Page 26 of Best Nursing Homes in Missouri

Overview of McKnight Place Assisted Living and Memory Care

McKnight Place Assisted Living and Memory Care is a 55-bed skilled nursing facility offering assisted living, memory care, and skilled nursing at Three McKnight Place, Saint Louis, Saint Louis County, Missouri. Ms Elizabeth Stotser administers the facility, operated by Mpal Real Estate, LLC. The community is organized to serve multiple care levels from independent assisted living through skilled nursing within integrated residential spaces.

The facility maintains a clean inspection record with zero reported state inspections and zero documented deficiencies or violations. No citations, penalties, or enforcement actions appear in available records.

An important operational constraint: McKnight Place accepts Medicare only and does not accept Medicaid, limiting access to residents with Medicare coverage or independent financial resources. The facility maintains a physician on staff and provides 24-hour staffing with short-term rehabilitation, respite care, and long-term care services. Staffing composition, staff-to-resident ratios, and nursing hours per resident are not publicly disclosed. No CMS ratings or clinical outcome data are publicly available.

The facility emphasizes quality of life through amenities and dining. Meals are prepared by an award-winning Executive Chef with attention to nutritional requirements. Gardens, beauty and barber salons, exercise and fitness programs, and transportation services support resident engagement and independence.

Starting price of $10,650 per month is disclosed.

Walk Score of 34 indicates somewhat walkable area where a few nearby services are reachable on foot, though most trips require transportation.

Families evaluating McKnight Place should request details regarding Medicare coverage scope, physician availability and medical protocols, staff-to-resident ratios, nursing hours per resident, specific care programming for memory care versus assisted living versus skilled nursing levels, and financial terms before enrollment.

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.

Overview of Stonebridge Desoto

Stonebridge Desoto is an 80-bed skilled nursing facility at 1550 Villas Drive, De Soto, Missouri, operated by Eldercare Of Mid-Missouri IV, Inc. and administrated by Angela Moore. The facility provides assisted living, rehabilitation, skilled nursing care, short-term rehabilitation, and senior rehabilitation services with Medicare and Medicaid certification. The community received recognition as Missouri’s Best 2021.

It maintains 24-hour staffing with comprehensive clinical services including rehabilitation, physical therapy, occupational therapy, and speech therapy alongside palliative and hospice care.

Staffing composition shows significant variation from Missouri benchmarks. Registered Nurse coverage is 32 minutes per resident daily, running 14% above the state average of 28 minutes, suggesting adequate clinical leadership. However, Licensed Practical Nurse hours average 23 minutes per day, substantially below the state average of 41 minutes; a 44% shortfall that signals reduced hands-on clinical care delivery. Nurse Aide staffing is 2 hours 34 minutes per day, 11% above the state average, providing stronger direct assistance capacity.

Weekend nursing totals 3 hours 15 minutes per day, 7% above the state benchmark, with weekend RN coverage at 25 minutes; 25% above state average. Physical Therapist hours are minimal at 1 minute per day, 50% below the state benchmark of 2 minutes, a notable limitation for rehabilitation-focused care.

Quality outcome data raise substantive concerns. Emergency department visits for short-stay residents are 17.2%, 28% worse than the Missouri average of 13.4%; a marked elevation suggesting either higher-acuity admissions or gaps in preventive care management. Re-hospitalization is 26.5%, 5% worse than the state average of 25.3%. Successful return to home or community is 39.4%, 22% worse than the Missouri average of 50.6%, indicating lower discharge readiness outcomes.

Falls with major injury are 0.0%, a genuine strength relative to the state average of 0.8%. The facility’s overall quality measure rating is significantly below average, indicating systematic performance gaps across multiple care domains.

The walk score of 50 reflects moderately walkable surroundings with some pedestrian-accessible amenities.

Clinical services include in-house X-ray and laboratory, IV therapy, nutrition therapy, medication management, pain and wound management, and palliative care. On-site amenities encompass a beauty and barber shop, housekeeping, dining with special meal options, and recreational programming.

The facility’s zero inspection finding is anomalous given extensive CMS quality measure reporting and requires clarification regarding inspection history and regulatory standing. Missouri residents qualify for multiple assistance programs including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance.

Families should ask for an explanation of quality measure performance deficiencies and elevated ED utilization and re-hospitalization rates, corrective action plans, occupancy, and inspection history.

Lawrence County Residential Care Center is a 30-bed residential care facility at 915 Carl Allen Street, Mt Vernon, Missouri, operated by Lawrence County Nursing Home District and administrated by Russell Newby. The facility operates as a 24-hour skilled nursing and rehabilitation center with designated memory care units, offering nursing care, physical therapy, and specialized services for residents with cognitive decline.

Operational strengths are evident but limited in disclosed detail. The facility maintains a doctor on staff and 24-hour staffing with skilled nursing capability. Rehabilitation services, a beauty salon, housekeeping, maintenance, and dietary services are programmed components. Dietary services are managed by a specialized team preparing individualized meals tailored to resident needs and preferences.

Memory care units are designated for residents with dementia or cognitive decline. The facility accepts both Medicaid and Medicare, providing payment flexibility for qualifying residents. Operating hours are 24/7.

The facility’s inspection profile shows zero routine inspections from the Missouri Department of Health and Senior Services, Division of Regulation and Licensure compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri residential care facilities. Without access to the complete inspection record and detailed staffing breakdown, families cannot assess regulatory history or identify any substantive compliance issues. The zero-inspection finding requires clarification regarding the facility’s age, licensure status, and operational standing before consideration for placement.

The walk score of 53 reflects moderately walkable surroundings; some services are reachable on foot, though most daily needs will require transportation. Mt Vernon’s proximity to regional healthcare resources and available accessibility are relevant considerations for families evaluating placement.

Missouri residents may access multiple payment assistance programs, including Medicaid A&D Waiver, Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged/Blind/Disabled, Medicare Savings Program, Caregiver Program, and Veterans Aid and Attendance. The facility accepts Medicaid and Medicare.

Families should ask about memory care programming and staffing details, occupancy, licensing, inspections, quality metrics from Lawrence County Residential Care Center.

Overview of Independence Court

Independence Court is a 75-bed residential care facility at 121 Independence Drive, Perryville, Perry County, Missouri, operated by Independence Health System, Inc under the administration of Dana Korando. The facility provides memory care, rehabilitation services, and skilled care. It maintains 24-hour staffing and operates continuously. The neighborhood is moderately walkable with a walk score of 69.

The facility has received CMS 5-Star Facility recognition, indicating superior quality performance according to Centers for Medicare and Medicaid Services rating criteria.

The facility indicates 24-hour staffing is maintained.

Rehabilitation services and skilled care are referenced. Religious services and ombudsman services are available.

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.

The facility’s regulatory history shows zero total inspections recorded, compared to a Missouri state average of seven for comparable residential care facilities. This unusually sparse inspection history requires explanation.

Before considering placement, families should request staffing documentation, memory care protocols, current licensing records, and clarification of the CMS 5-Star rating basis.

Overview of Mari De Villa Retirement Center

Mari De Villa Retirement Center is a 224-bed skilled nursing facility at 13900 Clayton Road, Town and Country, Saint Louis County, Missouri, operated as a family-owned business under the administration of Mr Frederick Wiesehan. The facility provides independent living, skilled nursing, and memory care services with 24-hour on-site staffing. It is heavily car-dependent, with a walk score of 3.

Dining services provide three meals daily with a rotational menu. Amenities include activities and social events featuring live music, on-site transportation, exercise and pool facilities, green spaces, salon services, and concierge support. Rehabilitation services, respite care, and short-term rehabilitation programming are offered for post-acute recovery. Memory care services support residents with dementia and cognitive decline.

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 expands access to residents with limited financial resources.

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 staffing credentials, CMS ratings, and licenses and inspection reports from the Missouri Department of Health and Senior Services.

Overview of Mother of Good Counsel Home

Mother of Good Counsel Home is a 114-bed skilled nursing facility located at 6825 Natural Bridge Road, Saint Louis County, Missouri, operated and administered by Nicole Belongea. The facility has served the Saint Louis community since 1932 as a Catholic skilled nursing and memory care provider with emphasis on spiritual life alongside clinical care. It operates 24 hours daily and maintains 24-hour on-site staffing.

The facility’s Catholic identity is central to its mission. Weekday Masses are celebrated on campus, with sacraments, spiritual opportunities, and volunteer programming available. Families and visitors are welcome at all times. The community calendar includes potluck dinners, special events, and activities supporting resident engagement.

Skilled nursing care, memory care services, and rehabilitation therapies are listed. The walk score of 20 indicates the facility is car-dependent; most off-campus errands and activities require transportation.

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. This payment structure makes the facility accessible to residents with limited financial resources.

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. Families must request and review the facility’s current licensing status, any available inspection records from the Missouri Department of Health and Senior Services, and written explanation for the absence of routine regulatory oversight documentation.

Families should verify staffing credentials, CMS ratings, license and inspection reports, rehabilitation and memory care protocols; and fall prevention and incident tracking procedures.

Capitol River Wellness & Rehabilitation is a 120-bed skilled nursing facility at 1221 Southgate Lane in Jefferson City, Cole County, Missouri, operated by Jefferson City Wellness & Rehabilitation LLC and administered by Sheila Barks-Distler. The facility accepts Medicare and provides 24-hour staffing with a physician on site, rehabilitation services, and respite care.

Registered Nurse coverage at 25 minutes daily falls 11% below Missouri’s average of 28 minutes, while Licensed Practical Nurse hours at 1 hour 4 minutes/day exceed the average by 56%. Certified Nurse Aide staffing at 2 hours 32 minutes/day runs 9% above the benchmark of 2 hours 19 minutes. Physical Therapy hours are notably strong at 4 minutes/resident daily, double the average. The critical vulnerability emerges on weekends: RN coverage drops to 13 minutes/day, 35% below the average of 20 minutes.

Long-stay residents experience 1.54 hospitalizations/1,000 days (26% better than average 2.08) and 1.93 ED visits per 1,000 days (18% better than average 2.35). Short-stay re-hospitalization rates are 17.5%, placing the facility 31% ahead of the average of 25.3%. Short-stay ED visit rates are 6.4%, 52% better than the average of 13.4%. Discharge functional ability for short-stay residents; 63.6% at or above expected self-care capacity, exceeds the average of 53.7% by 19%.

Successful return to home or community from skilled nursing is 43.5%, 14% below the average of 50.6%.

Falls with major injury present a significant concern. The facility reports 3.6% of short-stay residents experience falls with major injury, substantially worse than the average of 0.8%.

Reviewers described meals as poorly prepared and unappetizing, with multiple residents reporting difficulty consuming facility-provided food.

Capitol River Wellness & Rehabilitation provides comprehensive skilled nursing care with rehabilitation focus. The facility operates on a 24-hour basis with physician oversight and offers rehabilitation services, respite care, and Medicare-covered short-term post-acute care. Nutritionally balanced meals are prepared on-site to accommodate medical and faith-based dietary requirements. The facility maintains on-site physical therapy services and supports activities of daily living assistance through its nursing and aide staff.

Residents have access to common dining areas and social gathering spaces within the 120-bed community, which benefits from a walk score of 67 providing moderate access to nearby hospitals, pharmacies, shopping, and dining establishments in the Jefferson City area.

The Missouri Department of Health and Senior Services, Division of Regulation and Licensure, conducts annual inspections and unannounced surveys of all long-term care providers. Families should request Capitol River’s complete inspection record, deficiency history, and citation details directly from the facility or the state licensing authority.

Families should ask about weekend RN protocols and request detailed documentation of fall prevention measures and major injury incident investigation.

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.

Overview of Friendship Village Assisted Living & Memory Care

Friendship Village Assisted Living & Memory Care is an 84-bed community at 12777 Pointe Drive, Saint Louis County, Missouri, operated by Friendship Village of South County under the administration of Ms. Nicole Summers.

The facility provides assisted living, memory care, skilled nursing, and rehabilitation services in a continuum-of-care model, allowing residents to remain on campus as care needs evolve. The facility maintains 24-hour staffing, offers hospice services, and has a walk score of 0, reflecting extreme car-dependence with virtually no nearby walkable options.

The facility offers assisted living support for residents with activities-of-daily-living assistance, memory care programming for residents with dementia and cognitive decline, skilled nursing for post-acute care, and short-term rehabilitation services. Respite care is available.

Amenities include fitness areas, a private library, movie theater, secure community environment, spiritual activities, adventure opportunities, and religious services. The continuum-of-care model within a single campus facilitates level-of-care transitions without relocating residents.

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, making 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 communities. This unusually sparse inspection history requires explanation. Current licensing status and any available regulatory documentation should be reviewed before placement.

Families should verify staffing credentials, CMS ratings, licenses and inspection reports from the Missouri Department of Health and Senior Services, and emergency response protocols.