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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.
Independence Court is a 75-bed residential care facility at 121 Independence Drive, Perryville, Perry County, Missouri, operated by Independence Health System, Inc under the administration of Dana Korando. The facility provides memory care, rehabilitation services, and skilled care. It maintains 24-hour staffing and operates continuously. The neighborhood is moderately walkable with a walk score of 69.
The facility has received CMS 5-Star Facility recognition, indicating superior quality performance according to Centers for Medicare and Medicaid Services rating criteria.
The facility indicates 24-hour staffing is maintained.
Rehabilitation services and skilled care are referenced. Religious services and ombudsman services are available.
The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.
The facility’s regulatory history shows zero total inspections recorded, compared to a Missouri state average of seven for comparable residential care facilities. This unusually sparse inspection history requires explanation.
Before considering placement, families should request staffing documentation, memory care protocols, current licensing records, and clarification of the CMS 5-Star rating basis.
Overview of Friendship Village Assisted Living & Memory Care
Friendship Village Assisted Living & Memory Care is an 84-bed community at 12777 Pointe Drive, Saint Louis County, Missouri, operated by Friendship Village of South County under the administration of Ms. Nicole Summers.
The facility provides assisted living, memory care, skilled nursing, and rehabilitation services in a continuum-of-care model, allowing residents to remain on campus as care needs evolve. The facility maintains 24-hour staffing, offers hospice services, and has a walk score of 0, reflecting extreme car-dependence with virtually no nearby walkable options.
The facility offers assisted living support for residents with activities-of-daily-living assistance, memory care programming for residents with dementia and cognitive decline, skilled nursing for post-acute care, and short-term rehabilitation services. Respite care is available.
Amenities include fitness areas, a private library, movie theater, secure community environment, spiritual activities, adventure opportunities, and religious services. The continuum-of-care model within a single campus facilitates level-of-care transitions without relocating residents.
The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits, making the facility accessible to residents with government assistance.
The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable communities. This unusually sparse inspection history requires explanation. Current licensing status and any available regulatory documentation should be reviewed before placement.
Families should verify staffing credentials, CMS ratings, licenses and inspection reports from the Missouri Department of Health and Senior Services, and emergency response protocols.
Big Bend Retreat is a 10-bed intermediate care facility at 620 North Emmerson, Slater, Saline County, Missouri. Emily Hahn administers the facility, operated by Big Bend Retreat, Inc. The facility emphasizes personalized care in a small, intimate residential setting.
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 state records. This aligns with typical regulatory patterns for very small rural intermediate care facilities.
Big Bend Retreat provides 24-hour staffing with residential care, adult daycare, and respite care services. Home-style meals are prepared daily for residents. No state or federal operational data is available regarding staff-to-resident ratios, occupancy rates, or clinical outcomes. Administrative hours are listed as Monday through Friday 8:00 AM to 4:00 PM, though 24-hour staffing is claimed.
As an intermediate care facility, Big Bend Retreat operates under a different regulatory framework than skilled nursing facilities, providing personalized residential care with supporting services for a small census. Located at or near Slater city center, the facility is in a low-walkability area with Walk Score 33. Most errands require transportation.
The facility’s small 10-bed capacity may allow for intimate staff-resident relationships. Services emphasize respite care and adult daycare flexibility for temporary or part-time stays.
Families evaluating Big Bend Retreat should contact directly for details about staffing credentials, admission requirements, care scope, and current availability.
Ignite Medical Resort St. Peters is a 91-bed skilled nursing facility at 5101 Executive Centre Parkway, Saint Peters, St. Charles County, Missouri, operated by Ignite St. Peters LLC under the administration of Andrew Lane.
The facility accepts both Medicaid and Medicare, maintains 24-hour staffing, and positions itself as a luxury rehabilitation center with private rooms, a full-service spa, Starbucks café, on-site restaurant with chef-prepared cuisine, on-site chapel, and concierge services. The walk score is 45, indicating somewhat walkable location where a few services are reachable on foot but most trips require transportation.
The facility’s CMS Certification Number and Missouri License Number both display as “0” in available records. Before considering admission, families must verify directly with the Centers for Medicare & Medicaid Services and Missouri Department of Health and Senior Services that the facility holds current and valid Medicare and Medicaid certifications. This verification step is essential.
Ignite Medical Resort specializes in orthopedic rehabilitation, stroke recovery, cardiac care, pulmonary rehabilitation, infection management, and renal disease treatment including in-house dialysis. These specialized programs indicate clinical capacity to manage complex medical conditions and post-acute rehabilitation needs. Without benchmarked staffing information and quality data, families cannot independently assess whether the facility’s clinical resources adequately support the specialized rehabilitation services offered or how the facility’s outcomes compare to peer institutions.
The facility emphasizes lifestyle and recreational elements alongside medical care, with dining options including outdoor courtyard patio and fire pit settings. Religious services are provided.
The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits. The facility reports no federal penalties in the past three years, which is a positive indicator of regulatory compliance during that period.
Families should verify current Medicare-Medicaid certifications, and request staffing hours per resident per day, CMS ratings, and quality outcome measures for specialized programs
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.
King’s Daughters Home is a highly rated nursing home in Mexico, MO, offering skilled nursing and residential care. Promoting a compassionate and supportive environment, the community strives to keep older adults comfortable and safe. Residents also experience maintenance-free living with 24-hour care, pain management, and transportation services. Through personalized care plans, residents receive the utmost attention and care tailored to their ever-changing needs and preferences.
Board games, movie nights, and outings encourage residents to live actively and explore new interests. Top-notch amenities and spacious living areas also ensure residents can focus on their recovery. Residents also have a laid-back lifestyle, as it is conveniently located in the peaceful residential area of Mexico. This nursing home is a great choice for senior living in Missouri, especially with its dedicated services and top-notch amenities.
Southbrook Nursing Home is a trusted nursing home in Farmington, MO, offering rehabilitation and skilled nursing. Promoting a nurturing and welcoming environment, the community ensures older adults can feel at home during their stay. Residents can also keep their peace of mind with exceptional services, including restaurant-style dining, 24-hour care, and wellness programs. To enrich residents’ living experiences, the community provides care plans tailored to their unique needs and preferences.
Intergenerational programs, social gatherings, and pet therapy are just some of the enrichment programs dedicated to helping older adults maintain their holistic well-being. A beauty salon, a fitness center, and beautiful grounds also ensure residents’ relaxation. Located near Parkland Health Center in Farmington, the community guarantees convenient access to medical care. This nursing home continuously provides excellent services for older adults’ welfare, making it one of the best choices for senior living in Missouri.
Mercy Skilled Nursing – Lincoln is a nursing home in Troy, MO, offering rehabilitation and skilled nursing. The community’s nurturing setting ensures older adults can experience the utmost comfort. With comprehensive therapy programs, wound care, and infusion therapy, residents can focus on their recovery and rehabilitation. Along with a multidisciplinary team, personalized care plans are also provided to help residents regain their independence.
Educational programs and emotional support also ensure residents will not feel lonely during their stay. As it is located within a hospital, residents can still freely move around and rest comfortably. The community also guarantees accessibility with its ideal location near highways, restaurants, and shops in Troy. Providing dedicated care for older adults in their later years, this nursing home is a great choice for senior living in Missouri.
Housed in a single-story building, St. Joseph Chateau is a nursing home on North 9th Street in St. Joseph, Missouri. The facility has private and shared room options. The facility is in a car-dependent neighborhood with a Walk Score of 15, so most daily errands require a vehicle.
The home’s core offerings are rehabilitation services and respite care. It focuses on personalized, patient-centered goal setting tailored to every resident’s rehabilitation needs. Services include clinical capabilities and therapy services, which are supported by community partnerships, extending the range of care options for residents.
Amenities include a wellness program because it’s committed to supporting resident’s health beyond skilled nursing and therapeutic care. Families considering the facility should take an in-person tour to see the room configurations, learn more about the therapy and rehabilitation programs, and understand the daily life and rhythms of care.
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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