Page 24 of Best Nursing Homes in Missouri

The 115-bed skilled care facility at Amberwood Estates Nursing and Rehabilitation is situated on Bermuda Drive in Normandy, Missouri, under the direction of administrator Arthur Williams Jr and Island Hc Operations Llc. Financial billing is handled across multiple standard options, including Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility sits in a car-dependent neighborhood with a walkability score of 12 out of 100, meaning family members will need a vehicle for visits and local errands.

Records reveal that the property maintains a 69 percent occupancy rate with an average length of stay of 838 days, pointing to a daily caseload centered heavily on multi-year residential care alongside standard post-hospital therapy tracks. Routine medical care and physical oversight are structured around a 24-hour shift schedule that averages 1 hour and 43 minutes of total nursing care per resident each day. This workload is distributed among registered nurses, licensed practical nurses, and nurse aides who handle physical checks and medication monitoring.

Files from public health departments document how the facility manages its ongoing licensing evaluations. Recent state inspection survey records show that the facility has logged specific compliance deficiencies concerning standard infection control protocols, resident rights protections, quality of life standards, and nurse staffing availability, meaning the home’s total cumulative citations-per-inspection rate is not zero and families should review these corrections directly with the administration.

Older adults can access a clinical setup configured for cardiac recovery, stroke rehabilitation, orthopedic care, wound management, respiratory therapy with tracheostomy support, and IV medication administration. The campus features private or semi-private accommodations with cable television and building-wide Wi-Fi, alongside an on-site beauty salon and barber shop, a chapel, and an outdoor courtyard.

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 Atrium Place Health and Rehabilitation

Atrium Place Health and Rehabilitation is a 120-bed skilled nursing facility at 2600 Redman Road, Saint Louis, Missouri, in St. Louis County. The privately owned facility, operated by Redman Rd Consulting LLC and administered by Jessica Peebles, serves primarily long-term Medicaid-eligible residents alongside short-term Medicare rehabilitation admissions.

Between October 2019 and January 2026, Atrium Place received three standard health inspections and twelve separate complaint investigations, resulting in 54 deficiencies and 54 citations. In February 2025, a critical Quality of Care citation was issued. Four serious violations have been documented. The facility has incurred nine federal penalties totaling $190,000 in civil fines during the past three years; 160% higher than the Missouri state average of $73,000.

A 14-day payment denial was imposed in April 2024. The top deficiency categories reflect systemic patterns spanning multiple inspections and complaint investigations, indicating persistent rather than isolated problems.

Staffing is substantially below state benchmarks across bedside care roles. Total nursing care averages 1 hour 53 minutes per resident per day versus the Missouri average of 3 hours 48 minutes; a 51% reduction in overall clinical support. Registered Nurse hours are 14 minutes per resident per day, 50% below state (28 minutes). Certified Nursing Assistant hours average 1 hour 19 minutes, 43% below state (2 hours 19 minutes).

Weekend nursing totals 1 hour 52 minutes per resident per day, 39% below state (3 hours 3 minutes). Licensed Practical Nurses average 45 minutes per resident daily, 10% above state, representing the only staffing category above state average. Physical Therapist hours are 3 minutes per resident per day, 50% above state average, indicating stronger rehabilitation-focused therapy.

Quality measure performance is mixed. Long-stay hospitalizations are 1.33 per 1,000 days, 36% better than the state average of 2.08. Emergency department visits are 2.08 per 1,000 days, 11% better than state (2.35). However, pressure ulcer rates among high-risk long-stay residents are 6.9%, 38% worse than Missouri average (5.0%), indicating skin care and positioning gaps.

Depressive symptom prevalence stands at 76.6% of long-stay residents, 496% worse than the state average of 12.8%.

Occupancy is 71.4%, generating above-average revenue relative to capacity. Resident payer mix reflects 60% Medicaid, 35.3% private pay, and 4.7% Medicare, with average length of stay of 797 days indicating primarily long-term rather than short-stay census. CMS star ratings are 2-star overall, 1-star for Health Inspection, 1-star for Staffing, and 2-star for Quality Measures.

Families should request corrective action plans addressing the February 2025 critical citation and substantiated complaint investigations, and protocols for infection control and medication management.

Overview of Livingston Manor Care Center

Livingston Manor, Inc., and administrator Sara Hoover-Shaw coordinate care at Livingston Manor Care Center, a 94-bed skilled nursing community located on East Birch Drive in Chillicothe, Missouri. The business office organizes patient billing through typical setups like Medicare, Medicaid, and private payments. Guests visiting the building can navigate the surrounding area easily on foot, as the neighborhood carries a walkability score of 71 out of 100, letting people handle multiple errands without a car.

On average, residents live in the community for 295 days, a timeframe that highlights a routine balancing continuous residential care with shorter post-hospital recovery schedules. To manage day-to-day medical treatments and physical support, the 24-hour staffing framework provides an average of 3 hours and 25 minutes of total nursing care per resident each day. The building splits this clinical focus across a dedicated Private Medicare Hall and a Special Care Unit designed for individualized rehabilitation.

Inspection reports show that recent surveys cited specific procedural corrections regarding resident banking funds, employee background tracking, nurse staffing adjustments, respiratory care, basic environmental sanitation, and resident safety rules, keeping the overall citation rate above zero.

Older adults can look into the community’s monthly activity setups, social calendars, and tailored rehabilitation programs. The indoor layout is configured to support physical recovery and memory care needs under continuous medical supervision. Families can call the main office directly to look over insurance requirements, ask about specific safety safeguards, or schedule an in-person walkthrough of the residential halls.

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.

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.

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.

Grand River Health Care is a skilled nursing home in Chillicothe, Missouri, operated by N & R Of Chillicothe, Inc. The 60-bed facility is at 118 Trenton Rd, which scores 71 out of 100 for walkability. Most residents and visiting family can handle everyday errands on foot. Medicaid, Medicare, and private pay are accepted, providing families multiple options to cover short-term rehabilitation or longer-term nursing care.

The facility has a wide range of clinical services, including rehabilitation, respite care, skilled nursing care, and physical and occupational therapy. There are also specialized programs in behavioral health and Alzheimer’s care. A doctor is on staff, and the facility provides 24-hour nursing coverage.

Residents with more complex medical needs can access infusion therapy and hospice services. Total nurse staffing averages approximately 4 hours and 43 minutes per resident each day. The care team is composed of registered nursing, licensed practical nursing, and nurse aide support.

The facility’s current occupancy rate is 52%, and residents stay an average of 257 days. The home serves both short-term rehabilitation patients and those needing ongoing skilled care. Residents have access to comprehensive dining services, including nutritious meals tailored to individual preferences. These help support resident recovery and well-being.

State inspections documented concerns in areas related to resident safety and abuse prevention, medication management, infection control, food safety, and the timeliness of protective actions. Families evaluating the facility should carefully review the inspection history and ask how it addresses ongoing matters.

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.