We arrange tours, appointments, and even moving support so you don’t have to
2
Ranked on Data, Not Dollars
We rank communities on objective measures like inspection records, quality scores, and care data, so you can find trusted options without the guesswork.
3
Personalized Guidance
From lifestyle matching to help with insurance and financial assistance, we make sure the community is the right fit
Explore Open Rooms
1Contact details
2What type of senior care service are you looking for?
3What budget do you have in mind for senior care?
4How soon do you need to find care?
5Additional details
Thank you for your interest!
A member of our team will be in touch by phone or email shortly to help with next steps.
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.
$7.5M*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.
$4.9M*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.
64.8%*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.
$5.8M*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.
$4.0M*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.
69.5%*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
Appleton City Manor is a 60-bed nursing home administered by Delma Hearting in Appleton City, Missouri, offering hospice care, memory care, respite care, and skilled nursing. With a doctor on-site, as well as 24-hour staffing, residents have access to services as needed. The community can also accommodate those living with Alzheimer’s and other forms of dementia, older adults seeking short-term stays, and terminally ill residents.
Rehabilitation services, including physical, occupational, and speech therapy, support recovery, mobility, daily function, and communication needs, while specialized wound care addresses residents who need treatment for wounds. Moreover, beauty and barber services provide grooming support on-site, and a chef from Cordon Bleu prepares the meals.
Payment options are Medicare, Medicaid, and private pay, providing ways to cover costs. With 60 beds, the community is currently at 51.7% occupancy. Activities are also available to provide entertainment options. A Walk Score of 45 also places the area in a car-dependent setting, so most errands require a car or a transportation service.
Eldon Nursing & Rehab in Eldon, MO, provides nursing home care, hospice care, and skilled nursing. Residents receive nursing services from a doctor and licensed nurses on-site and have access to care as needed, with 24-hour staffing available. Behavioral and Alzheimer’s care is also provided in a dedicated Alzheimer’s unit for those with memory-related conditions. The community also provides comfort and symptom management for the terminally ill residents.
The community has 90 beds, with both semi-private and private rooms. Occupancy is at 68.9%, with residents receiving a total of 3 hours and 41 minutes of nursing care daily. Additionally, rehabilitation services and IV therapy are available on-site, along with physical and occupational therapies.
Dining is overseen by dietitians, while housekeeping and laundry are provided to help with household tasks. A salon also provides on-site grooming services. Van transportation is available for residents, as well as religious services.
Payment options include Medicaid, Medicare, and private pay. This also suggests that Medicare applies to short-term skilled care after a hospital stay, while private pay means paying directly for care. Katherine Carlson serves as the administrator, while N & R of Eldon operates the community.
Arbor View Nursing and Rehabilitation keeps three care types in Cedar Hill, MO. Skilled nursing, memory care, and nursing home care are the set. Memory care is the secured, supervised setting, and it works beside the nursing oversight in one building.
Staffing is a 24-hour arrangement, so the hours nobody schedules get covered along with the ones they do. That combination suits a person needing memory support and clinical attention at once.
There are 150 beds, and Short and Long term Care is a named program next to rehabilitation services. The short version covers a temporary recovery stay; the long version covers an actual move. Nursing time per resident is 2 hours and 5 minutes a day.
Medicare’s part is the skilled stretch that comes once a hospital is done. Medicaid steps in for an eligible resident whose savings will not reach across a long stay. Private pay puts the cost on the household, and every one of the three is accepted. Forrest Opco owns the operation, with Sharon Wooten as administrator on-site.
Bluebird Wellness and Rehabilitation provides nursing home, palliative care, and skilled nursing in Saint Louis, MO. Skilled nursing includes licensed nursing care on site around the clock, while palliative care focuses on comfort and symptom management alongside medical treatment.
Rehabilitation services support residents recovering function, and respite care offers stays for people whose usual caregivers need temporary relief. The community has 188 beds, giving families a clear sense of its capacity, and total nurse staffing is 2h 11m per resident per day, representing the daily hands on nursing time allocated to each resident.
A doctor is on staff, and staffing is available around the clock for ongoing care needs. Medicare and private pay are accepted, giving families two payment routes identified for these services. A salon and spa are available on site, so residents can receive personal grooming services without arranging an outside appointment.
Susan Franklin serves as administrator, and Blooming Oaks Wellness & Rehabilitation operates the community. Bluebird Wellness and Rehabilitation may be a good fit for someone who needs skilled nursing alongside rehabilitation or for a family seeking respite care.
Overview of Clinton Healthcare and Rehabilitation Center
Clinton Healthcare and Rehabilitation Center, located in Clinton, Missouri, offers nursing home care, general nursing services, and skilled nursing. Therapy programs feature on-site physical and occupational treatment to help residents during short-term rehabilitation stays following illness or injury. Accommodations across the 120-bed facility comprise both single-occupant private rooms and semi-private layouts designed for two occupants.
Daily nursing oversight averages 3 hours and 31 minutes per resident throughout the center. Administrator Georgann Foster handles administrative duties, while Clinton No 1 oversees general campus operations. Payment structures accept Medicare to cover short-term rehabilitation following hospitalization, Medicaid for eligible individuals needing long-term assistance, and direct private payment.
Families can contact Clinton Healthcare and Rehabilitation Center to ask about room setups, review insurance coverage options, or schedule a tour of the building.
Cotton Point Living Center in Matthews, Missouri, provides hospice care, memory care, respite care, and skilled nursing. A dedicated Alzheimer’s unit is available to accommodate those living with memory-related conditions. With 24-hour staffing, residents can also receive care at all times. The community also provides comfort for terminally ill residents through hospice care.
Additionally, respite care provides a short stay for a family whose usual caregiver needs time to travel, recover, or manage other responsibilities. The community’s 98 beds are currently at 61.2% occupancy. Residents also receive a total of 4 hours and 24 minutes of nursing care daily.
Administered by Carter Pennington, the community also provides rehabilitation services, including short-term rehab, to help residents regain strength and independence before returning home. Nutritious meals are also available, along with social spaces for interactions. Payment options include Medicare, Medicaid, and private pay.
Lewis & Clark Gardens operates a 142-bed senior care community in Saint Charles, Missouri, delivering nursing home care, skilled nursing, hospice, and respite stays. On-site rehabilitation programs assist individuals undergoing physical recovery, while short-term respite housing gives family caregivers temporary relief.
Community amenities feature a secure fenced courtyard, an on-site salon, religious services, and physician oversight on staff. Administrator Amanda Marsten leads daily operations alongside operator N & R of St Charles. Payment accepted includes Medicare for qualifying short-term stays, Medicaid for ongoing assistance, and direct private payment.
Interested individuals can connect with Lewis & Clark Gardens to check current room availability, inquire about rates, or book a tour of the property.
Overview of Atrium Place Health and Rehabilitation
Atrium Place Health and Rehabilitation is a nursing home in Saint Louis, MO, offering skilled nursing. Licensed nursing care is available on site around the clock, while rehabilitation services provide therapy for residents working to recover or maintain function. These services may make the community a good fit for someone who needs ongoing nursing care alongside rehabilitation support.
The community has 120 beds. Total nurse staffing is 1 hour and 48 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid and private pay are accepted, giving families several listed ways to cover care.
Jessica Peebles serves as the administrator, and Redman Rd Healthcare operates the community. Therapy services are available on site, so residents receiving rehabilitation can access those services within the community rather than arranging separate transportation.
Administered by Debra Dade, Lawson Manor & Rehab provides nursing home care, hospice care, memory care, and skilled nursing in Lawson, Missouri. 24-hour staffing is available to ensure residents have access to care as needed. The community also features a dedicated Alzheimer’s unit for those living with memory-related conditions. Moreover, hospice services are provided for older adults with terminal illnesses.
Additionally, rehabilitation services provide recovery-focused care to help improve residents’ mobility. Of 60 beds, 41 are currently in use, indicating a 68.3% occupancy. Residents also receive a total of 3 hours and 14 minutes of nursing care daily.
Medicare, Medicaid, and private pay are accepted. This suggests that Medicare may cover eligible short-term skilled care after a hospital stay, Medicaid can assist when savings may not cover a long stay, and private pay allows a family to pay directly. With a Walk Score of 39, the community is in a car-dependent setting where most errands require a car or a ride. However, transportation is available for residents who need help traveling beyond the community.
Willowcreek Wellness & Rehabilitation is a nursing home administered by John Mcbryant in Florissant, MO, that offers skilled nursing, rehabilitation services, and respite care. The community has a doctor on-site and 24-hour staffing, ensuring residents have access to care whenever needed. Short-term stays, particularly for older adults whose primary caregiver needs time away, are welcome with respite services. Moreover, recovery support is provided to help improve residents’ ability to function.
The community has 158 beds, and total nurse staffing is 2 hours and 55 minutes per resident per day. Occupancy is at 65.8%, with an average length of stay of 115 days. A salon also supports on-site grooming, while meals are nutritionally balanced and meet medical and faith-based food requirements.
Medicare can cover eligible short term skilled care after a hospital stay, while private pay means the family pays directly for care.
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
Need Help?
Let us help you or a loved one find the perfect senior home.
