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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
Located in Town and Country, MO, Mari De Villa Retirement Center is a nursing home administered by Frederick Wisehan that offers independent living, memory care, and skilled nursing. With a supervised setting, the community can accommodate those living with Alzheimer’s and other forms of dementia. 24-hour staffing is also available, ensuring residents can access care whenever needed.
Rehabilitation services, including short-term rehab, provide recovery support for those seeking care after an illness, surgery, or hospital stay. Moreover, those seeking temporary stays when their usual caregiver needs time away are provided with respite services. With multiple levels of care, residents can stay even when their needs grow.
Residents can use the pool through the community’s exercise and pool programming and receive salon services on-site. Furthermore, the 22-acre campus is equipped with walking paths and green spaces, while live music is offered as a scheduled activity. Transportation is also available to local doctors’ offices, dentists, and hospitals.
Mother of Good Counsel Home is a nursing home administered by Nicole Belongea in Saint Louis, MO, offering hospice care, memory care, and skilled nursing. Residents have access to nursing services with licensed nurses on-site. Moreover, rehabilitation services provide residents with recovery-focused care to help them improve their functionality. The community can also accommodate older adults living with Alzheimer’ and dementia in a secure and supervised environment.
Hospice care focuses on comfort for residents near the end of life. Furthermore, 24-hour staffing is available to ensure residents receive care whenever needed. Engaging activities, sacraments, spiritual opportunities, and religious services also offer structured ways to take part in activities and Catholic spiritual practices.
The community has 114 beds in a variety of private rooms. In addition, occupancy is at 60.5%, with 69 beds currently in use. With multiples level of care, residents can stay even when their needs grow.
Abbey Senior Health is a continuing care retirement community (CCRC) in O’Fallon, MO, offering independent living, assisted living, rehabilitation, and skilled nursing. With its nurturing and home-like environment, the community ensures older adults are well-cared for in retirement. Residents can also maintain their independence with ease, as exceptional services, including 24-hour care, well-balanced meals, and recreational opportunities, are provided. The community also works closely with residents to get to know their needs and habits, ensuring they can recover with ease.
Walking clubs, birthday parties, and art classes are just some of the activities that residents can participate in to stay active and maintain their holistic well-being. Lively gathering areas and accessible amenities ensure residents can rest and move around comfortably. With its ideal setting near restaurants, O’Fallon Municipal Center, and banks, residents have easy access to necessities and leisure. As one of the best choices for senior living in Missouri, this CCRC ensures older adults can age gracefully.
Cedarcrest Manor is a nursing home in Washington, MO. Residents receive nursing oversight and assistance with daily care in a residential setting, which may suit someone who needs ongoing nursing support.
The home has 177 beds and offers private and shared rooms. A private room gives one resident personal sleeping space, while a shared room accommodates two residents in the same room. Medicare is accepted for eligible short-term skilled care after a hospital stay, rather than for long-term residence.
Independence Court is a nursing home in Perryville, MO, offering skilled nursing, memory care, assisted living, and independent living. Independent living provides private living with community services and no daily care. Assisted living adds help with tasks such as dressing, bathing, and medication.
Memory care provides a secured setting with supervision for someone at risk of wandering, while skilled nursing provides licensed nursing care on site around the clock. The range of care levels may suit a resident whose needs grow over time, since moving to another level can avoid leaving the community or starting over socially.
The home has 208 beds, making it a larger community with more residents, staff, and usually more programming than a smaller setting. Its Walk Score is 69 / 100, meaning the area is somewhat walkable and some errands can be done on foot. A resident who no longer drives may still handle certain nearby errands independently.
Rehabilitation services provide therapy as part of a resident’s care. Available transportation helps residents reach destinations beyond walking distance. An ombudsman program gives residents a resource for raising concerns about long-term care rights or services, and religious services support residents who wish to include worship in their routine.
Independence Court is operated by Independence Health System, and Dana Korando serves as administrator. The home may be a good fit for a resident whose needs may grow over time and who may benefit from having multiple care levels within one community.
Overview of McKnight Place Assisted Living and Memory Care
McKnight Place Assisted Living and Memory Care offers assisted living, memory care, nursing home, respite care, and skilled nursing in Saint Louis, Missouri. Assisted living includes help with daily tasks such as bathing, dressing, and medication while a resident keeps a private apartment. Memory care is provided in a secured setting with supervision for someone at risk of wandering.
Nursing home and skilled nursing provide licensed nursing care on site around the clock. Respite care offers a short stay when a family caregiver needs to travel or recover. Having several care levels in one community may suit a resident whose needs grow over time, since care can continue without moving to another community.
The community has 175 beds, making it a larger setting with more residents, staff, and programming. The starting price is $10,650, but that amount is not tied to a specific care level, so it should be treated only as a general monthly starting point. Medicare is accepted for short term skilled care after a hospital stay, not for long term residence.
Gardens give residents outdoor space, while gourmet dining provides prepared meals within the community. Beauty and barber salons offer personal grooming services, and exercise and fitness programs provide opportunities for regular activity. Rehabilitation services support short term rehabilitation and respite care, while transportation services can assist with trips beyond the community.
Pets are allowed, so a resident may bring a pet when moving in. Elizabeth Stotser serves as the administrator, and Mpal Real Estate operates the community. A doctor is on staff, making physician care part of the community’s services.
The area has a Walk Score of 34 and is car dependent. Most errands require a car or a ride, including for a resident who no longer drives. This may be a good fit for someone who needs assisted living, memory care, nursing home, skilled nursing, or a short respite stay, particularly if remaining in the same community as care needs change matters to the family.
Overview of Lawrence County Residential Care Center
Lawrence County Residential Care Center offers nursing home, assisted living, memory care, residential care, and skilled nursing in Mt Vernon, MO. Assisted living provides help with daily tasks such as bathing, dressing, and medication, while memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing and nursing home care provide licensed nursing support on site around the clock. The range of care levels may suit a resident whose needs grow over time without leaving the community.
The community has 120 beds. Residents can receive rehabilitation services, including physical therapy, as part of their care. An on-site salon provides a place for hair and personal grooming services, and a doctor is on staff for physician care within the community.
A Walk Score of 53 / 100 places the area in the somewhat walkable category, meaning some errands can be done on foot and a resident who no longer drives may be able to handle certain nearby errands independently. Medicaid and Medicare are accepted, with Medicaid relevant to eligible long-term care coverage and Medicare generally applying to short-term skilled care after a qualifying hospital stay. Lawrence County Nursing Home District operates the community, and Russell Newby serves as administrator.
Kingswood Senior Living Community is a not-for-profit life plan community in Kansas City, MO, that offers a wide range of care options, ranging from independent living, assisted living, memory care, and respite care. Here, older adults can find a home away from home, accompanied by its warm and inviting environment. The community also ensures residents have a maintenance-free lifestyle, with restaurant-style dining, light housekeeping, and wellness programs. With a comprehensive approach to care, the community strives to maintain residents’ holistic well-being.
Fitness programs, social gatherings, and entertainment options allow residents to make friends and gain meaningful experiences. Residents are also encouraged to live actively and connect with their surroundings with its state-of-the-art amenities, including an aquatic center, serene walking trails, and secured spaces. Situated in the quiet residential area of Kansas City, near bus stops, the community ensures residents have a stress-free retirement. This retirement community has a continuum of care, allowing residents to age in place, making it a great choice for senior living in Missouri.
Seneca Healthcare Center is a nursing home offering skilled nursing care and rehabilitation services in Seneca, MO. Skilled nursing provides licensed nursing care on site around the clock, while rehabilitation services support residents who need recovery-focused care. The community may be a good fit for someone who needs ongoing nursing care alongside rehabilitation services.
Seneca Healthcare Center has 30 beds, making it a smaller community where staff and residents can get to know each other. Medicaid and Medicare are accepted; Medicaid can help cover a long-term nursing home stay for eligible residents, while Medicare generally covers short-term skilled care after a qualifying hospital stay. Meals are prepared by a registered dietician, and Debra Williams serves as the administrator.
Overview of Friendship Village Assisted Living & Memory Care
Situated in Saint Louis, Missouri, Friendship Village Assisted Living & Memory Care offers assisted living, memory care, independent living, hospice care, nursing home care, and skilled nursing care. The community can accommodate those living with Alzheimer’s and other forms of dementia within a secure environment. With 24-hour staffing, residents can also access care whenever needed.
Hospice care supports residents receiving end-of-life care, while respite care allows a short stay when a family’s usual caregiver needs to travel or recover. Short-term rehabilitation is also available for those seeking recovery support after an illness, surgery, and hospital stay.
There are places to stay active and engaged, including fitness areas that support exercise. The private library and movie theater also offer spaces for reading and films, while spiritual activities and adventure opportunities provide additional pursuits.
Administered by Bobbie Liverar, this 228-bed community is currently at 30% occupancy. It is also operated by Friendship Village of South County.
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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