Other senior care options in Missouri:

Page 2 of Best Nursing Homes in Missouri

Why trust this guide? Our editorial team analyzed 282 nursing homes in Missouri using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
Reviewed by
Last updated
Jul 2026
We analyzed
282 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

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

CMS & MO Dept. of Health data

Laclede Groves
NH
AL
IL
MC
St. Louis
251
Facility 251
MO AVG 96
Rank #3 / 452
40.8%
Facility 40.8%
MO AVG 65.1
Rank #368 / 420
-37%
5.27
Facility 5.27
MO AVG 3.74
Rank #19 / 280
+48%+41%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
9
Facility 9
MO AVG 36.5
Rank #10 / 284
4.5
Facility 4.5
MO AVG 5.7
Rank #104 / 284
-103-
35
Facility 35
MO AVG 45
Rank #356 / 563
John Komlos
$24.9MFiscal year ending 12/2023
Facility $24.9MFiscal year ending 12/2023
MO AVG $8.4M
Rank #4 / 290
$27.4MFiscal year ending 12/2023
Facility $27.4MFiscal year ending 12/2023
MO AVG $3.3M
Rank #2 / 290
109.9%Fiscal year ending 12/2023
Facility 109.9%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #196 / 290
265600
Republic Nursing and Rehab
NH
SNF
Republic
127
Facility 127
MO AVG 96
Rank #81 / 452
74.0%
Facility 74.0%
MO AVG 65.1
Rank #156 / 420
+14%
3.82
Facility 3.82
MO AVG 3.74
Rank #125 / 280
+34%+2%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
23
Facility 23
MO AVG 36.5
Rank #95 / 284
4.6
Facility 4.6
MO AVG 5.7
Rank #107 / 284
-94-
48
Facility 48
MO AVG 45
Rank #262 / 563
Darius Love
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
MO AVG $8.4M
Rank #102 / 290
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
MO AVG $3.3M
Rank #77 / 290
47.3%Fiscal year ending 12/2023
Facility 47.3%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #77 / 290
265326
Chaffee Nursing Center
NH
HOS
SNF
Chaffee
71
Facility 71
MO AVG 96
Rank #302 / 452
87.3%
Facility 87.3%
MO AVG 65.1
Rank #56 / 420
+34%
3.96
Facility 3.96
MO AVG 3.74
Rank #101 / 280
-3%+6%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
9
Facility 9
MO AVG 36.5
Rank #10 / 284
3.0
Facility 3.0
MO AVG 5.7
Rank #23 / 284
-62-
25
Facility 25
MO AVG 45
Rank #425 / 563
Chaffee Nursing, LLC
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
MO AVG $8.4M
Rank #182 / 290
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
MO AVG $3.3M
Rank #188 / 290
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #161 / 290
265492
Heisinger Bluffs
NH
AL
IL
MC
RC
SNF
Jefferson City
111
Facility 111
MO AVG 96
Rank #155 / 452
49.5%
Facility 49.5%
MO AVG 65.1
Rank #330 / 420
-24%
3.36
Facility 3.36
MO AVG 3.74
Rank #185 / 280
+42%-10%
$8.1k
Facility $8.1k
MO AVG $76.9k
Rank #163 / 286
17
Facility 17
MO AVG 36.5
Rank #60 / 284
5.7
Facility 5.7
MO AVG 5.7
Rank #169 / 284
-55-
32
Facility 32
MO AVG 45
Rank #376 / 563
Hb Operations Holdco LLC
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
MO AVG $8.4M
Rank #192 / 290
$3.5MFiscal year ending 12/2023
Facility $3.5MFiscal year ending 12/2023
MO AVG $3.3M
Rank #149 / 290
72.1%Fiscal year ending 12/2023
Facility 72.1%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #47 / 290
265794
Linden Woods Village
NH
AL
IL
SNF
Gladstone
40
Facility 40
MO AVG 96
Rank #417 / 452
85.0%
Facility 85.0%
MO AVG 65.1
Rank #76 / 420
+31%
4.51
Facility 4.51
MO AVG 3.74
Rank #46 / 280
+31%+21%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
12
Facility 12
MO AVG 36.5
Rank #29 / 284
4.0
Facility 4.0
MO AVG 5.7
Rank #76 / 284
-34-
53
Facility 53
MO AVG 45
Rank #217 / 563
Amanda Fizer
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
MO AVG $8.4M
Rank #72 / 290
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
MO AVG $3.3M
Rank #100 / 290
44.8%Fiscal year ending 12/2023
Facility 44.8%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #224 / 290
265855
Sunterra Springs Independence
NH
SNF
Independence
38
Facility 38
MO AVG 96
Rank #422 / 452
100.0%
Facility 100.0%
MO AVG 65.1
Rank #1 / 420
+54%
3.37
Facility 3.37
MO AVG 3.74
Rank #185 / 280
+95%-10%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
22
Facility 22
MO AVG 36.5
Rank #88 / 284
4.4
Facility 4.4
MO AVG 5.7
Rank #97 / 284
-38-
30
Facility 30
MO AVG 45
Rank #386 / 563
Johnathan Bangerter
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
MO AVG $8.4M
Rank #148 / 290
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
MO AVG $3.3M
Rank #198 / 290
43.8%Fiscal year ending 12/2023
Facility 43.8%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #239 / 290
265864
St Francois Manor
NH
HOS
SNF
Farmington
158
Facility 158
MO AVG 96
Rank #43 / 452
--
5.97
Facility 5.97
MO AVG 3.74
Rank #6 / 280
-34%+60%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
19
Facility 19
MO AVG 36.5
Rank #71 / 284
3.8
Facility 3.8
MO AVG 5.7
Rank #66 / 284
-17A+
77
Facility 77
MO AVG 45
Rank #53 / 563
Jennifer Simpson
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
MO AVG $8.4M
Rank #193 / 290
$2.6MFiscal year ending 12/2023
Facility $2.6MFiscal year ending 12/2023
MO AVG $3.3M
Rank #151 / 290
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #47 / 290
265674
Camelot Nursing & Rehab Center
NH
AL
SNF
Farmington (Sleepy Hollow Run)
97
Facility 97
MO AVG 96
Rank #196 / 452
73.1%
Facility 73.1%
MO AVG 65.1
Rank #161 / 420
+12%
3.29
Facility 3.29
MO AVG 3.74
Rank #204 / 280
-16%-12%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
12
Facility 12
MO AVG 36.5
Rank #29 / 284
4.0
Facility 4.0
MO AVG 5.7
Rank #76 / 284
-71-
55
Facility 55
MO AVG 45
Rank #189 / 563
Camelot Snf Investments, LLC
$7.4MFiscal year ending 12/2023
Facility $7.4MFiscal year ending 12/2023
MO AVG $8.4M
Rank #88 / 290
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
MO AVG $3.3M
Rank #142 / 290
46.4%Fiscal year ending 12/2023
Facility 46.4%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #243 / 290
265348
Wilson’s Creek Nursing &Amp; Rehab
NH
HOS
MC
SNF
Vernon Springfield (Downtown Springfield)
172
Facility 172
MO AVG 96
Rank #32 / 452
74.4%
Facility 74.4%
MO AVG 65.1
Rank #148 / 420
+14%
3.87
Facility 3.87
MO AVG 3.74
Rank #112 / 280
+46%+3%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
21
Facility 21
MO AVG 36.5
Rank #79 / 284
5.3
Facility 5.3
MO AVG 5.7
Rank #149 / 284
1128A+
94
Facility 94
MO AVG 45
Rank #5 / 563
Michael Huffman
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
MO AVG $8.4M
Rank #99 / 290
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
MO AVG $3.3M
Rank #97 / 290
50.8%Fiscal year ending 12/2023
Facility 50.8%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #143 / 290
265161
NHC Healthcare, Kennett
NH
HC
HOS
SNF
Falcon Kennett
170
Facility 170
MO AVG 96
Rank #34 / 452
57.6%
Facility 57.6%
MO AVG 65.1
Rank #290 / 420
-12%
3.75
Facility 3.75
MO AVG 3.74
Rank #125 / 280
+17%0%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
11
Facility 11
MO AVG 36.5
Rank #24 / 284
3.7
Facility 3.7
MO AVG 5.7
Rank #64 / 284
-98-
65
Facility 65
MO AVG 45
Rank #124 / 563
Jessica Bader
$8.6MFiscal year ending 12/2023
Facility $8.6MFiscal year ending 12/2023
MO AVG $8.4M
Rank #91 / 290
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
MO AVG $3.3M
Rank #84 / 290
57.7%Fiscal year ending 12/2023
Facility 57.7%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #120 / 290
265168
Ignite Medical Resort Blue Springs
NH
PC
SNF
Blue Springs
90
Facility 90
MO AVG 96
Rank #226 / 452
98.9%
Facility 98.9%
MO AVG 65.1
Rank #5 / 420
+52%
3.14
Facility 3.14
MO AVG 3.74
Rank #222 / 280
+136%-16%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
16
Facility 16
MO AVG 36.5
Rank #54 / 284
3.2
Facility 3.2
MO AVG 5.7
Rank #31 / 284
-89-
68
Facility 68
MO AVG 45
Rank #92 / 563
Ignite Ind LLC
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
MO AVG $8.4M
Rank #19 / 290
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
MO AVG $3.3M
Rank #44 / 290
36.2%Fiscal year ending 12/2023
Facility 36.2%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #277 / 290
265880
Scenic Wellness and Rehabilitation Center
NH
PC
SNF
Herculaneum
189
Facility 189
MO AVG 96
Rank #19 / 452
85.2%
Facility 85.2%
MO AVG 65.1
Rank #75 / 420
+31%
3.64
Facility 3.64
MO AVG 3.74
Rank #159 / 280
-19%-3%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
15
Facility 15
MO AVG 36.5
Rank #47 / 284
3.8
Facility 3.8
MO AVG 5.7
Rank #66 / 284
1161-
30
Facility 30
MO AVG 45
Rank #386 / 563
Jamiee Allen
$13.2MFiscal year ending 12/2023
Facility $13.2MFiscal year ending 12/2023
MO AVG $8.4M
Rank #50 / 290
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
MO AVG $3.3M
Rank #19 / 290
64.3%Fiscal year ending 12/2023
Facility 64.3%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #72 / 290
265216
Nixa Nursing &Amp; Rehab
NH
HOS
SNF
Nixa
82
Facility 82
MO AVG 96
Rank #263 / 452
79.3%
Facility 79.3%
MO AVG 65.1
Rank #113 / 420
+22%
3.78
Facility 3.78
MO AVG 3.74
Rank #125 / 280
-32%+1%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
9
Facility 9
MO AVG 36.5
Rank #10 / 284
3.0
Facility 3.0
MO AVG 5.7
Rank #23 / 284
-65-
63
Facility 63
MO AVG 45
Rank #141 / 563
N & R Of Nixa, LLC
$6.0MFiscal year ending 12/2023
Facility $6.0MFiscal year ending 12/2023
MO AVG $8.4M
Rank #146 / 290
$2.8MFiscal year ending 12/2023
Facility $2.8MFiscal year ending 12/2023
MO AVG $3.3M
Rank #139 / 290
47.2%Fiscal year ending 12/2023
Facility 47.2%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #100 / 290
265322
Aberdeen Heights
NH
AL
HOS
IL
MC
SNF
Kirkwood
91
Facility 91
MO AVG 96
Rank #220 / 452
37.4%
Facility 37.4%
MO AVG 65.1
Rank #382 / 420
-43%
5.18
Facility 5.18
MO AVG 3.74
Rank #21 / 280
-52%+39%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
9
Facility 9
MO AVG 36.5
Rank #10 / 284
2.3
Facility 2.3
MO AVG 5.7
Rank #11 / 284
-34-
89
Facility 89
MO AVG 45
Rank #29 / 563
Ashfield Active Living And Wellness Communities, Inc
$23.4MFiscal year ending 06/2024
Facility $23.4MFiscal year ending 06/2024
MO AVG $8.4M
Rank #6 / 290
$8.1MFiscal year ending 06/2024
Facility $8.1MFiscal year ending 06/2024
MO AVG $3.3M
Rank #12 / 290
34.7%Fiscal year ending 06/2024
Facility 34.7%Fiscal year ending 06/2024
MO AVG 45.6%
Rank #281 / 290
265841
Heartland Care and Rehabilitation Center
NH
SNF
Cape Girardeau
102
Facility 102
MO AVG 96
Rank #168 / 452
61.8%
Facility 61.8%
MO AVG 65.1
Rank #249 / 420
-5%
3.26
Facility 3.26
MO AVG 3.74
Rank #204 / 280
+8%-13%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 286
16
Facility 16
MO AVG 36.5
Rank #54 / 284
5.3
Facility 5.3
MO AVG 5.7
Rank #149 / 284
-63A+
66
Facility 66
MO AVG 45
Rank #113 / 563
Melissa Bollinger
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
MO AVG $8.4M
Rank #115 / 290
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
MO AVG $3.3M
Rank #189 / 290
44.1%Fiscal year ending 12/2023
Facility 44.1%Fiscal year ending 12/2023
MO AVG 45.6%
Rank #268 / 290
265503
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Nursing Home Explorer
Overview of Ignite Medical Resort Blue Springs

Ignite Medical Resort Blue Springs is a skilled nursing facility in Blue Springs, Missouri. The recently opened facility is administered by Kyla Griffitt under the umbrella of Ignite Medical Resort Independence LLC. Located at 20511 E Trinity Place, the 90-bed facility accepts Medicare and private pay, offering families flexible multiple options to access short-term rehabilitation or longer-term care.

The facility’s occupancy rate is 99%. It maintains a high census and serves residents who stay for an average of 38 days, reflecting its focus on post-acute recovery and rehabilitation.

Rapid rehabilitation and recovery are at the center of the facility’s care program. Residents move through a structured short-term recovery process, while specialty clinical programs provide additional support for residents with complex medical needs.

Total nurse staffing averages 3 hours and 9 minutes per resident each day. They are supported by registered nurses, licensed practical nurses, and nurse aides coordinating daily care and support. This staffing structure supports the facility’s focus on rehabilitation and recovery.

The facility’s location has a Walkability Score of 68 out of 100. Some neighborhood errands can be done on foot, but most trips require driving. The setting can be convenient for family members who live nearby, want access to amenities, or have local roots.

Now in its first year of operation, Ignite Medical Resort continues to develop its daily processes and operational systems. State inspections have identified areas that require ongoing attention, including clinical documentation, medication management, care procedures, infection control, and facility maintenance. The facility has implemented changes, including improvements to its call light system and resident communication processes.

Families evaluating the community should ask about how it addresses these operational areas and what quality safeguards are in place as the community grows and develops.

Contact Ignite Medical Resort Blue Springs

Overview of Scenic Wellness and Rehabilitation Center

Owner Jamiee Allen and administrator Lewis Schweizer run Scenic Wellness and Rehabilitation Center on Scenic Drive in Herculaneum, Missouri. The administrative office handles billing through standard payment channels, including private insurance, Medicaid, and Medicare. Relatives planning regular visits will find a walkability score of 30 out of 100, which indicates a car-dependent neighborhood setup where guests will need a vehicle for almost all errands and transit.

The 189-bed building keeps about 85 percent of its spaces occupied, with residents staying an average of 173 days. This operational timeline points to a daily focus that splits attention between brief post-hospital therapy programs and permanent residential care. To monitor individual medical treatments and physical needs, the around-the-clock staffing plan provides an average of 3 hours and 38 minutes of total nursing care per resident each day, with an on-staff doctor coordinating health goals alongside registered nurses, practical nurses, and aides.

State public health records track how the property aligns with safety guidelines during standard regulatory evaluations. Inspection logs note that past surveys identified specific procedural areas needing adjustment, including general care-plan documentation, medication administration habits, and basic infection-control steps, keeping the building’s overall citation rate above zero.

Older adults can look over the on-site rehabilitation services, short-term respite programs, and specialized dietary dining setups. The interior layout features shared social spaces, standard residential rooms, and therapy areas under continuous medical supervision.

Contact Scenic Wellness and Rehabilitation Center

Overview of Nixa Nursing & Rehab

Located in Nixa, Missouri, Nixa Nursing & Rehab is a skilled nursing facility operated by N & R of Nixa, LLC and administered by Adam Knapp. Medicare, Medicaid, and private pay are accepted, giving families flexibility to cover care. The 82-bed community has an occupancy rate of 79%. Its moderate census allows the facility to provide personalized attention through its steady base of residents.

The facility focuses on rehabilitation and skilled nursing care, especially on post-acute recovery. Physical therapy, occupational therapy, and speech therapy are offered on-site. Residents are supported by on-staff doctors, and nursing care is available around the clock. Total nurse staffing averages 3 hours and 47 minutes per resident per day to provide consistent hands-on attention. Residents stay an average of 92 days, including short-term rehabilitation patients and those receiving longer-term skilled nursing support.

Beyond recovery care, the home has behavioral and Alzheimer’s care programs. There are also hospice services for residents needing end-of-life support. The facility provides pharmaceutical services, housekeeping, and laundry so residents won’t have to leave the facility for appointments. Residents can choose from semi-private and private room options for living arrangements.

Nixa Nursing & Rehab is in a moderately walkable neighborhood with a Walk Score of 63. Some errands can be accomplished on foot. However, most trips require driving. The home also offers transportation for residents who need to attend appointments and outings. Free CNA and CMT training classes are occasionally available to those interested in exploring the field.

State inspections identified deficiencies in medication management procedures, resident notification during hospital transfers, and infection control practices. Families touring the facility should ask how these areas are being managed and what steps are in place to address them.

Contact Nixa Nursing &Amp; Rehab

Overview of Aberdeen Heights

Aberdeen Heights is a 91-bed skilled nursing and rehabilitation facility under administrator Anthony Altobella at 505 Couch Ave in Kirkwood, Missouri. Operated by Ashfield Active Living and Wellness Communities, Inc, it takes Medicare, Medicaid, and private pay, which gives families several routes to afford short-term rehabilitation and ongoing nursing care. The highly walkable neighborhood has a score of 89, making it easy for visiting family to reach nearby amenities and services on foot.

The facility spotlights rehabilitation and respite services, with an average resident stay of 106 days, reflecting its focus on post-acute care and recovery. Daily nursing support is significant, averaging 5 hours 11 minutes per resident, with registered nurses providing an average of 59 minutes of direct care per resident day. Nurse aides contribute 3 hours 19 minutes per day, anchored by LPN/LVN care. This staffing pattern supports hands-on support across therapy, medication management, and daily activities. Dining here features a three-course meal service with changing entrées, side dishes, and desserts, alongside healthy dining options. The community offers occupants activities via clubs and committees, along with dining room and café amenities that bolster social engagement and daily life.

Resident safety procedures, medication management, infection control practices, and the accessibility of care equipment have been the state inspections’ focus. Such themes mirror areas that are regularly monitored to ensure resident welfare and quality protocols.

Contact Aberdeen Heights

Overview of Heartland Care and Rehabilitation Center

Located on Boutin Drive in Cape Girardeau, Missouri, Heartland Care and Rehabilitation Center is a nursing home operated by Cape Girardeau #1, Inc and owned by Melissa Bollinger. The 102-bed home has been operating for 31 years and currently serves approximately 63 residents. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.

The facility focuses on rehabilitation services, so it’s well-suited for residents recovering from surgery, illness, or hospitalization. Most stay an average of 359 days, including post-acute rehab patients and those requiring ongoing nursing care. Daily nurse staffing averages 3 hours and 16 minutes per resident. Support is distributed across registered nurses, licensed practical nurses, and nurse aides who provide consistent clinical oversight throughout the day.

State inspections by the Missouri Department of Health and Senior Services documented issues around facility maintenance, environmental cleanliness, and clinical documentation. The facility’s location in Cape Girardeau has a Walk Score of 66, which indicates moderate walkability. Some errands can be done on foot, so family members will find it convenient to visit from the surrounding area.

Contact Heartland Care and Rehabilitation Center

Columbia Post Acute

3535 Berrywood Drive, Columbia, MO 65201-6584
Overview of Columbia Post Acute

Columbia Post Acute, LLC, owner of Mainstreeidence Developments LLC, and administrator Christopher McClain manage the daily routines at Columbia Post Acute, a 70-bed skilled care center on internal streets in Columbia, Missouri. The administrative desk processes accounts through standard paths, working with private funds, Medicaid, and Medicare. Family members checking the local neighborhood will find a highly pedestrian-friendly grid scoring 98 out of 100 for walkability, meaning you can easily complete everyday errands or walk to nearby services entirely on foot when dropping by.

The facility stays nearly full, but people usually only stay for about 30 days. It is a fast-moving setup built entirely for short-term rehab, not long-term care. To keep up with that pace, the nursing crew gives each resident about three and a half hours of direct, hands-on care every single day. That daily support is shared across registered nurses, practical nurses, and assistants who keep both the inpatient and outpatient therapy schedules running.

Past survey evaluations have highlighted a few specific process areas needing regular administrative attention, including routine medication management, employee qualification checks, and clinical care documentation habits, keeping the overall citation rate above zero.

Older adults can look into the specialized physical therapy spaces, private bathrooms, and dedicated social lounges. The daily routine pairs these recovery tracks with menu choices prepared by the culinary team, alongside regular social events like arts, crafts, bingo, and live entertainment.

Contact Columbia Post Acute

Houston House

1000 North Industrial Dr, Houston, MO 65483-9400
Overview of Houston House

Located in Houston, Missouri, Houston House is a nursing facility operated by Houston #1, Inc, and owned by Jodi Shafer. The 96-bed home is located at 1000 North Industrial Drive and accepts Medicare, Medicaid, and private pay, giving families flexibility in covering care costs. The facility has an occupancy rate of 79%, with 76 residents.

The home provides rehabilitation services. Nurse staffing averages 3 hours and 55 minutes per resident per day, comprising registered nurses, licensed vocational nurses, licensed practical nurses, and nurse aides. The level of around-the-clock care supports residents recovering from acute events or managing ongoing medical needs. Most stay for an average of 183 days, including short-term post-acute patients and longer-stay residents.

The neighborhood around Houston House is somewhat walkable, with a Walk Score of 40. Some nearby services may be accessible on foot, but most visits and errands require transportation. This setting is best for residents and families who want a quieter and less congested environment outside a city center.

State inspections identified areas for improvement related to documentation accuracy, food service safety, resident care procedures, and infection control practices. These recur across multiple inspection cycles, so there’s ongoing attention to operational standards. Families considering Houston House should take a tour and ask how the facility addresses these operational areas.

Contact Houston House

Overview of Bertrand Nursing and Rehab Center

Bertrand Nursing and Rehab Center is a 60-bed skilled nursing facility at 603 West Highway 62 in Bertrand, Mississippi County, Missouri, administrated by Don Chance and privately operated. Established to focus on short-term rehabilitation and long-term care, it serves Medicare, Medicaid, and private-pay residents with an average census of 47 beds (79% occupancy) and typical stay of 185 days.

All 60 clinical and support staff are direct employees with zero contractor hours. Registered nurse time averages 24 minutes/resident/day, substantially above Missouri benchmarks. Licensed Practical Nurses contribute approximately 45 minutes daily. Certified Nursing Aides provide 2 hours 30 minutes/day, bringing total nursing care to 3 hours 39 minutes/day (just below the average of 3 hours 48 minutes).

Weekend total nursing reaches 2 hours 53 minutes/day, only 4% below Missouri’s average.

Long-stay residents show exceptional outcomes in preventing decline: functional decline scores stand at 14.1 (28% better than state average), need for increased assistance affects 14.0% (29% better than state), walking ability decline impacts 17.2% (16% better than state), and falls with major injury occur in 3.2% (22% better than state). Pressure ulcer prevention is also strong at 4.5% of high-risk residents affected (10% better than average). Conversely, weight loss in long-stay residents reaches 13.4%, more than double the average of 5.6%. Urinary tract infections occur in 3.9% of residents (44% worse than average of 2.7%).

Short-stay residents show a concerning 4.3% initiation rate for antipsychotic medications (94% worse than average of 2.2%). Vaccination rates are strong: influenza vaccination reaches 100% of long-stay residents (10% better than state), and pneumococcal coverage stands at 83.1% (near average).

Occupancy of 79% places the facility above the Missouri average of 66.6%. The facility carries payroll at 47.3% of revenue, below the 60-71% benchmark for well-operated facilities.

Regulatory compliance shows a clean recent record with no complaint investigations, enforcement actions, or penalties in the past three years. Three standard health inspections since April 2023 identified 10 total moderate citations with zero critical and zero serious violations. The most recent July 25, 2025 inspection cited deficiencies in psychotropic medication documentation, mobility rail maintenance inspections, infection control procedures during wound care, and bed equipment maintenance. All findings were classified as minimal harm or potential for actual harm affecting few residents.

Citations per inspection average 3.33, substantially better than Missouri’s average of 5.67, ranking Bertrand 31st among 261 Missouri nursing homes.

Bertrand offers short-term rehabilitation, palliative care, physical and speech therapy, occupational therapy, respiratory therapy, and dental services. An on-site nurse aide training program and active resident council support engagement. Religious services are available.

Medicare acceptance (70% of admissions), Medicaid coverage (8%), and private-pay options (21%) provide payer flexibility.

CMS assigned a 5/5 overall rating (90.1% above Missouri average), 5/5 for health inspection (72.4% above average), 5/5 for staffing (38.9% above average), and 2/5 for quality measures (28.3% below average).

Families should ask about corrective actions taken following the July 2025 medication documentation and infection control findings before placement.

Contact Bertrand Nursing and Rehab Center

Overview of Good Shepherd Care Center

Under Gabrielle Borton’s administration, Good Shepherd Care Center is a nursing home on West Clay Road in Versailles, Missouri. Operating as part of Good Shepherd Nursing Home District #1, the facility has 164 licensed beds and takes Medicare, Medicaid, and private pay, providing families with many routes to cover care.

The community spotlights rehabilitation and sub-acute care, so it’s well-suited for residents healing from acute illness, surgery, or hospitalization who need skilled nursing support as they recover. Daily nursing care averages just over 4 hours per resident, with registered nurses, nurse aides, and licensed practical nurses to support daily needs. Versailles has a Walk Score of 46, meaning some nearby services and errands can be finished on foot, though most trips require a car. This setting appeals to residents and families who value a quieter, small-town environment. The average stay duration at Good Shepherd Care Center is 275 days, reflecting the mix of residents in the community, some moving through a rehabilitation stay and others selecting longer-term care.

The facility’s compliance with health and safety standards has been monitored by state inspections, with the latest annual inspection finding no health deficiencies.

As they tour the home, families can interrogate staff about how Good Shepherd Care Center maintains its daily operations, documentation practices, and safety protocols. The facility attracts residents and families who prefer a calmer, small-town setting.

Contact Good Shepherd Care Center

Overview of Monroe Manor

Monroe Manor is a 119-bed skilled nursing facility at 200 South Street in Paris, Monroe County, Missouri, administered by Shari Embree and operated by Monroe County Nursing Home District. Established in 1973, it serves Medicare, Medicaid, and private-pay residents,
primarily short-term rehabilitation cases averaging 173 days in length.

Registered nurse time averages only 14 minutes per resident per day, 50% below Missouri’s standard of 28 minutes. Weekend RN coverage drops to 7 minutes per day (65% below the 20-minute state average). Licensed Practical Nurse coverage is at 47 minutes per day, 15% above state average, and Certified Nursing Aide hours match state benchmarks at 2 hours 21 minutes daily. Combined weekend nursing totals 2 hours 30 minutes per day, 18% below Missouri’s state average of 3 hours 3 minutes.

Long-stay residents experience 2.70 hospitalizations per 1,000 days (30% worse than the state average of 2.08 per 1,000). Short-stay ED visits occur in 19.3% of admissions, 44% worse than the state average of 13.4%. Falls with major injury among short-stay residents hit 1.6%, double the state average of 0.8%. High-risk residents with pressure ulcers represent 21.2% of the population, a striking 323% above Missouri’s 5.0% benchmark.

Incontinence management also lags, with 21.4% of low-risk residents experiencing bowel or bladder incontinence (18% worse than state). Pneumococcal vaccination rates (100% of long-stay residents) and depressive symptom identification (0.4%, 97% better than state) represent preventive care and emotional wellness support.

Occupancy stands at 59.5%, below the Missouri average of 66.6%, with a current census of 73 residents in a 119-bed facility. The facility reported a $5.8 million annual operating deficit of $379,000 (negative profit margin of 6.8%), though payroll consumes 79% of revenue.

A complaint investigation completed January 14, 2025 documented a critical infection control failure. Prior regulatory activity includes a November 12, 2024 complaint investigation citing care planning and resident rights deficiencies; a March 14, 2024 standard health inspection identifying deficiencies in catheter justification documentation and pharmacist consultation response requirements; and inspections in April 2022 and March 2019 on record. Across five inspections over the past six years, Monroe Manor accumulated 13 total citations (1 serious, 12 moderate, 0 critical), a rate of 2.6 citations per inspection compared to the Missouri average of 5.67. The facility incurred a single federal civil money penalty of $35,000 in March 2024 and faced no payment denial actions.

The facility provides a Skilled Care Cottage, rehabilitation services, active resident council, and on-site nurse aide training. Private bedrooms, full bathrooms, zero-entry showers, a sun porch, and spa room are available.

Medicare, Medicaid, and private-pay coverage are accepted.

CMS ratings stand at 3/5 overall (14.1% above Missouri average), 2/5 for health inspection (37.9% above state average), 3/5 for staffing (7.4% below state average), and 1/5 for quality measures (64.2% below state average).

Families evaluating Monroe Manor should press for details regarding staffing protocols specifically for behavioral residents, infection control procedures, and preventive care management.

Contact Monroe 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
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Frequently Asked Questions about Nursing Homes in Missouri

What's the difference between assisted living and a nursing home in Missouri?

Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Missouri Medicaid cover nursing home care?

Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 282 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.