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Other senior care options in Missouri:

Best Nursing Homes in Missouri

Reviewed by
Last updated
Jun 2026
We analyzed
261 homes in Missouri

Sources: CMS Centers for Medicare and Medicaid Services, and Missouri Department of Health, Office of Aging and Long Term Care.

Other senior care options in Missouri:

Compare Nursing Homes around Missouri

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

224 facilities compared · CMS & MO Dept. of Health data

Heisinger Bluffs
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Jefferson City
111
Facility 111
MO AVG 97
Rank #156 / 454
49.5%
Facility 49.5%
MO AVG 66.6%
Rank #370 / 428
-26%
3.36
Facility 3.36
MO AVG 3.74
Rank #184 / 276
+42%-10%
$8.1k
Facility $8.1k
MO AVG $76.9k
Rank #206 / 283
17
Facility 17
MO AVG 36.5
Rank #61 / 281
5.7
Facility 5.7
MO AVG 5.7
Rank #169 / 281
-56-
32
Facility 32
MO AVG 45
Rank #376 / 563
Hb Operations Holdco LLC
$5.4M
Facility $5.4M
MO AVG $8.4M
Rank #183 / 286
$3.7M
Facility $3.7M
MO AVG $3.3M
Rank #138 / 286
68.1%
Facility 68.1%
MO AVG 45.6%
Rank #43 / 286
265794
StoneBridge Senior Living Oak Tree
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Jefferson City
42
Facility 42
MO AVG 97
Rank #413 / 454
71.4%
Facility 71.4%
MO AVG 66.6%
Rank #173 / 428
+7%- -60%-
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
21
Facility 21
MO AVG 36.5
Rank #80 / 281
3.5
Facility 3.5
MO AVG 5.7
Rank #57 / 281
132-
27
Facility 27
MO AVG 45
Rank #414 / 563
Ricky Doerhoff
$5.0M
Facility $5.0M
MO AVG $8.4M
Rank #203 / 286
$2.3M
Facility $2.3M
MO AVG $3.3M
Rank #231 / 286
46.9%
Facility 46.9%
MO AVG 45.6%
Rank #208 / 286
265819
Cottages of Lake St. Louis
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Lake St Louis (Lake Saint Louis)
60
Facility 60
MO AVG 97
Rank #343 / 454
81.7%
Facility 81.7%
MO AVG 66.6%
Rank #95 / 428
+23%
6.04
Facility 6.04
MO AVG 3.74
Rank #6 / 276
-32%+62%
$17.7k
Facility $17.7k
MO AVG $76.9k
Rank #195 / 283
11
Facility 11
MO AVG 36.5
Rank #25 / 281
2.8
Facility 2.8
MO AVG 5.7
Rank #22 / 281
255-
13
Facility 13
MO AVG 45
Rank #486 / 563
Cottages Master LLC
$9.9M
Facility $9.9M
MO AVG $8.4M
Rank #74 / 286
$5.5M
Facility $5.5M
MO AVG $3.3M
Rank #67 / 286
55.4%
Facility 55.4%
MO AVG 45.6%
Rank #133 / 286
265860
Republic Nursing and Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Republic
127
Facility 127
MO AVG 97
Rank #82 / 454
74.0%
Facility 74.0%
MO AVG 66.6%
Rank #158 / 428
+11%
3.82
Facility 3.82
MO AVG 3.74
Rank #124 / 276
+34%+2%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
23
Facility 23
MO AVG 36.5
Rank #95 / 281
4.6
Facility 4.6
MO AVG 5.7
Rank #106 / 281
-112-
48
Facility 48
MO AVG 45
Rank #262 / 563
Darius Love
$8.3M
Facility $8.3M
MO AVG $8.4M
Rank #98 / 286
$5.2M
Facility $5.2M
MO AVG $3.3M
Rank #73 / 286
62.8%
Facility 62.8%
MO AVG 45.6%
Rank #75 / 286
265326
Armour Oaks Senior Living Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Kansas City (Waldo Homes)
38
Facility 38
MO AVG 97
Rank #424 / 454
100.0%
Facility 100.0%
MO AVG 66.6%
Rank #1 / 428
+50%
3.03
Facility 3.03
MO AVG 3.74
Rank #230 / 276
-27%-19%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
39
Facility 39
MO AVG 36.5
Rank #183 / 281
6.5
Facility 6.5
MO AVG 5.7
Rank #200 / 281
-100A+
73
Facility 73
MO AVG 45
Rank #70 / 563
Womens Christian Association Of Kansas City Missouri
$2.9M
Facility $2.9M
MO AVG $8.4M
Rank #264 / 286
$2.4M
Facility $2.4M
MO AVG $3.3M
Rank #221 / 286
81.6%
Facility 81.6%
MO AVG 45.6%
Rank #13 / 286
265802
Chaffee Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Chaffee
71
Facility 71
MO AVG 97
Rank #303 / 454
80.9%
Facility 80.9%
MO AVG 66.6%
Rank #105 / 428
+21%
3.96
Facility 3.96
MO AVG 3.74
Rank #100 / 276
-3%+6%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
9
Facility 9
MO AVG 36.5
Rank #11 / 281
3.0
Facility 3.0
MO AVG 5.7
Rank #23 / 281
-62-
25
Facility 25
MO AVG 45
Rank #425 / 563
Chaffee Nursing, LLC
$5.6M
Facility $5.6M
MO AVG $8.4M
Rank #172 / 286
$3.0M
Facility $3.0M
MO AVG $3.3M
Rank #178 / 286
53.1%
Facility 53.1%
MO AVG 45.6%
Rank #157 / 286
265492
John Knox Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lee's Summit
408
Facility 408
MO AVG 97
Rank #1 / 454
28.7%
Facility 28.7%
MO AVG 66.6%
Rank #409 / 428
-57%
4.28
Facility 4.28
MO AVG 3.74
Rank #66 / 276
+3%+14%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
20
Facility 20
MO AVG 36.5
Rank #74 / 281
4.0
Facility 4.0
MO AVG 5.7
Rank #75 / 281
-116A+
58
Facility 58
MO AVG 45
Rank #170 / 563
John Knox Village
$93.5M
Facility $93.5M
MO AVG $8.4M
Rank #1 / 286
$47.0M
Facility $47.0M
MO AVG $3.3M
Rank #1 / 286
50.2%
Facility 50.2%
MO AVG 45.6%
Rank #176 / 286
265095
Ignite Medical Resort Blue Springs
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

PC

Palliative Care

Blue Springs
90
Facility 90
MO AVG 97
Rank #227 / 454
98.9%
Facility 98.9%
MO AVG 66.6%
Rank #7 / 428
+48%
3.14
Facility 3.14
MO AVG 3.74
Rank #220 / 276
+136%-16%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
16
Facility 16
MO AVG 36.5
Rank #55 / 281
3.2
Facility 3.2
MO AVG 5.7
Rank #32 / 281
-85-
68
Facility 68
MO AVG 45
Rank #92 / 563
Ignite Ind LLC
$19.3M
Facility $19.3M
MO AVG $8.4M
Rank #18 / 286
$6.7M
Facility $6.7M
MO AVG $3.3M
Rank #45 / 286
34.4%
Facility 34.4%
MO AVG 45.6%
Rank #272 / 286
265880
The Neighborhoods at Quail Creek
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NC

Nursing Care

Springfield
120
Facility 120
MO AVG 97
Rank #89 / 454
82.5%
Facility 82.5%
MO AVG 66.6%
Rank #92 / 428
+24%
4.37
Facility 4.37
MO AVG 3.74
Rank #56 / 276
+31%+17%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
23
Facility 23
MO AVG 36.5
Rank #95 / 281
4.6
Facility 4.6
MO AVG 5.7
Rank #106 / 281
-94-
33
Facility 33
MO AVG 45
Rank #369 / 563
Eric Windham
$13.6M
Facility $13.6M
MO AVG $8.4M
Rank #48 / 286
$6.5M
Facility $6.5M
MO AVG $3.3M
Rank #48 / 286
47.7%
Facility 47.7%
MO AVG 45.6%
Rank #201 / 286
265799
Stonebridge Adams Street
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Jefferson City (Woodcrest)
120
Facility 120
MO AVG 97
Rank #89 / 454
45.8%
Facility 45.8%
MO AVG 66.6%
Rank #356 / 428
-31%
3.67
Facility 3.67
MO AVG 3.74
Rank #141 / 276
+33%-2%
$38.7k
Facility $38.7k
MO AVG $76.9k
Rank #220 / 283
37
Facility 37
MO AVG 36.5
Rank #180 / 281
4.6
Facility 4.6
MO AVG 5.7
Rank #106 / 281
153-
54
Facility 54
MO AVG 45
Rank #212 / 563
Ruth Volkart
$5.1M
Facility $5.1M
MO AVG $8.4M
Rank #194 / 286
$2.8M
Facility $2.8M
MO AVG $3.3M
Rank #188 / 286
55.1%
Facility 55.1%
MO AVG 45.6%
Rank #137 / 286
265810
Jefferson City Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NC

Nursing Care

Jefferson City
102
Facility 102
MO AVG 97
Rank #169 / 454
66.7%
Facility 66.7%
MO AVG 66.6%
Rank #210 / 428
0%
3.53
Facility 3.53
MO AVG 3.74
Rank #168 / 276
-22%-5%
$8.3k
Facility $8.3k
MO AVG $76.9k
Rank #154 / 283
34
Facility 34
MO AVG 36.5
Rank #161 / 281
3.4
Facility 3.4
MO AVG 5.7
Rank #46 / 281
269-
4
Facility 4
MO AVG 45
Rank #530 / 563
Cynthia Juckette
$13.2M
Facility $13.2M
MO AVG $8.4M
Rank #54 / 286
$4.2M
Facility $4.2M
MO AVG $3.3M
Rank #111 / 286
31.9%
Facility 31.9%
MO AVG 45.6%
Rank #276 / 286
265285
Glendale Gardens Nursing & Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Springfield (Downtown Springfield)
120
Facility 120
MO AVG 97
Rank #89 / 454
77.5%
Facility 77.5%
MO AVG 66.6%
Rank #132 / 428
+16%
3.49
Facility 3.49
MO AVG 3.74
Rank #168 / 276
+14%-7%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
24
Facility 24
MO AVG 36.5
Rank #100 / 281
3.4
Facility 3.4
MO AVG 5.7
Rank #46 / 281
-98-
94
Facility 94
MO AVG 45
Rank #5 / 563
Brian Sharp
$9.0M
Facility $9.0M
MO AVG $8.4M
Rank #83 / 286
$4.4M
Facility $4.4M
MO AVG $3.3M
Rank #105 / 286
48.2%
Facility 48.2%
MO AVG 45.6%
Rank #195 / 286
265473
Farmington Presbyterian Manor
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Farmington
90
Facility 90
MO AVG 97
Rank #227 / 454
74.4%
Facility 74.4%
MO AVG 66.6%
Rank #150 / 428
+12%
4.58
Facility 4.58
MO AVG 3.74
Rank #43 / 276
+49%+23%
$12.6k
Facility $12.6k
MO AVG $76.9k
Rank #167 / 283
9
Facility 9
MO AVG 36.5
Rank #11 / 281
2.3
Facility 2.3
MO AVG 5.7
Rank #11 / 281
170A+
66
Facility 66
MO AVG 45
Rank #113 / 563
Jane Hull
$9.9M
Facility $9.9M
MO AVG $8.4M
Rank #73 / 286
$6.3M
Facility $6.3M
MO AVG $3.3M
Rank #52 / 286
63%
Facility 63%
MO AVG 45.6%
Rank #74 / 286
265583
Grandview Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Nursing Homes In Washington (Elm Street)
102
Facility 102
MO AVG 97
Rank #169 / 454
47.1%
Facility 47.1%
MO AVG 66.6%
Rank #349 / 428
-29%
2.93
Facility 2.93
MO AVG 3.74
Rank #236 / 276
-55%-22%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 283
27
Facility 27
MO AVG 36.5
Rank #117 / 281
5.4
Facility 5.4
MO AVG 5.7
Rank #158 / 281
151A+
84
Facility 84
MO AVG 45
Rank #42 / 563
Shelia Lawson
$5.1M
Facility $5.1M
MO AVG $8.4M
Rank #196 / 286
$3.1M
Facility $3.1M
MO AVG $3.3M
Rank #172 / 286
61.1%
Facility 61.1%
MO AVG 45.6%
Rank #81 / 286
265374
Breeze Park – Lutheran Senior Services
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Weldon Spring
50
Facility 50
MO AVG 97
Rank #390 / 454
74.9%
Facility 74.9%
MO AVG 66.6%
Rank #146 / 428
+12%
5.01
Facility 5.01
MO AVG 3.74
Rank #31 / 276
-16%+34%
$41.3k
Facility $41.3k
MO AVG $76.9k
Rank #222 / 283
16
Facility 16
MO AVG 36.5
Rank #55 / 281
4.0
Facility 4.0
MO AVG 5.7
Rank #75 / 281
246A+
2
Facility 2
MO AVG 45
Rank #545 / 563
Holly Stevens
$20.9M
Facility $20.9M
MO AVG $8.4M
Rank #17 / 286
$12.2M
Facility $12.2M
MO AVG $3.3M
Rank #6 / 286
58.6%
Facility 58.6%
MO AVG 45.6%
Rank #105 / 286
265767
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Nursing Home Explorer
Overview of Crowley Ridge Care Center
Crowley Ridge Care Center is located in Dexter, MO. It provides comprehensive long-term care services under physician supervision, focusing on the physical, mental, and psychosocial well-being of residents. The center offers skilled nursing care, rehabilitation services, and memory care.

Contact Crowley Ridge Care Center

Overview of Aberdeen Heights
Aberdeen Heights is a faith-based, not-for-profit senior living community dedicated to serving residents with a culture inspired by Christian values. It offers independent living, assisted living, memory care, long-term care, skilled nursing, and short-term rehabilitation. The community provides a welcoming environment where residents can enjoy a variety of services and amenities.

Contact Aberdeen Heights

Overview of Aegis Health and Rehabilitation
Aegis Health and Rehabilitation is located in Wildwood, MO. The facility provides exceptional hospitality, focused nursing, and therapy care in a tranquil environment. It offers personalized rehabilitation plans and a variety of activities to support residents' recovery and well-being.

Contact Aegis Health and Rehabilitation

Adair Village

1801 N Gaines Dr, Clinton, MO 64735-1127
Overview of Adair Village
Adair Village is a skilled nursing facility located in Clinton, Missouri. It offers long-term care services, therapy services, and respite care. The facility is dedicated to providing compassionate and quality care 24/7.

Contact Adair Village

Crestview Home

1313 South 25Th St, Bethany, MO 64424-2634
Overview of Crestview Home
Crestview Home is a long-term care facility located in Bethany, Missouri. It provides comprehensive and quality care under physician supervision, focusing on the physical, mental, and psychosocial well-being of residents. The facility offers skilled nursing care, rehabilitation services, and memory care.

Contact Crestview Home

Overview of Nazareth Living Center

Nazareth Living Center is a 235-bed skilled nursing and assisted living community in Saint Louis, Missouri, offering skilled nursing, assisted living, memory care, respite care, and short-term rehabilitation, with 24-hour staffing across all units. It is operated by the Sisters of St. Joseph of Carondelet St. Louis Province, a nonprofit that has run the facility since 1987.

The facility carries a 2-star overall CMS rating, driven by Health Inspection and Quality Measures scores that are both roughly 30% below the Missouri average. Across 10 inspections since 2020, the facility recorded 51 deficiencies — 46% above the state average. The March 2025 routine survey identified 17 deficiencies, including a 38.71% medication error rate and infection control failures. The July 2025 complaint investigation was substantiated for financial exploitation of a resident, wound-care failures that led to a hospital transfer, and controlled-substance record discrepancies. CMS imposed a $12,000 civil money penalty in October 2023 and a four-day payment denial in March 2025.

Total nursing hours average 4 hours per resident per day, roughly 5% above the Missouri average, though RN-specific hours are 43% below state benchmarks. The facility’s occupancy rate is 40%, compared with Missouri’s average of 66.6%, reflecting current availability across most care levels. The community is part of a continuing care retirement community campus and maintains active resident and family councils; religious services and a full calendar of social and spiritual activities are available on-site.

With a 46-day average length of stay and a payer mix that is 72% private pay, the facility is structured primarily for short-term post-acute and rehabilitative stays in Saint Louis County. However, families considering Nazareth Living Center should also carefully review its recent inspection findings, medication error history, and substantiated complaint investigations before making a placement decision.

Contact Nazareth Living Center

Overview of New Madrid Living Center

Located at 1050 Dawson Rd in New Madrid, Missouri, New Madrid Living Center is a skilled nursing community with 112 beds. It offers long-term care, rehabilitation services, memory care, and 24-hour professional staffing on site, under private ownership. Kimberly Ivie operates the facility, and it accepts Medicare, Medicaid, and private pay.

CMS gives the community a 5-star overall rating, about 90.1% above the Missouri average. Health Inspection performance is about 72.4% above state peers. Total nurse staffing averages 4 hours and 10 minutes per resident per day, roughly 10% above Missouri’s average of 3 hours and 48 minutes. Nurse aide staffing exceeds averages, while RN and LPN staffing lag behind state averages, which is worth noting for residents with complex clinical needs.

The facility has averaged 4 deficiencies per year over the review period, about 27% below Missouri’s average of 5.5. Two substantiated complaints stand out in the record: an investigation in April 2024 confirmed that a resident sustained a fractured tibia/fibula when staff bypassed the required mechanical lift and delayed reporting the injury; another complaint in September 2023 was substantiated after staff failed to notify a guardian of a critical lab value, resulting in hospital admission for severe hypernatremia. There were no fines or Immediate Jeopardy findings in the available record.

The community’s occupancy rate is 48%, well below Missouri’s average of 66.6%, indicating current availability. Rehabilitation services, memory care, and secured living amenities are also available on site.

With an average resident stay of 152 days and capacity across skilled nursing and memory care, New Madrid Living Center suits residents seeking long-term placements in New Madrid County, including those transitioning from acute care who require ongoing skilled nursing support.

Contact New Madrid Living Center

Overview of New Haven Care Center

New Haven Care Center is a nonprofit nursing home in New Haven, Missouri, with 106 beds. It is operated by New Haven Care Center, Inc., under administrator Charles Tritch. Community-owned and operating for more than 40 years, the facility provides long-term care, short-term rehabilitation, and outpatient rehabilitation to residents in Franklin County. It accepts Medicare, Medicaid, and private pay.

CMS gives the facility a 3-star overall rating. Nursing staffing averages 4 hours and 0 minutes per resident per day, modestly above Missouri’s average of 3 hours and 48 minutes, a meaningful margin for residents with daily care needs. Four of the facility’s six quality measures fall below state averages, a signal worth weighing for long-stay placements.

Since 2022, New Haven Care Center has undergone three inspections, averaging 5 deficiencies per year, close to Missouri’s average of 5.5, roughly in line with peers. The annual inspection in 2023 cited personal hygiene care, mechanical lift safety, and infection control. A March 2025 focused inspection later identified deficiencies in medication administration, including insulin handling and oxygen orders. Neither inspection resulted in fines or enforcement actions.

The facility’s programs include therapy services, pain management, podiatry, optometry, and dental services. It also operates its own hospice program, New Haven Hospice, and provides memory care and respite care, with 24-hour staffing.

New Haven Care Center suits residents seeking long-term skilled nursing or short-term post-acute rehabilitation in a community-based, nonprofit setting in Franklin County, particularly those who may need in-house hospice access and end-of-life care in the same facility.

Contact New Haven Care Center

Overview of Truman Lake Manor, INC

Located in Lowry City, Missouri, Truman Lake Manor is a nursing home with 120 beds. It is operated by Truman Lake Manor, INC, owned by Wayne Morton, and administered by Timothy Corbin. The community accepts Medicare, Medicaid, and private pay, offering multiple options for residents and families to manage care costs.

The home is at 59% occupancy. Residents stay an average of 149 days, including those in short-term recovery and ongoing nursing care. Daily nurse staffing averages 3 hours and 14 minutes per resident, with registered nurses providing about 30 minutes of direct care per day, alongside nurse aides. Licensed practical nurses also contribute to the balance of hands-on attention.

The facility’s location on East 7th Street in Lowry City is a car-dependent neighborhood so most daily errands require transportation. State inspections reviewed the home’s adherence to protocols and safety practices and identified issues with resident reporting procedures, medication management and security, infection control measures, and physician notification protocols. Families should ask about these operational details during a tour with the management team.

Contact Truman Lake Manor, Inc

Overview of St James Living Center

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.

Contact St James Living Center

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
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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 261 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.