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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
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.
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 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.
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.
Have a magnificent retirement with the respected senior living community of Baptist Homes of Independence in the tranquil town of Independence, MO, offering top-notch assisted living services. Dedicated to providing its residents with comfort and peace of mind, a passionate team ensures round-the-clock assistance with daily activities. The community also offers healthcare services including staffing & ancillary services, non-ambulatory care, incontinence care, and diabetic care.
Meet new friends and enjoy its beautifully created spaces along the way. The community also serves delectable and healthy meals that satisfy cravings. Experience its vibrant off-site social activities and on-site devotional activities towards an active and enriching lifestyle. Baptist Homes of Independence is ideal for seniors seeking to maximize independence while receiving the unparalleled care and assistance they deserve.
Tucked in Jefferson City, Missouri, River City Living Community stands as a stronghold of comprehensive and top-tier senior care. With a commitment to holistic well-being encompassing physical, mental, and psychosocial dimensions, this community takes seniors’ health and happiness to heart. What sets this haven apart is not just its reliability, but also its charming blend of classic elegance and warm ambiance. At River City Living Community, a wide array of in-house services are at residents’ fingertips, including skilled nursing care, physical and occupational therapy, personalized dietary guidance, memory care, and hospice care. Amidst a bustling calendar of diverse activities, this community ensures that no facet of wellness is overlooked. A vigilant team, led by experienced physicians and medical directors, maintains a watchful eye on residents’ safety and quality of life.
Maywood Terrace Living Center is a nursing home ideal for residents who seek to relax and recover. Specializing in short-term rehabilitation and long-term care, the community provides professional and compassionate service for its residents. Maywood Terrace cultivates the holistic needs of its residents in a home-like setting, allowing them to age gracefully.
The services are multidisciplinary for both skilled nursing and rehabilitation– focusing on rehabilitative therapy (physical, occupational, speech) and mobility improvement, and medical professionals are on-call– medical directors, nurse practitioners, and physicians.
Jefferson Healthcare, based in Lee’s Summit, Missouri, comprises a reliable team of professionals dedicated to providing 24-hour nursing care, nourishing meals, and ample social spaces for seniors. The competent staff ensures the delivery of the right services to make senior living more manageable, fostering a safe and therapeutic environment. As a skilled nursing facility with high-caliber service, Jefferson Healthcare is a trustworthy choice for both short-term recovery and long-term care, offering expertise in physical and occupational therapy.
With flexible nursing hours available around the clock, Jefferson Healthcare caters to the unique needs of its residents. The facility goes beyond basic care by providing amenities like an outdoor courtyard, shuttle services, and well-organized social gathering spaces. Their commitment to maintaining a skilled nursing home is evident in the thoughtful design and services offered, making Jefferson Healthcare a reliable choice for those seeking nursing home qualifications and a supportive environment for comprehensive care.
Located in Columbia, Missouri, The Villa at Blue Ridge is a skilled nursing home operated by N & R Of North Columbia, LLC, owned by Karin Borning. The 97-bed facility is led by administrator Kimberly Welch. Its location on Blue Ridge Road has a Walk Score of 98, so the location is a walker’s paradise with excellent access to nearby services and amenities. Medicaid, Medicare, and private pay are accepted, offering families multiple ways to access coverage.
The Villa provides a spectrum of care, from post-acute rehabilitation to longer-term skilled nursing care. Most stay an average of 145 days, including those under shorter-term recovery stays and residents who remain for ongoing nursing support. Total nurse staffing averages 4 hours and 43 minutes per resident each day to provide substantial hands-on clinical support. The facility’s current occupancy rate is 87%, with 84 of its 97 beds currently filled.
The facility’s clinical services are comprehensive, including physical and occupational therapy, dietitian services, behavioral and Alzheimer’s care, and hospice. There’s a physician on staff, and the 24-hour staffing model provides medical coverage and supervision around the clock. The home manages complex care needs, including wound VACs, tracheostomy care, and tube feedings, so it can accommodate residents with intensive nursing needs.
On-site amenities include a barber and beauty shop, four courtyards for outdoor time, and laundry and housekeeping services. Residents dine with a complete range of meals and snacks tailored to their preferences. They also have access to transportation for appointments and outings. Religious services, free cable service, free in-room phones, and an ombudsman program to advocate for resident concerns are also available.
The community has a Walk Score of 98, so visiting family will find the surrounding neighborhood highly accessible on foot. Shops and services are easy to reach.
St. Louis Altenheim sits at 5408 S Broadway in St. Louis’s Carondelet neighborhood, a few miles south of the city center along the Mississippi. The 48-bed community has operated for over a century and today carries five care designations: nursing home, assisted living, independent living, memory care, and respite care. Administrator Jean Bardwell leads the operation under Malik St. Louis LLC. The neighborhood scores a 39 on walkability, so transportation is a practical consideration for families and visitors.
Ninety percent of beds are currently filled, 43 of 48, which is a meaningful occupancy figure for a community this size and care mix.
Total nursing hours run at 3 hours and 58 minutes per resident per day. Registered nurses account for 26 minutes of that, nurse aides for 2 hours and 11 minutes. Twenty-four-hour staffing is confirmed.
Named programs include Bavaria Memory Care and Supported Living, which signals a structured approach to both dementia care and residents with broader support needs. Rehabilitation services and respite care round out the clinical options. Religious services are available on site.
The dining room has a view of the Mississippi River, and meals are restaurant-style with dietary accommodation. Small pets including cats are permitted. Amenities include private bathrooms, wall-to-wall carpeting, fresh flowers throughout, reserved parking, manicured grounds, and a smoke-free building with a fire suppression system. Utilities, housekeeping, and linen service are all included.
St. Louis Altenheim is a full-service, century-old nursing community in south St. Louis with a broad care range, named memory and support programs, and a physically detailed residential environment; suited to older adults who need nursing-level oversight in a long-established setting.
Administered by Deanthony Frazier, Rehab of Kansas City South is an SNF on Holmes Road in Kansas City, Missouri, operated by 8033 Opco Llc under owner David Mercier. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to fund short-term rehabilitation and ongoing care. It’s a hundred-bed community running at about 89 percent occupancy, meaning beds are consistently filled, but the home has room to accommodate admissions.
The average resident stay is about 96 days, a timeframe reflecting the home’s focus on rehabilitation and recovery. Clinically, the home highlights active rehabilitation services supported by a doctor on staff and 24/7 staffing. Total nursing care averages roughly 2 hours and 48 minutes per resident day, providing valuable hands-on support for occupants handling complex medical needs. That staffing level supports the home’s ability to manage medication, monitoring, and the kinds of therapy and recovery work that define post-acute rehab. Daily care is backed by careful attention to dietary and nutritional needs management, ensuring meals are nutritionally balanced and tailored to individual needs. The neighborhood is highly walkable at a Walk Score of 94, making it easy for family members to visit and access nearby services and amenities.
For families contemplating Rehab of Kansas City South for a loved one’s post-acute stay, the blend of rehabilitation focus, on-site medical oversight, and strong staffing support makes it a pragmatic choice for recovery-oriented care.
Overview of Truman Healthcare & Rehabilitation Center
Truman Healthcare & Rehabilitation Center is a skilled nursing home in Lamar, Missouri, on West First Street. The 123-bed home is operated by Lamar No and owned by The Lamar Exempt Trust. Medicare, Medicaid, and private pay are accepted, so families have many options to cover short-term rehabilitation and longer-term care. The community is at 83% occupancy. Residents stay an average of 225 days, including those under post-acute rehabilitation and with ongoing nursing care needs.
Staffing is an important part of the facility’s daily operations. Total nurse staffing averages approximately 4 hours and 19 minutes per resident each day. This includes registered nurses, nurse aides, and licensed practical nurses working across the home’s schedule.
The facility provides rehabilitation services and 24-hour nursing care. It’s a practical choice for patients recovering from surgery, hospitalization, or other acute medical events who need skilled nursing support during healing.
Inspections by Missouri’s Department of Health and Senior Services focused on food safety practices, accuracy of care documentation, and protocols for resident protection and medication management. The home has been continuously addressing these areas to strengthen its daily operations.
Amenities include a beauty shop, on-site laboratory services, vision services, transportation, and custom nutritional programs. Each suite has thermostat control and a comfortable bathroom. There’s free cable television and WiFi throughout the building. The location has a Walk Score of 56, so it’s moderately walkable. Some errands can be handled on foot, but most require a short drive for trips around town.
Families considering Truman Healthcare should visit the facility and ask about care routines and specialized rehabilitation programming to determine whether it’s the right fit for their needs.
Conveniently set in the neighborhood of Joplin, MO, Joplin Gardens is a compassionate senior living community, offering excellent long-term care services. The community provides round the clock doctors and care teams on-site to make sure residents have access to the services they need to thrive and maintain their health. Snug and spacious accommodations are also offered to make sure residents have a comfortable living space for resting and relaxation.
With access to physical therapy, occupational therapy and speech therapy, residents are bound to maintain their optimal functionality to enjoy their independence. Housekeeping and laundry services are also offered to make sure residents have less chores to worry about and more time for the things they enjoy. At Joplin Gardens, residents are empowered to enjoy a fulfilling living experience.
Springfield Villa is a skilled nursing home located at 1100 East Montclair in Springfield, Missouri. The facility is operated by N & R of Springfield Montclair, LLC, and is administered by Clinton Graves. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover short-term rehabilitation and longer-term care. The surrounding neighborhood has a Walk Score of 94, so it’s highly walkable and convenient for residents and visiting family members.
The 146-bed home is a moderately sized community. It has an occupancy rate of 84%. Residents stay an average of 124 days, including those under post-acute rehabilitation and extended nursing care. The facility has been operating for 9 years, supporting residents in recovery and those receiving ongoing skilled nursing care.
Rehabilitation and intensive nursing care are major parts of the home’s care program. Total nurse staffing averages 4 hours and 10 minutes per resident each day, with registered nurses, nurse aides, and LPN/LVN staff all contributing to daily care. The home has a doctor on staff and offers 24-hour professional medical care. There are also dedicated rehabilitation services. The facility’s staffing depth and on-site medical resources make it a great choice for patients recovering from surgery or a hospital stay, or for those managing complex medical needs.
Residents can choose meals through a full-service program based on their individual preferences. Housekeeping, laundry services, and transportation are also available for residents and families. With 24-hour staffing, residents receive ongoing support with daily activities, medications, and any urgent care needs.
State inspections identified areas requiring management attention, including resident monitoring and care documentation practices. Families evaluating the home should ask how these areas are actively being addressed and improved.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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 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.
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
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