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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
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.
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 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.
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.
$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.
$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.
$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: each community is ranked against every MO community we track that reports that metric, not just the 289 on this page.
Located in the quiet residential area of South Osteopathy, Kirksville, MO, is the reliable senior living community of St. Andrew’s Apartments at Kirkville offering independent living. Focusing on the needs of those 55+, the community fosters a vibrant and welcoming environment with a variety of one- and two-bedroom apartments. The Northeast Regional Medical Center is also nearby, ensuring immediate medical care when needed.
Live independently and do the things you love in the purposely designed entertainment spaces and carefully curated activities. The emergency response system is also active 24/7 to ensure residents’ safety. Here, residents have the freedom to do the things they love without the hassles of daily responsibilities.
Cedarcrest Manor is a nursing home in Washington, MO, offering long-term care, memory care, hospice care, personal care, palliative care, and rehabilitation. With a warm and nurturing environment, the community ensures older adults are well-cared for throughout their stay. Residents also receive exceptional services, including 24-hour care, nutritious meals, and maintenance services, ensuring they can maintain their independence with ease. Through an evidence-based approach to care, the community focuses on residents’ holistic welfare.
Light exercises, social events, and games provide residents with more opportunities to explore new hobbies and gain meaningful experiences. Residents can also relax and connect with their surroundings, with cozy living areas and lively gathering areas. With its ideal setting in the tree-lined neighborhood of Washington, near restaurants and shops, residents experience a laid-back lifestyle. This nursing home has high standards of care, making it one of the best options for senior living in Missouri.
Overview of White Oak at the Groves Senior Living Community
White Oak at The Groves promises a beautiful assisted living experience with its exquisite services and elegant interior, it ensures a trusted choice with the service there. The upscale retirement home aims to let its residents live a worry-free lifestyle by providing companionship and meaningful conversations to upraise graceful aging. White Oak ensures that each resident lives their life fully in a nurturing environment.
As a proud member of The Groves senior living community, residential living is as vibrant as its services and amenities. Seniors can have seamless access to a full-service salon, transportation, laundry and housekeeping, delicious dining, and fun-filled recreational activities.
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.
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.
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.
Overview of Morningside Center Assisted Living Apartments
Morningside Center Assisted Living Apartments is a 31-bed assisted living facility at 1702 Morningside Drive, Chillicothe, Missouri, operated by Livingston County Nursing Home District and administrated by Harri Melte. The facility offers full-service apartments with around-the-clock care and integrated skilled rehabilitation and nursing services. The full-apartment model provides residents greater independence than traditional assisted living while maintaining on-site medical oversight and rehabilitation services. Twenty-four-hour staffing is available, a significant operational detail indicating continuous care availability.
The community has received local recognition as Voted Best Nursing Home, Voted Best Assisted Living, and Voted Finalist Best Place to Work. These designations reflect local acknowledgment of care quality and workplace culture, though they are informal peer or community votes rather than accredited third-party assessments.
The facility’s inspection profile shows zero routine inspections compared to the Missouri state average of seven, which could indicate a recent opening or limited survey activity relative to comparable Missouri assisted living 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 71 reflects very walkable surroundings; most errands are possible on foot, with many essentials nearby, which is an asset for resident mobility and family visits. The facility is located at Chillicothe’s city center, providing immediate access to services and healthcare resources.
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.
Families should ask about skilled rehabilitation programming and staffing details, occupancy, licensing, inspections, quality metrics from Morningside Center Assisted Living Apartments.
Overview of Lawrence County Residential Care Center
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 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.
Seneca Healthcare Center is a 30-bed residential care facility at 2400 South Cherokee Avenue, Seneca, Missouri, operated by Seneca Healthcare Center and administrated by Ms. Debra Williams. The facility provides skilled nursing care and rehabilitation services and maintains Joint Commission accreditation, a significant credential indicating compliance with national standards for healthcare quality and safety.
Twenty-four-hour staffing is available, and meals are prepared by a Registered Dietician. The facility accepts both Medicare and Medicaid, broadening payment options for qualifying residents. Beyond these operational details, publicly available data are limited. The facility’s inspection profile shows zero routine inspections 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, independent evaluation of operational performance is not possible. The zero-inspection finding requires clarification regarding facility age, census history, and regulatory standing before placement.
The walk score of 50 reflects moderately walkable surroundings, though most residents will need transportation for daily needs.
Operating hours are Monday through Sunday, 8:00 AM to 8:00 PM.
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 these programs; however, pricing and cost-sharing details are not publicly listed.
Families should request staffing details, occupancy status, license expiration, inspection records, any deficiencies and citations, quality metrics, and staff credentials and training.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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 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.
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
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