Page 17 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
Reviewed by
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. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. 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.
Sunset Home
NH
HOS
RC
SNF
Polk Maysville
60
Facility 60
MO AVG 96
Rank #340 / 450
51.7%
Facility 51.7%
MO AVG 66.5%
Rank #322 / 407
-22%
4.48
Facility 4.48
MO AVG 3.74
Rank #47 / 268
-42%+20%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
34
Facility 34
MO AVG 36.5
Rank #158 / 274
6.8
Facility 6.8
MO AVG 5.7
Rank #209 / 274
131-
37
Facility 37
MO AVG 46
Rank #344 / 545
Jerry Neal
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
MO AVG $7.4M
Rank #245 / 251
$1.2MFiscal year ending 12/2023
Facility $1.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #247 / 251
49.7%Fiscal year ending 12/2023
Facility 49.7%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #167 / 251
265745
Carroll House
NH
HOS
MC
SNF
Grand Carrollton
63
Facility 63
MO AVG 96
Rank #333 / 450
88.9%
Facility 88.9%
MO AVG 66.5%
Rank #42 / 407
+34%
3.73
Facility 3.73
MO AVG 3.74
Rank #129 / 268
-29%0%
$84.9k
Facility $84.9k
MO AVG $76.9k
Rank #246 / 276
26
Facility 26
MO AVG 36.5
Rank #109 / 274
6.5
Facility 6.5
MO AVG 5.7
Rank #193 / 274
156-
46
Facility 46
MO AVG 46
Rank #282 / 545
Carroll House, Inc
$1.7MFiscal year ending 12/2023
Facility $1.7MFiscal year ending 12/2023
MO AVG $7.4M
Rank #251 / 251
$1.1MFiscal year ending 12/2023
Facility $1.1MFiscal year ending 12/2023
MO AVG $3.9M
Rank #250 / 251
61.5%Fiscal year ending 12/2023
Facility 61.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #62 / 251
265706
Claru Deville Nursing Center
NH
RC
SNF
Fredericktown
90
Facility 90
MO AVG 96
Rank #225 / 450
82.2%
Facility 82.2%
MO AVG 66.5%
Rank #89 / 407
+24%
4.84
Facility 4.84
MO AVG 3.74
Rank #31 / 268
-35%+29%
$82.0k
Facility $82.0k
MO AVG $76.9k
Rank #242 / 276
28
Facility 28
MO AVG 36.5
Rank #120 / 274
4.0
Facility 4.0
MO AVG 5.7
Rank #71 / 274
574-
55
Facility 55
MO AVG 46
Rank #188 / 545
N & R Of Fredericktown, Inc
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
MO AVG $7.4M
Rank #175 / 251
$1.6MFiscal year ending 12/2023
Facility $1.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #230 / 251
34.5%Fiscal year ending 12/2023
Facility 34.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #249 / 251
265514
The Westchester House
NH
SNF
Chesterfield (Leesburg Pike)
159
Facility 159
MO AVG 96
Rank #42 / 450
56.7%
Facility 56.7%
MO AVG 66.5%
Rank #292 / 407
-15%
3.49
Facility 3.49
MO AVG 3.74
Rank #153 / 268
+46%-7%
$83.8k
Facility $83.8k
MO AVG $76.9k
Rank #244 / 276
66
Facility 66
MO AVG 36.5
Rank #251 / 274
7.3
Facility 7.3
MO AVG 5.7
Rank #226 / 274
690-
12
Facility 12
MO AVG 46
Rank #487 / 545
Robert Bachiel
$6.8MFiscal year ending 12/2023
Facility $6.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #98 / 251
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #94 / 251
56.1%Fiscal year ending 12/2023
Facility 56.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #101 / 251
265338
River Crossing Rehab and Healthcare Center
NH
HOS
MC
PC
SNF
St. Louis (Dunn Loring)
120
Facility 120
MO AVG 96
Rank #87 / 450
73.7%
Facility 73.7%
MO AVG 66.5%
Rank #157 / 407
+11%
3.18
Facility 3.18
MO AVG 3.74
Rank #191 / 268
-45%-15%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
36
Facility 36
MO AVG 36.5
Rank #170 / 274
5.1
Facility 5.1
MO AVG 5.7
Rank #133 / 274
188--River Crossing Holdco LLC$6.7M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.3M*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.64.8%*Fiscal year ending 11/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.265457
Stonebridge Villa Marie
NH
HOS
MC
RC
SNF
Jefferson City
120
Facility 120
MO AVG 96
Rank #87 / 450
56.7%
Facility 56.7%
MO AVG 66.5%
Rank #292 / 407
-15%
3.30
Facility 3.30
MO AVG 3.74
Rank #180 / 268
-1%-12%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
36
Facility 36
MO AVG 36.5
Rank #170 / 274
5.1
Facility 5.1
MO AVG 5.7
Rank #133 / 274
168-
53
Facility 53
MO AVG 46
Rank #216 / 545
Mark Lierman
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MO AVG $7.4M
Rank #155 / 251
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MO AVG $3.9M
Rank #167 / 251
51.7%Fiscal year ending 12/2023
Facility 51.7%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #144 / 251
265208
Springfield Skilled Care Center
NH
IL
RC
SNF
Springfield
120
Facility 120
MO AVG 96
Rank #87 / 450
81.7%
Facility 81.7%
MO AVG 66.5%
Rank #91 / 407
+23%
2.48
Facility 2.48
MO AVG 3.74
Rank #238 / 268
-42%-34%
$189.1k
Facility $189.1k
MO AVG $76.9k
Rank #263 / 276
91
Facility 91
MO AVG 36.5
Rank #267 / 274
5.7
Facility 5.7
MO AVG 5.7
Rank #163 / 274
398A+
28
Facility 28
MO AVG 46
Rank #401 / 545
Or Acquisition LLC
$10.5MFiscal year ending 12/2023
Facility $10.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #47 / 251
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MO AVG $3.9M
Rank #55 / 251
48.5%Fiscal year ending 12/2023
Facility 48.5%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #177 / 251
265477
Jefferson City Manor
NH
MC
SNF
Jefferson City
102
Facility 102
MO AVG 96
Rank #167 / 450
66.7%
Facility 66.7%
MO AVG 66.5%
Rank #206 / 407
0%
3.51
Facility 3.51
MO AVG 3.74
Rank #153 / 268
-22%-6%
$8.3k
Facility $8.3k
MO AVG $76.9k
Rank #159 / 276
34
Facility 34
MO AVG 36.5
Rank #158 / 274
3.4
Facility 3.4
MO AVG 5.7
Rank #42 / 274
268-
4
Facility 4
MO AVG 46
Rank #527 / 545
Cynthia Juckette
$7.1MFiscal year ending 02/2024
Facility $7.1MFiscal year ending 02/2024
MO AVG $7.4M
Rank #91 / 251
$2.6MFiscal year ending 02/2024
Facility $2.6MFiscal year ending 02/2024
MO AVG $3.9M
Rank #164 / 251
37.3%Fiscal year ending 02/2024
Facility 37.3%Fiscal year ending 02/2024
MO AVG 54.9%
Rank #243 / 251
265285
Baptist Homes of Independence
NH
AL
IL
MC
RESC
SNF
Independence
118
Facility 118
MO AVG 96
Rank #143 / 450
46.6%
Facility 46.6%
MO AVG 66.5%
Rank #346 / 407
-30%
3.93
Facility 3.93
MO AVG 3.74
Rank #99 / 268
-30%+5%
$297.0k
Facility $297.0k
MO AVG $76.9k
Rank #274 / 276
74
Facility 74
MO AVG 36.5
Rank #258 / 274
10.6
Facility 10.6
MO AVG 5.7
Rank #267 / 274
155-
39
Facility 39
MO AVG 46
Rank #326 / 545
The Baptist Home
$4.8MFiscal year ending 12/2023
Facility $4.8MFiscal year ending 12/2023
MO AVG $7.4M
Rank #165 / 251
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
MO AVG $3.9M
Rank #169 / 251
52.7%Fiscal year ending 12/2023
Facility 52.7%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #138 / 251
265456
River City Living Community
NH
HOS
SNF
Jefferson City
87
Facility 87
MO AVG 96
Rank #249 / 450
50.6%
Facility 50.6%
MO AVG 66.5%
Rank #325 / 407
-24%
4.80
Facility 4.80
MO AVG 3.74
Rank #31 / 268
-53%+29%
$238.0k
Facility $238.0k
MO AVG $76.9k
Rank #271 / 276
44
Facility 44
MO AVG 36.5
Rank #196 / 274
4.4
Facility 4.4
MO AVG 5.7
Rank #92 / 274
244-
17
Facility 17
MO AVG 46
Rank #461 / 545
N & R Of Jefferson City, LLC
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #218 / 251
$1.8MFiscal year ending 12/2023
Facility $1.8MFiscal year ending 12/2023
MO AVG $3.9M
Rank #216 / 251
52.6%Fiscal year ending 12/2023
Facility 52.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #139 / 251
265482

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.

Rows per page:
Nursing Home Explorer
1...161718...25
Overview of Lakeview Health Care & Rehabilitation Center

Lakeview Health Care & Rehabilitation Center is a skilled nursing facility on Ashley Road in Boonville, Missouri. The home is operated by Boonville #1, Inc. under the ownership of Eric Barnes, with Todd Anderson serving as administrator. Medicare, Medicaid, and private pay are accepted, so families have multiple ways to cover short-term rehabilitation and longer-term skilled nursing care.

The surrounding neighborhood is moderately walkable. Visiting family members can complete some errands on foot, but they’ll need transportation for most trips.

The 96-bed facility currently operates at 45% occupancy. Residents stay an average of 193 days, including post-acute rehabilitation patients and those receiving ongoing nursing care. Daily nursing support averages 3 hours and 34 minutes per resident. Registered nurses, licensed practical nurses, and nurse aides provide care and support throughout the day.

State inspections identified areas related to medication management and nursing staffing practices. Families touring the facility should ask how these areas are monitored and managed as part of daily operations and clinical oversight.

Lakeview is still a relatively new facility, as it just started operating within the past year. Families evaluating the facility should ask about the care team’s experience and how it works on staffing and employee retention. The community’s moderate occupancy level means there’s greater availability and shorter wait times for admission.

Contact Lakeview Health Care &Amp; Rehabilitation Center

Overview of Fulton Nursing & Rehab

Operated by N & R of Fulton, Inc, Fulton Nursing & Rehab is a skilled nursing home in Fulton, Missouri. Its location on Bluff Street is in a moderately walkable area with a Walk Score of 63. The facility provides short-term rehabilitation after surgery or hospitalization, as well as ongoing skilled nursing care. The 100-bed community has an occupancy rate of 68%, where residents stay an average of 139 days.

The home is clinically focused on rehabilitation services. There’s a physician on staff, and 24-hour nursing care is available. Total nurse staffing averages 4 hours and 33 minutes per resident each day. It is broken down with registered nurse coverage of 18 minutes, nursing aide support of 2 hours and 3 minutes, and LPN or LVN time of 29 minutes daily. This staffing mix can oversee post-acute care and long-term residents.

The facility offers medical and support services, including IV therapy and pharmaceutical services. There’s a dedicated Alzheimer’s special care unit for residents with memory care needs. Van transportation for residents and visiting family. Other services include religious services, housekeeping, and laundry services that support day-to-day living. Amenities include a beauty and barber shop.

Residents receive meals through a complete in-house dining program. Menus are built around individual preferences and nutritional needs, so there’s variety in meals and snacks. The home’s combination of a rehabilitation focus and on-site medical capabilities makes it a great choice for patients recovering from acute care who need structured nursing support during that transition.

State inspections identified concerns in areas including documentation of care plans for residents with behavioral support needs, consistency in infection control and isolation practices, and reliable scheduling of nurse presence. These findings show areas that need attention. Families touring the facility can ask how these areas are managed and how it approaches these priorities.

Contact Fulton Nursing &Amp; Rehab

Sunset Home

1201 South Polk, Maysville, MO 64469-4028
Overview of Sunset Home

Sunset Home is a 60-bed nursing home at 1201 South Polk in Maysville, Missouri, operated by N & R of Maysville, LLC in DeKalb County. The facility has availability at 56 percent occupancy, below Missouri’s 66.6 percent average. Accepted are Medicare, Medicaid, and private pay, averaging 153 days stay length, geared toward long-term skilled nursing care. Resident transportation to medical appointments exists.

The facility is rated 1 star by CMS, 62 percent below Missouri average, driven by below-average health inspection and staffing sub-ratings. Quality measures run modestly above state average. Across 5 inspections since 2023, the facility recorded 34 total citations, 1 serious and 33 moderate, with no critical findings, recent fines, and recent payment denials. Nurse hours run 3h 48m per resident daily, aligned with Missouri’s average.

Sunset Home suits long-term Medicaid residents in rural DeKalb County needing ongoing skilled nursing care.

Contact Sunset Home

Overview of Carroll House

Operated by Carroll House, Inc., Carroll House is a skilled nursing home in Carrollton, Missouri. It is set on Grand Street in a residential setting with moderate walkability. The home provides nursing care and rehabilitation and accepts Medicaid, Medicare, and private pay, which gives families flexibility in how they cover care.

The 63-bed community has a modest footprint, with a current occupancy rate of 89%. Residents stay an average of 143 days, including rehabilitation residents and those needing longer-term nursing care. Daily nurse staffing is substantial, with total care averaging 4 hours and 10 minutes per resident each day. That level of hands-on attention is the backbone of the facility’s focus on daily living support.

The home can accommodate residents with Alzheimer’s disease or related memory impairments, with a dedicated special care unit for those needs. Beyond memory care, the facility has rehabilitation services and has a doctor on staff, which can reduce the need for off-site medical appointments. Daily support includes 24-hour staffing, van transportation for appointments and outings, and complete dining services tailored to residents’ preferences.

Amenities include a beauty salon, barber services, and housekeeping. Religious services are available because the home is committed to spiritual care, which may appeal to residents and families who value the same thing.

State inspections by the Department of Health and Senior Services identified issues related to resident safety and protection, timely incident reporting, care processes, infection control practices, staff training, kitchen safety, and resident dignity. These findings are areas that need attention as part of the facility’s ongoing management.

The facility offers a home-like environment with semi-private and private room options. Many families will find it reassuring when searching for a place that balances medical oversight with residential comfort.

Contact Carroll House

Overview of Claru Deville Nursing Center

Linda Shuh manages Claru Deville Nursing Center, a 90-bed facility on Spruce Street in Fredericktown, Missouri, owned by N & R Of Fredericktown, Inc. The main office keeps things simple by taking Medicare, Medicaid, and private pay. If you plan on visiting, the neighborhood has a walkability score of 55 out of 100, which means you can run a few quick errands on foot, but you’ll still want a car for most trips.

The center keeps about 82 percent of its beds full, and residents stay an average of 214 days. This timeline shows they handle a pretty even split between short-term therapy and permanent residential care. To keep up with daily medical needs, the nursing team provides just over 5 hours of care per resident each day. An on-staff doctor oversees these daily health plans, working alongside registered nurses, practical nurses, and aides.

Recent inspections noted a few routine procedural areas that needed attention, including nurse scheduling adjustments, paperwork timelines for resident transfers, and updated staff training protocols, meaning their overall citation rate is not zero.

Individuals looking at care options can check out the dedicated memory wing for Alzheimer’s care, along with on-site spaces for physical therapy, dialysis coordination, and specialized wound treatments. The kitchen team serves up multiple meal choices every day based on what residents prefer to eat. Daily life here combines these health services with standard laundry help, room cleaning, and regular social activities.

Contact Claru Deville Nursing Center

Overview of The Westchester House

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.

Contact The Westchester House

Overview of River Crossing Rehab and Healthcare Center

River Crossing Rehab and Healthcare Center is a nursing home in Saint Louis, MO, offering rehabilitation and skilled nursing. The community has a supportive and welcoming environment, ensuring older adults have a comfortable stay. With 24-hour care, therapies, and nutritious meals, residents receive exceptional services. To meet residents’ unique needs and preferences, the community provides personalized care plans that aim to help with their recovery.

Light exercises and social events ensure residents can freely interact with friends and have fun. Spacious rooms and accessible amenities are also available for residents’ relaxation and wellness. With its ideal setting in the peaceful residential area of Saint Louis, the community guarantees a laid-back retirement. This nursing home has exceptional services dedicated to older adults’ welfare, making it one of the best choices for senior living in Missouri.

Contact River Crossing Rehab and Healthcare Center

Overview of Stonebridge Villa Marie

Stonebridge Villa Marie beckons with a welcoming environment that invites residents to embrace their passions and talents in Jefferson City, Missouri. As a family-owned and operated establishment, it exudes a sense of warmth and personal touch that sets it apart. The facility itself boasts a modern and pristine design, reflecting a commitment to aesthetics and functionality. With a professionally curated interior, every corner exudes comfort and sophistication.
Stonebridge Villa Marie offers a range of specialized care services including rehabilitation, skilled nursing, and memory care. This comprehensive approach is complemented by a home-like setting that encourages socialization and peer interaction, fostering a sense of community that truly feels like family. Grounded in principles of dignity and respect, this haven ensures that each resident’s unique journey is honored every step of the way.

Contact Stonebridge Villa Marie

Overview of Springfield Skilled Care Center

Begin your healing journey with the outstanding senior living community of Springfield Skilled Care Center in West Grand, Springfield, MO, providing long-term care and short-term rehabilitation. The community features 120 cozy and warm accommodations for seniors to enjoy unparalleled comfort and convenience. A team of qualified and specially trained professionals cares for seniors’ special needs and aspirations.

The community accepts Medicare and Medicaid to ease financial constraints. Alzheimer’s care is also provided for individuals with memory-related needs. Experience the utmost care and support you deserve with a reliable community. Springfield Skilled Care Center is ideal for seniors aiming to make the most out of their best years with its exceptional services.

Contact Springfield Skilled Care Center

Overview of Jefferson City Manor

Nestled in the heart of the capital city, Jefferson City Manor proudly stands as a locally-owned skilled nursing facility, embodying a commitment to personalized care and support. With a dedicated team of highly-trained caregivers available round the clock, residents experience unparalleled comfort and assistance, enriched by their exceptional expertise and genuine compassion.
Alongside rehabilitation therapy and dietary support, innovative technological advancements shape the resident experience. From electronic health records to a sophisticated pharmacy interface, a resident security system to wireless nurse call capabilities, and Wi-Fi connectivity, Jefferson City Manor embraces modernity for a seamless and connected lifestyle. Nursing services encompass diverse needs, including IV therapy, memory care, palliative and hospice care, as well as respite care. With the added convenience of in-house radiology and laboratory services, residents enjoy comprehensive medical support. Moreover, a plethora of payment options, including Medicare, Medicaid, private pay, and various insurance plans, ensure accessible and tailored care for every individual.

Contact Jefferson City Manor

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
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.