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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.
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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
$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.
$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.
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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
Pleasant View offers nursing home, skilled nursing, and memory care services in Hannibal, Missouri. The memory care program features a secure environment designed to assist residents at risk of wandering, while nursing services address continuous health needs. On-site rehabilitation programs help residents regain or maintain their physical abilities.
Established in 1955, this 41-bed community allows staff and residents to form close connections. Mennonite Home Association operates the facility alongside administrator Susan Tate. An 80 walk score places the location near everyday destinations, making local errands accessible without driving.
Intersted families can reach out to the Pleasant View team to arrange a tour or discuss available care programs and payment choices, including Medicare, Medicaid, and private pay.
Located in O’Fallon, MO, Garden View Care Center provides nursing home, skilled nursing, assisted living, hospice care, memory care, and respite care. Residents receive ongoing support from licensed nurses on-site. A dedicated Alzheimer’s unit is also available to welcome older adults living with memory-related conditions. The community also accommodates those with life-limiting illnesses through hospice care, while older adults seeking short-term stays are provided with respite services.
The community has 120 beds, with occupancy at 60.8%. Residents also receive a total of 5 hours and 38 minutes of nursing care daily. Moreover, rehabilitation services are available, giving residents access to recovery support on-site.
Medicare, Medicaid, and private pay are accepted, giving families more than one way to cover care depending on eligibility and financial resources. Meanwhile, a Walk Score of 65 means some errands can be done on foot, so a resident who no longer drives may be able to reach certain nearby destinations independently. Linda Hagler-Reid serves as the administrator.
The Bluffs in Columbia, Missouri, delivers skilled nursing and memory care, offering structured supervision within a secured setting for residents living with memory loss. Recovery-focused rehabilitation programs operate on site, with continuous medical oversight provided by a staff physician.
Room configurations across the property include 38 private rooms, 31 semi-private suites, and 16 semi-private companion rooms. Boone County Senior Citizen Services operates the community alongside administrator Christina Moore, maintaining a legacy that dates back to 1934. Neighborhood surroundings feature a 98 walk score, creating a highly pedestrian-friendly setting where most routine daily errands can be completed on foot.
Prospective residents and their families can reach out to the admissions office at The Bluffs to confirm room availability, explore payment choices, or set up a guided walk-through. Accepted financial plans cover both Medicare for qualifying short-term recovery and Medicaid for long-term care needs.
Raintree Village offers nursing home, assisted living, independent living, and skilled nursing care in Lee’s Summit, MO. Nursing home and skilled nursing care provide licensed nursing care on site around the clock for residents who need ongoing medical support. Assisted living helps with daily tasks such as dressing, bathing, and medication, while independent living offers private living with community services and no daily care.
Several care levels are available here. That may suit a resident whose needs grow over time, since care can change without requiring a move to another community. Raintree Village has 82 beds, with independent living starting at $3,695 and assisted living starting at $5,990; the rates reflect whether a resident lives independently or receives help with daily tasks.
Short term rehabilitation is available for a temporary stay focused on recovery, giving a resident access to rehabilitation services during that period. Pets are allowed, so a resident may keep a pet while living at the community. A Walk Score of 85 makes the area very walkable, with most errands possible on foot, so a resident who no longer drives can still get out independently. Cody Hughes serves as administrator, and the community is operated by Ccrc Of Lee’s Summit.
Stonebridge Desoto is a nursing home, assisted living, and skilled nursing community in De Soto, MO. Assisted living includes help with daily tasks, while nursing home and skilled nursing care provide ongoing nursing support for residents with more complex care needs.
Having several care levels may suit a resident whose needs change over time, and respite care offers a short term stay when a family caregiver needs temporary support. The community has 136 beds, with Senior Rehabilitation and short term rehabilitation services providing therapy and temporary care during recovery.
Local transportation for medical services helps residents attend healthcare appointments, and a salon provides personal grooming without arranging an outside visit. A Walk Score of 50 means some errands can be completed on foot while other trips may require transportation; Angela Moore serves as administrator, and Eldercare Of Mid-Missouri Iv operates the community.
Festus Manor, located in Festus, Missouri, supplies general nursing home care, skilled nursing support, hospice care, and short-term respite stays. End-of-life care programs focus on comfort and resident support, while respite services offer temporary admissions for primary caregivers needing scheduled relief.
Festus Mo Opco operates the 150-bed residence alongside administrator Amberlee Zykan Finkelstein. Physical rehabilitation programs help individuals work toward regaining daily physical independence. Accepted payment arrangements include Medicare, Medicaid, and direct private funding options.
Prospective individuals exploring nursing support or rehabilitation options can reach out to Festus Manor to check current bed availability, discuss payment methods, or schedule a campus visit.
With 77 beds, Pine Grove Manor provides skilled nursing, rehabilitation, and respite care in Saint Louis, Missouri. Residents receive around-the-clock care with 24-hour staffing that includes a doctor on-site. The community also accommodates temporary stays with respite services, allowing primary caregivers to rest.
Administered by Keesha Robinson, this community currently has 55 beds, indicating a 71% occupancy. Moreover, rehabilitation services support residents as they work toward recovery. An on-site salon also gives them a place for personal grooming within the community, while meals are nutritionally balanced and accommodate medical and faith-based food requirements. This also ensures that dining can align with clinical diets and religious dietary practices.
The community accepts Medicare, Medicaid, and private pay, allowing multiple options to cover costs. This also means that Medicare can cover short-term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay allows families to pay directly.
Aspire Senior Living Joplin offers nursing home, hospice care, memory care, palliative care, respite care, and skilled nursing in Joplin, Missouri. Nursing home and skilled nursing services provide licensed nursing support, while memory care offers a supervised setting for someone living with dementia. Hospice and palliative care focus on comfort, and respite care provides a short term stay when a resident’s usual caregiver needs temporary support.
The community is in the Southwood Forest neighborhood and has shared rooms, so a resident shares a room with another person rather than living in a private room. Its range of care types may suit a resident whose needs change over time, including someone who may later require nursing, hospice, or palliative support. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care. A Walk Score of 32 places the area in a car dependent setting, meaning most errands require a car or a ride. For a resident who no longer drives, routine trips outside the community would therefore depend on transportation.
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.
Americare operates a 79-bed nursing facility in Columbia, Missouri. This non-profit community focuses on short-term post-acute rehabilitation and extended skilled nursing care, with residents staying for an average of 93 days. The campus coordinates adult day care, home health services, physical therapy, and short-term respite stays under a single care plan.
Residents receive a substantial amount of daily attention, averaging 4 hours and 18 minutes of direct nursing care per day. This hands-on schedule includes 2 hours and 24 minutes from certified nurse aides, 52 minutes from licensed practical nurses, and 44 minutes of direct medical oversight from registered nurses. Financial pathways are flexible, as the community accepts Medicare, Medicaid, and standard private payments. Demand for placement is high, with the facility running at an average occupancy rate of nearly 99 percent.
The surrounding Columbia area carries a walkability score of 46 out of 100, which reflects a somewhat car-dependent layout. While a few basic errands might be manageable on foot, visiting families and staff will generally need a vehicle for standard travel. On-site community perks include a private library, a family visitation lounge, an outdoor courtyard, a beauty salon, and dedicated wellness programs.
Families can reach the community’s team directly to ask about current room vacancies, talk through your specific insurance coverage, or figure out the best timing for a visit to the campus.
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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