Page 14 of Best Nursing Homes in Missouri

Overview of Stonebridge Florissant

Stonebridge Florissant is a 120-bed skilled nursing home on North Highway 67 in Florissant, Missouri, operated by Eldercare Of The Valley, Inc. Billing operations accommodate multiple financial pathways, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding neighborhood holds a walkability score of 48 out of 100, which means the area is car-dependent and family members will generally find a vehicle practical for travel to the property.

The facility runs at a 55 percent occupancy level and logs an average resident stay of 151 days, indicating a daily workload distributed between multi-month residential care and short-term post-hospital therapy. To monitor continuous medical and personal care routines, the 24-hour shift schedule delivers an average of 3 hours and 56 minutes of total nursing care per resident each day. This shared workload is divided among registered nurses, licensed practical nurses, and nurse aides across the entire campus.

Recent state administrative reviews indicate that inspectors focused on medication management protocols, physician order verification records, wound care documentation, fall prevention assessments, and staffing levels, which means the facility’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing quality tracking.

Prospective residents have access to on-site physical, occupational, and speech therapy tracks alongside in-house X-ray, laboratory, medication management, wound care, and IV treatments. The facility provides an on-site beauty salon and barbershop, a 24-hour call system, and custom transportation arrangements for medical appointments.

Overview of Medicalodges Nevada

Medicalodges Nevada is a 100-bed skilled nursing facility at 1210 West Ashland Street, Nevada, Missouri, Vernon County. Kayla Shuey is the administrator; Medicalodges, Inc., operates the facility under the ownership of Susan Houser. The facility is 100% employee-owned and primarily serves short-stay rehabilitation residents, though it also accepts long-term private pay and Medicaid admissions.

The facility carries a 2-star CMS overall rating. Health Inspection performance is 24% below Missouri average, and Staffing is 31% below state average. Quality Measures, however, are rated 85.2% above state average. Current occupancy is 39.8%, with 45 residents occupying 100 beds and an average stay of 188 days, indicating a predominantly short-stay rehabilitation model.

Financially, the facility is operating at a loss of $533.3 thousand against $3.2 million in revenue, a margin of -16.9%, with payroll consuming 63.5% of gross revenue.

Nursing staffing is a mixed picture. Weekend RN coverage is actually 5% above state average at 21 minutes per resident per day, and LPN staffing is a genuine strength at 1 hour 3 minutes per day (54% above state average of 41 minutes). Certified Nursing Aides average 2 hours 50 minutes per resident per day, 22% above state average. Total nursing care reaches 5 hours 10 minutes per resident per day, 36% above state average.

However, weekday RN hours are 26 minutes per resident per day, 7% below state average of 28 minutes. Weekend nursing total of 3 hours 32 minutes per day runs 16% above state average, suggesting weekend staffing is actually adequate despite concerns about daytime RN presence.

Quality outcomes reveal conflicting patterns. Long-stay residents experience hospitalizations at 1.96 per 1,000 days (6% better than state) and emergency department visits at 1.24 per 1,000 days (47% better than state)—notably low. Yet walking ability declined in 25.7% of long-stay residents, 25% worse than state average. Weight loss affects 8.9% (60% worse than state average of 5.6%), pressure ulcers occur in 6.1% of high-risk residents (21% worse than state), and bowel or bladder incontinence affects 22.1% of low-risk residents (22% worse than state).

On the positive side, depressive symptoms appear in only 5.9% (54% better than state), urinary tract infections are 1.4% (50% better than state), and falls with major injury are 2.0% (51% better than state). Vaccination rates are 86.9% for pneumococcal and 92.5% for influenza, both in line with state benchmarks.

Inspections from August 2019 through August 2025 include eight health surveys and complaint investigations with 27 total citations, all of moderate severity, and zero critical or serious citations. This is 3.38 citations per inspection versus Missouri average of 5.67 (41% better). However, the inspection record reveals a recurring pattern of deficiencies across multiple years. August 2019 found inadequate activities programming and improper side rail assessments.

June 2022 cited infection control gaps and staffing documentation. June 2024 health inspection identified 16 deficiencies covering medication management, pharmacy oversight, nursing documentation, and administrator licensing. A concurrent complaint investigation the same month cited 8 additional deficiencies. Subsequent complaint investigations in September 2023, December 2024, April 2025, and August 2025 repeatedly address administrator licensing compliance and infection prevention.

The administrator’s license expired and was not renewed in a timely manner, constituting a governance failure that has triggered multiple complaint reviews.

The facility’s low occupancy (39.8%) and operating loss of $533.3 thousand suggest financial strain, though payroll as a percentage of revenue is reasonable at 63.5%. The facility is moderately walkable (Walk Score 59) and offers Medicare rehabilitation, Medicaid long-term care, and private pay services with access to Missouri financial assistance programs.

Families evaluating Medicalodges Nevada should ask directly about corrective actions taken following the April 2025 infection control citation and verify current administrator license status.

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.

Riverdell Care Center is a 60-bed skilled nursing facility operated by Boonville No. 2, Inc. at 1121 11th Street in Boonville, Cooper County, Missouri. Welcomed are Medicare, Medicaid, and private pay, with an average stay length of 212 days reflecting long-term care. The facility has some availability at 77 percent occupancy which is above Missouri’s 66.6 percent average.

CMS scores the facility 3 stars, 14.1 percent above Missouri’s average. Health inspection and quality measures both run above state average, 37.9 percent and 43.4 percent respectively, while staffing is the drag at 53.7 percent below. Across 3 inspections since 2022, the facility recorded 10 total citations, all moderate in severity, with no critical or serious findings, fines, and payment denials.

Amenities include a beauty shop and transportation for appointments alongside the clinical service offerings. On-site nurse aide training is in place. Programs feature a secured dementia care unit, wound care services, IV therapy, and on-site laboratory and radiology services.

The community is built for long-term skilled nursing and secured memory care in Boonville, with above-average inspection and quality outcomes and strong clinical services.

Overview of Prairie View Skilled Nursing

Prairie View Skilled Nursing is a 60-bed non-profit skilled nursing facility in Bloomfield, Missouri, operated by Prairie View Skilled Nursing LLC in Stoddard County. Accepted are Medicare, Medicaid, and private pay, with a resident mix of short-term rehabilitation and longer-term skilled nursing care. The community typically has availability at 77 percent occupancy, which is above Missouri’s 66.6 percent average.

CMS rates Prairie View 3 stars, 14.1 percent above Missouri average. The health inspection sub-rating leads that result at 37.9 percent above state average. Across 3 inspections since 2021, the facility averaged 6.7 deficiencies annually, 22 percent above Missouri’s 5.5 average, with no critical findings and fines noted. Staffing runs below state average and is the primary drag on the overall rating. Nurse hours come in at 3h 15m per resident daily, 14 percent below Missouri average.

Amenities include a grand dining room, private family dining room, whirlpool spa, and covered outdoor patios. An on-site nurse aide training program and active resident council exist.

Situated in rural Stoddard County, Prairie View fits residents seeking long-term skilled nursing or post-acute rehabilitation in a small non-profit community setting.

Overview of Cameron Nursing Center

Cameron Nursing Center is a 120-bed nursing home at 801 Euclid Ave in Cameron, Missouri. Operated by 801 Opco Llc and owned by Cynthia Hunter, it accepts Medicare, Medicaid, and private pay, so families have numerous routes to afford short-term rehabilitation and longer-term skilled nursing care.

The home is currently at 63 percent occupancy with an average stay duration of 93 days, indicating a blend of rehabilitation admissions and longer-term residents. Daily nursing support averages 2 hours 54 minutes per resident, with registered nurses, nurse aides, and LPNs on staff 24/7. Rehabilitation services exist on-site, and a doctor is available to residents, lessening the need for outside medical appointments. The facility handles health care and dietary management in-house. Cameron sits on a moderately walkable street (Walk Score 55), where families can run some errands on foot and have convenient access by car for others.

State inspections have noted areas demanding attention. These include environmental standards, infection control practices, and care documentation.

When considering Cameron Nursing Center, families may find it beneficial to ask detailed questions during a tour about how it maintains safety standards and resident care quality.

Valley Manor and Rehabilitation Center is a nursing home in Excelsior Springs, Missouri. It is located on Hospital Drive in a moderately walkable neighborhood with easy access to nearby services. The 120-bed facility is operated by Excelsior Springs #1, Inc., with Robert Buzard as owner and Nellie Peeler administering daily operations. It accepts Medicare, Medicaid, and private pay, offering multiple ways for families to cover the costs of short-term rehabilitation or ongoing nursing care.

As a newer facility, Valley Manor focuses on short-term rehabilitation and respite care. Residents stay an average of 113 days. The community has 56% occupancy, which is typical for a recently opened home that is still establishing its resident base. Daily nursing staffing averages 3 hours per resident. Residents are supported by registered nurses, nurse aides, and licensed practical nurses on a 24-hour staff.

State inspections noted gaps in medication management, infection control, food safety practices, and care documentation. Families should ask about these issues during a tour to understand how the facility addresses these concerns in daily operations and training.

Residents enjoy nutritious meals and social spaces to spend time with visiting families. Families evaluating short-term rehab or respite options in the Excelsior Springs area should take a tour of the facility to get a clearer idea of how the facility handles resident care and the quality of the daily environment.

Located in Lebanon, Missouri, Lebanon South Nursing & Rehab is a skilled nursing facility operated by N & R of Lebanon South, LLC, with Teresa Knight serving as the administrator. The facility’s location on West Fremont Road is moderately walkable, with a Walk Score of 67, so some daily errands can be accomplished on foot. Medicare, Medicaid, and private pay are accepted, providing flexible payment options for families planning short-term rehabilitation and longer-term care.

The 184-bed facility focuses on rehabilitation and medical care. Residents stay an average of 62 days due to its strong focus on post-acute recovery from surgery, illness, or hospitalization. Total nurse staffing averages 3 hours and 18 minutes per resident each day. They are supported by registered nurses, nursing aides, and licensed practical nurses in delivering daily hands-on care.

Clinically, the home has a full continuum of rehabilitation services, including physical, occupational, and speech therapy. Residents with specialized needs can access behavioral and Alzheimer’s care, as well as hospice services. There is a doctor on staff who is available 24 hours, so residents won’t have to leave the facility for outside medical appointments. This allows them to receive timely responses to acute changes in health.

Missouri Department of Health and Senior Services’ state inspections focused on the facility’s adherence to medical care protocols and staff training practices. The facility has been strengthening procedures in medication management, equipment storage, care coordination, and staff education on infection control. These ongoing efforts are part of the home’s commitment to safe, consistent care delivery.

Residents have access to pharmaceutical services, housekeeping and laundry, and transportation. The facility also provides free continuing education classes for CNAs and CMTs, helping support staff development and retention. Lebanon South is a relatively new community, so it is still establishing its operational rhythms as it builds a strong clinical foundation.

Overview of Steelville Senior Living

Administrator Ashley Drewel directs operations at Steelville Senior Living, a 93-bed nursing community located on North Spring Street in Steelville, Missouri. The facility keeps the setup simple for families by working with standard payment options such as private pay, Medicaid, and Medicare. Relatives dropping by for a visit will find a somewhat walkable neighborhood grid, so you can take care of a few small errands on foot, but a vehicle is still your best bet for general travel.

The building runs at a lower occupancy rate of 44 percent since it is a relatively new addition to the area, with residents staying an average of 142 days. This operational timeline shows that the staff splits their daily routine between short-term post-hospital therapy tracks and extended residential care. To keep up with regular clinical targets, the 24-hour shift schedule delivers an average of 3 hours and 49 minutes of direct nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.

State health department inspectors keep public records of how the building aligns with regular safety and licensing codes. Past evaluation summaries have noted a few procedural areas needing some adjustment, specifically focusing on kitchen food safety protocols, clinical infection control steps, daily staffing schedules, and medication management routines, keeping the total citation rate above zero.

Prospective representatives can evaluate the on-site outpatient rehabilitation programs, therapy spaces, and independent activity rooms. The everyday routine features restaurant-style dining with menu choices planned by a dietitian, plus extras like building-wide Wi-Fi, local transportation, an internal beauty shop, and a private dining room for guests.