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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.
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.
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.
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
Nursing home care, skilled nursing, and hospice care are what Hermitage Nursing & Rehab offers residents in Hermitage, MO. Licensed nursing care is in the building with no hours left out, and the value of it shows up on days when nothing happens. Hospice care covers a resident receiving care at the end of life. Put beside each other, they fit someone whose medical needs call for ongoing nursing or hospice.
The building carries 120 beds, and private rooms are listed, meaning single occupancy for the resident in one.
Therapy during recovery, or work to keep function, comes under rehabilitation services. Nursing time assigned to one resident comes to 3 hours and 24 minutes over a day.
Medicare, Medicaid, and private pay are the three routes here. One turns on a hospital record, the other on a bank record, and the last is left up to the family to sort. There is a doctor on staff. Day-to-day, Shawnna Wood runs the building as its administrator for N & R of Hermitage.
Sunset Health Care Center is a nursing home in Union, MO, offering rehabilitation and skilled nursing. With a compassionate and home-like atmosphere, the community ensures older adults have a comfortable stay. Residents can also maintain their independence, with 24-hour care, nutritious meals, and recreational programs. Through a person-centered approach to care, the community also strives to provide the best possible care tailored to residents’ unique needs and habits.
Arts and crafts, fun events, and light exercises help residents stay happy and learn new hobbies. Spacious common areas and accessible hallways also ensure residents’ comfort and safety. With its ideal setting in the quiet residential area of Union, near Union City Park and Union City Lake, residents experience a stress-free retirement. This nursing home is a trusted choice for senior living in Missouri, especially with its commitment to older adults’ welfare.
Fulton Nursing & Rehab operates as a 100-bed care facility in Fulton, Missouri, delivering nursing home care, skilled nursing, and memory care programs. Memory care accommodations feature a secured environment designed for residents who require active supervision, while nursing home services accommodate long-term residential stays under physician oversight. Rehabilitation services and short-term rehabilitation cater to individuals recovering from illness or injury. Medical support options encompass IV therapy and pharmaceutical services.
The community is run by operator N & R of Fulton alongside administrator Kayla Pruitt, offering both private single-occupancy rooms and shared semi-private layouts. Measured across the entire resident population, total nurse staffing stands at 3h 44m per resident/day. Additional features include an on-site salon, religious services held on Sundays and twice weekly, and handicapped-accessible vans for transportation needs. A local walk score of 63 indicates that nearby errands can occasionally be done on foot.
Families exploring long-term care options or short-term rehab can reach out to Fulton Nursing & Rehab to request admission criteria, check room availability, or arrange a site visit. Payment arrangements cover Medicare, Medicaid, and private funds.
St. James Living Center opens its doors in Saint James, MO. Memory care, hospice care, nursing home care, and skilled nursing are on the list.
The setting name and the license name describe the same support, and both mean ongoing nursing on-site. Hospice care is the entry for end-of-life needs. Dementia takes a person’s judgment before it takes their legs, and memory care is a supervised setting that answers for that.
The building is set at 90 beds. Each resident’s day is built on 4 hours and 17 minutes of nursing. Rehabilitation services run on site, so therapy needs no trip elsewhere.
Transportation carries a name of its own. A Walk Score of 65 means the immediate blocks are walkable and most of what lies past them is not.
Medicare, Medicaid, and private pay are accepted. Anita Carrol is the administrator, and N & R of St. James runs the operation. The fit is a person whose needs run to memory support, skilled nursing, or hospice.
Carroll House in Carrollton, Missouri, delivers a range of health services that include skilled nursing, general nursing home care, memory care, and hospice support. Supervised memory care accommodations serve residents living with Alzheimer’s or other dementia diagnoses, while hospice programs focus on end-of-life comfort. Rehabilitation therapies take place directly inside the facility to streamline recovery routines, and an on-staff physician assists with medical oversight.
This 63-bed community, overseen by administrator Evelyn McDonald, provides private and semi-private room options. Nurse staffing averages 3 hours and 44 minutes per resident daily. Conveniences feature scheduled religious services, beauty and barber accommodations, and dedicated van transportation for off-campus medical visits. Located in an area with a 46 walk score, the location relies on vehicle transit for off-site errands.
Interested residents exploring senior care in Carrollton are welcome to reach out to Carroll House to request current room availability, discuss coverage details, or book an introductory tour. Payment plans accept Medicare, Medicaid, and private funds.
Claru Deville Nursing Center operates out of Fredericktown, MO, with respite care, nursing home care, and skilled nursing on the license. Licensed nursing covers the full 24 hours. Respite means a short booking made while whoever normally does the caregiving is out of town or laid up. That is worth knowing for a family with no backup arranged.
There are 90 beds here. Each resident’s day includes 4 hours and 50 minutes of nursing. Rehabilitation services, a short-term therapy course, wound care, and infusion treatment all run during a stay.
An Alzheimer’s special care unit gives residents with that diagnosis a designated setting. Transportation gets arranged for anyone going out to dialysis.
Medicaid, Medicare, and private pay are accepted. Medicaid can carry long-term nursing care for a qualifying resident, while Medicare covers a recovery period once an admission qualifies it, not a permanent address. Private payment comes from the resident or the family instead. Linda Shuh is the administrator, and N & R Of Fredericktown operates the community.
The Villa at Blue Ridge, in Columbia, MO, does nursing home care, skilled nursing, and hospice care. Nursing home and skilled nursing mean clinical coverage does not thin out here, even after visiting hours. Hospice care rounds it out, for a resident whose care now concerns the end of life rather than making a recovery. A person needing continuing skilled care and a person needing hospice both are suited within that portfolio.
The building holds 97 beds. Per resident, nursing time fills 3 hours and 59 minutes of each day.
Recovery work happens here too, because rehabilitation is one of the named services. A courtyard gives residents somewhere to be outdoors, and a salon is another one of the amenities. Transportation appears both as an amenity and as a resident program, and religious services are named as well.
Dining is on the amenity list too. Medicaid, Medicare, and private pay are all taken. Private pay is the plain version, a family paying for the care directly. Medicaid enters at the point where personal savings stop covering the bill, and Medicare stays confined to the short skilled stretch that follows an eligible hospital admission.
Kimberly Welch takes the administrator’s role at The Villa. N & R of North Columbia, LLC is the operating entity named on the license.
Rehab of Kansas City South is a nursing home in Kansas City, MO, providing skilled nursing, nursing care and palliative care. Skilled nursing provides licensed nursing care on site around the clock, while palliative care focuses on comfort and symptom management, making the home a potential fit for a resident who needs ongoing clinical care alongside comfort focused support.
The home has 100 beds. Medicare, Medicaid and private pay are accepted, giving families public benefit and out of pocket payment paths for covered care and services.
Deanthony Frazier serves as the administrator, and 8033 Opco operates the community. Total nurse staffing is 2h 30m per resident per day, representing that amount of combined nursing time allocated to each resident daily. Rehabilitation services are available, allowing a resident to receive rehabilitation support at the community, while dietary and nutritional needs management supports meals planned around residents’ nutritional requirements. The salon and spa provide an on site personal care option.
Morningside Center provides senior housing choices in Chillicothe, Missouri, through assisted living, skilled nursing, and general nursing home care. The setup allows residents to receive personal help with routine tasks like dressing and medication routines, alongside clinical support for higher care needs. Physical recovery options exist on site via the Skilled Rehab program.
Livingston County Nursing Home District runs the 91-bed location under administrator Harri Melte. Staffing reports show average daily nurse time of 4 hours and 36 minutes per resident. Setting aside driving needs, the neighborhood features a 71 walk score, placing daily errands within walking distance.
Prospective residents can reach out to the administrative team at Morningside Center to review enrollment details, tour the grounds, and discuss coverage through Medicare, Medicaid, or private funding.
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.
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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