Page 26 of Best Nursing Homes in Missouri

Why trust this guide? Our editorial team analyzed 289 nursing homes in MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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Last updated
We analyzed These are the facilities in Missouri our team has analyzed — not a count of every nursing home provider in Missouri.
289 homes
Other senior care options in Missouri:
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

Compare Nursing Homes around Missouri

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 to lowest based on our ranking 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 Table AL (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. 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.
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.
Lawson Manor &Amp; Rehab
NH
HOS
MC
SNF
Lawson
60
Facility 60
MO AVG 96
Rank #340 / 450
68.3%
Facility 68.3%
MO AVG 66.5%
Rank #192 / 407
+3%
3.24
Facility 3.24
MO AVG 3.74
Rank #191 / 268
+17%-13%
$51.0k
Facility $51.0k
MO AVG $76.9k
Rank #221 / 276
59
Facility 59
MO AVG 36.5
Rank #239 / 274
7.4
Facility 7.4
MO AVG 5.7
Rank #231 / 274
341-
39
Facility 39
MO AVG 46
Rank #326 / 545
Valerie Jefferes
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
MO AVG $7.4M
Rank #233 / 251
$1.2MFiscal year ending 12/2023
Facility $1.2MFiscal year ending 12/2023
MO AVG $3.9M
Rank #244 / 251
40.9%Fiscal year ending 12/2023
Facility 40.9%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #228 / 251
265666
Aspen Point Health and Rehabilitation
NH
HOS
PC
RC
SNF
Saint Charles
180
Facility 180
MO AVG 96
Rank #26 / 450
30.6%
Facility 30.6%
MO AVG 66.5%
Rank #394 / 407
-54%
2.85
Facility 2.85
MO AVG 3.74
Rank #222 / 268
+87%-24%
$483.0k
Facility $483.0k
MO AVG $76.9k
Rank #276 / 276
127
Facility 127
MO AVG 36.5
Rank #273 / 274
7.1
Facility 7.1
MO AVG 5.7
Rank #218 / 274
2855-
87
Facility 87
MO AVG 46
Rank #33 / 545
Clay Street Consulting LLC$7.3M*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.$5.3M*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.73.1%*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.265118
Aegis Health and Rehabilitation
NH
HOS
PC
RC
SNF
Wildwood
66
Facility 66
MO AVG 96
Rank #317 / 450
93.9%
Facility 93.9%
MO AVG 66.5%
Rank #18 / 407
+41%
2.73
Facility 2.73
MO AVG 3.74
Rank #234 / 268
+12%-27%
$275.7k
Facility $275.7k
MO AVG $76.9k
Rank #273 / 276
69
Facility 69
MO AVG 36.5
Rank #254 / 274
8.6
Facility 8.6
MO AVG 5.7
Rank #252 / 274
562--Charic Dr Consulting LLC$4.7M*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.$3.5M*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.73.7%*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.265539
Lincoln County Nursing &Amp; Rehab-
NH
HOS
SNF
Troy
90
Facility 90
MO AVG 96
Rank #225 / 450
88.9%
Facility 88.9%
MO AVG 66.5%
Rank #42 / 407
+34%
3.10
Facility 3.10
MO AVG 3.74
Rank #204 / 268
----25%-17%
$235.4k
Facility $235.4k
MO AVG $76.9k
Rank #270 / 276
113
Facility 113
MO AVG 36.5
Rank #271 / 274
12.6
Facility 12.6
MO AVG 5.7
Rank #273 / 274
880-
68
Facility 68
MO AVG 46
Rank #92 / 545
N & R Of Lincoln County, Inc
$4.3MFiscal year ending 12/2023
Facility $4.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #188 / 251
$1.9MFiscal year ending 12/2023
Facility $1.9MFiscal year ending 12/2023
MO AVG $3.9M
Rank #211 / 251
45.6%Fiscal year ending 12/2023
Facility 45.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #203 / 251
265433
Festus Manor-
NH
HOS
RC
SNF
S Festus
150
Facility 150
MO AVG 96
Rank #49 / 450
------------8-
60
Facility 60
MO AVG 46
Rank #161 / 545
Festus Opco LLC
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
MO AVG $7.4M
Rank #45 / 251
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
MO AVG $3.9M
Rank #41 / 251
50.6%Fiscal year ending 12/2023
Facility 50.6%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #156 / 251
265401
Raintree Village-
NH
AL
IL
SNF
Lee's Summit
82
Facility 82
MO AVG 96
Rank #262 / 450
------+12%-
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
---32-
85
Facility 85
MO AVG 46
Rank #39 / 545
Ccrc Of Lee?S Summit LLC---265888
Abbey Senior Health-
NH
AL
HOS
IL
PC
RC
SNF
O'fallon (Eldridge)
100
Facility 100
MO AVG 96
Rank #175 / 450
--------------
51
Facility 51
MO AVG 46
Rank #240 / 545
$7.2M*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.$4.5M*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.62.2%*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.265657
Cedarcrest Manor-
NH
Washington
177
Facility 177
MO AVG 96
Rank #30 / 450
--------------
41
Facility 41
MO AVG 46
Rank #319 / 545
$366.5k*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.$201.9k*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.55.1%*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.265202

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 289 on this page.

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Garden View Care Center

1025 Chesterfield Pointe Pkwy, Chesterfield, MO 63017
Overview of Garden View Care Center

Garden View Care Center, located in Chesterfield, MO, is a healthcare facility offering a wide range of services; from skilled nursing, memory care, assisted living, rehabilitation services, respite care, and hospice care. Their skilled nursing services, also offered in long-term care, provides residents with 24/7 skilled nursing care by trained individuals such as registered nurses (RNs) and physical, speech, and occupational therapists.
Additionally, they also provide residents other medical services according to their needs including wound care, terminal illness care, rehabilitation, and stroke recovery care. Long-term care residents also enjoy a variety of amenities designed to create a more comfortable stay. Their farm to table menu is chef prepared and provides the perfect balance of deliciousness and nutrition. Furthermore, personal laundry services are also offered, as an added convenience, ensuring that the residents need only to focus on getting better.

Contact Garden View Care Center

Overview of Aspire Senior Living Joplin

In Joplin’s Southwood Forest neighborhood, Aspire Senior Living Joplin operates as a single-story nursing home at 2218 W 32nd Street. The facility handles memory care, rehabilitation, and skilled nursing; it is not Medicare or Medicaid CMS-certified but does work within Missouri’s state system: MO HealthNet waivers, Supplemental Nursing Care program, Structured Family Caregiving Waiver (for dementia), and Medicare Savings Program coverage where applicable. Private payment is an option. Missouri’s Department of Health provides the regulatory framework, not federal CMS.

Walk Score 32 captures a somewhat walkable area, with some errands doable on foot, most requiring transport. The facility is 3.6 miles from downtown, positioned near Landmark Hospital of Joplin, dining options, and banking services. The building is single-story with shared room housing. This infrastructure positions residents for manageable navigation if mobility is limited.

The care model emphasizes 24-hour nursing with specialized memory care and rehabilitation programming. Daily structure includes stretching exercises, social gatherings, and recreational games aimed at engagement and cognition. Meals are dietitian-planned with dietary accommodations built in.

Transportation is provided; on-site medical services are available. Each resident receives a personalized care plan. The facility maintains this operational posture within a state-regulated framework for residents who qualify for Missouri Medicaid or who pay privately.

The facility’s reliance on state-level regulatory frameworks rather than federal CMS certification defines its current operational and financial landscape for prospective residents.

Contact Aspire Senior Living Joplin

Overview of Pine Grove Manor

Pine Grove Manor is a 77-bed skilled nursing facility at 4359 Taft Avenue, Saint Louis City, Saint Louis County, Missouri, operated by Pine Grove Manor LLC under the administration of Mark Brencick. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing services throughout the week. It is located in a highly walkable urban environment with a walk score of 92, where daily errands do not require a car.

Registered nurses provide 23 minutes per resident per day, representing an 18 percent reduction compared to Missouri’s state average of 28 minutes, which maintains near-benchmark clinical assessment capability with modest shortfall. Licensed practical nurses provide 33 minutes per day, 20 percent below the state average of 41 minutes. Certified nursing aides provide 2 hours 55 minutes per day, 26 percent above the state average of 2 hours 19 minutes, reflecting notably above-standard direct personal care assistance.

Weekend nursing totals 3 hours 31 minutes per day, 15 percent above the state average. Weekend RN presence at 13 minutes per day represents a 35 percent reduction from the state average of 20 minutes.

Long-stay hospitalizations average 1.86 per 1,000 days, representing an 11 percent improvement over Missouri’s state average of 2.08. Emergency department visits for long-stay residents average 1.81 per 1,000 days, 23 percent better than the state average of 2.35.

Rehabilitation services and respite care are available alongside skilled nursing care. Health care and dietary and nutritional needs management are identified as specific programs. Meals are nutritionally balanced and accommodate both medical and faith-based dietary requirements.

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 any available regulatory documentation should be reviewed before placement.

Families should verify weekend RN staffing protocols, request rehabilitation outcome data and current inspection records, and clarify the zero-inspection record before admission.

Contact Pine Grove Manor

Overview of Pleasant View

Pleasant View is a 41-bed skilled nursing and assisted living facility at 641 Euclid Avenue, Hannibal, Missouri, operated by Mennonite Home Association Inc., owned by Megan Twyman, and administrated by Susan Tate. The facility offers a mixed care model; personal care, skilled nursing, rehabilitation services, and long-term residential living, serving a predominantly long-term care population with an average length of stay of 247 days.

Pleasant View’s performance metrics stand out significantly from peers. It holds a 4-star overall CMS rating (52.1% above Missouri average), with 4-star ratings across health inspection (37.9% above state), staffing (38.9% above state), and quality measures (7.5% above state). Total nursing care averages 3 hours 40 minutes per resident per day (ranked #132 of 256 in Missouri), though this runs 3% below the Missouri average of 3 hours 48 minutes. Weekend nursing hours drop to 2 hours 56 minutes per resident per day, which is typical across facilities but worth noting for families requiring high-acuity weekend coverage.

Occupancy is 71% (29 of 41 beds), above the Missouri average of 66.6%, reflecting steady local demand.

The resident mix reflects a business model balanced across payment types: Medicare admissions represent 34% of new residents (typical short-stay rehab of 2-3 months), private pay 41% (typical 1-year stay), and Medicaid 25% (typical 2-year stay). This payer diversification is a strength from a financial stability standpoint. Annual revenue is $3.3M with payroll of $1.9M (56% of revenue), placing the facility at #235 of 263 Missouri facilities by payroll investment. The 56% payroll percentage is below the typical 60-71% range for well-run Missouri skilled nursing facilities, which warrants consideration when evaluating long-term staffing sustainability versus operational costs.

The facility has incurred no penalties or fines in the past 3 years.

Walk score is 80 (very walkable), with most errands possible on foot, which is a significant asset for resident mobility and family visits. The downtown Hannibal location provides immediate access to services and healthcare resources.

Specific quality outcome metrics; hospitalizations, emergency department visits, falls, readmission rates, are not detailed in publicly reported data.

Families should ask about quality metrics directly during a tour, alongside verification of weekend staffing protocols and rehabilitation programming detail.

Contact Pleasant View

Overview of Garden View Care Center

Garden View Care Center is a community that provides assisted living, rehabilitation, and respite care options. At 120 beds, the center provides daily nursing support averaging 6 hours per resident, with registered nurses, nurse aides, and licensed practical nurses working together to provide hands-on care. It accepts Medicare, Medicaid, and private pay, offering multiple options for families to arrange coverage.

The community’s current occupancy rate is 61%. Most residents stay an average of 78 days, including short-term rehabilitation stays and longer-term care placements. The surrounding area has a Walk Score of 65, so it’s moderately walkable. Some errands and destinations can be reached on foot, but transportation is mostly required.

Garden View Care Center is regulated by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure. State inspection records for the facility span the past eight years.

Families exploring rehabilitation-focused care options should take an in-person tour to clarify the specific amenities, daily programs, and specialized services available to residents.

Contact Garden View Care Center

Overview of Lincoln County Nursing & Rehab

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.

Contact Lincoln County Nursing &Amp; Rehab

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.

Contact Brookdale West County

The Bluffs

3105 Bluff Creek Dr, Columbia, MO 65201-3529
Overview of The Bluffs

Administrator Christina Moore directs the daily operations at The Bluffs, a 132-bed nursing center located on Bluff Creek Drive in Columbia, Missouri, under the management of Boone County Senior Citizen Services Corp. The billing office keeps things straightforward by handling traditional coverage routes, processing payments primarily through Medicare and Medicaid. Family members who plan on dropping by for a visit will notice that the surrounding area secures a walkability score of 98 out of 100, which means the neighborhood layout is highly pedestrian-friendly and lets you easily check off routine errands on foot.

Clinical oversight is maintained by around-the-clock shift rotations and a staff physician who manages daily medical plans. The on-site team is structured to coordinate physical recovery pathways alongside traditional long-term skilled care routines, embedding regular therapeutic goals directly into the resident’s weekly schedule. Because the center functions in a vibrant university town, this setup provides a central hub where clinical monitoring and rehabilitation services remain accessible to families across the region.

State health department inspectors preserve public compliance records that track how well the building matches up with safety guidelines and licensing rules. Regular survey cycles evaluate routine operational procedures and employee workflows over time, keeping the campus’s overall citation rate documented and updated on public databases.

Families looking over local skilled nursing options can inspect the therapy tracking spaces, communal lounges, and shared dining areas. The internal calendar focuses on combining these clinical recovery tracks with essential amenities like daily housekeeping, laundry assistance, and scheduled social opportunities.

Contact The Bluffs

Overview of Ignite Medical Resort Kc Northland

Ignite Medical Resort is a beautiful and luxurious senior living community in Kansas City that sparks an energy that encourages you to get back to doing what you were already doing before– just more improved this time. The medical resort boasts an integrated personalized care program that ensures you get back to your family as soon as possible. Ignite Medical Resort is one of the best nursing homes in Northland that approaches your needs thoroughly and compassionately.
Life at Ignite is relaxing and rejuvenating because they house state-of-the-art technologies, partner with world-class professionals, and boast their resort-like  community. They offer orthopedic rehabilitation, cardiac care, wound care, and dialysis– all ensuring the best for your needs.

Contact Ignite Medical Resort KC Northland

Overview of Garden Villas South

Garden Villas South sits at 13457 Tesson Ferry Rd in South St. Louis County, about 14 miles from the city center and less than 2 miles from Mercy Hospital South. Administrator Michelle Miller leads the operation under Garden Villas of South County, Inc. The 83-bed community spans four care levels: nursing home, assisted living, independent living, and memory care. With a Walk Score of 5, the location is essentially car-dependent where outings require a vehicle or arranged transportation.

Current occupancy is 49 of 83 beds, a 59% fill rate. Families should weigh that figure when assessing the community’s trajectory.

The residential setup leans toward the full-service end of the spectrum. Apartments come with fully equipped kitchens. An Executive Chef prepares three meals a day, and there’s a 24-hour concierge on hand. Valet parking and grocery delivery are available. Included services cover weekly maid service, personal laundry, flat linen service, scheduled transportation, personal grooming assistance, medication reminders, and an in-house escort service.

Recreation spans social, educational, and cultural programs and outings. The indoor swimming pool and hot tub, fitness center, and wellness program fill out the amenity picture.

Memory care is available on-site within the broader care mix.

Garden Villas South is a full-service, amenity-dense community in suburban St. Louis suited to older adults across a wide care range who prioritize residential comfort and on-site services over walkability or urban proximity.

Contact Garden Villas South

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
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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 289 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.