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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.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
$6.7M*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.
$4.1M*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.
61.6%*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
Situated in the peaceful neighborhood of Care Center Drive, Warrensburg, MO, is the distinct senior living community of Warrensburg Manor Health Care Center that focuses on short-term rehabilitation and long-term care. The community is dedicated to improving seniors’ well-being and provides them with the highest quality of care and assistance around the clock. Moreover, a team of reliable and specially trained professionals attends to seniors’ personal needs to ensure they are well-cared for.
The community accepts Medicare and Medicaid to help ease the financial constraints of senior living. A vibrant and welcoming environment is also promoted in the community for residents to easily adapt to their surroundings and live a worry-free retirement. Warrensburg Manor Health Care Center is great for seniors looking to make the most out of their best years with its genuine care and incredible amenities.
Aurora Health and Rehabilitation offers nursing home and skilled nursing care in Rolla, Missouri. Skilled nursing provides licensed nursing care on site around the clock for residents who need ongoing clinical support. There are 116 beds, giving families a clear sense of the community’s available capacity without implying a particular community size.
Rehabilitation services are available for residents working on strength, mobility, or daily function as part of their care. Medicare, Medicaid, and private pay are accepted, giving eligible residents and families several payment routes. Total nurse staffing is 2 hours and 59 minutes per resident per day, representing the daily nursing time allocated to each resident. Lindi Schmitt serves as administrator, and Mccutchen Rd Healthcare operates the community. Aurora Health and Rehabilitation may be a good fit for someone who needs skilled nursing alongside rehabilitation services.
Situated in Springfield, MO, Brookhaven Nursing & Rehab is a 90-bed nursing home that offers rehabilitation, hospice care, and skilled nursing. Residents also have access to higher levels of care with a doctor on-site, as well as 24-hour staffing. Behavioral and Alzheimer’s care are also available for those living with memory-related conditions. The community also accommodates those with life-limiting conditions with hospice services.
The home has 90 beds, with both private and semi-private rooms. Occupancy is at 77.8 %, with residents receiving a total of 4 hours and 46 minutes of nursing care daily. Medicare, Medicaid, and private pay are accepted, giving families several payment options based on a resident’s coverage and financial resources.
Physical and occupational therapies are also available to help improve residents’ mobility. Moreover, dietitians oversee residents’ meals. Meanwhile, its Walk Score is 94, which indicates high walkability. Resident transportation is also available for community activities or appointments when transportation support is needed.
Parkside Manor in Columbia, Missouri, accommodates residents through nursing home support, assisted living, memory care, and short-term respite stays. Assisted living programs aid residents with everyday tasks like dressing, bathing, and medication routines inside private apartment spaces. Memory care units utilize secured environments to safeguard individuals prone to wandering, while respite stays give regular family caregivers temporary relief.
N & R of Columbia operates the 120-bed property alongside administrator Blair Margaret Brinsa-Lane. Staffing metrics indicate an average of 4 hours and 4 minutes of direct nursing care delivered per resident each day. Physical rehabilitation and structured group events offer ongoing daily support and routine activities. Situated in a location with a 98 walk score, the surrounding neighborhood lets residents manage daily errands without driving.
Families evaluating long-term care environments or memory support can contact Parkside Manor to confirm bed availability, discuss coverage options, or tour the property. Financial options cover Medicare, Medicaid, and private payment plans.
Located in Dardenne Prairie, Missouri, Sunterra Springs Dardenne Prairie is a nursing home that offers skilled nursing and short term rehabilitation. Residents receive continuous clinical support with licensed nurses on-site, while rehabilitation services help improve their functionality.
The community has 38 beds, so it is among the smaller communities where staff and residents get to know each other. With private rooms, occupancy is at 76.3%. Residents also receive a total of 4 hours and 11 minutes of nursing care daily.
This pet-friendly community has a fully equipped therapy gym that provides a dedicated setting for rehabilitation services. Moreover, restaurant-style meals are served in a restaurant style setting, with custom made menus tailored to individual needs. Residents can also use the beauty and barber shop for grooming services on-site.
Administered by Heather Portman, the community accepts Medicare and private pay.
Rates start at $2,400 a month at Carnegie Village in Belton, Missouri, which is a real number for a family doing arithmetic at a kitchen table rather than a vague range. Five kinds of care sit behind it: independent living, assisted living, memory care, nursing home care, and respite.
Independent living means a private home with community services attached and no daily care, so nobody knocks on the door with a medication cup. Assisted living adds that knock, along with help for dressing and bathing. Nursing home care puts licensed nursing support in the building around the clock, and staff are present day and night.
Memory care runs in a secured, supervised setting for someone at risk of wandering. Dementia gets to a point where explaining why the doors stay closed simply stops registering, and supervision handles what conversation no longer can.
Because the levels sit on one campus, a resident whose needs grow moves within the community rather than out of it.
Respite care and short-term stays cover temporary need. Sometimes the family who normally checks in every day lives two hours off and a stretch of weather or work puts them out of reach, and somebody has to fill those weeks.
Sixty-seven of the 85 beds were occupied at the last count, roughly 79 percent. Studio and one-bedroom units are the two layouts, the difference being whether the bedroom stands apart from the living space. Nursing time per resident stands at 3 hours and 29 minutes daily, and rehabilitation services are available for recovery support.
Dining is handled on site, a wellness center and activities give residents somewhere to spend the day, and salon appointments happen in the building. The walk score is 55, so some errands finish on foot while farther destinations need a ride. Jessica Bradham is the administrator, and Carnegie Village Senior Living Community operates the community.
Overview of Spring Valley Health and Rehabilitation Center
Spring Valley Health and Rehabilitation Center offers nursing home and skilled nursing care, assisted living, and independent living in Springfield’s Meador Park neighborhood. Nursing home and skilled nursing care include licensed nursing care on site around the clock. Assisted living helps with daily tasks such as bathing, dressing, and medication while the resident maintains an apartment, while independent living provides private living with community services and no daily care.
Several care levels are available in one community. For a resident whose needs grow over time, moving between care levels may be possible without leaving the community. The home has 194 beds, with total nurse staffing of 2 hours and 15 minutes per resident per day, representing the total daily nursing time assigned to each resident.
Payment options include Medicare, Medicaid, and private pay. Medicare applies to short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay means paying directly. Holly Anderson serves as administrator, and Mc Fremont Healthcare operates the community.
The area has a Walk Score of 65, making it somewhat walkable, with some errands possible on foot. A resident who does not drive may be able to reach select nearby destinations independently. The home may be a good fit for someone who wants a choice of independent living, assisted living, or nursing care as needs change.
Found in Jefferson City, Missouri, Stonebridge Adams Street stands as a haven for seniors seeking a graceful and enriching aging experience. Beyond its charming environment, this community offers an array of top-tier skilled care and rehabilitation services. It specializes in providing exceptional skilled nursing care and comprehensive rehabilitation programs, ensuring that residents receive the utmost attention and support they deserve. Amidst this vibrant community, residents can indulge in a range of exceptional amenities, including home-cooked meals that cater to individual preferences and dietary needs. The availability of state-of-the-art rehabilitative equipment and a carefully crafted multidisciplinary care plan underscores the commitment to holistic well-being. Each day brings an array of engaging activities and fine dining experiences, enhancing the overall quality of life. Moreover, the community’s strategic location offers access to notable attractions, such as the iconic Missouri State Capitol building and the Missouri State Museum. For those seeking outdoor adventures, the nearby Binder State Park invites residents to partake in invigorating activities like hiking and fishing.
Magnolia Square Nursing is a well-regarded nursing home in Springfield, MO, offering rehabilitation, respite care, and skilled nursing. Here, older adults can find a home away from home, especially with comfortable living spaces in a warm and welcoming setting. With 24-hour care, dietitian-approved meals, and therapies, residents experience a worry-free lifestyle. The community also goes above and beyond to meet residents’ unique needs and preferences, providing personalized care plans.
Recreational activities and stretching exercises provide residents with more opportunities to explore new interests and have fun. A cozy fireplace, outdoor therapy equipment, and a concrete walking path are available, so residents can focus on their recovery. Located near South Kansas Expressway in the tree-lined neighborhood of Springfield, the community guarantees accessibility and convenience. This nursing home has high standards of care and well-maintained amenities, making it one of the best options for senior living in Missouri.
Garden View Care Center of O’Fallon is a nursing home in O’Fallon, MO, offering a wide range of care options, including memory care, hospice care, rehabilitation, respite care, and skilled nursing. Featuring hotel-like amenities in a supportive environment, the community ensures older adults can live the best of their later years comfortably. Chef-prepared meals, 24-hour care, housekeeping, and spa services are also provided, so residents have a maintenance-free lifestyle. The community also strives to provide the best possible care tailored to residents’ unique needs and preferences, ensuring they can recover with ease.
Gardening, book clubs, and pet therapy are just some of the activities that aim to help residents stay active and have fun. Peaceful outdoors and cozy common areas also ensure residents can rest and connect with their surroundings. Set along the highway in O’Fallon, the community guarantees accessibility and convenience. As one of the trusted options for senior living in Missouri, this nursing home provides exceptional standards of care to help older adults live to their potential.
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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