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Why trust this guide?
Our editorial team analyzed 305 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-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 score. It is not a government rating. A dash means we do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
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.
Rank badges are statewide: each nursing home is ranked against every MO nursing home we track that reports that metric, not just the 305 on this page. See how we rank facilities
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.
The Villa at Blue Ridge provides nursing home, skilled nursing, and hospice care in Columbia, MO. Skilled nursing gives residents access to licensed nursing care on site around the clock, while hospice care supports residents with end of life needs. The community may be a good fit for someone who needs ongoing nursing care and may benefit from rehabilitation services within the same setting.
Residents can choose a private room or a shared room. Therapy staff provide physical, occupational, and speech therapy through individualized treatment plans developed with physicians, allowing rehabilitation to address each resident’s specific treatment needs. A restorative program and social services are also available.
Four courtyards provide outdoor spaces on the grounds. Residents can use the barber and beauty shop without arranging an outside salon visit, and daily activities include exercise groups, arts and crafts, bingo, and puzzles, creating scheduled opportunities for movement and recreation. At mealtimes, residents choose from a variety of nutritious options based on their individual preferences.
Americare operates a 79-bed nursing facility in Columbia, Missouri. This non-profit community focuses on short-term post-acute rehabilitation and extended skilled nursing care, with residents staying for an average of 93 days. The campus coordinates adult day care, home health services, physical therapy, and short-term respite stays under a single care plan.
Residents receive a substantial amount of daily attention, averaging 4 hours and 18 minutes of direct nursing care per day. This hands-on schedule includes 2 hours and 24 minutes from certified nurse aides, 52 minutes from licensed practical nurses, and 44 minutes of direct medical oversight from registered nurses. Financial pathways are flexible, as the community accepts Medicare, Medicaid, and standard private payments. Demand for placement is high, with the facility running at an average occupancy rate of nearly 99 percent.
The surrounding Columbia area carries a walkability score of 46 out of 100, which reflects a somewhat car-dependent layout. While a few basic errands might be manageable on foot, visiting families and staff will generally need a vehicle for standard travel. On-site community perks include a private library, a family visitation lounge, an outdoor courtyard, a beauty salon, and dedicated wellness programs.
Families can reach the community’s team directly to ask about current room vacancies, talk through your specific insurance coverage, or figure out the best timing for a visit to the campus.
Operated by N & R of Lincoln County, Inc, Lincoln County Nursing & Rehab is a skilled nursing facility in Troy, Missouri, under the administration of Denise Thorsden. The 90-bed facility accepts Medicare, Medicaid, and private pay, providing residents with flexible coverage options to access short-term rehabilitation and longer-term nursing care. The facility’s occupancy rate is 89%. Most stay for an average of 285 days, including post-acute rehab patients and those requiring ongoing skilled care.
The facility focuses on comprehensive rehabilitation services. There are in-house physical, occupational, and speech therapy to support recovery from surgery, stroke, or hospitalization. A doctor is on staff, with round-the-clock nursing oversight.
Total nurse staffing averages 3 hours and 32 minutes per resident daily. Registered nurses provide approximately 7 minutes per resident daily, nurse aides contribute 1 hour 51 minutes, and LPN/LVN staff provide 41 minutes. These staffing levels show the intensity of care for a nursing home population.
The facility is on East Cherry Street, a moderately walkable neighborhood with a Walk Score of 68. This means residents and visiting family can do some errands on foot, but most trips require a short drive. They can conveniently access local services and transportation within the area.
Residents have access to dining services with varied, preference-based meal planning, pharmaceutical services on-site, beauty and barber services, housekeeping and laundry support, and van transportation for outings. Religious services are also available for those who wish to observe their faith.
The Department of Health and Senior Services’ state inspections identified areas for ongoing attention. These include specialized care protocols, medication oversight, staff training, and facility maintenance standards. Families touring the facility should ask how staff manage and support these areas.
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.
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.
Overview of Polaris Health and Wellness of Autumn Terrace
Polaris Health and Wellness of Autumn Terrace is a one-story nursing home offering skilled nursing, memory care, hospice, palliative, and respite services in Raytown, Missouri. This array of specialties allows the facility to bolster residents across different care needs, from post-hospital recovery to long-term memory care to end-of-life comfort.
The community is in an average walkable neighborhood (Walk Score 65) where some daily errands can be finished on foot, while nearby services and amenities blend accessible local options with car-accessible destinations. This setting suits families seeking a mix of independence and neighborhood access. Medicare and Medicaid are accepted, opening routes for seniors with varied financial circumstances to access care services.
Overview of Polaris Health and Wellness of Lee‘s Summit Pointe
Located in Lee’s Summit, Missouri, Polaris Health and Wellness of Lee’s Summit Pointe is a nursing home offering skilled nursing and hospice care. The community is about 4.47 miles from University Health Lakewood Medical Center, keeping hospital care within easy reach if a transfer is ever needed.
Residents receive 24-hour nursing care. IV therapy, wound care, infection control, and on-site X-ray services are available without leaving the community. Rehabilitation is a major focus, with dedicated programs for joint replacement, cardiac recovery, orthopedic recovery, and post-stroke care. These services make the community a good option for people recovering from a hospital stay who need both therapy and skilled nursing support.
Nursing staff provides an average of about 41 minutes of registered nurse care, 29 minutes of licensed practical or vocational nurse care, and 1 hour and 53 minutes of nurse aide care per resident each day. These staffing levels provide daily licensed nursing support along with the hands-on assistance residents need with activities such as bathing and mobility.
Residents also have access to Wi-Fi, daily housekeeping, and a private outdoor courtyard. There are scheduled family Zoom calls for residents whose loved ones cannot visit personally. The community also offers a beauty salon, transportation services, and regular social activities that encourage residents to stay engaged.
The area has a Walk Score of 53, which is moderately walkable. Some errands can be completed on foot, while others require a short drive. Families considering Polaris Health and Wellness of Lee’s Summit Pointe may ask about current room availability.
Overview of Forest View Senior Living at the Groves
Forest View Senior Living at the Groves is an independent living community in Independence, Missouri, operating under the broader Groves campus brand. It accepts Medicaid, which is a meaningful access point for independent living communities in Missouri where private-pay-only options are the norm.
Pets are welcome. Religious services are available on-site. The amenity set includes a beauty salon and barbershop, carports and garages for residents with vehicles, and laundry facilities. A recreational curriculum rounds out the lifestyle programming, alongside dining and social activities that the profile references without detailing further.
The Walk Score is 15, so a car is a practical necessity for most errands and appointments. That said, the on-site amenities cover enough daily needs that residents without regular transportation aren’t entirely without options.
For older adults in the Independence area looking for independent living with Medicaid acceptance and a standard set of community amenities, Forest View at The Groves covers the basics in a car-dependent suburban setting.
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.
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 305 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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