Page 16 of Best Nursing Homes in Missouri

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.

Located on South Main in Granby, Missouri, Granby House is a skilled nursing home operated by Granby #1, Inc., owned by Rebecca Massey, with Tara Spencer serving as administrator. The 60-bed home has been operating for 39 years. It accepts Medicare, Medicaid, and private pay, giving families several ways to arrange coverage for short-term rehabilitation and longer-term nursing care.

Residents stay for an average of 153 days. The facility has a current occupancy rate of 87%, with steady demand for its services. With its number of beds, Granby House offers a mid-sized community setting. The neighborhood is somewhat walkable, with a Walk Score of 45. Some errands are within walking distance, but most trips require a car.

Rehabilitation services are available within a 24-hour nursing care environment. Daily nurse staffing averages 3 hours and 15 minutes per resident. Registered nurses, nurse aides, and licensed practical nurses work together to provide hands-on care, supervision, and support throughout the day. This staffing structure helps residents recovering from surgery, illness, or a hospital stay, as well as those who need longer-term skilled nursing care.

State inspections identified themes involving resident safety systems, facility maintenance and sanitation, and staff training readiness. Families should take a tour of the home and ask staff about these areas. Granby House’s long tenure in the community and stable occupancy suggest a facility with established ties and consistent operations.

For families considering Granby House, visiting the facility is a good way to assess the setting, see the rooms available, and get a clear sense of the daily care routines and environment. Its location in the heart of Granby and decades of operation make it a great option for local and regional families seeking skilled nursing care.

Overview of Life Care Center of Brookfield

Life Care Center of Brookfield is a 120-bed skilled nursing facility at 315 Hunt Street in Brookfield, Missouri, operated by Brookfield Medical Investors, LLC in Linn County. The facility operates near capacity with limited availability at 83 percent occupancy, well above Missouri’s 66.6 percent average. It accepts Medicare, Medicaid, and private pay, with most residents on long-term stays averaging 96 days. An Alzheimer’s unit is confirmed.

CMS scores the facility 2 stars, with the health inspection sub-rating running 65.5 percent below Missouri average, the primary drag on the overall score. Across 9 inspections since 2019, the facility recorded 44 total citations including 4 critical and 6 serious findings, with complaint investigations contributing to 18 of those citations. A $45,000 federal fine was assessed in December 2023, and the facility received 1 payment denial, a temporary suspension of Medicare and Medicaid payments for new admissions. Quality measures and staffing are the facility’s contrasting strengths, each running roughly 80 percent above Missouri average.

Amenities include a beauty salon, landscaped grounds, and a fine dining program.

With strong clinical outcomes offset by a poor inspection record, Life Care Center of Brookfield serves long-term Medicaid residents and dementia care patients in Linn County.

Located in Cameron, Missouri, Quail Run Health Care Center is a skilled nursing home operated by Cameron #1, Inc. under the ownership of Brandy Oneal. It is at 1405 West Grand Avenue, moderately walkable with nearby access to local services and amenities. Medicaid, Medicare, and private pay are accepted, offering families multiple options for arranging care.

The 84-bed community is one of the smaller nursing homes, with a current occupancy rate of 38%. Residents stay an average of 209 days, including those in post-acute rehabilitation and ongoing nursing care. Rehabilitation services are a major part of the home’s care program. It provides daily nursing support averaging 3 hours and 47 minutes per resident, supplemented by nursing aides and nursing supervisors.

State inspections identified concerns related to documentation practices, care coordination, medication management, and environmental standards, including sanitation and pest control. Families should ask the facility how it approaches these operational and clinical areas. Taking a tour can also provide a closer look at daily operations.

The facility is newly established; it opened within the past year. It’s still developing its daily routines and programming. Prospective residents and families should take time to understand the facility’s approach to activity programming and dining options, which are important in residents’ daily lives during their stay.

Overview of Aurora Health and Rehabilitation

McCutchen Rd Healthcare LLC and owner Iraj Alipour operate Aurora Health and Rehabilitation, a 116-bed skilled nursing facility managed by administrator Lindi Schmitt at 1200 McCutchen Road in Rolla, Missouri. Resident accounts are handled through standard financial channels, including Medicare, Medicaid, and private pay. If you explore the local area, the property features a high walkability score of 89 out of 100, which means visiting relatives can walk to nearby spots and handle errands easily without needing a car.

The facility maintains a 65 percent occupancy rate across its first year of operation, with residents staying an average of 497 days. This timeline shows that the daily schedule focuses mostly on long-term residential care alongside shorter post-hospital therapy tracks. Continuous physical monitoring is handled through an around-the-clock shift framework that averages 2 hours and 35 minutes of total nursing care per resident each day, including about 39 minutes of direct care from registered nurses.

Recent inspection logs show that investigators substantiated complaints regarding family communication gaps and discharge-readmission protocols, while surveys noted procedural deficiencies in staffing adequacy and direct care compliance, meaning the building’s cumulative citations-per-inspection rate is above zero.

Prospective representatives can tour the newly opened building to see the physical therapy spaces and discuss the community’s clinical recovery tracks. The indoor environment is staffed 24 hours a day to handle routine medical needs and long-term physical support. Families can contact the front desk directly to check current room options, meet the nursing supervisors, and review the facility’s specific communication policies first-hand.

Overview of Sunterra Springs Dardenne Prairie

Located in suburban Dardenne Prairie, Missouri, Sunterra Springs Dardenne Prairie is a skilled nursing facility owned by Lewis Meyerson and administered by Heather Portman. The 38-bed home opened in 2024 and accepts Medicare and private pay. Its current occupancy is 76%. Residents stay an average of 23 days, reflecting the facility’s focus on short-term rehabilitation.

Rehabilitation services are a central part of the home’s care program. Residents have access to physical, occupational, and speech therapy. They are also supported by an on-site dietitian and housekeeping staff.

Nurse staffing averages 3 hours and 42 minutes per resident each day, with registered nurses, nurse aides, and licensed practical nurses providing round-the-clock coverage. That level of staffing supports residents who are managing complex recovery care and have medical needs.

Residents can stay comfortable with private bathrooms, and private showers are included in every room. Beyond clinical spaces, the home also features a fully equipped therapy gym, a beauty and barber shop, a library with computer access, and dining and private dining areas. Meals are served in restaurant style, with menu options prepared by dietary staff according to each resident’s preferences and medical diets.

Like many suburban communities, the surrounding area is car-dependent and offers limited walkability. State inspections reviewed areas such as wound care, catheter care, infection control, mobility assistance, and clinical care coordination. Families touring the facility should ask how staff are trained and supported in these aspects of resident care.

Overview of Alpine Breeze Health and Wellness

Alpine Breeze Health and Wellness is a 154-bed skilled nursing facility in Raytown, Jackson County, Missouri, operated by Raytown Road Healthcare LLC with Micah Davis as administrator. The facility specializes in memory care and provides rehabilitation services, accepting Medicare, Medicaid, and private pay residents.

Staffing presents critical deficiencies. Registered nurse coverage is 13 minutes/day, 54% below average. Licensed practical nurse hours are 25 minutes/day, 39% below average. Certified nurse aide staffing is 1 hour 51 minutes/day, 20% below average.

Total adjusted nursing care is 2 hours 9 minutes/day, 44% below average, ranking the facility 267th of 276 Missouri facilities. Weekend total nursing is 2 hours 4 minutes/day, 32% below average, with weekend RN coverage at 10 minutes/day, 50% below average. This staffing profile indicates substantially reduced clinical oversight, particularly on weekends.

Quality measures show contrasting patterns. Clinical outcome measures are strong: high-risk clinical events score is 2.9 (74% better than average), functional decline score is 8.1 (58% better), pressure ulcer rates are 2.1% (58% better), hospitalization rates are 1.55 per 1,000 days (25% better), and ED visits are 0.49 per 1,000 days (79% better). Vaccination rates exceed 99%. However, depressive symptoms affect 72.6% of long-stay residents, 465% worse than the average of 12.8%.

Occupancy is 90% (138 of 154 beds), above the Missouri average of 66.6%. Current resident payer mix is 12.1% Medicare, 85.7% Medicaid, and 2.2% private pay. Gross revenue is $4.9 million with an operating loss of $459.6 thousand; payroll represents 64.3% of revenue. Walk score is 73.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts inspections for all long-term care providers. Alpine Breeze received 10 inspections since 2019, with 48 total deficiencies (37% above average). The facility received two critical citations and two serious citations, rates 186% and 100% worse than average, respectively.

Recent inspections identify serious patterns. April 2025: resident-to-resident physical injury resulting in hospitalization. January 2025: water service shutdown due to failure to pay vendors, constituting immediate jeopardy affecting 138 residents. January 2025: substantiated financial exploitation by CNA involving unauthorized Cash App withdrawals of $617.89 from a resident’s account.

October 2024: failure to provide proper discharge notice and refusal to readmit a resident after hospitalization; state appeals unit ordered readmission.

October 2023 routine inspection identified 18 deficiencies including failure to ensure resident privacy, widespread environmental cleanliness failures with mouse droppings, failure to follow wound care orders, unsafe resident transfers, inadequate infection control practices, improper food temperature maintenance, and delayed vendor payments. June 2023 complaint investigation identified three deficiencies: failure to provide behavioral monitoring for dementia residents resulting in resident-to-resident altercation, missing safety signage and handrails.

The inspection record demonstrates recurring deficiencies across six years in environmental maintenance, vendor payment administration, infection control, wound care, safe resident handling, behavioral monitoring for dementia residents, and food safety. The facility received $19,000 in civil money penalties in 2025.

Families considering Alpine Breeze should request corrective action plans addressing the January 2025 water shutdown, financial exploitation incident, and April 2025 resident injury.

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.

Located at 415 Sidney St in Saint James, Missouri, St James Living Center is a nursing home with 90 beds. The facility is operated by N & R Of St James, LLC, under the administration of Anita Carroll. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.

Residents stay for an average of 102 days, including post-acute rehabilitation stays alongside longer-term placements. The facility’s current occupancy rate is 48%. Clinically, St James focuses on rehabilitation services. There’s 24-hour staffing and a doctor on-site, as it is an active rehabilitation setting for patients recovering from surgery, an acute illness, or a hospital stay.

Total nurse staffing averages 4 hours per resident each day. They are supported by registered nurses, nurse aides, and licensed practical nurses working across the schedule.

The neighborhood has a Walkability Score of 65 out of 100, which means some errands can be done on foot while most trips require a short drive. This may suit families who want easier access when visiting or running nearby errands.

The Department of Health and Senior Services regularly examines care processes at St James. It has focused on areas such as care documentation, physician communication and incident response, resident supervision and safety measures, medication handling and security, and related clinical protocols. These examinations help ensure the home maintains standards in resident care and administrative operations.

Residents can choose meals through a complete dining program made from their individual preferences. Transportation, housekeeping, laundry services, 24-hour medical care, and a dedicated special care unit are also available. Together, these services make it easier for residents and families by reducing some of the daily tasks they might otherwise need to do on their own.