Page 24 of Best Nursing Homes in Missouri

Lawson Manor & Rehab is a skilled nursing and rehabilitation facility serving residents in Lawson, Missouri. Valerie Jefferes owns the 60-bed home, Lawson #1, Inc, operates it, and Debra Dade administers it. Medicare, Medicaid, and private pay are all accepted, giving families several ways to cover post-acute rehabilitation and longer-term nursing care.

Operating for one year, the facility currently has a 68% occupancy rate. Residents stay an average of 196 days, including individuals recovering after hospitalization and those receiving ongoing skilled nursing services. Nursing support averages approximately 3 hours and 21 minutes per resident each day. Registered nurses, licensed practical nurses, and nurse aides work together to provide direct care, supervision, and daily support.

A Walk Score of 39 places the community in a car-dependent area of rural Lawson. Most errands, appointments, and visits require transportation. The location offers a quieter small-town setting rather than the convenience offered by urban areas, which may appeal to residents and families looking for a peaceful environment.

State inspections conducted by the Missouri Department of Health and Senior Services identified management and operational concerns related to medication handling, resident safety procedures, financial management practices, and facility sanitation. These findings are areas that have required attention and oversight. Families evaluating the home should review current inspection reports, discuss management responses, and ask about how areas of concern are being addressed and monitored.

Overview of Monarch Springs Wellness & Rehabilitation

Monarch Springs Wellness & Rehabilitation is a 119-bed skilled nursing facility at 894 Leland Avenue, University City, Saint Louis County, Missouri, operated by Monarch Springs Wellness & Rehabilitation LLC under the administration of Kevin Campbell. The facility is Medicare and Medicaid certified, maintains 24-hour on-site staffing, and operates continuously throughout the week. The walk score is 67, indicating moderate walkability in an urban location with access to nearby services.

Staffing composition reflects near-benchmark clinical oversight combined with substantial direct care strength. Registered nurses provide 27 minutes per resident per day, just 4% below Missouri’s state average, maintaining near-standard clinical assessment capacity.

Licensed practical nurses provide 24 minutes per day, representing a 41% reduction compared to the state average of 41 minutes, which may constrain medication administration and wound care delivery. Certified nursing aides provide 2 hours 45 minutes per day, 19% above the state average of 2 hours 19 minutes, indicating robust direct personal care assistance.

Weekend nursing totals 3 hours 28 minutes per day (14% above state average), sustaining care delivery across the calendar week. Weekend RN presence at 20 minutes per day matches the state average. Physical therapist hours are 1 minute per day, 50% below the state average of 2 minutes, substantially limiting rehabilitation capacity for short-stay post-acute recovery.

Long-stay hospitalizations average 1.11 per 1,000 days, representing a 47% improvement over Missouri’s state average of 2.08. Emergency department visits for long-stay residents average 1.56 per 1,000 days, 34% better than the state average of 2.35.

The facility provides rehabilitation services and respite care alongside 24-hour skilled nursing.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits. This payment structure makes the facility accessible to residents with government assistance.

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable skilled nursing facilities. This unusually sparse inspection history requires explanation. Current licensing status and available regulatory documentation should be reviewed before placement.

Families should verify staffing credentials, rehabilitation program protocols, impact of reduced LPN hours, licenses, and inspection reports from the Missouri Department of Health and Senior Services.

Overview of Aspen Point Health and Rehabilitation

Aspen Point Health and Rehabilitation is a 180-bed skilled nursing facility at 2840 West Clay Street, Saint Charles, Saint Charles County, Missouri, operated by Clay Street Healthcare LLC and administered by Lindsey Keener. The privately owned facility accepts Medicare, Medicaid, and private pay. Currently operating at 39.1% occupancy with 56 residents; well below Missouri’s 66.6% average. The facility serves primarily long-term Medicaid residents, with smaller cohorts in short-term rehabilitation and private pay.

The December 9, 2024 complaint investigation is the critical placement consideration. State surveyors documented substantiated verbal abuse with findings of “Actual Harm.” Residents reported staff used profanity and disrespectful language when responding to care needs, with one resident describing being called a “fucking bitch” and ordered to “shut the fuck up” while speaking to family on the phone. Four residents independently reported similar experiences on evening and night shifts, describing how staff language made them feel worthless, less than human, and upset. Both the facility’s Director of Nursing and Administrator conceded this constituted a dignity and verbal abuse violation.

This is the single most recent and most serious finding in the facility’s record.

Certified nursing aides provide 1 hour 43 minutes per resident daily, 26% below Missouri’s 2 hour 19 minute standard. Registered nurses average 33 minutes daily (18% above state), and licensed practical nurses 52 minutes daily (27% above state). Weekend nursing totals 2 hours 38 minutes per resident daily, 13% below state average. Overall staff-to-resident ratio is 1.41 to 1, performing 18% worse than Missouri’s 1.71 to 1 benchmark.

Payroll consumes 71% of revenue.

Quality outcomes for short-stay rehabilitation residents are dramatically below standard. Short-stay falls resulting in major injury occur at 5.9%; nearly seven times Missouri’s 0.8% average. Only 19.1% of short-stay residents achieve expected functional ability at discharge, compared to 53.7% statewide. Short-stay re-hospitalization rates reach 33.3%, 32% worse than state average.

Long-stay residents show elevated depressive symptoms at 77%, nearly five times the 12.8% state rate.

Regulatory violations cluster heavily in 2023 and 2024. Since March 2023, the facility has received 18 inspections (all complaint investigations or health inspections, with no routine survey conducted).

The April 17, 2024 complaint investigation cited six deficiencies covering housekeeping inadequacy, medication administration failures, insufficient ADL care, pressure ulcer management gaps, understaffing, and improper director of nursing deployment. June 5, 2024 revisits the same ADL deficiency as uncorrected.

Total citations since 2024 reach 127; critical (11), serious (17), moderate (96), minor (3), ranking the facility 261st of 261 Missouri SNFs. Federal penalties total $497,000 across 12 fines (the highest in Missouri), with two payment denials (134 days in August 2023, 73 days in February 2024).

The progression from operational deficiencies (housekeeping, medication, staffing, assessments) in early and mid-2024 to substantiated resident abuse in December 2024 reflects a deteriorating operational environment.

Families should verify corrective measures and staff training protocols following the December 2024 verbal abuse finding before any placement decision.

Hill Crest Manor is a nursing home in Hamilton, Missouri. It is operated by Hamilton #1, Inc. It is owned by Muhammad Amin and administered by Tyler O’Neal. The facility is on South Colby, a moderately walkable area for errands and nearby services. The facility is a relatively new property, having opened just one year ago.

The 114-bed home has a current occupancy rate of 47%, with residents staying an average of 179 days. Medicare, Medicaid, and private pay are accepted, providing several ways for families to arrange short-term rehabilitation and ongoing nursing care. Rehabilitation services are a key part of the facility’s clinical focus.

Nurse staffing averages 3 hours and 8 minutes per resident each day. Residents are cared for by registered nurses, nursing aides, and licensed practical nurses. This level of hands-on support is the foundation of daily care delivery.

State inspections documented concerns related to resident safety, dignity, and privacy; medication management practices; equipment safety; food service; adequate supervision; and staff conduct toward residents. These findings require ongoing attention and corrective action in daily operations and care practices.

Families considering Hill Crest Manor should ask about these inspection findings during a tour. This will help clarify how the home addresses regulatory concerns and improves its practices.

Operated by N & R of Lincoln County, Inc, Lincoln County Nursing & Rehab is a skilled nursing facility in Troy, Missouri, under the administration of Denise Thorsden. The 90-bed facility accepts Medicare, Medicaid, and private pay, providing residents with flexible coverage options to access short-term rehabilitation and longer-term nursing care. The facility’s occupancy rate is 89%. Most stay for an average of 285 days, including post-acute rehab patients and those requiring ongoing skilled care.

The facility focuses on comprehensive rehabilitation services. There are in-house physical, occupational, and speech therapy to support recovery from surgery, stroke, or hospitalization. A doctor is on staff, with round-the-clock nursing oversight.

Total nurse staffing averages 3 hours and 32 minutes per resident daily. Registered nurses provide approximately 7 minutes per resident daily, nurse aides contribute 1 hour 51 minutes, and LPN/LVN staff provide 41 minutes. These staffing levels show the intensity of care for a nursing home population.

The facility is on East Cherry Street, a moderately walkable neighborhood with a Walk Score of 68. This means residents and visiting family can do some errands on foot, but most trips require a short drive. They can conveniently access local services and transportation within the area.

Residents have access to dining services with varied, preference-based meal planning, pharmaceutical services on-site, beauty and barber services, housekeeping and laundry support, and van transportation for outings. Religious services are also available for those who wish to observe their faith.

The Department of Health and Senior Services’ state inspections identified areas for ongoing attention. These include specialized care protocols, medication oversight, staff training, and facility maintenance standards. Families touring the facility should ask how staff manage and support these areas.

Magnolia Wellness Center is a 120-bed skilled nursing facility at 3421 Gasconade Street, Saint Louis City, Saint Louis County, Missouri, operated by Sage Nursing & Rehab LLC under the administration of Michael Kleissler. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing services. It has a walk score of 92, placing it in a walkable urban location where daily errands do not require a car.

Registered nurses provide only 12 minutes per resident per day, representing a 57% reduction compared to Missouri’s state average of 28 minutes. This level of RN coverage is substantially below typical skilled nursing facilities. Licensed practical nurses provide 42 minutes per day, matching the state average. Certified nursing aides provide 2 hours 14 minutes per day, slightly below state average.

Weekend total nursing hours are 2 hours 39 minutes per day (13% below state average). Weekend RN presence drops further to 11 minutes per day, which is 45% below the state average of 20 minutes.

Quality outcomes for long-stay residents show concerning patterns. Long-stay hospitalization rates are 3.15 per 1,000 days, representing a 51% increase over Missouri’s state average of 2.08. Long-stay emergency department visits average 1.55 per 1,000 days, which is 34% better than the state average.

Short-stay rehabilitation outcomes are substantially weaker. Re-hospitalization rates are 34.5% (36% worse than the state average of 25.3%), meaning more than one in three discharged residents returns to the hospital following their nursing home stay. This metric suggests either insufficient rehabilitation progress, inadequate discharge planning, or gaps in transitional care protocols. Short-stay emergency department visits occur in 10.0% of residents (25% better than state average of 13.4%).

Falls with major injury occur in 0.0% of residents (100% better than state average of 0.8%), reflecting strong fall prevention measures.

The facility provides rehabilitation services, respite care, and beauty and barber services. Meals are nutritionally balanced and accommodate both medical and faith-based dietary requirements. Health care and dietary management are listed as specific programs.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.

Families should request written documentation of RN staffing rationale and detailed explanation for elevated hospitalization and re-hospitalization rates before admission.

St. Peters Rehab and Healthcare Center is a 96-bed skilled nursing facility at 230 Spencer Road, Saint Peters, Saint Charles County, Missouri, providing memory care, skilled nursing, rehabilitation therapy, and post-acute services. Operated by St Peters Operator LLC under administrator Ms Beverly Rector, the facility holds a one-star CMS overall rating, representing performance 62% below Missouri average across health inspections, staffing, and quality measures. The walk score is 45, indicating most trips require transportation.

Licensed practical nurse hours are 29 minutes per resident per day, 29% below state average of 41 minutes. Registered nurse hours are 30 minutes per day, 7% above state average. Weekend RN coverage is 16 minutes per day, 20% below state average of 20 minutes. Payroll represents 25.9% of revenue, ranking 260th out of 263 Missouri SNFs, significantly below industry benchmarks of 60 to 71%.

Walking ability worsened in 36.1% of residents, 75% worse than state average of 20.6%. Falls with major injury occurred in 5.6%, 39% worse than state average. Depressive symptoms were present in 37.9%, 195% worse than state average of 12.8%, indicating critical mental health management concerns. Need for ADL help increased in 25.9%, 31% worse than state average.

Functional decline score was 29.2, 50% worse than state average.

Falls with major injury reached 4.6%, 500% worse than state average of 0.8%. Ability to care for self at discharge was 35.0%, 35% worse than state average. Re-hospitalization was 15.7% (38% better than state average of 25.3%).

Since 2023, the facility received 14 health inspections versus state average of 6.6.

Total citations reached 114 versus state average of 36.5. Critical citations numbered 2 (186% worse than state average). Serious citations numbered 8 (700% worse than state average). Moderate citations numbered 100 (three times state average).

The facility incurred 195,000 dollars in fines (167% higher than state average) and received 3 payment denials (336% more than state average), resulting in temporary suspension of Medicare and Medicaid reimbursement for new admissions. Operating loss reached 546,800 dollars in 2024 versus negative 78,024 dollars in 2023.

Occupancy declined from 80.9% (2021) to 76.1% (2024).

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans may qualify for VA Aid and Attendance benefits.

Families should request detailed fall prevention protocols for short-stay residents and corrective measures for the 500% elevated fall rate before placement.

Edgewood Manor Health Care Center LLC, owner RCG Inc., and administrator Dorcas Kariuki oversee Edgewood Manor Health Care Center, a 91-bed medical nursing facility located at 11900 Jessica Lane in Raytown, Missouri. The administrative desk processes accounts through conventional routes, taking Medicaid, Medicare, and private pay. For visitors, the surrounding neighborhood logs a walkability score of 73 out of 100, which means the layout is pedestrian-friendly enough for guests to run quick errands or walk to nearby spots without needing to drive.

The building runs at an 88 percent occupancy level, with residents keeping an average stay of 266 days. This operational timeline points to a daily schedule that balances brief post-hospital recovery therapy loops with stable, long-term residential placements. To manage daily medical schedules and personal routines, the 24-hour staffing framework provides an average of 2 hours and 4 minutes of direct nursing care per resident each day, utilizing a combined rotation of registered nurses, practical nurses, and aides.

Past inspection logs note that state surveyors flagged specific procedural areas needing attention, including standard staff training guidelines, nurse staffing data postings, and timely resident notification records during transfers, keeping the property’s overall citation rate above zero.

Prospective residents can explore the physical floor plan to see how the therapy areas, short-term respite rooms, and general residential wings match different personal needs. The facility pairs these recovery services with standard daily programming, central dining options, and managed housekeeping assistance.

Overview of Brookdale West County

Nestled in the serene neighborhood of Ballwin, Missouri, Brookdale West County offers a tranquil haven for seniors seeking assisted living and memory care services. The community provides personalized support with daily activities such as grooming, dressing, and medication management, ensuring peace of mind for residents and their families. Around-the-clock care team availability ensures prompt response to any emergency, while allowing residents the independence to engage in a vibrant lifestyle.

From engaging fitness classes to creative workshops and lively social gatherings, The community fosters an enriching environment where residents can thrive and build meaningful connections. Residents enjoy the convenience of restaurant-style dining and a full calendar of events designed to inspire and entertain, all within a warm and inviting setting at Brookdale West County.

Overview of McKnight Place

McKnight Place in St. Louis, Missouri is a wonderful place for seniors to call home. In this community, you can experience a life free of worries about daily upkeep and maintenance. The community offers a variety of on-site care services including assisted living, memory care, skilled nursing, and short-term rehabilitation. Moreover, the community has a team of compassionate and skilled physical therapists, occupational therapists, and wellness coordinators who work closely with residents to enhance mobility, boost independence, and promote a fulfilling and joyful lifestyle.         
With weekly housekeeping, laundry services, and transportation, residents can enjoy their golden years with ease. The community’s outdoor courtyard and garden provide a peaceful space to relax, and the on-site salon and barbershop help residents look and feel their best. At McKnight Place, seniors can enjoy independence and a strong sense of community, knowing that their well-being is a top priority. It’s the perfect place for seniors to thrive and make the most of every day. In this home, residents can achieve a vibrant quality of life and enjoy the freedom to pursue their passions and interests without any hindrance.