Page 15 of Best Nursing Homes in Missouri

Why trust this guide? Our editorial team analyzed 289 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every nursing home provider in Missouri.
289 homes
Other senior care options in Missouri:
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

Compare Nursing Homes around Missouri

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (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. 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.
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.
Clark County Nursing Home
NH
SNF
Kahoka
103
Facility 103
MO AVG 96
Rank #166 / 450
52.4%
Facility 52.4%
MO AVG 66.5%
Rank #319 / 407
-21%
4.43
Facility 4.43
MO AVG 3.74
Rank #55 / 268
-27%+18%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
26
Facility 26
MO AVG 36.5
Rank #109 / 274
6.5
Facility 6.5
MO AVG 5.7
Rank #193 / 274
-54-
56
Facility 56
MO AVG 46
Rank #180 / 545
Clark County Nursing Home
$4.3MFiscal year ending 06/2024
Facility $4.3MFiscal year ending 06/2024
MO AVG $7.4M
Rank #185 / 251
$3.6MFiscal year ending 06/2024
Facility $3.6MFiscal year ending 06/2024
MO AVG $3.9M
Rank #113 / 251
82.2%Fiscal year ending 06/2024
Facility 82.2%Fiscal year ending 06/2024
MO AVG 54.9%
Rank #6 / 251
265485
Stonebridge Florissant
NH
HOS
RC
SNF
Florissant (Old Town Florissant)
120
Facility 120
MO AVG 96
Rank #87 / 450
55.0%
Facility 55.0%
MO AVG 66.5%
Rank #307 / 407
-17%
3.53
Facility 3.53
MO AVG 3.74
Rank #153 / 268
-55%-6%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
51
Facility 51
MO AVG 36.5
Rank #222 / 274
7.3
Facility 7.3
MO AVG 5.7
Rank #226 / 274
-66-
63
Facility 63
MO AVG 46
Rank #141 / 545
Eldercare Of The Valley, Inc
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #99 / 251
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
MO AVG $3.9M
Rank #101 / 251
54.6%Fiscal year ending 12/2023
Facility 54.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #117 / 251
265365
Jackson Creek Post Acute
NH
AL
SNF
Independence
182
Facility 182
MO AVG 96
Rank #24 / 450
22.5%
Facility 22.5%
MO AVG 66.5%
Rank #406 / 407
-66%
3.86
Facility 3.86
MO AVG 3.74
Rank #99 / 268
-56%+3%
$29.2k
Facility $29.2k
MO AVG $76.9k
Rank #202 / 276
34
Facility 34
MO AVG 36.5
Rank #158 / 274
4.9
Facility 4.9
MO AVG 5.7
Rank #118 / 274
241-
81
Facility 81
MO AVG 46
Rank #43 / 545
Independence Community Healthcare, LLC
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #21 / 251
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #16 / 251
55.1%Fiscal year ending 12/2023
Facility 55.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #112 / 251
265820
St Andrew’s at Francis Place
NH
MC
SNF
Eureka
106
Facility 106
MO AVG 96
Rank #160 / 450
84.9%
Facility 84.9%
MO AVG 66.5%
Rank #75 / 407
+28%
4.57
Facility 4.57
MO AVG 3.74
Rank #42 / 268
-56%+22%
$77.7k
Facility $77.7k
MO AVG $76.9k
Rank #238 / 276
33
Facility 33
MO AVG 36.5
Rank #153 / 274
3.7
Facility 3.7
MO AVG 5.7
Rank #59 / 274
290-
54
Facility 54
MO AVG 46
Rank #211 / 545
St Andrews Resources For Seniors System
$11.1MFiscal year ending 05/2024
Facility $11.1MFiscal year ending 05/2024
MO AVG $7.4M
Rank #42 / 251
$5.4MFiscal year ending 05/2024
Facility $5.4MFiscal year ending 05/2024
MO AVG $3.9M
Rank #40 / 251
48.7%Fiscal year ending 05/2024
Facility 48.7%Fiscal year ending 05/2024
MO AVG 54.9%
Rank #175 / 251
265195
Medicalodges Nevada
NH
ADC
AL
HC
HOS
PC
RC
SNF
Nevada
100
Facility 100
MO AVG 96
Rank #175 / 450
35.0%
Facility 35.0%
MO AVG 66.5%
Rank #385 / 407
-47%
5.19
Facility 5.19
MO AVG 3.74
Rank #21 / 268
-66%+39%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
27
Facility 27
MO AVG 36.5
Rank #113 / 274
3.4
Facility 3.4
MO AVG 5.7
Rank #42 / 274
-35-
59
Facility 59
MO AVG 46
Rank #163 / 545
Susan Houser
$3.3MFiscal year ending 10/2023
Facility $3.3MFiscal year ending 10/2023
MO AVG $7.4M
Rank #222 / 251
$2.0MFiscal year ending 10/2023
Facility $2.0MFiscal year ending 10/2023
MO AVG $3.9M
Rank #202 / 251
61.2%Fiscal year ending 10/2023
Facility 61.2%Fiscal year ending 10/2023
MO AVG 54.9%
Rank #64 / 251
265493
The Pines
NH
Kirksville (Preston Vineyards)
120
Facility 120
MO AVG 96
Rank #87 / 450
59.3%
Facility 59.3%
MO AVG 66.5%
Rank #272 / 407
-11%
4.79
Facility 4.79
MO AVG 3.74
Rank #31 / 268
+3%+28%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
32
Facility 32
MO AVG 36.5
Rank #149 / 274
10.7
Facility 10.7
MO AVG 5.7
Rank #268 / 274
-71-
44
Facility 44
MO AVG 46
Rank #304 / 545
-
$6.6MFiscal year ending 08/2024
Facility $6.6MFiscal year ending 08/2024
MO AVG $7.4M
Rank #101 / 251
$4.6MFiscal year ending 08/2024
Facility $4.6MFiscal year ending 08/2024
MO AVG $3.9M
Rank #62 / 251
69%Fiscal year ending 08/2024
Facility 69%Fiscal year ending 08/2024
MO AVG 54.9%
Rank #23 / 251
265198
Sunset Health Care Center
NH
Union (Esquire Estates)
120
Facility 120
MO AVG 96
Rank #87 / 450
97.3%
Facility 97.3%
MO AVG 66.5%
Rank #10 / 407
+46%
2.84
Facility 2.84
MO AVG 3.74
Rank #230 / 268
-18%-24%
$8.3k
Facility $8.3k
MO AVG $76.9k
Rank #158 / 276
26
Facility 26
MO AVG 36.5
Rank #109 / 274
5.2
Facility 5.2
MO AVG 5.7
Rank #136 / 274
1117-
39
Facility 39
MO AVG 46
Rank #326 / 545
West Park Realty LLC
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #64 / 251
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
MO AVG $3.9M
Rank #64 / 251
51.3%Fiscal year ending 12/2023
Facility 51.3%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #145 / 251
265390
Life Care Center of Bridgeton
NH
SNF
Bridgeton
91
Facility 91
MO AVG 96
Rank #219 / 450
75.8%
Facility 75.8%
MO AVG 66.5%
Rank #138 / 407
+14%
3.34
Facility 3.34
MO AVG 3.74
Rank #180 / 268
-17%-11%
$21.8k
Facility $21.8k
MO AVG $76.9k
Rank #193 / 276
59
Facility 59
MO AVG 36.5
Rank #239 / 274
5.9
Facility 5.9
MO AVG 5.7
Rank #170 / 274
269-
4
Facility 4
MO AVG 46
Rank #527 / 545
United Investors LP
$8.0MFiscal year ending 12/2023
Facility $8.0MFiscal year ending 12/2023
MO AVG $7.4M
Rank #74 / 251
$5.3MFiscal year ending 12/2023
Facility $5.3MFiscal year ending 12/2023
MO AVG $3.9M
Rank #43 / 251
66.1%Fiscal year ending 12/2023
Facility 66.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #38 / 251
265345
Riverdell Care Center
NH
MC
RC
SNF
Boonville
60
Facility 60
MO AVG 96
Rank #340 / 450
76.7%
Facility 76.7%
MO AVG 66.5%
Rank #134 / 407
+15%
3.10
Facility 3.10
MO AVG 3.74
Rank #204 / 268
+10%-17%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
10
Facility 10
MO AVG 36.5
Rank #17 / 274
5.0
Facility 5.0
MO AVG 5.7
Rank #121 / 274
-46-
66
Facility 66
MO AVG 46
Rank #113 / 545
Robert Koch
$3.7MFiscal year ending 12/2023
Facility $3.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #213 / 251
$1.7MFiscal year ending 12/2023
Facility $1.7MFiscal year ending 12/2023
MO AVG $3.9M
Rank #225 / 251
46.3%Fiscal year ending 12/2023
Facility 46.3%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #197 / 251
265361
Granby House
NH
HOS
PC
RC
SNF
Main Granby
60
Facility 60
MO AVG 96
Rank #340 / 450
86.7%
Facility 86.7%
MO AVG 66.5%
Rank #58 / 407
+30%
3.37
Facility 3.37
MO AVG 3.74
Rank #163 / 268
+29%-10%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
27
Facility 27
MO AVG 36.5
Rank #113 / 274
3.9
Facility 3.9
MO AVG 5.7
Rank #67 / 274
152-
45
Facility 45
MO AVG 46
Rank #293 / 545
Rebecca Massey
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
MO AVG $7.4M
Rank #182 / 251
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #221 / 251
40.6%Fiscal year ending 12/2023
Facility 40.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #230 / 251
265468

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 289 on this page.

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Delmar Gardens West

13550 South Outer 40 Rd, Town And Country, MO 63017-5812
Overview of Delmar Gardens West

Delmar Gardens West is a 321-bed nursing community located on South Outer 40 Road in Town and Country, Missouri, under operator Delmar Gardens West Operating, LLC and administrator Richard Taylor. Financial frameworks process accounts across multiple standard streams, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding suburban area holds a walkability score of 3 out of 100, indicating a car-dependent layout where family members will depend on a vehicle for all transit to the campus.

Data profiles track a current resident census of 189 individuals with an average length of stay of 26 days, confirming a rapid clinical focus on short-term post-hospital rehabilitation rather than traditional long-term placements. To handle regular physical conditioning and direct medical needs, the 24-hour staffing schedule organizes an average of 4 hours and 21 minutes of total nursing care per resident each day. This shared workload supplies consistent clinical oversight across all shifts to monitor therapeutic recovery goals.

Records from state health departments monitor the property’s recurring regulatory compliance files through scheduled safety reviews. Public inspection charts verify that the building’s everyday operational logs and nursing documentation remain within standard legal boundaries, keeping the facility’s long-term cumulative citations-per-inspection rate at zero.

Families can evaluate a dedicated rehabilitation infrastructure featuring an on-staff physician, temporary respite care tracks, and physical, occupational, and speech therapy loops. The campus accommodates residents in private or semi-private layouts equipped with emergency call buttons and safety grab bars, alongside a beauty salon, central dining space, and dedicated activity rooms.

Contact Delmar Gardens West

Overview of Shepherd of the Hills Living Center

Shepherd of the Hills Living Center is a skilled nursing home in Branson, Missouri, operated by N & R Of Branson, LLC and administered by Jeremy Osenga. The home is located on State Highway 248 in a very walkable area with a Walk Score of 72. Most daily errands can be completed on foot. The facility accepts Medicare, Medicaid, and private pay, giving families several options to cover short-term rehabilitation stays and longer-term nursing care.

The 100-bed community has an occupancy rate of 78%. Residents stay an average of 85 days, including residents in post-acute rehabilitation and those needing ongoing skilled nursing support. Daily nurse staffing averages 4 hours and 19 minutes per resident. Additional staffing is provided by registered nurses, nurse aides, and licensed practical nurses throughout the day and night to support residents’ medical and personal care needs.

Clinical services include rehabilitation, skilled nursing care, and specialized behavioral and Alzheimer’s care. Residents have access to on-site physicians, physical and occupational therapists, and dietitians. Hospice services are available for residents in their final stages of care, making it a practical setting for a range of health needs.

State inspections identified areas for improvement related to documentation, medication management protocols, and staff training. Families touring the home can ask how the home handles physician coordination, medication oversight, and grievance resolution.

Residents receive complete meal service tailored to dietary preferences and restrictions. Transportation is available for medical appointments and errands, and the home also provides housekeeping and laundry services. Rehabilitation programs support residents working toward recovery.

With professional medical care available around the clock, the facility’s nursing oversight and therapeutic services make it suitable for residents transitioning from the hospital or managing ongoing complex care needs.

Contact Shepherd of the Hills Living Center

Overview of Clark County Nursing Home

Clark County Nursing Home is a skilled nursing facility in Kahoka, Missouri, with 103 beds. It’s a part of the Clark County Nursing Home District and is administered by Tammy McDaniel Ramsey. Medicare, Medicaid, and private pay are accepted, so families have several options for covering the cost of care. The facility has an occupancy rate of 52%. Residents stay an average of 197 days, including individuals recovering after hospitalization and those receiving longer-term nursing care.

The facility mainly provides hands-on clinical support, with total nurse staffing averaging 4 hours and 25 minutes per resident each day. The care team includes registered nurses, nurse aides, and licensed practical nurses. They work throughout the day to support residents’ care needs.

Its location on North Johnson Street offers moderate walkability, with a Walk Score of 56. Some errands can be handled on foot, while most trips require a short drive. The surrounding neighborhood can be easily accessed by visiting family, and there are services available nearby.

Care at Clark County Nursing Home includes general and specialized services. On-site rehabilitation services support residents’ recovery and mobility, and the clinical team is composed of physicians, nurses, pharmacists, and diagnostic services such as laboratory and X-ray. The facility has partnerships with dental, mental health, podiatry, and speech pathology services to address residents’ needs. Social work and therapeutic activities are also offered onsite, with housekeeping, dietary, and nutritional support.

The home has residential councils where residents can take part in community decisions and activities. The caregiver turnover rate is 36.8%, indicating the facility’s staffing stability.

State inspections focused on infection control procedures, care documentation and planning, and medication and catheterization protocols. The facility addresses these areas as part of its ongoing operations.

Contact Clark County Nursing Home

Stonebridge Florissant

6768 North Highway 67, Florissant, MO 63034-2742
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.

Contact Stonebridge Florissant

Jackson Creek Post Acute

3980 South Jackson Dr, Independence, MO 64057-2205
Overview of Jackson Creek Post Acute

Independence Community Healthcare, LLC, and administrator Ruben Banda operate Jackson Creek Post Acute, a 182-bed skilled nursing center located at 3980 South Jackson Drive in Independence, Missouri. Billing logistics are coordinated through standard coverage pipelines, processing accounts via Medicare, Medicaid, and private funds. Relatives checking on area features will find a walkability score of 81 out of 100, indicating a highly pedestrian-friendly grid where visitors can easily complete daily errands or walk to surrounding services entirely on foot.

Operational spreadsheets show the facility maintains a 54 percent occupancy rate, with resident stays averaging 63 days. This brief timeline demonstrates a business template structured around short-term clinical recovery tracks and post-hospital medical rehabilitation rather than long-term stays. To monitor individual treatments and surgical healing timelines, the around-the-clock shift layout delivers an average of 4 hours and 3 minutes of direct nursing care per resident each day, with registered nurses, practical nurses, and aides sharing daily unit schedules.

Historical survey files indicate that past inspections flagged recurring procedural adjustments concerning dialysis care coordination, medication management habits, and basic infection control steps, meaning the building’s overall cumulative citation rate is not zero.

Interested individuals can evaluate the on-site physical rehabilitation infrastructure and the assisted living facility step-down transitional program. The internal routine couples these post-acute therapies with standard medical oversight, nutritional programs, and daily recreational activities.

Contact Jackson Creek Post Acute

Overview of St Andrew’s at Francis Place

St. Andrew’s at Francis Place is a 106-bed skilled nursing facility at 400 Summerville Boulevard in Eureka, Missouri. It’s operated by St. Andrews Resources for Seniors System, a church-affiliated non-profit in St. Louis County. Accepted are Medicare, Medicaid, and private pay, with an average stay length of 341 days and only 1 of 73 current residents on Medicare, oriented strongly toward long-term care. The facility operates near capacity at 95 percent occupancy, far above Missouri’s 66.6 percent average, ranking among the most in-demand skilled nursing communities statewide.

CMS rates the facility 3 stars, 14.1 percent above Missouri average, with staffing as the clearest strength at 38.9 percent above state average. Nurse hours reach 3h 54m per resident daily. Over 9 inspections since 2020, the facility recorded 33 total citations, 16 of them from complaint investigations, including 1 critical finding. One $78,000 federal fine was assessed, last issued in 2023, with no payment denials.

Amenities feature spa areas, a contemplative chapel, nature walks, and private and companion rooms. Respite care and memory care programming are confirmed services alongside skilled rehabilitation.

St. Andrew’s at Francis Place suits residents in the Eureka area of St. Louis County seeking long-term skilled nursing or memory care in a church-affiliated, non-profit setting.

Contact St Andrew’s at Francis Place

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.

Contact Medicalodges Nevada

The Pines

1900 Jamison St, Kirksville, MO 63501
Overview of The Pines

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.

Contact The Pines

Overview of Sunset Health Care Center

Sunset Health Care Center is a nursing home in Union, MO, offering rehabilitation and skilled nursing. With a compassionate and home-like atmosphere, the community ensures older adults have a comfortable stay. Residents can also maintain their independence, with 24-hour care, nutritious meals, and recreational programs. Through a person-centered approach to care, the community also strives to provide the best possible care tailored to residents’ unique needs and habits.

Arts and crafts, fun events, and light exercises help residents stay happy and learn new hobbies. Spacious common areas and accessible hallways also ensure residents’ comfort and safety. With its ideal setting in the quiet residential area of Union, near Union City Park and Union City Lake, residents experience a stress-free retirement. This nursing home is a trusted choice for senior living in Missouri, especially with its commitment to older adults’ welfare.

Contact Sunset Health Care Center

Life Care Center of Bridgeton

12145 Bridgeton Square Dr, Bridgeton, MO 63044-2616
Overview of Life Care Center of Bridgeton

Life Care Center of Bridgeton is a 91-bed skilled nursing and rehabilitation facility at 12145 Bridgeton Square Drive in Bridgeton, Missouri. Operated by Bridgeton Operations LLC, a privately held partnership, in St. Louis County, the facility accepts Medicare, Medicaid, and private pay. A resident mix of both short-term rehabilitation and long-term care is supported. The average stay length is 53 days, reflecting meaningful short-stay volume alongside longer-term residents.

CMS scores the facility 3 stars, 14.1 percent above the Missouri average. The quality measures sub-rating is the clearest strength, running 43.4 percent above the state average, a signal of above-average clinical outcomes for long-stay residents. Staffing runs modestly below the Missouri average at the RN level, though total nurse hours reach 3h 54m per resident daily, roughly 3 percent above the state figure. At 79 percent occupancy which is above Missouri’s 66.6 percent average, the facility typically has some availability.

Amenities include a fine dining program, landscaped grounds and courtyards, a beauty salon and barber shop, and an Alzheimer’s and dementia care program. More services include a community re-entry program and patient and family education program.

The mix of above-average quality measures, a 53-day average stay, and dedicated dementia programming fits residents seeking short-term post-acute rehabilitation or memory care placement in the Bridgeton area of St. Louis County.

Contact Life Care Center of Bridgeton

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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Frequently Asked Questions about Nursing Homes in Missouri

What's the difference between assisted living and a nursing home in Missouri?

Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Missouri Medicaid cover nursing home care?

Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 289 nursing homes in Missouri. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Missouri?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Missouri?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.