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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.
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.
$6.3M*Fiscal year ending 12/2021These 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 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
63.5%*Fiscal year ending 12/2021These 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
Administered by Sara Hoover-Shaw, Livingston Manor Care Center is a nursing home and skilled nursing community in Chillicothe, Missouri, offering hospice care, memory care, and respite care. The community accommodates those with memory-related conditions in a dedicated Alzheimer’s unit. Moreover, 24-hour staffing is available to ensure residents can access care at all times.
The community has 94 beds and private rooms, with an occupancy of 33%. Residents also receive a total of 4 hours and 41 minutes of nursing care daily. Moreover, individualized rehabilitation programs and short-term rehabilitation support residents receiving therapy during a temporary recovery period.
Medicaid, Medicare, and private pay are accepted, giving families public benefit and self-pay payment paths available on-site. With a Walk Score of 71, the area is in the very walkable band, meaning most errands can be done on foot. This also suggests that a resident who no longer drives may be able to reach nearby shops and services independently.
Golden Years Center for Rehabilitation and Healthcare is a nursing home in Harrisonville, MO, offering rehabilitation and skilled nursing. Dedicated to older adults’ comfort and healing, the community has thoughtfully furnished amenities in a warm and home-like environment. High-quality services, including therapies, 24-hour care, and well-balanced meals, are also provided to improve residents’ living experiences. Residents also receive the utmost attention and care through personalized care plans.
Social events, light physical activities, and games provide residents with more opportunities to explore new hobbies and gain meaningful experiences. Top-notch amenities and cozy rooms are also available for residents’ leisure and wellness. Nestled near serene parks in Harrisonville, the community guarantees a laid-back lifestyle. This nursing home is committed to helping older adults live to their potential, making it one of the best options for senior living in Missouri.
Barbara Jamison administers Grand River Health Care in Chillicothe, Missouri, and N & R of Chillicothe operates it. There are sixty beds inside.
Infusion treatment and IV therapy are on the program list. Six weeks of antibiotics is a nursing job with a line to maintain and a clock to keep, and no household is set up for it.
Behavioral health services are listed as well, and a doctor is on staff. Rehabilitation and short-term rehabilitation cover recovery work.
Nursing here is a 24-hour rota rather than a daytime service with a phone number after six. Nursing time holds at 3 hours and 35 minutes per resident each day.
Hospice changes what gets counted. Progress stops being the measure and comfort takes over, which is a quieter kind of work than treatment.
Respite covers a stretch the caregiver cannot move. A season at work that does not bend, a required trip, a deployment.
Medicaid, Medicare, and private pay are the options. Medicare pays for skilled care after a hospital admission and then runs out on a date, which is where the other two start mattering.
Magnolia Wellness Center provides nursing home care, palliative care, and skilled nursing in Saint Louis, MO. Skilled nursing includes nursing care on site around the clock. Palliative care focuses on comfort for residents with serious illness. Respite care is also available for short stays, giving a family caregiver time away to travel or recover.
The center has 120 beds and offers private rooms, so each resident has an individual room rather than a shared sleeping space. Rehabilitation services support residents who are receiving therapy at the center, while beauty and barber services provide personal grooming options on site. A doctor is on staff, and the community is administered by Emmanuel Jackson and operated by Sage Nursing & Rehab.
Total nurse staffing is 2h 7m per resident per day, representing the nursing staff time allocated to each resident across the day. Meals are nutritionally balanced and accommodate medical and faith based food requirements. The Health Care, Dietary and Nutritional Needs Management programs address residents’ health and nutrition needs. Medicare, Medicaid, and private pay are accepted, and the combination of skilled nursing, palliative care, and respite care can suit a resident who needs ongoing nursing support, comfort focused care, or a short term stay.
Nazareth Living Center offers independent living, assisted living, memory care, respite care, nursing home care, and skilled nursing in Saint Louis, MO. Independent living means having a private living space with community services and no daily care, while assisted living provides help with bathing, dressing, medication, and similar tasks while the resident keeps an apartment. Memory care is provided in a secured setting with supervision, and skilled nursing includes licensed nursing care on site around the clock. Respite care is available for short stays, which can give a family caregiver time to travel or recover.
The range of care levels can suit a resident whose needs grow over time without requiring a move to a different community. With 235 beds, Nazareth Living Center is a larger community with more residents and staff, and usually more programming. The total nurse staffing figure is 3 hours and 50 minutes per resident per day, representing the daily hands on nursing time allocated to each resident.
Starting prices are $2,485 for independent living, $6,030 for assisted living, $5,250 for memory care, $336 for a semi private skilled nursing room, and $413 for a private skilled nursing room. Medicare, Medicaid, and private pay are accepted, giving families payment routes for covered care or private payment. Rehabilitation services and short term rehab support a resident receiving therapy during a temporary rehabilitation stay. Residents may have pets, use available transportation, and attend religious services at the community. Joseph Vanhooser serves as the administrator. Nazareth Living Center may be a good fit for someone who needs the option to move among several levels of care as support needs change.
Sunnyview Nursing Home & Apartments is a nursing home and skilled nursing community in Trenton, Missouri. Skilled nursing provides licensed nursing care on site around the clock, while short term, long term, and rehabilitative services are also available. That combination may make Sunnyview Nursing Home & Apartments a good fit for someone who needs temporary recovery support or ongoing nursing care.
The community opened in 1973 and has 122 beds, along with 37 apartments that provide apartment style accommodations within the nursing home setting. Jerome Doerhoff serves as administrator, and Grundy County Nursing Home District operates the community. The setting combines nursing home services with apartment living options.
Total nurse staffing is 4 hours and 29 minutes per resident per day, representing the daily nursing time assigned to each resident. Medicare, Medicaid, and private pay are accepted. Medicare covers short term skilled care after a hospital stay, Medicaid can help eligible residents cover a long stay when savings may not be sufficient, and private pay allows families to pay directly.
Located in Marionville, MO, The Ozarks Methodist Manor offers independent living, assisted living, residential care, memory care, and nursing home and skilled nursing services. With a dedicated Alzheimer’s unit, the community can accommodate older adults with memory-related conditions. Residents also receive care whenever needed, with 24-hour staffing available.
The community has 154 beds, with a 39% occupancy. Moreover, total nurse staffing is 3 hours and 57 minutes per resident per day, representing the daily nursing time allocated to each resident. Rehabilitation services also give residents access to therapy. Outings are also available as organized activities beyond their residence.
Administered by Wayne Rainey, the community also accepts Medicare, Medicaid, and private pay, giving families several listed ways to cover care.
Belleview Care Center operates out of Saint Joseph, MO, with assisted living, hospice, care, memory care, nursing home care, and skilled nursing licensed. Assisted living handles dressing, medication, and bathing, though often it is the meals and the rides that decide it. The building does logistics that a relative across town cannot. Both nursing tracks serve people who need ongoing support.
Hospice care is there for a resident whose illness has reached its last stretch. Memory care means a supervised setting, and plenty of families arrive looking for two things at once: dementia and a medical reason, both true on the same day. Several levels under one license fit a person whose requirements shift, since the next step already exists here.
There are 190 beds inside, and rehabilitation and therapy services give residents therapeutic support as part of the care. Nursing time settles at 3 hours and 3 minutes daily for one resident, and religious services are available.
Medicaid, private pay, and Medicare each cover care costs, and somebody is usually paying while a Medicaid application is moving through the system. Paul Carbrey is the administrator, and Weisenbormn Road Healthcare runs the place. A Walk Score of 76 makes the area very walkable, so a visit can be an afternoon built around a walk to a cafe.
Hill Crest Manor in Hamilton, Missouri, offers a combination of assisted living, residential care apartments, nursing home options, skilled nursing, hospice care, and respite services. Personal care assistance helps residents manage daily routines like dressing and bathing within residential accommodations. Clinical recovery programs include rehabilitation services for short-term stays, while temporary respite options assist family caregivers needing time away.
Managing a total of 114 beds, the center operates under administrator Tyler O’Neal and operator Hamilton #1. Nurse staffing across the property averages 3 hours per resident each day. Situated in a neighborhood rated 53 on the walk score index, the location provides proximity to select local destinations on foot. Accepted payment routes include Medicare, Medicaid, and private funds.
Interested families exploring care options can contact Hill Crest Manor to inquire about current room availability, discuss payment methods, or arrange a personal visit.
Steelville Senior Living in Steelville, Missouri, delivers assisted living, skilled nursing, memory care, hospice care, and respite stays within a 93-bed community. Assisted living support covers daily personal tasks like bathing, dressing, and medication assistance alongside private residential quarters. Secured environments accommodate individuals requiring memory care supervision, while temporary respite stays offer temporary relief for family caregivers.
Administrator Ashley Drewel oversees operations at the facility, where nursing personnel deliver an average of 3 hours and 23 minutes of daily care per resident. On-site conveniences include outpatient rehabilitation programs, personal grooming at the beauty salon, scheduled transportation, and restaurant-style dining featuring daily specials developed with registered dietitians. Sitting in an area with a 39 walk score, the location generally requires vehicle transportation for off-site errands.
Prospective residents can contact Steelville Senior Living to inquire about specific admission criteria, verify bed availability, or plan a tour of the grounds. Payment options include Medicare, Medicaid, and private financing.
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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