Page 23 of Best Nursing Homes in Missouri

Bluebird Wellness and Rehabilitation is a 188-bed skilled nursing facility at 9350 Green Park Road, Saint Louis, Saint Louis County, Missouri, operated by Blooming Oaks Wellness & Rehabilitation LLC under the administration of Anita Tillery. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing coverage for residents requiring skilled care and post-acute rehabilitation services.

Staffing composition reveals significant clinical limitations. Registered nurse hours average 14 minutes per resident per day, representing a 50% reduction compared to Missouri’s state average of 28 minutes. This marked RN shortfall constrains clinical assessment capacity and responsiveness to acute changes in resident condition. Weekend RN presence deteriorates further to just 5 minutes per day; 75% below the state average of 20 minutes, creating substantial gaps in clinical oversight during evenings and weekends when administrative support is minimal.

Licensed practical nurses provide 45 minutes per day (10% above state average), delivering consistent hands-on nursing care. Certified nursing aides provide 2 hours 13 minutes per day (4% below state average). Physical therapist hours are 1 minute per day (50% below state average), severely limiting rehabilitation capacity for a facility marketed as a rehabilitation center.

Quality measures for long-stay residents show mixed outcomes. Hospitalization rates are 2.22 per 1,000 days (7% worse than Missouri average). Emergency department visits are 1.85 per 1,000 days (21% better than state average), indicating some strength in managing chronic conditions. Short-stay rehabilitation outcomes are substantially weaker.

Falls with major injury occur at 2.0% of residents; 155% worse than Missouri’s average of 0.8%, reflecting either inadequate fall prevention protocols or a higher-risk admission population. Successful return to home or community is 32.3% (36% worse than state average of 50.6%). Ability to care for self at discharge is 46.7% (13% worse than state average of 53.7%). These discharge metrics suggest residents exit the facility with lower functional capacity than patients at comparable facilities, pointing to either more acute admissions, extended institutional placement, or limited rehabilitation effectiveness.

Short-stay readmission rates are 15.9% (37% better than state average of 25.3%), a positive signal that discharged residents generally remain stable after leaving the facility. Short-stay emergency department visit rates are 14.5% (8% worse than state average of 13.4%).

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable facilities. This unusually sparse inspection history requires explanation. Families must request and review the facility’s current licensing status, actual inspection records from the Missouri Department of Health and Senior Services, and documentation of the reason for the absence of routine regulatory oversight.

Families should request information on weekend RN staffing, emergency response, fall prevention, incident tracking, rehabilitation program outcomes, and below average discharge outcome metrics.

Clinton No 1, Inc. and owner Clinton Exempt Trust manage operations at Clinton Healthcare and Rehabilitation Center, located at 1009 East Ohio Street in Clinton, Missouri. The administrative team structures accounts through conventional avenues, taking Medicare, Medicaid, and private funds. Guests dropped off for visits will find a moderately walkable grid where some nearby errands are manageable on foot, though most regional travel requires a car.

The 120-bed facility maintains a 59 percent occupancy rate, with residents staying an average of 145 days. This operating cycle points to a daily schedule that balances short-term, post-hospital physical therapy programs with ongoing residential placement. To supervise daily medical treatments and individual routines, the around-the-clock shift layout delivers an average of 3 hours and 8 minutes of total nursing care per resident each day, utilizing a combined staff of registered nurses, practical nurses, and aides.

Past survey documents note that state inspectors cited specific procedural areas needing adjustment, including medication safety controls, individual care preference choices, and basic infection prevention protocols, keeping the overall citation rate above zero.

Prospective residents can examine the community layout, which includes shared social spaces, indoor lounges, and specialized therapy wings. The facility balances these rehabilitation tracks with daily amenities like complimentary cable television, building-wide wireless internet, and standard nutritious meals managed by the building staff.

Located in Florissant, Missouri, Willowcreek Wellness & Rehabilitation is a skilled nursing facility operated by Willowcreek Wellness LLC and administered by John McBryant. The home is on New Florissant Road South. It is in a moderately walkable neighborhood with a Walk Score of 63, so some everyday errands can be handled on foot. The facility accepts Medicare and private pay, providing families multiple ways to cover short-term rehabilitation and longer-term skilled nursing care.

The 158-bed facility is currently running at 66% occupancy. Residents stay an average of 115 days, including those in post-acute rehabilitation and those requiring ongoing skilled care. The home focuses on rehabilitation services and respite care. There’s a doctor on staff and 24-hour nursing support. Total nursing care averages roughly 2 hours and 54 minutes per resident each day, providing daily hands-on support.

Residents receive nutritionally balanced meals prepared to meet their medical and faith-based dietary needs, accommodating diverse dietary preferences. The facility also has structured programs in health care management. It supports residents’ dietary and nutritional needs, including those with complex medical conditions.

Like other nursing homes, Willowcreek undergoes regular inspections by the Missouri Department of Health and Senior Services. Inspections identified concerns in clinical care areas, including diabetes management, pain control, medication administration accuracy, and documentation practices, as well as environmental and facility maintenance matters. Families considering the home should ask about how the facility has addressed these clinical and operational areas and what steps were taken to address past findings.

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

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

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

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

New Madrid No 1, Inc., and administrator Carter Pennington handle operations at Cotton Point Living Center, a 98-bed nursing home situated at 609 South Railroad Street in Matthews, Missouri. Financial billing is sorted through traditional avenues, clearing payments via Medicare, Medicaid, and private pay. For visitors, the surrounding landscape is highly car-dependent, carrying a walkability score of 10 out of 100, which means family members will need a vehicle for almost all trips to the campus.

Operational records indicate a 61 percent occupancy rate alongside an average length of stay of 247 days. This operational timeline reflects a routine balanced between short-term post-hospital therapy tracks and multi-month residential placements. Daily physical care and medical needs are monitored by an around-the-clock staffing framework providing an average of 3 hours and 46 minutes of total nursing care per resident each day, with registered nurses, practical nurses, and aides covering standard unit rotations.

Official survey summaries indicate that inspectors flagged specific procedural corrections regarding general building operations and compliance guidelines, meaning the property’s long-term cumulative citations-per-inspection rate is above zero.

Families can evaluate how the campus integrates short-term physical rehabilitation loops and permanent skilled nursing care. The facility provides standard services, including a dedicated male memory care unit, freshly prepared daily meals, and common social spaces.

Overview of Avenir at Mark Twain

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

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

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

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

Overview of Ascend at Aurora

Ascend at Aurora is a 125-bed skilled nursing and rehabilitation facility at 1700 South Hudson Avenue in Aurora, Lawrence County, Missouri, administrated by Melanie Towers and privately owned. The facility provides skilled nursing, short-term rehabilitation, memory care in its Autumn Court unit, and subacute care serving Medicare, Medicaid, and private-pay residents. Current occupancy is 50.2% with an average length of stay of 109 days.

Total nursing care averages 3 hours 6 minutes/resident/day, 19% below Missouri’s 3 hours 48 minutes average. Registered nurse coverage of 27 minutes/day equals the state minimum. Licensed Practical Nurse hours are 34% below average at 27 minutes/day. Certified Nursing Aide time is 7% below benchmark.

Weekend nursing totals 2 hours 43 minutes per day, 11% below average. Staff-to-resident ratio of 1.28 to 1 indicates 25% fewer staff relative to residents compared to state norms. Physical therapist hours of 1 minute per resident per day are 50% below average.

Functional decline reaches 26.0 (34% worse than average). Walking ability decline affects 32.9% of residents (59% worse than average). Need for increased assistance with daily activities involves 28.1% of residents (42% worse than average). High-risk residents with pressure ulcers account for 8.2% (63% worse than average of 5.0%).

Urinary tract infection rates of 4.8% are 75% worse than Missouri’s average of 2.7%. Weight loss occurs in 8.5% of residents (53% worse than average). Long-stay hospitalization rates are 42% worse than benchmark. One notable strength: falls with major injury at 1.6% are 62% better than average.

Revenue totaled $5.7 million with net income of $1.1 million (profit margin of 18.9%), a significant turnaround from the prior-year deficit of $327,000. Payroll represents 58% of revenue.

Seven inspections since August 2019 identified 46 citations including two critical violations related to abuse or neglect (186% worse than Missouri average). Four complaint investigations between August 2023 and December 2025 documented the most serious findings. An August 2023 complaint investigation documented critical infection control failures during wound care for a resident with stage 3 and stage 4 pressure ulcers with bone infection.

April 2024 identified a critical citation for abuse or neglect. October 2024, July 2025, and December 2025 inspections documented continued deficiencies in resident rights, nursing services, and quality of care. Earlier inspections in May 2022 and August 2019 documented additional quality of care lapses. Citations per inspection average 6.57, exceeding Missouri’s average of 5.67.

Federal penalties totaled $57,000, including a $47,000 penalty issued in April 2024.

Ascend at Aurora offers skilled nursing, rehabilitation, memory care, and subacute care with on-site physical therapy, speech pathology, and occupational therapy. Restaurant-style dining with dietary customization is available. Residents participate in crafts, exercise, music, spiritual services, and social events.

The facility maintains an active resident council.

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

Families should review the facility’s corrective action documentation and seek detailed explanation of the April 2024 abuse or neglect finding before considering placement.

Located at 700 East Urbandale Drive in rural Randolph County, Aspire of Moberly operates as a skilled nursing facility with integrated memory care services in Moberly, Missouri. The facility is privately owned under a corporate structure.

Currently census at 64 residents within a 120-bed licensed capacity, the facility admits patients across multiple payment sources: Medicare (40% of new admissions, typical 1–2 month stays), Medicaid (22% of new admissions, typical 2-year stays), and private pay (37% of new admissions, typical 5–6 month stays). Current resident population reflects 7.8% Medicare, 53.1% Medicaid, and 39.1% private pay. Occupancy of 57.3% sits notably below the state benchmark of 66.6%, with an average length of stay of 364 days indicating a predominantly long-term care population despite the short-stay rehabilitation admissions pattern.

The one-star CMS overall rating reflects substantial performance gaps across regulatory categories. Health inspections score 59.7% below Missouri averages, staffing measures run 54.3% below state norms, and quality metrics fall 24.7% below state performance.

Registered nurse staffing provides 12 minutes per resident per day, 57% below the Missouri average of 28 minutes. Weekend RN coverage drops to 11 minutes, 45% below state average. Physical therapy services represent an exception: 9 minutes per resident per day, running 350% above state benchmarks. The facility operates with 82 total staff members (79 employees, 3 contractors), including 31 certified nursing assistants, 16 medication aides, 11 licensed practical nurses, and 5 registered nurses.

Federal enforcement actions reflect $111,000 in accumulated civil money penalties over the past three years, with a recent penalty of $95,000 imposed in September 2025. A Medicare/Medicaid payment denial occurred September 18, 2024, lasting 2 days.

Long-stay residents show elevated rates of urinary tract infections (6.5%, 138% worse than state average) and pressure ulcers (6.9%, 38% worse). However, the facility reports no falls with major injury among short-stay residents (0.0%), superior depression screening outcomes (4.9%, 62% better than state average), and strong functional outcome measures. Self-care capacity at discharge reaches 81.8%, 52% better than state benchmarks.

Though it has substantial regulatory concerns, the facility fits Medicaid-funded long-term care residents and Medicare-eligible rehabilitation patients.

Overview of Manchester Rehab and Healthcare Center

The 137-bed nursing community at Manchester Rehab and Healthcare Center operates under the direction of administrator Yakov Appelbaum, owner of Manchester Holdco LLC, and operator of Manchester Operator LLC in Ballwin, Missouri. Financial billing paths accommodate multiple standard insurance structures, accepting Medicare, Medicaid, and private pay. For visitors, the surrounding area carries a moderate walkability score of 52 out of 100, indicating a layout where family members can walk to a few nearby amenities, though a vehicle remains practical for most local trips.

Operational metrics show that residents stay at the facility for an average of roughly 82 days, a timeline that reflects a daily caseload mixing short-term post-hospital therapy with extended skilled nursing placements. To manage routine physical care and medical needs, the 24-hour staffing framework relies on registered nurses, licensed practical nurses, and certified nurse aides. Within this clinical rotation, nurse aides supply the primary share of daily hands-on personal support, averaging 2 hours and 27 minutes of direct care per resident each day.

Public health safety data tracks the facility’s historical compliance through recurring licensing reviews overseen by state regulators. Documented inspection files show that administrative teams have logged specific compliance deficiencies concerning timely laboratory service delivery, resident fund management, registered nurse shift coverage, and grievance documentation protocols, meaning the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing quality tracking.

Prospective residents have access to multi-specialty clinical programs, including physical rehabilitation, professional wound care, and on-site dental, podiatry, optometry, audiology, and counseling services.