Page 20 of Best Nursing Homes in Missouri

Overview of Butler Rehab and Healthcare Center

Daily routines at Butler Rehab and Healthcare Center are organized by administrator Brent Lawler, operating under Butler Operator LLC and owner Butler Holdco LLC. Located on South High Street in Butler, Missouri, this 98-bed community coordinates its financial services through standard billing networks, processing private accounts alongside Medicaid and Medicare coverage. Visitors planning an entry path will find a downtown setting with a walkability score of 53 out of 100, meaning you can handle a few minor errands on foot, though a vehicle remains necessary for general transit.

The operational layout indicates an average length of stay around 117 days, reflecting a daily program tuned for post-hospital recovery pathways and short-term rehabilitation. To manage active clinical protocols, the 24-hour shift framework provides an average of 2 hours and 23 minutes of direct nursing care per resident each day. This hands-on monitoring relies on a rotating staff of registered nurses, practical nurses, and certified aides to guide therapeutic targets.

Recent official reviews have evaluated core administrative areas, including care planning, medication management, infection control, resident privacy, employee background checks, and kitchen food safety, keeping the total citation rate above zero.

Interested individuals can evaluate the short-term recovery programs, therapy spaces, and shared entertainment lounges. The internal schedule balances physical and occupational therapies with complete meal services, an open snack bar, and regular recreational activities.

Ellington #1, Inc and owner Patricia Craig run Brent B Tinnin Manor, a 60-bed nursing home located on South Main Street in Ellington, Missouri. The community accommodates typical payment channels, processing bills through Medicare, Medicaid, and private pay. Walking around the local neighborhood is moderately convenient, as the location scores a 45 out of 100 on the walkability scale, meaning some basic errands can be handled on foot while longer trips require a vehicle.

At present, 40 residents live at the property, which works out to a 67 percent occupancy rate during its first year of business. People stay here for an average of 293 days, a length of time that indicates the daily routine is split between short-term medical rehab and multi-month residential stays. To keep up with daily clinical tasks and mobility needs, the nursing team provides an average of 2 hours and 54 minutes of daily care per resident, dividing duties among registered nurses, practical nurses, and aides.

Official evaluation summaries show that recent surveys cited specific compliance issues concerning resident fund security, employee training records, infection control standards, vaccine documentation, and abuse reporting rules, meaning the home’s long-term cumulative citations-per-inspection rate is not zero.

Families can check out the campus setup to see how the local clinical team manages physical rehabilitation and daily recovery targets. The building is designed to handle routine medical checkups and long-term care needs in a centralized environment.

Overview of St Andrew’s at Francis Place

St. Andrew’s at Francis Place is a 106-bed skilled nursing facility at 400 Summerville Boulevard in Eureka, Missouri. It’s operated by St. Andrews Resources for Seniors System, a church-affiliated non-profit in St. Louis County. Accepted are Medicare, Medicaid, and private pay, with an average stay length of 341 days and only 1 of 73 current residents on Medicare, oriented strongly toward long-term care. The facility operates near capacity at 95 percent occupancy, far above Missouri’s 66.6 percent average, ranking among the most in-demand skilled nursing communities statewide.

CMS rates the facility 3 stars, 14.1 percent above Missouri average, with staffing as the clearest strength at 38.9 percent above state average. Nurse hours reach 3h 54m per resident daily. Over 9 inspections since 2020, the facility recorded 33 total citations, 16 of them from complaint investigations, including 1 critical finding. One $78,000 federal fine was assessed, last issued in 2023, with no payment denials.

Amenities feature spa areas, a contemplative chapel, nature walks, and private and companion rooms. Respite care and memory care programming are confirmed services alongside skilled rehabilitation.

St. Andrew’s at Francis Place suits residents in the Eureka area of St. Louis County seeking long-term skilled nursing or memory care in a church-affiliated, non-profit setting.

Overview of Luther Manor Retirement & Nursing Center

Luther Manor Retirement & Nursing Center is a 64-bed skilled nursing facility at 3170 Highway 61 North in Hannibal, Marion County, Missouri, administrated by Ryan Wright and operated as a nonprofit by Luther Manor Association. Established in 1972, it provides skilled nursing and independent living apartments serving Medicare, Medicaid, and private-pay residents with an average length of stay of 164 days and current occupancy of 79.9%.

Total nursing care averages approximately 1.8 hours per resident per day, 53.7% below Missouri’s state benchmark of 3 hours 48 minutes. Payroll accounts for 66.4% of revenue, yet the absolute hours available per resident remain severely deficient.

Functional decline reaches 22.3 (14% worse than state average), and need for increased assistance with daily activities affects 24.3% of residents (23% worse than state). Urinary tract infection rates of 5.2% are dangerously elevated compared to the state average of 2.7%. Long-stay hospitalization rates of 2.95 per 1,000 days are 42% worse than Missouri’s benchmark. Short-stay re-hospitalization reaches 46.3% (83% worse than state average of 25.3%).

Falls with major injury occur in 4.9% of long-stay residents (21% worse than state average).

Financial performance shows the nonprofit operating at substantial loss with a $392.4 thousand annual deficit (profit margin of -8.0%) against $5.0 million revenue.

Eight inspections since February 2020 identified 27 citations including three serious violations. Four complaint investigations between April 2023 and October 2025 documented actual resident harm. April 2023 found the facility discharged a resident with severe dementia without securing physician coverage. The resident suffered a heart attack and aspiration pneumonia hours after discharge and was permanently denied readmission.

May 2023 found failure to report a humeral shaft fracture requiring two surgeries as a mandated injury. June 2025 established staff failed to notify the physician of hip pain following a fall for 48 hours; imaging revealed a hip fracture requiring surgery that likely would have been diagnosed immediately if reported timely. July 2025 found systemic failure to implement documented fall prevention interventions for a high-risk resident, resulting in a tibia fracture when newly hired aides did not use prescribed wedge cushions. October 2025 standard inspection identified serious citations for quality of care and resident rights violations.

Earlier inspections documented environmental violations including freezer temperature failures, unlabeled expired food, contaminated equipment, and inadequate background screening of staff.

The inspection record across six years demonstrates persistent deficiencies in clinical oversight, fall prevention, injury reporting, and quality assurance without evidence of sustained improvement. Multiple complaint investigations documented actual harm to residents combined with severe understaffing create substantial clinical and regulatory risk.

Luther Manor operates with active resident council and on-site nurse aide training in a very walkable location (Walk Score 80).

CMS ratings reflect the challenges: 1/5 overall, 2/5 for health inspection, 1/5 for staffing, and 2/5 for quality measures.

Families should understand the facility’s sustained compliance failures, critical staffing shortages, and documented instances of actual resident harm before considering placement.

Overview of New Mark Rehab and Healthcare Center

New Mark Operator LLC and administrator Devan Bestgen oversee the day-to-day operations at New Mark Rehab and Healthcare Center, located at 11221 North Nashua Drive in Kansas City, Missouri. The administrative desk processes accounts through traditional payment paths, working with private funds, Medicaid, and Medicare. Family members checking the local grid will find a highly pedestrian-friendly neighborhood scoring 94 out of 100 for walkability, which means you can complete simple errands or walk to nearby spots without needing a car.

Records show that the 199-bed facility stays around 81 percent full, with resident stays averaging about 131 days. This regular operating timeline points to a schedule that balances temporary post-hospital rehab tracks with extended residential care placements. To monitor active medical treatments, the 24-hour shift layout delivers an average of 3 hours and 8 minutes of total nursing care per resident each day, split up among registered nurses, licensed practical nurses, and nurse aides.

Regular review documents from the Department of Health and Senior Services note that inspectors have examined routine resident care protocols, staff supervision habits, and everyday safety operations, keeping the building’s overall citation rate above zero.

Prospective individuals can explore the physical therapy rooms, short-term recovery setups, and shared dining halls. The everyday program emphasizes structured meal choices alongside an open snack bar where residents and guests can grab a bite between breakfast, lunch, and dinner.

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

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

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

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

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

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

Overview of Avenir at Maple Grove

Avenir at Maple Grove is a 90-bed skilled nursing and rehabilitation facility at 2407 Kentucky Street in Louisiana, Pike County, Missouri. Administrator Dakota Yowell operates this privately-owned community, which accepts Medicare, Medicaid, and private pay. The facility provides long-term care, short-term rehabilitation, wound care, and adult day services in a mixed-stay setting.

In August 2023, residents complained through Resident Council that meals arrived cold; inspection confirmed that food temperatures fell dangerously below safe standards. By October 2023, a follow-up complaint investigation found that corrective measures had not been implemented. In November 2025, after nearly two years of promises and continued failures, a third complaint investigation discovered the deficiency persists.

Registered nurses provide 19 minutes per resident per day, 32% below state average; licensed practical nurses deliver 48 minutes (modestly above the 41-minute state average); and certified nursing aides supply 1 hour 50 minutes daily, 21% below state average. Weekend nursing coverage measures 2 hours 32 minutes per resident per day, 17% below state average. Total nursing care averages 3 hours 12 minutes per resident per day, 16% below Missouri’s 3-hour-48-minute benchmark. Physical therapy is an outlier, at 4 minutes per resident per day (100% above state average).

Long-stay emergency department visits reach 2.97 per 1,000 resident days, 26% worse than Missouri’s average of 2.35. Long-stay hospitalizations are recorded at 2.29 per 1,000 days, 10% above state average. The high-risk clinical events score (measuring falls, pressure ulcers, weight loss, and functional decline) is 34.2, 76% worse than Missouri’s 19.5 benchmark. Functional decline in activities of daily living affects long-stay residents at higher-than-average rates: 31.6% of long-stay residents show increased need for ADL help (60% worse than state average), and 33.6% experience worsening walking ability (63% worse than state average).

Only 25.1% of short-stay residents successfully return to home or community, 50% below Missouri’s average of 50.6%.

Occupancy stands at 54%, lower than Missouri’s average of 66.6% and below the 85% threshold that typically signals full capacity. Current census is 49 residents. Payer mix is 67.3% Medicaid, 26.5% private pay, and 6.1% Medicare.

The facility recorded 5.2 million in gross revenue with a $200,700 operating loss in 2023; payroll represents 52.3% of revenue at 2.7 million dollars annually.

The facility’s CMS ratings reflect mixed performance: 1 star overall (62% below state average), 1 star for health inspection (31% below state average), 1 star for staffing (53.7% below state average), and 2 stars for quality measures (43.4% above state average).

Across seven years of inspections, the facility received zero critical citations and one serious citation, with 30 moderate and 1 minor citation.

No immediate jeopardy findings, fines, or license suspensions have been imposed.

Families considering Avenir at Maple Grove should request verification of corrective measures for persistent food temperature deficiencies and clarify staffing model given RN shortage.

Owned by Cedars Court Consulting LLC and run by Forrest Opco LLC, Arbor View Nursing and Rehabilitation operates as a 150-bed skilled nursing center under the leadership of administrator Sharon Wooten. The business office organizes accounts through standard channels, clearing payments via private insurance, Medicaid, and Medicare. Relatives planning visits can expect a highly car-dependent environment, as the surrounding streets do not offer standard sidewalk frameworks, making a vehicle necessary for trips to the campus.

Current administrative rosters show an occupancy rate of 55 percent, while resident stays average 919 days. This timeline shows that the facility focuses heavily on multi-year residential nursing support alongside standard post-hospital therapy programs. Nursing staff members monitor daily medical goals on a 24-hour schedule, providing an average of 2 hours and 13 minutes of direct, hands-on care per resident each day using a combined rotation of registered nurses, practical nurses, and aides.

Recent health evaluations noted that staff needed to complete procedural updates regarding resident physical mobility help, medication administration, employee training profiles, and basic building maintenance, keeping the overall citation rate above zero.

Interested individuals can review the internal floor plan, which includes dedicated physical therapy areas, memory care setups, and long-term medical care wings. The campus couples these clinical recovery tracks with standard amenities like an outdoor courtyard, regular dining options, and scheduled social events managed by the building staff.

Overview of Avenir at Mark Twain

The 120-bed skilled nursing facility at Avenir at Mark Twain is located on Mark Twain Lane in Bridgeton, Missouri, under administrator Cory Sterling and operator Nbh1 Mtopcollc. Financial billing processes accommodate multiple coverage plans, accepting Medicare, Medicaid, and private pay options. If you are planning a visit, the local surroundings carry a walkability score of 4 out of 100, which indicates a heavily car-dependent setup where family members will require a personal vehicle for all errands and trips to the campus.

Operational logs show that the property maintains a 63 percent occupancy rate, with an average length of stay around 104 days. This operational timeline confirms a focus on temporary post-hospital therapy and subacute recovery tracks rather than multi-year residential placements. To oversee routine medical schedules and daily personal care tasks, the 24-hour staffing framework provides an average of 4 hours and 11 minutes of total nursing care per resident each day, with nurse aides supplying 3 hours and 4 minutes of direct, hands-on assistance.

State databases from public health departments maintain documented logs of the facility’s compliance history. Recent standard health and safety reviews indicate that inspectors identified specific compliance deficiencies concerning standard infection control protocols, staff training routines for nurse aides, and meal service temperatures, which means the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing regional tracking.

Older adults have access to an on-site therapy gym, indoor lounges, and designated outdoor relaxation areas. The everyday calendar coordinates physical recovery tracks and structured activities, such as exercise loops, musical sessions, and crafts, with restaurant-style dining options adapted to standard therapeutic parameters. Daily operations combine these services with full room cleaning, laundry assistance, and flexible family visiting windows.