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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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over 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.
Situated within the serene beauty of Jefferson City, StoneBridge Senior Living Oak Tree (Formerly Oak Tree – ALF) graces seven acres of picturesque land, offering a tranquil and welcoming community. Embracing an all-inclusive approach, this haven ensures worry-free living for residents through a dedicated and compassionate team. With personalized attention that comes from well-trained professionals, seniors are provided with exceptional care that caters to their unique needs.
The floorplans at StoneBridge Senior Living Oak Tree are designed to accommodate various preferences, offering studios as well as one and two-bedroom options. The community flourishes with vibrant outdoor spaces that blend seamlessly with cozy and inviting interiors, providing residents with places to unwind. Whether it’s the charming outdoor areas or the clean and comfortable living spaces, every corner fosters relaxation and enjoyment. The senior-friendly bathrooms and a variety of common areas further enhance the quality of life for residents, creating an environment that nourishes the soul.
The 220-bed nursing home at Nhc Healthcare, Maryland Heights, is managed by operator Nhc Healthcare, Maryland Heights, LLC, and owner Susan Taylor on Fee Fee Road. Resident billing is systematically split across several standard options, including Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the suburban neighborhood carries a walkability score of 39 out of 100, indicating a car-dependent layout where family members will need a vehicle for visits.
Records highlight an 87 percent occupancy rate alongside an average length of stay of 81 days, demonstrating a daily routine focused primarily on short-term post-hospital rehabilitation rather than multi-year residential placements. To oversee daily health needs and physical recovery, the 24-hour shift framework supplies an average of 3 hours and 15 minutes of total nursing care per resident each day. This continuous coverage is shared among registered nurses, licensed practical nurses, and nurse aides who handle direct physical assistance and clinical checks.
Oversight databases managed by public health departments trace the building’s adherence to state standards through recurring licensing reviews. Documented state file reviews verify that recent evaluations logged specific compliance deficiencies concerning laboratory service scheduling and staff vaccination records, meaning the property’s total cumulative citations-per-inspection rate is not zero and these items remain part of regular tracking.
Prospective residents can access specialized medical support tracks, including physical therapy, short-term recovery programs, and temporary respite care loops. The campus features a central dining room, an outdoor relaxation courtyard, an on-site beauty and barber shop, and rooms equipped with building-wide Wi-Fi and cable television.
Joplin #1, Inc. and owner John Cascone employ administrator Cynthia Thomas to run Communities of Wildwood Ranch, a 120-bed nursing home located at 3222 South John Duffy Drive in Joplin, Missouri. Financial billing processes smoothly through standard avenues, clearing resident expenses via Medicare, Medicaid, and private payments. For those visiting or staying at the facility, the local neighborhood has a walkability score of 77 out of 100, which means the area is highly pedestrian-friendly, allowing guests to manage everyday tasks and neighborhood walks entirely on foot.
Rosters report a 93 percent occupancy level, while resident stays average 69 days. This shorter timeline indicates an operational setup focused heavily on short-term physical rehabilitation loops and post-hospital recovery rather than multi-year residential stays. To monitor continuous care targets and therapy sessions, the 24-hour staffing schedule delivers an average of 4 hours and 9 minutes of direct nursing care per resident each day, with registered nurses, practical nurses, and nurse aides splitting the daily unit coverage.
Past survey folders note that state inspectors cited specific procedural items requiring corrections, specifically regarding medication administration routines, fall prevention steps, and compliance with general staffing and notification rules, keeping the property’s overall citation rate above zero.
Prospective representatives can evaluate the on-site physical therapy programs and short-term recovery setups to see how the nursing teams manage daily functional goals. The indoor design pairs these clinical rehabilitation tracks with regular social activity programs, common lounge spaces, and standard daily dining options.
Columbia Post Acute, LLC, owner of Mainstreeidence Developments LLC, and administrator Christopher McClain manage the daily routines at Columbia Post Acute, a 70-bed skilled care center on internal streets in Columbia, Missouri. The administrative desk processes accounts through standard paths, working with private funds, Medicaid, and Medicare. Family members checking the local neighborhood will find a highly pedestrian-friendly grid scoring 98 out of 100 for walkability, meaning you can easily complete everyday errands or walk to nearby services entirely on foot when dropping by.
The facility stays nearly full, but people usually only stay for about 30 days. It is a fast-moving setup built entirely for short-term rehab, not long-term care. To keep up with that pace, the nursing crew gives each resident about three and a half hours of direct, hands-on care every single day. That daily support is shared across registered nurses, practical nurses, and assistants who keep both the inpatient and outpatient therapy schedules running.
Past survey evaluations have highlighted a few specific process areas needing regular administrative attention, including routine medication management, employee qualification checks, and clinical care documentation habits, keeping the overall citation rate above zero.
Older adults can look into the specialized physical therapy spaces, private bathrooms, and dedicated social lounges. The daily routine pairs these recovery tracks with menu choices prepared by the culinary team, alongside regular social events like arts, crafts, bingo, and live entertainment.
Life Care Center of St. Louis is a 100-bed skilled nursing facility operated by CMC Extended Care Center, Inc., at 3520 Chouteau Avenue in Saint Louis, Missouri. Accepted are Medicare, Medicaid, and private pay, serving primarily long-term residents alongside a smaller post-acute population. Skilled nursing, rehabilitation, and an Alzheimer’s and dementia care program are offered. The facility has some availability at 79 percent occupancy which is above Missouri’s 66.6 percent average.
The facility is scored 4 stars by CMS, 52.1 percent above Missouri average, fueled by staffing and quality measures. Nurse hours reach 4h 24m per resident daily, 16 percent above state average, and the quality measures sub-rating runs 79.2 percent above the Missouri mean, reflecting strong clinical outcomes for long-stay residents. Across 5 health inspections since 2019, the facility recorded 41 total citations, mostly moderate in severity, with 1 critical finding in October 2024 and a corresponding $16,000 federal fine; both were corrected. No payment denials have been issued.
Amenities feature a community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a beauty salon and barber shop. An active resident council exists.
With strength in staffing and quality outcomes, Life Care Center of St. Louis suits residents needing long-term skilled nursing or dementia care in urban St. Louis.
Overview of Heartland Care and Rehabilitation Center
Located on Boutin Drive in Cape Girardeau, Missouri, Heartland Care and Rehabilitation Center is a nursing home operated by Cape Girardeau #1, Inc and owned by Melissa Bollinger. The 102-bed home has been operating for 31 years and currently serves approximately 63 residents. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.
The facility focuses on rehabilitation services, so it’s well-suited for residents recovering from surgery, illness, or hospitalization. Most stay an average of 359 days, including post-acute rehab patients and those requiring ongoing nursing care. Daily nurse staffing averages 3 hours and 16 minutes per resident. Support is distributed across registered nurses, licensed practical nurses, and nurse aides who provide consistent clinical oversight throughout the day.
State inspections by the Missouri Department of Health and Senior Services documented issues around facility maintenance, environmental cleanliness, and clinical documentation. The facility’s location in Cape Girardeau has a Walk Score of 66, which indicates moderate walkability. Some errands can be done on foot, so family members will find it convenient to visit from the surrounding area.
Operated by N & R Of Dexter, Inc, Crowley Ridge Care Center is a 90-bed nursing home in Dexter, Missouri. The community on North Outer Road sits in a moderately walkable area with a mix of nearby services and amenities. Operating for 17 years, it currently serves about 50 residents across its bed capacity. The Medicare, Medicaid, and private pay acceptance gives families several coverage routes for short-term rehabilitation and longer-term care.
The facility focuses on rehabilitation services and provides 24-hour staffing. Total nursing care averages roughly 4 hours 14 minutes per resident day, with a care team that includes registered nurses, LPNs, and nursing aides. The average stay duration is about 168 days, indicating a mix of post-acute recovery and active skilled nursing stays. This care model bolsters residents needing structured medical oversight and rehabilitative support during recovery or transition periods. The surrounding neighborhood scores moderately for walkability, making it fairly convenient for visiting family members to access local services and amenities on foot when needed.
The Missouri Department of Health and Senior Services’ inspections have raised concerns about financial management practices, medication administration consistency, and care approaches for occupants with complex needs.
Families touring Crowley Ridge Care Center can discuss how the facility addresses crucial quality areas and what specific safeguards and protocols are implemented.
Located on Old Jackson Rd in Farmington, Missouri, St Francois Manor is a skilled nursing home operated by N & R Of Farmington, LLC under the ownership of Jennifer Simpson and administration of Kelley Shaunta Williams. The surrounding area has a Walk Score of 77, making it convenient for family visits and nearby errands. It accepts Medicare, Medicaid, and private pay, giving families multiple options for covering short-term rehabilitation and longer-term skilled care.
The 158-bed community has been operating for 12 years. Most residents stay for an average of, including post-acute rehabilitation residents and those remaining for ongoing skilled nursing care. Daily nurse staffing averages roughly 5 hours and 58 minutes per resident. This level of staffing provides substantial hands-on support as part of the care model.
Clinically, St Francois Manor focuses on rehabilitation and skilled nursing. There are on-site therapy services, including physical and occupational therapy, as well as behavioral and Alzheimer’s care for residents with memory-related conditions. The home has a doctor on staff with 24-hour staffing, so clinical oversight and immediate nursing response are built into daily operations.
Hospice services are also available for residents receiving end-of-life care. These clinical strengths make the home suitable for patients recovering from surgery or hospitalization, or for those managing complex medical or behavioral health needs.
Residents benefit from a comprehensive dining program that offers a variety of nutritious meals and snacks tailored to their preferences. The home features secure units for behavioral and memory-care residents, on-site professional medical services, and mental health support. Additional amenities include resident transportation, so activities and off-campus appointments can be arranged with staff assistance.
State inspections conducted by the Missouri Department of Health and Senior Services have identified recurring themes in medication management and documentation accuracy, nursing coverage consistency, and environmental safety practices. Families touring the home should ask how the facility addresses these operational areas daily.
Westgate is a 120-bed skilled nursing facility that provides long-term care, memory support, and rehabilitation services. Located in a walkable urban area, the building stays busy with a 91% occupancy rate that runs well ahead of the Missouri state average. On the business side, the operation is financially stable, posting a $1.1 million profit and a 10% margin. The facility utilizes its own staff for the vast majority of its operations, keeping its reliance on outside contract labor down to just 7% of total hours.
Public health databases show an uneven clinical track record paired with localized personnel challenges. Total direct nursing time averages 3 hours and 24 minutes per resident daily, with strong practical nurse coverage offset by registered nurse hours that trail state benchmarks by 18%. Over a six-year tracking window, the property compiled 20 deficiencies, averaging 3.3 per year, which outpaces the state baseline.
However, its most recent inspection in January 2026 flagged a serious deficiency involving a substantiated complaint of staff-to-resident physical abuse, resulting in the immediate termination of the employee. Past oversight files also note a July 2025 resident rights violation alongside older, corrected issues with fall tracking, room change notices, and infection control. Clinical charts show mixed metrics; the facility scores well on depression management, but permanent residents face higher-than-average rates of physical functional decline and major injury falls.
Prospective residents reviewing local extended care or memory support options can consult these state monitoring summaries to analyze the facility’s day-to-day operations. Since the official tracking profiles show strong local utilization and a lower overall citation count alongside thin daily registered nurse hours, weak post-acute safety scores, and a recent high-severity abuse termination, the data highlights a stable business navigating serious clinical oversight needs.
Overview of Garden View Care Center at Dougherty Ferry
The 120-bed nursing home at Garden View Care Center at Dougherty Ferry is located on Big Bend Road in Valley Park, Missouri, under owner Courtney Nieves and administrator Alisa Santangelo. Administrative staff process payments across several standard coverage programs, accepting Medicare, Medicaid, and private pay. If you want to check out the local surroundings, the facility sits in a car-dependent layout where family members can walk to a few select spots but will generally find a vehicle practical for most errands.
Stays at this property average roughly 97 days, an operational timeline that reflects an everyday focus on temporary post-hospital therapy alongside conventional long-term residential placements. To oversee routine medical care and physical needs, the 24-hour staffing schedule organizes an average of seven hours of total nursing care per resident each day. This shared workload is split among registered nurses, licensed practical nurses, and nurse aides across all shifts.
Records from the Missouri Department of Health and Senior Services track the building’s historical regulatory performance. State compliance records confirm that the administrative team runs its daily operations and nursing documentation within regional guidelines, which keeps the home’s long-term cumulative citations-per-inspection rate at zero.
Prospective residents can access focused physical rehabilitation loops, temporary respite care, and a specialized Assisted Living Plus option. The everyday calendar coordinates these medical structures with restaurant-style dining selections tailored to standard therapeutic parameters.
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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