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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.
RESC (Residential Care):
Personal care and daily-living support in a smaller, more intimate residential setting.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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.
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.
$7.3M*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.
$5.3M*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.
73.1%*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.
$6.2M*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.
$4.1M*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.
65.3%*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.
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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
Have a magnificent retirement with the respected senior living community of Baptist Homes of Independence in the tranquil town of Independence, MO, offering top-notch assisted living services. Dedicated to providing its residents with comfort and peace of mind, a passionate team ensures round-the-clock assistance with daily activities. The community also offers healthcare services including staffing & ancillary services, non-ambulatory care, incontinence care, and diabetic care.
Meet new friends and enjoy its beautifully created spaces along the way. The community also serves delectable and healthy meals that satisfy cravings. Experience its vibrant off-site social activities and on-site devotional activities towards an active and enriching lifestyle. Baptist Homes of Independence is ideal for seniors seeking to maximize independence while receiving the unparalleled care and assistance they deserve.
Camdenton Windsor Estates, located in Camdenton, Missouri, delivers skilled nursing, general nursing home care, and adult day care services. Short-term rehabilitation and IV therapy address clinical recovery goals, while adult day care provides daytime supervision without requiring overnight residence. On-site medical resources include staff physician oversight and integrated pharmaceutical services.
This 82-bed campus provides a mix of private and semi-private room accommodations. Administrator Kelsey Boots and operator N & R of Camdenton manage overall operations. Daily nursing allocation averages 3 hours and 32 minutes per resident. Facilities feature accessible van transportation for outside medical appointments, full dining services with snacks, an on-site salon and spa, religious services, and structured daily activities. Payment options include Medicare, Medicaid, and private funds.
Interested residents can contact Camdenton Windsor Estates to ask about adult day care hours, verify Medicare coverage details, or schedule a tour of the facility.
Legendary Nursing & Rehabilitation is a nursing home in Marshall, MO, offering skilled nursing and rehabilitation. With a nurturing and welcoming environment, the community ensures older adults are treated well during their stay. Residents also experience a worry-free lifestyle, with 24-hour care, therapies, and recreational opportunities. The community also strives to help residents live to their potential through an interdisciplinary approach to care.
Light exercises and social events provide residents with more opportunities to explore new interests and gain meaningful experiences. Spacious rooms and lively gathering areas also ensure residents can rest and move around comfortably. Situated in the peaceful residential area of Marshall, the community ensures residents have a laid-back lifestyle. This nursing home is a good option for senior living in Missouri, as it has top-notch services dedicated to older adults’ well-being.
With 52 beds, Fulton Manor Care Center is a nursing home in Fulton, Missouri, offering skilled nursing, dementia care, and rehabilitation services. A doctor is available on-site, along with 24-hour staffing, ensuring residents have access to care and support as needed. Those with Alzheimer’s and other forms of dementia also receive specialized care.
On-site rehabilitation services are also available, allowing residents to receive recovery support to improve functionality. Moreover, social programs and activities provide structured opportunities for engagement. Residents also receive a total of 3 hours and 20 minutes daily.
Administered by Rebecca Baker-Bey, the community is currently at 86.5% occupancy. Payment options also include Medicaid, Medicare, and private pay. Medicaid may help families whose savings may not cover a long stay, while Medicare applies to short term skilled care after a hospital stay, and private pay means paying directly for care.
Aspen Point Health and Rehabilitation provides nursing home and skilled nursing care in Saint Charles, MO, along with hospice, palliative, and respite care. Nursing home and skilled nursing services provide residential support with licensed nursing care for residents who need ongoing medical oversight. Hospice and palliative care focus on comfort and symptom management, while respite care offers a short stay when a usual caregiver needs to travel or recover.
Rehabilitation and therapy services are also available. Residents can receive recovery focused support within the community rather than arranging those services separately. Aspen Point has 180 beds, making it a larger community with more residents, staff, and usually more programming than a smaller home.
Total nurse staffing is 2h 51m per resident per day, describing the daily hands on nursing time available to each resident. Medicare, Medicaid, and private pay are accepted. Lindsey Keener serves as the administrator, and Clay Street Healthcare operates the community. The range of ongoing nursing, comfort focused, and short term services may suit a resident whose care needs or caregiver circumstances may change over time.
Edgewood Manor Health Care Center in Raytown, MO, offers nursing home care, hospice care, respite care, and skilled nursing. Licensed nurses, along with 24-hour staffing, provides continuous support to ensure residents have access to care as needed. The community can also accommodate a wide range of needs, including those with life-limiting conditions and older adults seeking short-term stays, with hospice and respite care.
Home care is also available for those who prefer to receive care in their own home. Moreover, extended care and rehabilitation care are available for residents who need ongoing support or rehabilitation services.
The home has 91 beds, in a variety of private and semi-private rooms. Occupancy is at 87.9%, with residents receiving a total of 2 hours 5 minutes of nursing care daily. Administered by Dorcas Kariuki, the community also accepts several payment options, including Medicaid, Medicare, and private pay.
St Peters Rehab and Healthcare Center provides nursing home care, memory care, and skilled nursing in Saint Peters, MO. Skilled nursing includes licensed nursing care on site around the clock, while memory care provides a secured setting with supervision for a resident at risk of wandering. The combination may suit a resident whose care needs include ongoing nursing support or supervision related to memory loss.
The home has 96 beds, with total nurse staffing of 3 hours 9 minutes per resident per day. That figure represents the daily nursing time counted for each resident. Rehabilitation services are available for residents receiving postacute care, including those working through recovery after a hospital stay.
Dietary services use seasonal foods, resident preferences, and nutritional needs when planning menus, so meals are shaped around those considerations. Medicaid acceptance can help when savings may not cover a long stay, while Medicare applies to short term skilled care after a hospital stay rather than long term residence, and private pay allows a family to pay directly. Beverly Rector serves as the administrator, and St Peters Operator operates the community. A Walk Score of 45 places the area in a car dependent setting, where most errands require a car or a ride, so a resident who no longer drives would need transportation for most errands.
With 120 beds, Autumn Oaks Caring Center is a nursing home in Mountain Grove, Missouri, that offers memory care, skilled nursing, and rehabilitation. The community provides specialized care in a dedicated Alzheimer’s unit for those living with memory-related conditions. Licensed nurses also provide continuous clinical support through skilled nursing care. Residents also receive recovery support to help improve residents’ functionality.
The community has a 63.3% occupancy, with a total of 3 hours and 53 minutes of nursing staff time available per resident each day. Medicare, Medicaid, and private pay are also accepted, giving families those payment methods to consider when planning for care. Cassie Miller serves as administrator.
Overview of Monarch Springs Wellness & Rehabilitation
Monarch Springs Wellness & Rehabilitation is a 119 bed nursing home in University City, Missouri, offering skilled nursing, palliative care, and respite care. Skilled nursing provides licensed nursing care around the clock, while palliative care centers on comfort and relief from symptoms. Respite care is a short term stay for a resident whose usual caregiver needs time away, so the community may suit someone who needs nursing support or a family caregiver who needs temporary help.
Total nurse staffing is 2 hours and 29 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families the option to use Medicare for eligible short term skilled care, Medicaid for covered care, or direct payment for services. Rehabilitation services support residents working toward recovery or maintaining function as part of their care.
A salon and spa provide grooming and personal care services within the community. The Health Care, Dietary and Nutritional Needs Management program addresses residents’ health and nutritional needs. Kevin Campbell serves as the administrator.
Overview of Amberwood Estates Nursing and Rehabilitation
Amberwood Estates Nursing and Rehabilitation in Normandy, MO, provides nursing home care, skilled nursing, memory care, hospice care, palliative care, and respite care. Skilled nursing includes round-the-clock nursing support, while memory care provides a secured setting with supervision for residents living with Alzheimer’s disease or another form of dementia. Hospice and palliative care support comfort-focused needs, and respite care offers a short stay for a family caregiver who needs time to travel, recover, or manage other responsibilities. It may be a good fit for someone who needs ongoing nursing support, secured memory care, comfort-focused services, rehabilitation, or a temporary stay while a family caregiver handles other responsibilities.
The community has 115 beds, with private and semi-private rooms for residents who want a private space or a shared living arrangement. Physical, occupational, and speech therapy are available for rehabilitation after surgery, cardiac events, strokes, or orthopedic injuries. An outdoor courtyard and garden provide space outside, and restaurant-style dining with personalized meals addresses individual dining needs.
Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover care depending on eligibility and available resources. Total nurse staffing is 43 minutes per resident per day, representing the daily amount of nurse time allocated per resident. Arthur Williams Jr serves as administrator, and Island Hc Operations operates the community. A salon and barber shop, transportation for medical appointments, and chapel and religious services are also available.
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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