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Why trust this guide?
Our editorial team analyzed 301 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MO nursing home we track that reports that metric, not just the 301 on this page. See how we rank facilities
Rocky Ridge Manor is a nursing home in Mansfield, MO, offering skilled nursing and hospice care. Skilled nursing provides licensed nursing care on site around the clock, while hospice care supports residents receiving end-of-life care. Together, these services suit someone who needs ongoing nursing services or hospice care in one community.
The home has 65 beds and total nurse staffing of 4 hours 12 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several listed ways to cover care. Rehabilitation services are available at the facility, so residents can receive therapy without arranging care elsewhere, and facility transportation uses handicapped accessible vans for residents who need accessible travel. A salon and spa provide personal care services on site. Hughie Gibson serves as administrator, and N & R Of Mansfield operates the community.
Troy Manor offers nursing home, assisted living, memory care, and skilled nursing in Troy, MO. Assisted living includes help with daily tasks such as dressing, bathing, and taking medication while supporting a resident’s ability to live in their own space.
Memory care provides a secured setting with supervision for someone at risk of wandering. Nursing home and skilled nursing provide licensed nursing care on site around the clock.
Having several care levels in one community may suit a resident whose needs grow over time, since changing care needs may not require leaving the community. Troy Manor has 150 beds, with Dylan Hagler serving as the administrator, and N & R Of Troy operating the community.
Physical and occupational therapies provide rehabilitation focused on movement and daily function. A salon and spa gives residents access to personal grooming at the community, while the Resident Transportation program provides transportation arranged through Troy Manor.
Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 3 hours and 25 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
A Walk Score of 68 means the area is somewhat walkable, with some errands possible on foot. A resident who no longer drives may be able to handle some nearby errands independently.
In Mexico, Missouri, Pin Oaks Living Center keeps a doctor on staff and medical care available at every hour. When a resident’s condition shifts at 2 o’clock in the morning, the important question is whether anyone there can do something about it, and that question will not wait for office hours.
The center holds 124 beds. Nursing time reaches 4 hours and 26 minutes per resident, per day; an average spread over all of them.
Hospice care is available to residents who need it, and rehabilitation services are part of the care offered too. Transportation is arranged through the center, so a standing appointment outside does not have to depend on which relative of a resident has free time that day.
Medicare, Medicaid, and private pay are the available payment routes here. Medicare covers skilled care after a hospital admission, and Medicaid comes in once savings have thinned. Many families pay privately while a Medicaid application works its way through the state apparatus. N & R of Mexico operates the center, and Melissa Yates serves as administrator.
Crestview Home is a nursing home in Bethany, Missouri, offering hospice care, respite care, and skilled nursing. Nursing home and skilled nursing services provide ongoing nursing support under physician supervision, while hospice care supports residents receiving end of life care. Respite care is a short term stay for someone who needs temporary nursing support or whose usual caregiver needs a break.
The community has 92 beds, with total nurse staffing of 3 hours and 32 minutes per resident per day. This represents the daily hands on nursing time assigned to each resident. Rehabilitation services are available for residents working toward recovery or maintaining physical function, and resident transportation is offered as a specific program.
Medicare, Medicaid, and private pay are accepted, giving families several payment methods to consider based on coverage and available resources. David Hibbler serves as the administrator, and N & R Of Crestview operates Crestview Home. With nursing, hospice, respite, skilled nursing, and rehabilitation services, Crestview Home may be a good fit for someone who needs ongoing nursing care, end of life support, or a temporary stay.
Ascend at Aurora offers nursing home care, skilled nursing, memory care, and respite care in Aurora, Missouri. Skilled nursing provides licensed nursing care on site, while memory care offers a secured setting with supervision for someone at risk of wandering. Respite care provides a short stay when a resident’s usual caregiver needs time away, so these options may suit someone recovering from an illness or procedure, needing ongoing nursing support, or requiring supervised memory care.
The community has 125 beds, which gives families a sense of its overall capacity without identifying a particular room assignment. Private rooms, semi private rooms, and couples rooms are available for one resident, a resident sharing with a companion, or a couple moving in together. Rehabilitation services and short term rehabilitation support recovery without requiring a separate rehabilitation setting, while the Subacute Care program addresses needs following an acute medical episode.
Daily activities include crafts, exercise, music, spiritual services, and social events, giving residents scheduled ways to participate during the day. Restaurant style dining includes menus tailored to dietary needs and personal preferences. A Walk Score of 50 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to reach select destinations independently.
Medicaid, Medicare, and private pay are accepted. Total nurse staffing is 4 hours and 32 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Melanie Towers serves as administrator, and Nbh3 Sfopco operates the community.
Cedar Pointe in Rolla, Missouri, delivers skilled nursing, general long-term care, short-term rehabilitation, and respite stays. health services assist individuals who need continuous nursing attention, therapeutic rehabilitation following a medical event, or short-term accommodations. Respite admissions provide temporary coverage when primary caregivers take time away from home.
Operator Rolla Grand and administrator Steve Szerzinski manage this 102-bed campus. Nursing staff provides an average of 3 hours and 9 minutes of direct daily care to each resident. Financial structures accommodated at the facility include Medicare, Medicaid, and private payments.
Prospective residents can reach out to Cedar Pointe to inquire about bed availability, review insurance acceptance, or schedule a walkthrough of the community.
Administered by Bob King, Brent B Tinnin Manor provides nursing home, adult day care, hospice care, memory care, respite care, and skilled nursing in Ellington, MO. Residents receive ongoing clinical support with nursing services on-site. Specialized care is also provided for those living with memory-related conditions, while comfort-focused care is given to terminally ill residents.
Additionally, respite care offers a short stay when a usual caregiver needs to travel or recover, while adult day care provides care during daytime hours without an overnight stay. With 60 beds, the community has a 66.7% occupancy. Residents also receive a total of 3 hours and 10 minutes of nursing care daily.
Medicare, Medicaid, and private pay are accepted, allowing multiple options to cover care costs. Moreover, a Walk Score of 45 places the area in a car-dependent setting, so most errands require a car or a transportation service.
River City Living Community in Jefferson City, Missouri, provides nursing home, skilled nursing, and hospice care. Its long term care services operate under physician supervision and address residents’ physical, mental, and psychosocial well being. Skilled nursing means licensed nurses are available on site around the clock, while hospice supports residents receiving end of life care. There are 87 beds.
Total nurse staffing is 4 hours and 48 minutes per resident each day, representing the nursing time assigned to each resident across a full day. Medicare, Medicaid, and private pay are accepted: Medicare applies to short term skilled care after a hospital stay, while Medicaid and private pay provide additional listed payment routes. Rehabilitation is available through the community, so residents can receive those services there rather than arranging care elsewhere, and a Resident Transportation program uses handicapped accessible vans. Ms Danette Patton serves as administrator, N & R Of Jefferson City operates the community, and the combination of physician supervised long term care, skilled nursing, rehabilitation, and hospice services may suit a resident whose needs include ongoing nursing support or end of life care.
Jefferson Healthcare, based in Lee’s Summit, Missouri, comprises a reliable team of professionals dedicated to providing 24-hour nursing care, nourishing meals, and ample social spaces for seniors. The competent staff ensures the delivery of the right services to make senior living more manageable, fostering a safe and therapeutic environment. As a skilled nursing facility with high-caliber service, Jefferson Healthcare is a trustworthy choice for both short-term recovery and long-term care, offering expertise in physical and occupational therapy.
With flexible nursing hours available around the clock, Jefferson Healthcare caters to the unique needs of its residents. The facility goes beyond basic care by providing amenities like an outdoor courtyard, shuttle services, and well-organized social gathering spaces. Their commitment to maintaining a skilled nursing home is evident in the thoughtful design and services offered, making Jefferson Healthcare a reliable choice for those seeking nursing home qualifications and a supportive environment for comprehensive care.
Nursing home care, assisted living, and skilled nursing are the three types of care Jackson Creek Post Acute is set up to do in Independence, MO. Skilled nursing is the licensed kind, staffed on-site whether the hour is a convenient one or not. Assisted living is a lighter arrangement that helps with bathing and dressing, and with managing medications.
One hundred and eighty-two beds fall under the license. A resident’s day carries 3 hours and 52 minutes of nursing time on the record. Somebody who enters at the assisted living level and later outgrows it can reach the next one without leaving.
Rehabilitation is one of the named services. An ALF Step-Down Program runs beside it under a name of its own, tied to the assisted living side of the building. Medicare, Medicaid, and private pay all serve here. Medicare’s part is short-skilled stays following hospital; Medicaid’s is longer stays savings won’t answer. Private pay is the third way.
Walkability here rates 81 out of 100. That’s a very walkable Walk Score that keeps a good share of outside errands self-directed. Ruben Banda is the administrator, and Independence Community Healthcare LLC operates the community.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Missouri
What's the difference between assisted living and a nursing home in Missouri?
Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Missouri Medicaid cover nursing home care?
Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 301 nursing homes in Missouri. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Missouri?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Missouri, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Missouri?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Missouri at a glance
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
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