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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$8.2M*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.
$5.7M*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.
69.9%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 301 on this page. See how we rank facilities
Travis Helenbrand administers Quail Run Health Care Center in Cameron, Missouri, and Cameron #1 operates it. The building has 84 beds. Around-the-clock licensed nursing means the schedule has no unstaffed hours in it. A bed knight has a qualified professional on duty rather than there just being a number to call in the morning. Rehabilitation services handle recovery during a stay, so therapy belongs in the same building as the nursing does.
Medicaid, Medicare, and private pay are accepted; which routes apply come down to who ends up funding the stay. Medicaid can help once savings have thinned out. Medicare covers the weeks after a hospital admission, and private pay means the resident or their family writes the checks.
Nursing time lands at 3 hours and 23 minutes per resident every day. Someone who needs daily nursing care with therapy attached to it is the person this setup fits ideally.
The Westchester House is a nursing home in Chesterfield, MO, offering rehabilitation and skilled nursing. Here, older adults experience a comfortable stay, especially with a nurturing and home-like environment. With 24-hour care, social services, and well-balanced meals, residents receive the utmost attention and care. The community also goes above and beyond to provide the best possible care tailored to residents’ unique needs and habits, ensuring their recovery.
Fitness exercises, games, and social events provide residents with more opportunities to learn new hobbies and gain meaningful experiences. A lively dining room, top-notch rehabilitation equipment, and cozy outdoors also ensure residents can rest and interact with their surroundings. Residents also have convenient access to their necessities and leisure, as St. Luke’s Hospital, Green Trails Lake, and bus stops are available in the area. This nursing home has high standards of care, making it one of the best choices for senior living in Missouri.
Sunset Home is a nursing home in Maysville, MO, offering hospice care, respite care, and skilled nursing. The nursing home provides long-term care, while skilled nursing offers licensed nursing care on site around the clock; hospice care supports residents receiving end-of-life care. Respite care provides short stays, which can suit a family caregiver who needs temporary coverage.
Care is provided under physician supervision, adding physician oversight to the care arrangement. Total nurse staffing is 4h 29m per resident per day, representing the daily nurse staffing time allocated to each resident. Sunset Home has 60 beds.
Rehabilitation services give residents access to support focused on recovery or maintaining function, and the Resident Transportation program provides transportation for residents. Medicare, Medicaid, and private pay are accepted, so families may use public benefits when eligible or pay privately. Brenda Moore serves as administrator, and N & R Of Maysville operates Sunset Home.
Shepherd of the Hills Living Center provides nursing home, hospice care, and skilled nursing in Branson, MO. Skilled nursing provides licensed nursing care on site around the clock, while hospice care supports residents at the end of life. This range of nursing and hospice services may be a good fit for someone who needs ongoing nursing support or care at the end of life.
The community has 100 beds, with professional medical care available 24 hours a day, seven days a week. A doctor is on staff. Residents can select meals based on their individual preferences through the facility’s complete dining service, and rehabilitation services are available during recovery or ongoing care.
Medicare, Medicaid, and private pay are accepted, allowing families to plan around public coverage or direct payment. Total nurse staffing is 4h 12m per resident/day, representing the total daily nurse staffing time per resident. Jeremy Osenga serves as the administrator, and N & R Of Branson operates the community.
Clinical labs, X-rays, pharmacy, dental care, podiatry, physician services, and speech pathology are all on the service list in Kahoka, Missouri. Most of that would otherwise be seven appointments in seven different waiting rooms. Rehabilitation services run inside the building too, so therapy belongs at the stay.
Whoever notices a change at 3 AM in the morning will be licensed to act on it. Around-the-clock nursing is less about presence than it is about who is qualified to make the call when it’s needed. Nursing time totals 4 hours and 26 minutes per resident each day across 103 beds.
Medicaid, Medicare, and private pay are the accepted payment routes here. Medicaid enters at the point where savings can’t cover the monthly bill, Medicare enters at the point after a hospital admission, and private pay enters at the point the first two exit. Clark County Nursing Home District operates the home, and Tammy McDaniel Ramsey serves as administrator.
Alpine Breeze Health and Wellness offers nursing home, skilled nursing, hospice, memory care, palliative care, and respite care in Raytown, Missouri. Skilled nursing provides licensed nursing care on site around the clock, while nursing home care supports residents who need ongoing nursing oversight.
Hospice and palliative care focus on comfort and symptom management. Respite care provides a short stay for a family caregiver who needs time to travel or recover. Memory care provides a secured setting with supervision for someone at risk of wandering.
Memory care may be a good fit for someone living with dementia who needs a secured, supervised setting, while respite care can suit a family caregiver who needs short term support. The community also offers rehabilitation and therapy services to support recovery or maintenance of physical function.
The home has 154 beds. Total nurse staffing is 2 hours and 1 minute per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families public coverage options through Medicare or Medicaid alongside direct payment.
A Walk Score of 73 places the area in the very walkable band, so most errands can be done on foot and a resident who no longer drives can still get out independently. Micah Davis serves as administrator, and Raytown Road Healthcare operates the community.
Life Care Center of Brookfield provides nursing home care, memory care, and skilled nursing in Brookfield, Missouri. Nursing home and skilled nursing care include licensed nursing support on site around the clock, while memory care provides a secured setting with supervision for residents who may be at risk of wandering. This combination may suit a resident who needs ongoing nursing care and supervision in a secured memory care setting.
The community has 120 beds with private and semi-private rooms. A private room offers a single living space, while a semi-private room accommodates a companion. Total nurse staffing is 3 hours and 50 minutes per resident each day, representing the daily nursing time available for each resident’s care.
Medicare, Medicaid, and private pay are accepted. Carl Wright serves as administrator, and Brookfield Medical Investors operates the community. Residents can use the beauty salon for grooming without leaving the community, and rehabilitation services provide therapy as part of their care. With a Walk Score of 53, the area is somewhat walkable, so some errands can be done on foot and a resident who no longer drives may be able to handle certain nearby errands independently.
Point Lookout Nursing & Rehab provides nursing home care, adult day care, respite care, and skilled nursing in Hollister, Missouri. Nursing home care supports long term care under physician supervision, while skilled nursing provides licensed nursing care on site around the clock. Adult day care offers support during the day without an overnight stay, and respite care provides a temporary stay when a usual caregiver needs time away. Short term rehabilitation gives a resident a temporary setting for rehabilitation rather than a long term placement.
A doctor is on staff, and the community has staffing around the clock. The community has 130 beds and provides 2 hours and 59 minutes of total nurse staffing per resident each day, representing the total daily nursing time assigned per resident. Payment options are Medicaid, Medicare, and private pay.
A salon and spa, a fenced courtyard, rehabilitation services, and religious services give residents access to personal care, outdoor space, therapy, and worship within the community. Facility transportation uses handicapped accessible vans, allowing residents who need an accessible vehicle to use the community’s transportation service. Michael Chitekwe serves as the administrator, and N & R Of Hollister operates the community. Respite care may be a good fit for a family caregiver who needs temporary coverage while traveling or recovering.
Overview of The Rehabilitation Center of Independence
The Rehabilitation Center of Independence focuses on skilled nursing and short-term care for seniors seeking to achieve their goals in a thriving environment. The nursing home is composed of a professional care staff who brings excellence to the recovery of every senior; residents can genuinely feel the high-end quality of care in a nurturing atmosphere. With its professional approach, TRC of Independence aims to change the meaning of skilled nursing and rehabilitation for seniors through the exceptional care the compassionate staff delivers.
The nursing home specializes in post-hospital rehabilitation, other services include therapy (speech, occupational, physical), blood transfusions, respiratory care, post-stroke rehabilitation, diabetes management, and wound care.
Medicalodges Nevada in Nevada, Missouri, offers nursing home, skilled nursing, assisted living, adult day care, home care, hospice, palliative, and respite care. Skilled nursing and nursing home services provide licensed nursing care on site around the clock. Assisted living helps with dressing, bathing, medication, and other daily tasks while the resident keeps a private apartment.
Adult day care provides support during the day without requiring a residential stay, while home care brings assistance to a person’s own home. Hospice centers on comfort at the end of life, and palliative care addresses comfort and symptom management during serious illness. Respite care provides a short stay when a usual caregiver needs to travel or recover.
Rehabilitation services support recovery during shorter-term care. Having both shorter-term and longer-term services may make Medicalodges Nevada a good fit for someone who needs rehabilitation now or ongoing care over time. The home has 100 beds, with 5 hours and 11 minutes of total nurse staffing per resident each day, representing the daily nursing time allocated per resident.
Medicare and private pay are accepted. Medicare covers short-term skilled care after a hospital stay, while private pay means the family pays directly. Kayla Shuey serves as administrator, and Medicalodges operates the facility. A Walk Score of 59 indicates a somewhat walkable area, with some errands possible on foot, so a resident who no longer drives may be able to complete certain trips independently.
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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