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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
Experience a worry-free retirement at Good Shepherd Care Community, a distinguished community in Concordia, MO, offering independent living, assisted living, memory care, and short- and long-term care. A compassionate and well-trained team provides the highest quality of care tailored to their unique needs to ensure their comfort and safety. Residents can keep their peace of mind with housekeeping and other services.
Promoting an active and vibrant lifestyle, a thoughtfully curated calendar of fun recreational activities and enriching programs is conducted. Delectable and healthy meals are also served to satisfy residents’ dietary needs and preferences. Music and pet therapy are also provided to improve residents’ living experiences. With its comprehensive care options and extensive amenities, residents can live to their potential in their golden years.
Overview of Morningside Center Assisted Living Apartments
Morningside Center Assisted Living Apartments offers nursing home, assisted living, and skilled nursing care in Chillicothe, MO. Assisted living provides help with daily tasks while a resident keeps an apartment, and skilled nursing provides licensed nursing care around the clock.
The center has full-service apartments with around-the-clock care, giving residents access to ongoing support in an apartment setting. Its Skilled Rehab program provides rehabilitation services that can help a resident regain or maintain function after illness, injury, or a change in health.
With 31 beds, Morningside Center is a smaller community where staff and residents get to know each other. The combination of assisted living and skilled nursing may suit a resident whose care needs could increase over time without requiring a move to a different community.
A Walk Score of 71 places the area in the very walkable band, meaning most errands can be done on foot; a resident who no longer drives can still reach nearby shops, a pharmacy, or cafes independently. Harri Melte serves as administrator, and Livingston County Nursing Home District operates the community.
Ignite Medical Resort St Peters provides nursing home care, palliative care, and skilled nursing in Saint Peters, Missouri. Skilled nursing means licensed nursing care is available on site around the clock, while palliative care centers on comfort and symptom management. Nursing home care supports residents who need ongoing nursing services in a residential setting.
The community has 91 beds and accepts Medicaid and Medicare, giving families payment options for eligible services. Respite care provides short term stays when a family caregiver needs to travel or recover. For someone who needs skilled nursing along with rehabilitation or short term respite care, this may be a suitable fit.
Rehabilitation services include orthopedic rehabilitation, stroke recovery, cardiac care, pulmonary rehabilitation, infection management, and renal disease care with in house dialysis. These programs allow residents to receive recovery services or ongoing treatment without arranging care at a separate location. There is also a private room option.
Additional spaces include an onsite restaurant, a Starbucks café, a full service spa, and an onsite chapel. Residents can dine outdoors on the courtyard patio or beside the fire pit, while concierge services are also available.
Dylan Rogers serves as the administrator, and Ignite St Peters operates the community.
Ignite Medical Resort is a beautiful and luxurious senior living community in Kansas City that sparks an energy that encourages you to get back to doing what you were already doing before– just more improved this time. The medical resort boasts an integrated personalized care program that ensures you get back to your family as soon as possible. Ignite Medical Resort is one of the best nursing homes in Northland that approaches your needs thoroughly and compassionately. Life at Ignite is relaxing and rejuvenating because they house state-of-the-art technologies, partner with world-class professionals, and boast their resort-like community. They offer orthopedic rehabilitation, cardiac care, wound care, and dialysis– all ensuring the best for your needs.
Garden Villas South sits at 13457 Tesson Ferry Rd in South St. Louis County, about 14 miles from the city center and less than 2 miles from Mercy Hospital South. Administrator Michelle Miller leads the operation under Garden Villas of South County, Inc. The 83-bed community spans four care levels: nursing home, assisted living, independent living, and memory care. With a Walk Score of 5, the location is essentially car-dependent where outings require a vehicle or arranged transportation.
Current occupancy is 49 of 83 beds, a 59% fill rate. Families should weigh that figure when assessing the community’s trajectory.
The residential setup leans toward the full-service end of the spectrum. Apartments come with fully equipped kitchens. An Executive Chef prepares three meals a day, and there’s a 24-hour concierge on hand. Valet parking and grocery delivery are available. Included services cover weekly maid service, personal laundry, flat linen service, scheduled transportation, personal grooming assistance, medication reminders, and an in-house escort service.
Recreation spans social, educational, and cultural programs and outings. The indoor swimming pool and hot tub, fitness center, and wellness program fill out the amenity picture.
Memory care is available on-site within the broader care mix.
Garden Villas South is a full-service, amenity-dense community in suburban St. Louis suited to older adults across a wide care range who prioritize residential comfort and on-site services over walkability or urban proximity.
Overview of Capitol River Wellness & Rehabilitation
Capitol River Wellness & Rehabilitation provides nursing home and skilled nursing care, palliative care, and respite care in Jefferson City, Missouri. Skilled nursing includes licensed nursing care on site around the clock, while palliative care focuses on comfort and symptom management.
Respite care provides a short stay for a family whose usual caregiver needs to travel or recover. The community may suit someone needing ongoing nursing support, comfort focused care, rehabilitation, or temporary coverage.
The community has 120 beds, with rehabilitation services that allow residents to work on recovery as part of their stay. Staff are present at all hours, and a doctor on staff provides physician care within the community.
Meals are nutritionally balanced and meet medical and faith based food requirements, supporting residents who follow those dietary needs. A salon and spa provide personal care services on site, while Health Care and Dietary and Nutritional Needs Management are among the facility’s specific programs. Medicare, Medicaid, and private pay are accepted, giving families several listed ways to cover care; Kaylon Williams serves as administrator, and Jefferson City Wellness & Rehabilitation operates the community.
Overview of Blue Springs Wellness & Rehabilitation
Blue Springs Wellness & Rehabilitation provides nursing home, palliative care, and skilled nursing in Blue Springs, Missouri. Nursing home and skilled nursing care provide residential support with licensed nursing available around the clock. Palliative care focuses on comfort and symptom management for residents with serious illness.
The community may be a good fit for someone whose needs include ongoing nursing care, rehabilitation, or comfort focused support. The home has 120 beds. Rehabilitation services can support a resident working toward recovery or maintaining function during a nursing stay, while respite care offers short term stays for a family caregiver who needs time away.
A salon and spa give residents access to those services within the community. Meals are nutritionally balanced and meet medical and faith based food requirements, allowing residents with those requirements to receive meals that follow them. Medicare, Medicaid, and private pay are accepted, giving families the option to use public benefits or pay directly.
Carl Emerson Sr serves as the administrator, and a doctor is on staff.
Recognized as the US News and World Report’s Best Independent Living in 2024, The Gatesworth is a trusted senior living community located at One McKnight Pl, St. Louis, MO, offering independent living. The community features a wide range of elegant and spacious floor plans including one-bedroom and two-bedroom apartments. Providing care for over 35 years, Gatesworth commits to enhancing the seniors’ quality of life.
The Gatesworth promotes a bright and friendly environment, orchestrating a spectrum of activities that enhances its residents’ quality of life. Learning is a lifelong journey and the community ensures that seniors continue to learn with regular lectures from experts in various fields. Enjoy luxurious amenities for fitness, beauty, and wellness. Residents delight with exquisite meals prepared by an award-winning chef in multiple dining venues. Live retirement at its finest with wonderful amenities and community at The Gatesworth.
Big Bend Retreat provides nursing home and nursing care, skilled nursing, assisted living, residential care, adult day care, and respite care in Slater, MO. Skilled nursing and nursing care include licensed nursing care on site around the clock, while assisted living helps with daily tasks such as dressing, bathing, and taking medication.
Adult day care provides support during the daytime. Respite care offers a short stay when a family caregiver needs to travel or recover, giving the usual caregiver a temporary break without ending the person’s care arrangement.
The community has 70 beds. Residents receive home-style meals cooked throughout the day, and Emily Hahn serves as the administrator.
A Walk Score of 33 places the area in a car-dependent setting, where most errands require a car or a ride. A resident who no longer drives would need transportation for those trips.
The range of residential and nursing services may suit a resident whose needs could require different levels of support over time.
Tucked away in Jackson County, Independence, MO, The Groves is an inviting senior living community that offers a continuum of care services, including independent living, assisted living, short-term care, and long-term care. The community offers loving, attentive care in a secure and homey environment with private or semi-private room options and the full spectrum of services. Here, residents feel well-cared for with care services, such as skilled nursing, everyday care, medication management, cutting-edge rehab, wound and physician/dentist/podiatry, as well as professional counseling.
Residents are able to live their lives to the fullest without the hassle of chores like housekeeping, laundry, and meal preparation. Transportation services are also provided so residents can get to their appointments on time, safely, and without the hassles of public commuting. In addition to delectable dining experiences, residents are also offered plenty of opportunities to connect, engage, and learn new things through a vibrant recreational curriculum.
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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