Page 19 of Best Nursing Homes in Missouri

Overview of Sunnyview Nursing Home & Apartments

Sunnyview Nursing Home & Apartments is a 28-bed skilled nursing facility in Trenton, Grundy County, Missouri, administrated by Penny Buswell and privately owned. The facility serves Medicare, Medicaid, and private-pay residents with an average length of stay of 341 days and current occupancy of 33.9%.

Sunnyview offers skilled nursing care, short-term rehabilitation, and therapeutic services including physical, occupational, and speech pathology. The facility maintains on-site nurse aide training, mental health services, and an active resident council.

Nursing staffing exceeds Missouri state benchmarks in most categories. Total nursing care averages 4 hours 28 minutes per resident per day, 18% above state average and ranking 47th among 276 Missouri facilities. Licensed Practical Nurse hours of 53 minutes per day exceed state average by 29%, and Certified Nursing Aide hours of 2 hours 52 minutes per day are 24% above benchmark. Registered nurse coverage of 21 minutes per day is 25% below state average, and weekend registered nurse presence of 12 minutes per day is 40% below benchmark.

Quality of care metrics reveal significant clinical challenges. Falls with major injury occur in 7.4% of long-stay residents, 84% worse than Missouri’s benchmark of 4.0%. Urinary tract infection rates of 5.9% are 115% worse than state average of 2.7%. Functional decline reaches 25.0, 29% worse than state average.

Walking ability decline affects 26.5% of residents, 28% worse than state average. Long-stay hospitalization rates of 3.26 per 1,000 days are 57% worse than state benchmark. Positive measures include pneumococcal vaccination at 99.4% and influenza vaccination at 97.8%, both significantly better than state.

Financial performance shows operational stress. The facility reported a $260,600 operating loss in fiscal 2024 against $5.2 million revenue. Payroll represents 76.8% of revenue, the 17th highest percentage statewide. Occupancy of 33.9% remains critically low.

Regulatory compliance reveals serious deficiencies. Nine inspections since 2019 identified 45 citations including 2 critical violations for abuse or neglect. Four complaint investigations between April 2023 and October 2025 documented critical failures.

April 2023 documented failure to timely report sexual abuse. A resident with Alzheimer’s disease and severe cognitive impairment reported he had been raped. August 2023 documented inappropriate sexual comments toward a resident with severe cognitive impairment. September 2024 identified environmental deficiencies.

September 2025 documented failure to update care plans following resident elopement.

October 2025 resulted in a critical citation for abuse or neglect, the facility’s second critical citation in six years. Federal penalties totaled $36,000, with $17,000 assessed in September 2025.

CMS ratings are 1/5 overall, 2/5 for health inspection, 5/5 for staffing, and 1/5 for quality measures.

Families should review the facility’s protocols for reporting abuse, environmental remediation, and fall and infection prevention measures before considering placement.

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.

Fulton Manor, Inc. runs the day-to-day operations at Fulton Manor Care Center, a 52-bed nursing home over at 520 Manor Drive in Fulton, Missouri. Paying for care is simple since they take Medicare, Medicaid, and private pay. If you’re coming to visit, the neighborhood is walkable enough to run a few quick errands on foot, but you’ll still need a car for most things.

The building is usually about 87 percent full, and people stay for around 145 days on average. This means the staff splits their time pretty evenly between short-term rehab and long-term care. To keep up with everything, the nurses and aides spend about 3 hours and 21 minutes helping each resident every day, all under the watch of an on-site doctor.

State inspectors drop by regularly to check that the building is meeting health and safety codes. Recent visits turned up a few areas that need more attention from management, specifically when it comes to staff oversight, following clinical care plans, passing out medications properly, and basic resident safety. These findings keep the facility’s total citation count above zero.

Older adults can look into the specialized rehab programs, quiet common lounges, and dedicated guest rooms for visiting family members. The daily schedule pairs these therapy routines with regular meals and a monthly activities calendar to help everyone stay social. Anyone checking out local care options can contact the admissions office directly to check on open beds, verify insurance coverage, or set up a time to walk through the building.

Waverly #1, Inc, along with owner Ram Chandra and administrator Dana Davis, operates Apple Ridge Care Center at 100 West Thomas Drive in Waverly, Missouri. The billing office handles standard payment methods, coordinating services through Medicare, Medicaid, and private pay insurance. With a walkability score of 19 out of 100, the local surroundings require residents and guests to use a vehicle for nearly all errands and trips outside the building.

The 60-bed facility maintains an occupancy level of 72 percent, while resident stays average 286 days. This operational timeline points to a daily schedule that balances brief post-hospital therapy routines with permanent residential nursing placements. The staff operates on continuous 24-hour schedules, averaging 3 hours and 34 minutes of total daily nursing care per resident through a combined team of registered nurses, practical nurses, and aides.

State inspectors from the Missouri Department of Health and Senior Services file regular compliance logs for the building. Recent survey documents noted specific procedural items requiring attention, including staff supervision habits and resident access to private communication methods within the secure wing, which means the facility’s cumulative citation rate is above zero.

Older adults can evaluate the on-site physical, occupational, and speech therapy setups to see how the clinical teams address daily physical goals. The building configuration features common meal halls, regular social activity programming, and specialized therapy rooms.

Maple Grove Wellness & Rehabilitation is a 144-bed skilled nursing and rehabilitation facility in Fenton, St. Louis County, Missouri, administrated by Jodie Pate and privately owned. The facility provides skilled nursing care, rehabilitation services, and respite care serving Medicare, Medicaid, and private-pay residents with an average length of stay of 643 days, indicating a primarily long-term care population.

Total nursing care averages 2 hours 46 minutes/resident/day, 27% below the average. Registered nurse coverage of 8 minutes/day is critically deficient at 71% below average. Certified Nursing Aide hours are 21% below benchmark. Weekend registered nurse presence of 7 minutes/day is 65% below average.

Staff-to-resident ratio of 1.45 to 1 is 15% worse than state norms. Contractor staffing comprises 8.7% of total hours, predominantly Licensed Practical Nurses.

Pressure ulcer prevention is effective at 3.5% of high-risk residents affected (31% better than state). Urinary tract infection rates of 0.6% are 77% better than state. However, long-stay hospitalization rates of 4.33/1,000 days are 108% worse than benchmark of 2.08. Low-risk residents with incontinence at 23.4% are 29% worse than state.

Antipsychotic use at 32.0% is 46% worse than average. Pneumococcal vaccination for long-stay residents reaches only 59.5% (30% worse than state), and influenza vaccination is 24% worse than state. Short-stay vaccination rates are critically deficient with pneumococcal at 7.0% and influenza at 11.4%.

The facility reported a $941,000 operating loss in fiscal 2023 (profit margin of negative 14.5%) against $6.5 million revenue. Payroll represents 69.2% of revenue, above sustainable levels. Occupancy is 61.2%, below average.

Six inspections since December 2022 identified 44 citations including one serious violation and 39 moderate citations. Citations/inspection average 7.33, exceeding Missouri’s average. No federal penalties were imposed.

June 2025 complaint investigation documented a serious pharmacy deficiency with actual patient harm. Multiple residents with diabetes did not receive ordered insulin injections. A Licensed Practical Nurse, running late on medication pass, withdrew morphine sulfate and lorazepam intended for one resident, entered another resident’s room, called out the wrong resident’s name, and when that resident aroused, administered both medications without confirming identity. The nurse was terminated the next day.

Complaint investigations in March 2025 and July 2024 documented additional infection control and quality of care deficiencies. The cumulative inspection record demonstrates systemic failures in pharmacy operations, medication administration safety, infection control, and vaccination administration.

The facility maintains physical therapy, occupational therapy, and speech pathology services. Walk Score of 54 reflects moderately walkable surroundings. CMS ratings are 1/5 overall, 2/5 for health inspection, 1/5 for staffing, and 2/5 for quality measures.

The serious pharmacy deficiency and medication error resulting in patient hospitalization, combined with the facility-wide failure to administer ordered medications and critical nursing staffing shortages, represent substantial patient safety concerns.

Families should carefully review pharmacy procedures and medication oversight protocols before considering placement.

Overview of Truman Lake Manor

Located in Lowry City, Missouri, Truman Lake Manor is a nursing home with 120 beds. It is operated by Truman Lake Manor, 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.

Under owner Karen Fletchell and administrator David Hibbler, Crestview Home is an SNF in Bethany, Missouri. Opened in recent years, the home operated by N & R Of Crestview, LLC, welcomes Medicare, Medicaid, and private pay, giving families several ways to afford short-term rehabilitation and longer-term nursing care. The 92-bed facility currently maintains a 43 percent occupancy rate, with occupants staying 131 days on average. Its location in Bethany scores 45 for walkability, meaning some errands can be done on foot, though most trips need transportation.

Crestview Home is clinically equipped for skilled nursing, physical and occupational rehabilitation, and specialized behavioral and memory care programming. Total nursing care averages about 4 hours 3 minutes per resident day, anchored by an RN for 25 minutes daily, nurse aides for 2 hours 19 minutes, and LPN/LVN staff for 29 minutes. The facility also provides hospice services, dietary support from an in-house dietitian, and resident transportation.

State inspections have flagged themes around care planning, staffing, infection control, nutrition, and environmental maintenance. A focus area has also been pressure ulcer care. To know how these areas are managed operationally, families considering Crestview Home should review the latest survey findings directly with its administration.

The home offers rehabilitation and longer-term nursing support. It then suits post-acute recovery or ongoing skilled care needs in Bethany.

Overview of Cedar Pointe

Rolla Grand LLC operates Cedar Pointe, a 102-bed skilled nursing property managed by administrator Steve Szerzinski on White Columns Drive in Rolla, Missouri. The administrative team handles billing through traditional accounts, accepting private pay, Medicaid, and Medicare. Relatives planning visits will find an exceptionally pedestrian-friendly environment, as the local neighborhood carries a walkability score of 89 out of 100, letting visitors complete errands or walk to the building entirely on foot.

Records show 62 residents currently living at the property, which reflects a 61 percent occupancy rate. The average length of stay spans 323 days, indicating that the daily operational schedule is structured around permanent residential care alongside conventional post-hospital recovery tracks. To coordinate routine medical treatments and daily movement support, the 24-hour shift system averages 3 hours and 21 minutes of total nursing care per resident each day using a combined team of registered nurses, practical nurses, and aides.

State health department inspection records from the Missouri Department of Health and Senior Services track how the facility maintains regulatory standards. Public survey logs show that recent evaluations flagged specific procedural corrections regarding controlled substance records, care plan completeness, and daily staffing adequacy, meaning the home’s long-term cumulative citations-per-inspection rate is not zero.

Prospective residents can explore options for continuous skilled nursing oversight and short-term physical rehabilitation loops. The building layout features central dining spaces, standard therapy areas, and indoor lounges designed to manage routine medical care.

Overview of Life Care Center of Cape Girardeau

Life Care Center of Cape Girardeau is a 120-bed skilled nursing and rehabilitation facility operated by Cape Girardeau Operations, LLC, at 365 South Broadview Street in Cape Girardeau, Missouri. At 66 percent occupancy aligned with Missouri’s state average, the facility has some availability. Accepted are Medicare, Medicaid, and private pay, with a mix of short-term rehabilitation and long-term care averaging 46 days of stay length.

The facility is scored 1 star by CMS, 62 percent below Missouri’s average, driven by a health inspection sub-rating running 65.5 percent below the state mean. Quality measures are the one above-average sub-rating at 43.4 percent above state figure. Across 13 inspections since 2022, the facility recorded 44 total citations including 2 critical and 5 serious findings. A substantiated immediate jeopardy citation was issued in June 2025 after staff performed CPR on a resident with a documented DNR order; a $82,000 federal fine and a 19-day payment denial followed in May 2025, bringing total fines to $150,000 across four penalties in the past three years. Nurse hours run 3h 53m per resident daily, essentially aligned with Missouri’s average.

A community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a beauty salon and barber shop are among the amenities. Alzheimer’s and dementia care is a confirmed program.

Life Care Center of Cape Girardeau serves in Cape Girardeau County a mix of post-acute rehabilitation and long-term care patients.