends beyond independence, providing access to various levels of senior living, including assisted living, memory care, long-term care, and short-term rehabilitation. Residents find solace and comfort in this vibrant haven, whether reveling in the natural light of their studio, one-bedroom, or two-bedroom apartments or enjoying the tranquility of garden homes with attached garages. Foxwood Springs invites seniors to embrace their golden years with elegance and fulfillment, where choice and freedom flourish.
Offering skilled nursing and rehabilitation services, Life Care Center of Bridgeton is a skilled nursing community and nursing home in Bridgeton, Missouri. Residents can receive therapy as part of their care on-site, rather than arranging rehabilitation separately. The center has 91 beds with a current occupancy of 75.8%.
Residents receive a total of 3 hours and 20 minutes of nursing care per resident per day, representing the recorded daily nursing time allocated per resident. Moreover, a beauty salon and barber shop allow residents to arrange hair care on-site. Housekeeping, laundry, and dining also help with residents’ household tasks. Meanwhile, religious services are available for those who wish to participate.
Payment options are Medicare, Medicaid, and private pay. This suggests that Medicare can apply to short-term skilled care after a hospital stay, Medicaid may help cover eligible long-term care when personal savings are insufficient, and families can pay directly for services. Carrie Wookey serves as administrator, and Bridgeton Operations operates the community.
St Andrew’s at Francis Place provides skilled nursing and memory care in Eureka, MO. Skilled nursing offers licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for residents who may be at risk of wandering. Short-term rehabilitation, long-term skilled nursing care, long-term memory care, and respite care are available, giving families options for rehabilitation, ongoing care, or a short stay while a usual caregiver travels or recovers.
The community has 106 beds. Total nurse staffing is 4h 34m per resident/day, representing the nursing time allocated to each resident across a day. On-site rehabilitation services support short-term recovery without arranging therapy elsewhere, and residents can take part in seasonal celebrations, music, learning opportunities, and social activities.
Residents have access to a salon and spa area, while chef-inspired meals are prepared daily. A Walk Score of 54 is somewhat walkable, meaning some errands can be done on foot, so a resident who no longer drives may be able to reach some nearby destinations independently.
Payment options are Medicare, Medicaid, and private pay. Medicare covers short-term skilled care after a hospital stay rather than long-term residence, Medicaid may help when savings do not cover a long stay, and private pay means using personal funds. Courtney West serves as the administrator.
Ignite Medical Resort in St. Mary’s is a beautiful and luxurious senior living community that sparks an energy that encourages you to get back to doing what you were already doing– just more improved this time. The medical resort boasts an integrated personalized care program that ensures you return to your family immediately. Ignite Medical Resort is one of the best nursing homes in Northland that approaches your needs thoroughly and compassionately.
Life at Ignite is relaxing and rejuvenating because they house state-of-the-art technologies, partner with world-class professionals, and boast their resort-like community. They offer orthopedic rehabilitation, cardiac care, wound care, and dialysis, ensuring the best for your needs.
Sherbrooke Village has built a reputation as a leading provider of exceptional care for older adults, with a focus on hospitality and a commitment to creating a seamless living experience. They prioritize the comfort and well-being of their residents above all else. From their carefully crafted wellness programs to their inviting dining options and social activities, they strive to create a warm and welcoming environment that feels like home. But it’s not just their commitment to quality care and hospitality that sets them apart. Their location in the heart of St. Louis, with easy access to all that the vibrant city has to offer, makes them a popular choice among locals as well.
The senior living community provides a wide range of essential services and amenities to ensure that residents receive the care and support they need to live comfortably and independently. Some of these services include daily meals served in the dining room, medication management, care coordination, laundry and housekeeping services, and regular wellness checks by staff members. In addition to these vital services are amenities designed to enhance the quality of life for residents. Some of these amenities include in-room dining services up to three times per month, local transportation up to four times per month, a weekly happy hour, group outings and events, a life enrichment program, and a wellness program. Routine maintenance services are provided to ensure that the community remains safe and comfortable for all residents. Registered dietitian consultation is also available to help residents maintain optimal health and well-being.
Prairie View Skilled Nursing offers nursing home care, skilled nursing, hospice care, palliative care, and respite care in Bloomfield, Missouri. Skilled nursing provides nursing care onsite around the clock, while hospice and palliative care focus on comfort and symptom support. Respite care is a short term stay for a family whose usual caregiver needs to travel or recover.
The home has 60 beds, with total nurse staffing of 3 hours and 34 minutes per resident each day. That figure represents the daily hands on nursing time available to each resident. Medicare, Medicaid, and private pay are accepted, giving families payment paths that may include short term skilled care after a hospital stay, Medicaid coverage for eligible long term care needs, or direct payment.
Covered front and back patios offer outdoor space, while a whirlpool spa provides bathing support and an onsite beauty salon supports personal grooming without leaving the community. Rehabilitation services, scheduled transportation for doctor appointments and shopping, a grand dining room, and a private family dining room are also available. Daily devotionals and activities create scheduled opportunities for spiritual reflection and engagement, and Maci Harris serves as the administrator.
The Pines Post-Acute Rehabilitation and Retirement Center is a nursing home in Kirksville, MO, offering skilled nursing and rehabilitation. The community has a warm and welcoming environment that aims to keep older adults comfortable and safe. High-quality services, including 24-hour care, well-balanced meals, and recreational opportunities, are also provided to improve residents’ quality of life. Focusing on residents’ holistic wellness, personalized care plans are also provided based on their unique needs and preferences.
Mascots, celebrations, and light exercises encourage residents to live actively and make friends. Thoughtfully furnished common areas and cozy living spaces also ensure residents can rest and interact with their surroundings comfortably. Residents also experience a laid-back lifestyle, as it is ideally set in the quiet residential area of Kirksville. As one of the best options for senior living in Missouri, this nursing home ensures older adults can thrive in retirement.
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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