Page 21 of Best Nursing Homes in Missouri

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.

Carmel Hills Wellness & Rehabilitation operates 194 beds at 810 East Walnut Street in Independence, Jackson County, Missouri, under private ownership (810 Opco LLC) and the administration of Charmaine Coffman Williams.

The facility’s resident census skews heavily Medicaid-dependent; 81% of current residents rely on Medicaid funding, with another portion covered by Medicare or private payment. Average resident tenure spans 112 days, reflecting a mixed population of short-term post-acute and longer-term care admissions. Current occupancy of 74% exceeds the Missouri state average, yet utilization masks a facilities crisis.

The facility earned a 1-star health inspection rating, placing it 65.5% below Missouri state performance standards. Since 2018, inspectors documented 73 deficiencies; 109% worse than the state baseline. Over just the past three years, 84 health citations accumulated, nearly triple the frequency of typical Missouri facilities.

Most critically, May 2025 findings identified six deficiencies spanning resident notification failures (a family guardian learned of a death 14 days after it occurred), inadequate personal care (missed bathing assistance), and catastrophic safety breakdowns. One resident’s hair ignited during unsupervised smoking; burn treatment was delayed. Food temperatures ranged from dangerously cold (100-107°F) to unsafe extremes, with sanitation violations including grime under dishwashers and unrefrigerated items left exposed.

Earlier complaint investigations substantiated abuse allegations and documented a resident abandoned overnight in a hospital lobby after dialysis. In October 2024, 47 Oxycodone pills went missing under the watch of a nurse who later resigned. A February 2024 inspection identified immediate jeopardy: unsafe resident transfers resulted in fractures and bruising.

Deficiencies repeat across inspection cycles with no clear trajectory of sustained correction.

Daily direct care averages 2 hours 2 minutes per resident; nearly half the 3-hour 48-minute Missouri standard and far below the 3.0-hour threshold flagging minimal care adequacy. Registered nurses provide only 14 minutes daily per resident; weekends drop to 7 minutes. This facility ranks 272nd of 276 Missouri nursing homes in nurse hours.

Long-stay residents report depressive symptoms at 71.3%; an astounding 455% worse than the 12.8% state average, indicating systemic failure in behavioral health and emotional support. Short-stay vaccination rates collapse: pneumococcal vaccine at 22.3% (66% below average), influenza vaccine at 35.6% (44% below average).

Carmel Hills Wellness & Rehabilitation operates with dangerously inadequate staffing and a persistent pattern of safety violations unsuitable for vulnerable long-term care residents.

Overview of Big Bend Woods Healthcare Center

Big Bend Woods Healthcare Center is a 135-bed skilled nursing home on Highland Avenue in Valley Park, Missouri, managed by operator Bbw Management Group, LLC, administrator Melissa Levvintre, and owner Irving Brecher. The finance department channels billing through standard options, accepting Medicare, Medicaid, and private pay. For visitors, the facility is located in a car-dependent neighborhood with a walkability score of 42 out of 100, which means family members will typically need a vehicle for trips to the campus.

Operational records show a 67 percent occupancy rate with an average length of stay of 127 days. This operational timeline points to an everyday schedule balanced between short-term post-hospital therapy and extended residential care. To supervise regular medical tasks and daily personal assistance, the 24-hour staffing schedule organizes an average of roughly 3 hours of total nursing care per resident each day, combining the efforts of registered nurses, licensed practical nurses, and nurse aides. State regulatory records from public health departments document how the facility manages its ongoing licensing evaluations.

Documents verify that recent inspections identified standard compliance deficiencies involving palatable food temperature standards and basic life support protocol timing, which means the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing regional quality tracking.

Prospective residents have access to on-site dental, eye, and laboratory options, alongside localized physician visits and creative art therapies. The everyday routine coordinates physical rehabilitation and recovery loops with chef-prepared meals, crafts group sessions, a game room, and pet visitation privileges.

Heritage Senior Living is a senior living community located in Blue Bell, PA. It offers a range of services including independent living, assisted living, memory care, home care, and respite care. The community is dedicated to creating a culture of support and compassion for residents and their families.

Lakeview Post Acute is a 120-bed skilled nursing home in Florissant, Missouri, run by owner Kalvin Stewart, operator Florissant Skilled Nursing LLC, and administrator Thomas Pilkington. Resident accounts are handled through three standard payment tracks: Medicare, Medicaid, and private pay. For visitors, the surrounding suburban area holds a walkability score of 63 out of 100, which means the layout is moderately pedestrian-friendly and family members can complete a few basic tasks on foot.

The facility runs at a 79 percent occupancy rate, and an average resident stay of 38 days confirms an operational focus centered on short-term post-acute therapy rather than traditional long-term nursing care. Daily clinical and personal care needs are managed through a 24-hour shift schedule that averages 3 hours and 47 minutes of total nursing care per resident each day. This shared workload includes 15 minutes from registered nurses, 53 minutes from licensed practical nurses, and 1 hour and 49 minutes from nurse aides.

Files from state health departments monitor the property’s recurring regulatory compliance records. Public administrative charts verify that the building’s everyday operational logs and clinical procedures remain within standard legal boundaries, keeping the home’s long-term cumulative citations-per-inspection rate at zero.

Individuals can access a clinical infrastructure configured for complex wound management, physical rehabilitation loops, and hospice care. The everyday schedule combines these specialized medical treatments with structured meal setups, regular room cleaning, and laundry assistance. Family members can contact the administrative office directly to arrange a walk-through of the care wings and review the short-stay recovery timelines.

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 Carriage Square Rehab and Healthcare Center

Carriage Operator LLC, owner of Mo Operation Holdings DE, and administrator Jeneva Kates handle the daily management at Carriage Square Rehab and Healthcare Center, a 162-bed nursing facility on Gene Field Road in Saint Joseph, Missouri. The billing department processes accounts through standard networks, taking Medicare, Medicaid, and private funds. Family members planning a visit will find a pedestrian-friendly neighborhood scoring 76 out of 100 for walkability, making it easy to handle a few routine tasks on foot right around the property.

Files show that the facility runs at a 60 percent occupancy level, reflecting a typical intake ramp-up since opening its doors one year ago. Typically, stays average about 127 days, a timeline showing a daily layout that splits time between short-term post-hospital rehab tracks and extended residential placements. To monitor active medical treatments, the 24-hour shift framework provides an average of 3 hours and 33 minutes of total direct nursing care per resident each day.

Public enforcement data from state health officials tracks how the building matches up with regulatory safety codes during its early operational phases. State inspectors recently flagged a few specific issues that the administration needs to work on, like keeping up with medical records, following proper infection control habits, and handling daily medications correctly. These findings keep the facility’s total citation count above zero.

Families can check out the dedicated physical, occupational, and speech therapy rooms, alongside on-site dental, podiatry, optometry, and mental health counseling services. The everyday routine pairs these clinical tracks with on-site dining options, daily room maintenance, personal laundry support, and regular recreational activities.

Located on Morton Road in Lebanon, Missouri, Lebanon North Nursing & Rehab is a skilled nursing facility operated by N & R Of Lebanon North, LLC. Elaine Fleetwood owns it, and Deloris McQueen administers and oversees daily operations. The facility accepts Medicare, Medicaid, and private pay, providing multiple ways for families to cover short-term rehabilitation and longer-term care. The facility is newly established and has been operating for just one year.

Lebanon North has 180 beds with an occupancy rate of 44%, which is common for a facility in its early growth phase. Residents stay an average of 101 days, a timeframe consistent with post-acute rehabilitation stays and recovery-focused care. Daily nurse staffing averages 3 hours and 40 minutes per resident, which is enough to provide solid hands-on coverage across shifts. That staffing level supports the facility’s focus on rehabilitation and skilled nursing care.

Therapy services are a major part of the facility’s care program. Residents have access to on-site physical, occupational, and speech therapy. A doctor is on staff and available 24 hours a day. Having these services available within the facility can make it easier for residents recovering from surgery, stroke, or other acute medical events. This also reduces their need to go outside for appointments and simplifies care coordination.

Transportation is also available to support access to community resources. The facility further supports staff development by offering free CNA and CMT classes, which may also interest family members who want to learn more about hands-on caregiving.

State inspections by the Department of Health and Senior Services identified issues related to care plan execution and timely communication in clinical decision-making. These are important parts of daily resident care and quality management. Lebanon North’s moderately walkable location has a Walk Score of 67. Visiting family can do some errands on foot, as pharmacies, shops, and services are nearby.

Overview of Advanced Care of St Joseph

North 18th Street Healthcare LLC and administrator Janet McCarthy Green coordinate the daily operations at Advanced Care of St. Joseph, an 180-bed nursing community located on North 18th Street in Saint Joseph, Missouri. The administrative team structures billing through conventional paths, processing expenses via Medicare, Medicaid, and private funds. Family members dropping by for a visit will find a highly pedestrian-friendly neighborhood scoring 76 out of 100 for walkability, which means you can easily take care of most routine errands entirely on foot.

The building operates at roughly 86 percent occupancy with 155 active residents who stay for an average of 667 days. This operational timeline indicates a schedule centered on ongoing intermediate placement alongside standard temporary post-hospital therapy programs. To keep up with everyday medical needs, the 24-hour shift layout delivers an average of 2 hours and 7 minutes of total nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.

As a relatively new addition to the area navigating its first year of service, the facility’s regulatory reviews have focused on monitoring baseline clinical protocols and early employee routines, keeping the overall citation rate above zero.

Interested individuals can review the specialized physical therapy programs, multi-stage recovery tracks, and shared common spaces. The daily routine relies on clinical partnerships with local medical providers to manage active rehabilitation goals, combining these treatments with standard practical amenities like managed laundry services, regular room cleaning, and building-wide internet access.