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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 TableNH (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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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.
$8.1M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$5.7M*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
70%*Fiscal year ending 02/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
75.4%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$3.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
73.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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
Aspire of Moberly provides nursing home and skilled nursing care, memory care, hospice care, palliative care, and respite care in Moberly, MO. Nursing home and skilled nursing care include licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering. Hospice care centers on comfort for a resident with a terminal illness, while palliative care focuses on easing symptoms and stress related to serious illness.
Respite care provides a short stay while a usual caregiver travels or recovers. Several care types are available, so Aspire of Moberly may be a good fit for a family seeking one community that can address changing needs, including short-term respite or end-of-life care. The home has 101 beds, with total nurse staffing of 3 hours and 55 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident; payment options include Medicare, Medicaid, and private pay.
Maple Grove Wellness & Rehabilitation is a nursing home in Fenton, MO offering palliative care and skilled nursing. Nursing home care provides a residential setting for people who need ongoing support, while skilled nursing provides licensed nursing care on site around the clock. Palliative care focuses on comfort and symptom management alongside medical care.
Rehabilitation services include physical, occupational, and speech therapy, giving residents access to treatment for movement, daily activities, and communication at the facility. Wound care and dietary and nutritional needs management are also available as part of the community’s programs. Respite care offers a short term stay and may be a good fit for a family whose primary caregiver needs to travel or recover.
The community has 144 beds. Total nurse staffing is 1h 49m per resident per day, representing the daily nursing time assigned per resident. Maple Grove Wellness & Rehabilitation accepts Medicare, Medicaid, and private pay, and Jennie Lessor serves as the administrator. A salon and spa provides access to personal grooming services within the community.
Warrenton Manor provides nursing home, hospice care, respite care, and skilled nursing in Wright City, MO. Nursing home care offers ongoing support with staff coverage around the clock, while skilled nursing provides licensed nursing care for residents with more complex medical needs. Hospice care supports residents at the end of life, and respite care provides a short stay for someone whose usual caregiver needs time to travel, recover, or manage other responsibilities.
Warrenton Manor has 120 beds with semi-private and private rooms. A semi-private room suits someone comfortable sharing a room, while a private room provides a single-resident space. The range of care can suit a family whose needs may change from short-term respite to ongoing nursing or hospice support.
Total nurse staffing is 4h 4m per resident per day, representing the daily nursing time assigned per resident. Rehabilitation services and short-term rehab support residents whose stay includes recovery after illness or injury, while IV therapy and dialysis provide treatment options for residents who need those services. Van transportation is available for residents, and religious services and beauty and barber services are also offered. Complete dining services include meals and snacks based on individual preferences. Medicaid, Medicare, and private pay are accepted, giving families payment options that include public benefits, Medicare coverage for short-term skilled care after a hospital stay, or direct payment. Janice Conover is the administrator, and N & R Of Warrenton operates the community.
Lakeview Post Acute runs three care types in Florissant, MO. Those are hospice care, skilled nursing, and nursing home care. Rehabilitation services are listed for a resident coming back from illness, injury, or a hospital stay.
Licensed staff cover the overnight the same way they cover the afternoon. Hospice services are named as well, putting end-of-life care on the same list as the clinical work.
Complex Wound Care is a named program, covering wounds that need specialized nursing attention. The building has 120 beds.
Each resident is allotted 3 hours and 35 minutes a day. Someone who needs recovery work now and nursing care later can get both at one address. Medicaid and Medicare both work here, and so does private pay.
Thomas Pilkington is the administrator. Florissant Skilled Nursing operates the home.
Overview of Manchester Rehab and Healthcare Center
Manchester Rehab and Healthcare Center offers nursing home and skilled nursing care in Ballwin, Missouri. Licensed nursing care is available around the clock on site, so residents can receive nursing support without leaving the community. Rehabilitation therapy is available for residents receiving care after an acute illness or hospital stay. That combination may suit someone recovering while still needing skilled nursing and therapy.
The home has 137 beds. Total nurse staffing is 3 hours and 11 minutes per resident each day, representing the daily nursing staff time allocated to each resident. Services include medication management, wound care, dental services, podiatry, optometry, audiology care, and counseling. Together, these services address medication, wound treatment, oral, foot, vision, hearing, and emotional support needs within the facility’s care services.
Manchester Rehab and Healthcare Center accepts Medicaid, Medicare, and private pay. Medicaid may help cover a long stay when personal savings are limited, while Medicare generally covers short term skilled care after a hospital stay rather than long term residence. With private pay, the family or resident pays directly. Yakov Appelbaum serves as administrator, and Manchester Operator runs the community.
Springfield Villa, situated in Springfield, Missouri, delivers nursing home care, skilled nursing, and hospice support. Licensed nursing personnel handle clinical care on site, while hospice services focus on end-of-life needs. Long-term medical oversight is led by an on-staff physician, and rehabilitation programs assist residents undergoing physical recovery.
Under administrator Clinton Graves and operator N & R of Springfield Montclair, this 146-bed facility records an average of 3 hours and 34 minutes of total daily nurse staffing per resident. Resident services include personalized dining plans alongside transportation provided in handicap-accessible vans. Payment channels accommodate Medicare, Medicaid, and direct private funding.
Families seeking long-term clinical care or hospice services can reach out to Springfield Villa to gather admissions information, verify payment eligibility, or coordinate a site visit.
Aegis Health and Rehabilitation is a nursing home in Wildwood, MO, offering skilled nursing, hospice care, palliative care, and respite care. Skilled nursing provides licensed nursing care on site, while hospice and palliative care focus on comfort and support during serious illness. Respite care offers a short stay when a person’s usual caregiver needs time away to travel or recover.
The home has 66 beds. Total nurse staffing is 2h 44m per resident per day, representing the daily hands on nursing time allocated per resident. Jacob Resch serves as administrator, and Charic Dr Healthcare operates the community.
Medicare, Medicaid, and private pay are accepted, giving families those payment routes. Rehabilitation and therapy services support residents who need structured clinical or recovery focused care. Residents have scheduled options for engagement and worship through daily activities, monthly live music, group events, and religious services. Aegis Health and Rehabilitation may be a good fit for someone who needs nursing oversight, comfort focused care, or a temporary respite stay within the same community.
A caregiver books time off in the same weeks every year, a stretch in spring and another before the holidays. Respite care at Odessa Health Care Center covers those stretches, built into the year rather than triggered by a crisis.
Sixty beds make up the home. Nursing care gives residents steady support from nursing staff, and rehabilitation services are part of what the center handles.
Hospice work is symptom work. Pain and breathing get managed for their own sake once recovery has stopped being the object, which is a different job from treating toward a cure.
Nursing time lands at 1 hour and 9 minutes per resident each day. Medicare, Medicaid, and private pay are accepted. Kathleen Simpson serves as the administrator.
Find the right care for your needs with Kirksville Manor Care Center, a dependable senior living community in East Laharpe, Kirksville, MO, providing skilled care and short-term rehabilitation. Residents will surely thrive with the community’s comprehensive care and expansive amenities designed for their comfort and wellness. The community also strives to ease residents’ financial constraints with Medicare and Medicaid.
With a nearby hospital and other trusted senior care providers, residents can easily access their medical needs. The community is committed to improving residents’ well-being by promoting a nurturing and welcoming environment. Here, residents are encouraged to live their lives to the fullest while receiving the utmost care and support they deserve.
Overview of Valley Manor and Rehabilitation Center
Valley Manor and Rehabilitation Center in Excelsior Springs, Missouri, is a 120-bed care community offering nursing home care, skilled nursing, and short-term rehabilitation. Clinical care covers continuous nursing support alongside physical, occupational, and speech therapy for individuals recovering from illness, injury, or surgery. Temporary respite stays give family caregivers planned time off while ensuring their loved ones receive continuous assistance.
Daily operations run under administrator Nellie Peeler and operator Excelsior Springs #1. Nursing personnel provide an average of 3 hours and 34 minutes of care per resident each day. Financial options include Medicare for qualified post-acute stays, Medicaid for eligible long-term coverage, and private payment.
Families can reach out to Valley Manor and Rehabilitation Center directly to gather information about short-term rehab admissions, discuss payment options, or organize a tour of the facility.
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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